Mindfulness-Based Recovery in Veterans with Substance Use Disorders

描述（由申请人提供）： 物质使用障碍（SUDS）的发生率在军人和退伍军人中很高。虽然许多研究都集中在SUD的急性护理上，但治疗后药物使用复发的风险很高，关注持续护理至关重要。针对生活方式的改变和改善应对机制的新的持续护理策略在促进维持禁欲，促进SUD退伍军人的康复和功能恢复方面非常重要。基于正念的复发预防（MBRP）是一种将认知行为复发预防治疗与正念实践相结合的手动治疗，已显示出持续护理SUD的前景。拟议的项目将比较MBRP与12步促进治疗，作为SUD初级治疗后的持续护理策略。参与者将被随机分配参加为期8周的每周90分钟，基于小组的MBRP或12步促进，然后进行10个月的随访，定期评估物质使用，情绪/焦虑症状，生活质量和功能结果。具有成功合作历史的两个VAMC研究中心（查尔斯顿和塔斯卡卢萨）将共同招募足够的样本量，以在4年内解决主要研究问题，并确保结果的普遍性。如果试验证明MBRP 促进持续禁欲和改善功能结果，这将提供一种宝贵的治疗方法，促进患有SUD的退伍军人的康复和恢复。

DESCRIPTION (provided by applicant): Rates of substance use disorders (SUDS) are high among military personnel and veterans. While much research is focused on the acute care of SUDs, the risk of relapse to substance use following treatment is high and attention to continuing care is critical. New continuing care strategies targeting life-style change and improved coping mechanisms are important in facilitating maintenance of abstinence, promoting rehabilitation and functional recovery for veterans with SUDs. Mindfulness-based relapse prevention (MBRP), a manualized treatment integrating cognitive-behavioral relapse prevention therapy with mindfulness practices, has shown promise in continuing care for SUDs. The proposed project will compare MBRP to a 12-Step Facilitation treatment as a continuing care strategy following primary treatment for SUDs. Participants will be randomized to participate in 8-weeks of weekly 90-minute, group-based MBRP or 12-Step Facilitation followed by a 10- month follow-up period with regular assessments of substance use, mood/anxiety symptoms, quality of life and functional outcomes. Two VAMC sites (Charleston and Tuscaloosa) with a history of successful collaboration will work together to recruit an adequate sample size to address the primary study questions within a 4-year period and to ensure generalizability of the results. If this trial demonstrates that MBRP promotes sustained abstinence and improved functional outcomes, this will provide a valuable treatment to facilitate rehabilitation and recovery for veterans with SUDs.