Immediate effects of interoceptive awareness training through Mindful Awareness in Body-oriented Therapy (MABT) for women in substance use disorder treatment.

Immediate effects of interoceptive awareness training through Mindful Awareness in Body-oriented Therapy (MABT) for women in substance use disorder treatment.
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DOI:
10.1080/08897077.2018.1488335
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发表时间:
2019
期刊:
影响因子:
3.5
通讯作者:
Hooven C
Hooven C
中科院分区:
医学3区
文献类型:
--
作者:
Price CJ;Thompson EA;Crowell SE;Pike K;Cheng SC;Parent S;Hooven C

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通过感觉间知觉获得的感觉信息可能在情感行为和成功的药物使用抑制中发挥重要作用。这项研究考察了作为女性物质使用障碍(SUD)治疗的辅助手段的心身干预(MABT)作为女性物质使用障碍(SUD)治疗的辅助手段(MABT)的即时效果。MABT教授相互感觉意识技能,以促进自我照顾和情绪调节。在美国太平洋西北部的3家社区诊所招募了因化学依赖而接受强化门诊治疗(IOP)的妇女(N=217),并随机分配到3种研究条件之一:MABT+照常治疗(TAU)、妇女健康教育(WHE)+TAU(积极控制条件)和仅TAU。在基线和干预3个月后,评估内感意识技能和正念、情绪调节(自我报告和心理生理学测量)、症状性苦恼(抑郁和创伤相关症状)、物质使用(戒断天数)和渴求。使用多水平混合效应线性回归评估不同时间结果的变化。基于意向治疗方法的研究结果显示,与其他研究组相比,接受MABT治疗的女性在感觉间意识和正念技能、情绪失调(自我报告和心理生理学)以及禁欲天数方面都有显著改善。基于完成MABT主要组成部分的参与者(至少75%的干预课程)的额外分析显示,这些改善以及抑郁症状和物质渴望的减少。内感训练与SUD治疗中女性的健康结果相关的发现与新兴的神经认知模型是一致的,这些模型将内感与情绪调节和相关的健康结果联系起来,提供了支持和改进SUD治疗的关键知识。
Sensory information gained through interoceptive awareness may play an important role in affective behavior and successful inhibition of drug use. This study examined the immediate pre-post effects of the mind-body intervention Mindful Awareness in Body-oriented Therapy (MABT) as an adjunct to women’s substance use disorder (SUD) treatment. MABT teaches interoceptive awareness skills to promote self-care and emotion regulation. Women in intensive outpatient treatment (IOP) for chemical dependency (N = 217) at 3 community clinics in the Pacific Northwest of the United States were recruited and randomly assigned to one of 3 study conditions: MABT + treatment as usual (TAU), women’s health education (WHE) + TAU (active control condition), and TAU only. At baseline and 3 months post-intervention, assessments were made of interoceptive awareness skills and mindfulness, emotion regulation (self-report and psychophysiological measures), symptomatic distress (depression and trauma-related symptoms), and substance use (days abstinent) and craving. Changes in outcomes across time were assessed using multilevel mixed-effects linear regression. Findings based on an intent-to-treat approach demonstrated significant improvements in interoceptive awareness and mindfulness skills, emotion dysregulation (self-report and psychophysiology), and days abstinent for women who received MABT compared with the other study groups. Additional analyses based on participants who completed the major components of MABT (at least 75% of the intervention sessions) revealed these same improvements as well as reductions in depressive symptoms and substance craving. Findings that interoceptive training is associated with health outcomes for women in SUD treatment are consistent with emerging neurocognitive models that link interoception to emotion regulation and to related health outcomes, providing knowledge critical to supporting and improving SUD treatment.
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