Mindful Awareness in Body-Oriented Therapy for Women's Substance Abuse Treatment:

描述(由申请者提供)：目前研究的广泛、长期目标是通过一种创新的身心方法--“身体导向疗法中的正念意识”(MABT)来改善女性的药物滥用治疗。MABT方法旨在通过结合按摩、身体意识练习和获得正念技能来增强具体化和促进正念。MABT的治疗目标包括减少回避性应对反应，增加情绪调节，并通过获得和接受(与回避)感觉和情绪体验来减少创伤症状。考虑到压力、消极情绪和复发之间的正相关关系，以及与创伤后应激障碍症状相关的复发风险，这些被认为对预防复发很重要。这项研究的具体目的是：1)考察招募和保留MABT作为药物滥用治疗的辅助手段的可行性；2)描述干预的可接受性；3)比较以身体为导向的治疗与常规治疗在已报告的戒毒天数中的效果，以估计效果大小。这项试验将包括两组重复措施设计，参与者被分配到照常治疗的对照组或MABT实验组，也接受通常的护理。这两种情况将在基线、干预后以及6个月和9个月的随访时进行比较。这项研究涉及对MABT干预的检查，作为对妇女综合药物滥用治疗计划中照常治疗的补充。这项研究将为身体导向疗法的研究计划做出贡献。

DESCRIPTION (provided by applicant): The broad, long-term objective of the current research is to improve substance abuse treatment for women through an innovative mind-body approach, 'Mindful Awareness in Body-Oriented Therapy' (MABT). The MABT approach is designed to enhance embodiment and to facilitate mindfulness through the combination of massage, body awareness exercises and the acquisition of mindfulness skills. The treatment goals of MABT include reduction of avoidant coping responses, increase of emotional-regulation, and decrease of trauma symptoms through access to and acceptance (vs. avoidance) of sensory and emotional experience. These are thought to be important for relapse prevention given the positive association between stress, negative affect and relapse; and risk of relapse associated with PTSD symptoms. The specific aims of the research are to: 1) to examine feasibility of recruitment to and retention in MABT as an adjunct to substance abuse treatment, 2) describe intervention acceptability, and 3) compare the effect of body-oriented therapy vs. treatment-as-usual on reported days abstinent for substance use in order to estimate effect size. The trial will involve a two-group repeated measures design in which participants are assigned to either the Treatment-as- Usual comparison group or the MABT experimental group, also receiving usual care. Both conditions will be compared at baseline, post-intervention, and at six and nine month follow-up. This study involves examination of the MABT intervention as a complement to treatment-as-usual within a comprehensive substance abuse treatment program for women. This research will contribute to a program of research in body-oriented therapy.