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

描述（由申请人提供）：目前研究的广泛，长期目标是通过创新的身心方法，“身体导向治疗中的正念意识”（MABT）改善女性药物滥用治疗。MABT方法旨在通过按摩，身体意识练习和正念技能的获得相结合来增强体现和促进正念。MABT的治疗目标包括减少回避应对反应，增加情绪调节，并通过获得和接受（与回避）的感官和情绪体验减少创伤症状。考虑到压力、负面影响和复发之间的正相关性，以及与PTSD症状相关的复发风险，这些被认为对预防复发很重要。本研究的具体目的是：1）检查MABT招募和保留作为药物滥用治疗辅助治疗的可行性，2）描述干预的可接受性，3）比较身体导向治疗与常规治疗对报告的药物使用戒断天数的影响，以估计效应量。该试验将涉及两组重复测量设计，其中参与者被分配到治疗作为治疗的对照组或MABT实验组，也接受常规护理。将在基线、干预后以及6个月和9个月随访时对这两种情况进行比较。这项研究涉及MABT干预检查作为一个全面的药物滥用治疗计划中的妇女治疗的补充。这项研究将有助于身体导向疗法的研究计划。

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.