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Effects of a Brief Mindfulness-Based Intervention on Pavlovian-To-Instrumental Transfer in Alcohol Use Disorder

Annika Rosenthal, Maria Garbusow, Nina Romanczuk-Seiferth, Anne Beck

medRxiv January 6, 2023 preprint DOI: 10.1101/2023.01.04.23284172 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized within-subjects experiment
Sample size 62
Population Adults with alcohol use disorder (n = 27) and matched healthy controls (n = 35)
Intervention Mindful body scan meditation
Duration Brief audio guided body scan meditation; no follow-up period stated
Topics Addiction Meditation
Key findings No overall difference in Pavlovian-to-instrumental transfer (PIT) emerged between AUD and healthy participants or between the body scan and nature sounds conditions. A significant interaction indicated that PIT decreased after the body scan meditation only in participants with alcohol use disorder, suggesting AUD may be susceptible to mindfulness-induced changes in cue-driven behavior.

Abstract

Pavlovian conditioned contextual cues have been suggested to modulate instrumental action and might explain maladaptive behavior such as relapse in patients suffering from alcohol use disorder (AUD). Pavlovian-to Instrumental transfer (PIT) experimentally assesses the magnitude of this context-dependent effect and studies have shown a larger PIT effect in AUD populations. Taken this into account, a reduction of the influence of cues on behavior seems warranted and one approach that could alter such cue reactivity is mindfulness. Mindfulness-based interventions have been shown to be efficient in the treatment of AUD, but underlying mechanisms are yet to be elucidated. Therefore, we aim at investigating the effect of a brief mindful body scan meditation on the magnitude of the PIT effect in AUD subjects and matched controls. Using a randomized within-subjects design, we compared the effect of a short audio guided body scan meditation against a control condition (audio of nature sounds) on PIT in healthy (n = 35) and AUD (n = 27) participants. We found no differences in PIT effect between healthy and AUD participants as well as between conditions. However, a significant interaction effect points to a decreased PIT effect after body scan meditation in AUD subjects only. These results suggest that AUD might be susceptible to mindfulness-induced changes in PIT, with these findings contributing to entangling the underlying mechanisms of the efficacy of mindfulness-based interventions in AUD.

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A Single Ketamine Infusion Combined With Motivational Enhancement Therapy for Alcohol Use Disorder: A Randomized Midazolam-Controlled Pilot Trial. Adults with alcohol dependence engaged in motivational enhancement therapy 2019 Randomized controlled trial n = 40
A Single Ketamine Infusion Combined With Mindfulness-Based Behavioral Modification to Treat Cocaine Dependence: A Randomized Clinical Trial. Cocaine-dependent adults 2019 Randomized controlled trial n = 55
Single Versus Repeated Sessions of Ketamine-Assisted Psychotherapy for People with Heroin Dependence Detoxified inpatients with heroin dependence 2007 Randomized controlled trial n = 59

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