Mindfulness-Oriented Recovery Enhancement (MORE) improved opioid craving, pain unpleasantness, stress, and positive affect more than treatment as usual among individuals with opioid use disorder and chronic pain receiving methadone maintenance therapy. Participants in MORE reported nearly 1.3 times greater self-control over craving. Positive affect was associated with reduced craving, and this link was significantly stronger for those in MORE. The findings suggest MORE may serve as a useful non-pharmacological adjunct for this population.
Mindfulness and positive reappraisal, a cognitive coping strategy, are linked to better outcomes after trauma, including reduced posttraumatic stress and increased posttraumatic growth. In a sample of 505 college students, adding mindfulness and positive reappraisal to existing models of posttraumatic growth improved the models' ability to explain the data. Distinct cognitive pathways connected mindfulness and disrupted core beliefs to both posttraumatic stress and growth. Engaging in contemplative practices substantially changed the relationships among the core posttraumatic growth variables. The findings support a view of trauma as capable of producing both positive and negative outcomes and highlight the importance of cognitive coping strategies in fostering positive change.