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Minding the Gap: Leveraging Mindfulness to Inform Cue Exposure Treatment for Substance Use Disorders.

Frontiers in Psychology March 22, 2021 DOI: 10.3389/fpsyg.2021.649409 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Topics Addiction Meditation
Key points Argues that cue exposure treatment for substance use disorders has shown poor efficacy due to extinction threats such as renewal and reinstatement, and proposes that mindfulness-based practices could positively influence cue exposure treatment, with future research needed to test whether mindfulness can attenuate renewal and enhance extinction of salient cues.

Abstract

Despite extinction-based processes demonstrating efficacy in the animal extinction and human anxiety literatures, extinction for substance use disorders (SUD) has shown poor efficacy (i. e., cue exposure treatment [CET]). Reasons for this lack of success include common threats to extinction, such as renewal and reinstatement. In recent decades, research on mindfulness for SUD has flourished, and a key aspect of these mindfulness-based interventions includes teaching individuals to stay present with whatever experience they have, even if unpleasant, without trying to change/escape/avoid it. Similarly, CET teaches individuals to not escape/avoid conditioned responses (e.g., craving) by engaging in drug use behavior. This paper discusses how mindfulness-based research and practices could positively influence CET through future research (e.g., Could mindfulness practice attenuate renewal? Might mindfulness training + CET enhance the ability to extinguish the most salient or motivational cues?), with the long-term goal of improving SUD treatment.

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