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Mindfulness for Alcohol Abusing Offenders: Mechanisms and Outcomes

酗酒者的正念：机制和结果

基本信息

批准号：
10668853
负责人：
KENT A KIEHL
金额：
$ 69.01万
依托单位：
LOVELACE BIOMEDICAL RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-07-01 至 2025-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10668853
关键词：
Abstinence Address Affective Alcohol abuse Alcohol consumption Alcohol dependence Alcohols Anterior Behavior Control Behavioral Brain Brain imaging Clinical Cognitive Cognitive Therapy Collection Communities Consultations Control Groups Data Development Evaluation Exhibits Female Follow-Up Studies Forensic Medicine Funding Goals Imprisonment Impulsivity Individual Intervention Investigation Knowledge Laboratories Link Longitudinal Studies Magnetic Resonance Imaging Measures Meditation Methodology Mind Mindfulness Training Monitor National Institute on Alcohol Abuse and Alcoholism Neuropsychology New Mexico Outcome Outcome Measure Participant Pharmaceutical Preparations Population Prevention program Prisoner Prisons Randomized Randomized Clinical Trials Records Relapse Reporting Research Resolution Sampling Severities Site Social Interaction Societies Structure Substance Use Disorder Substance abuse problem System Techniques Testing Time Training Translating Treatment Efficacy United States National Institutes of Health Wisconsin Work alcohol abuse therapy alcohol craving alcohol use disorder antisocial behavior base behavior measurement cost craving criminal behavior design disorder later incidence prevention effective intervention effective therapy efficacious treatment executive function experience functional improvement high risk population improved interest mindfulness mindfulness intervention neurobiological mechanism neuroimaging offender parole probation programs promoter psychologic racial and ethnic recidivism recruit reduced alcohol use relating to nervous system research study response skills substance abuse treatment substance use success therapy development therapy resistant treatment as usual treatment risk

项目摘要

PROJECT SUMMARY The pernicious link between substance abuse and criminal behavior imposes major costs to society, totaling billions of dollars in the U.S. annually. There is a critical need for more effective interventions to counteract the high rates of relapse and recidivism in alcohol and substance abusing criminal offenders. Periods of offender incarceration provide a unique opportunity to develop and deploy such interventions. Progress in intervention development could be achieved by targeting specific cognitive and affective vulnerabilities that are common among substance abusing criminal offenders. Preliminary studies suggest that meditative or mindfulness interventions may confer significant psychological and behavioral benefits to inmates. However, the mechanisms and extent of intervention efficacy are unclear, as these previous studies have been beset by a number of methodological limitations. Moreover, to date no study has examined the neurobiological mechanisms that relate to treatment success in this population. NIAAA has recently made a program call to address these issues (PA-15-299). Here we answer this program call and propose to undertake a rigorous and comprehensive longitudinal study of mindfulness treatment of alcohol and substance use disorders among female inmates. This project will randomly assign over 400 female inmates to a mindfulness or relapse prevention training course, and both will be compared against a no treatment control. The mindfulness intervention will be tailored to address two key neuropsychological deficits in alcohol abusing criminal offenders: impulsivity and craving. We will test hypotheses about the neural changes over time with treatment to elucidate mechanisms of change. We will obtain estimates of “real-world” efficacy of the intervention by collecting outcome measures in prison (conduct reports) and following release (alcohol use relapse and antisocial behavior). This project takes advantage of a unique, longstanding partnership between the research team and the states of New Mexico and Wisconsin Correction Departments that allows collection of comprehensive assessment data from inmates during incarceration, including brain imaging data with a mobile MRI scanner, as well as access to post-release outcomes and relapse data. Completion of these aims is a critical step for implementing and evaluating a promising mindfulness intervention for this high-risk population. The proposed research will also begin to elucidate the psychological and neurobiological mechanisms of the treatment. These results will thus significantly advance a program of research seeking to translate the growing knowledge of neuropsychological deficits into more targeted and effective treatments for alcohol and substance abuse problems in criminal offenders.

项目总结