Mindfulness-based interventions in inpatient treatment for Substance Use Disorders: A systematic review.
Itamar José Félix-Junior, Ana Paula G Donate, Ana Regina Noto, José Carlos F Galduróz, Natalia Maria Simionato, Emérita Sátiro Opaleye
Addictive Behaviors Reports November 11, 2022 DOI: 10.1016/j.abrep.2022.100467 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Systematic review Qualitative Peer reviewed |
|---|---|
| Population | People receiving inpatient treatment for substance use disorders in therapeutic communities and residential treatment settings; most samples were comprised of women |
| Intervention | Mindfulness-Based Interventions (MBI) |
| Topics | Addiction Meditation |
| Keywords | Residential treatment Therapeutic community |
| Key findings | The authors conclude that mindfulness-based interventions in inpatient substance use disorder settings benefited experimental-group participants on some outcomes, particularly stress and substance use, with craving reduction and improved treatment adherence the most notable substance-use results. They suggest stress assessment is a determining factor for treatment success in these settings and argue that future research should lengthen follow-up and examine how treatment context relates to MBI outcomes. |
Abstract
Inpatient treatment for Substance Use Disorder (SUD), such as Therapeutic Communities and Residential Treatment has been used to test the effect of Mindfulness-Based Interventions (MBI) over different outcomes. Although there is evidence of the effectiveness of MBIs, little is known about the particularities that the place may have in the outcomes. The main objective of this Systematic Review was to evaluate the effectiveness of MBIs for SUDs performed in the inpatient context. PubMed, Web of Science and PsycInfo were used for the search. Quantitative and qualitative studies with no control, usual treatment or other active comparator intervention for SUDs inpatient treatment from 1980 to 2020 were included. From 21 selected studies, 18 were quantitative and 3 qualitative; 12 studies were RCT. Most samples were comprised with women. Based on characteristics of outcomes, we were able to divide them into: Substance Use and Associated Outcomes, Stress, Impulsivity e Evaluation of the MBI protocol. Results suggest that stress assessment is a determining factor for treatment success in these settings. Regarding substance use, although several outcomes have been assessed, the most remarkable results were craving reduction and improvement in treatment adherence. There is evidence that MBIs in inpatient settings benefited those who participated in the experimental groups on some outcomes, such as stress and substance use. Little is mentioned about the impact of the environment over the outcomes and short follow-ups were a relevant limitation of most of the studies. Future assessments must increase follow-up time and evaluate the relationship between the context and the MBI.
Comparable studies
Other systematic reviews and meta-analyses on addiction, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Ketamine use: a review Ketamine users | 2011 | Systematic review | |
| Mindfulness Meditation for Substance Use Disorders: A Systematic Review Individuals with substance use disorders | 2009 | Systematic review | |
| Mindfulness-Based Interventions for the Treatment of Substance and Behavioral Addictions: A Systematic Review | 2018 | Systematic review | |
| Ketamine for the treatment of mental health and substance use disorders: comprehensive systematic review | 2021 | Systematic review | |
| Therapeutic Use of LSD in Psychiatry: A Systematic Review of Randomized-Controlled Clinical Trials Patients with psychiatric disorders, primarily alcoholism | 2020 | Systematic review | n = 567 |
Citations in the library
Cited by 5
- A mindfulness-based intervention for Substance Use Disorder in a Brazilian vulnerable population: a feasibility mixed method study. Frontiers in Public Health 2024
- Virtual Reality Mindfulness Training for Veterans in Residential Substance Use Treatment: Pilot Study of Feasibility and Acceptability August 21, 2023
- Sip, savor, but don't spill: mindfulness enhances alcohol enjoyment without boosting consumption. Addictive Behaviors 2026
- Mindfulness-Based Intervention Improves Depression, Anxiety, and Quality of Life in Unstably-Housed Women with PTSD and Substance Use Disorder Mindfulness October 1, 2025
- The effect of mindfulness on decision-making, inhibitory control, and impulsivity of substance use disorder in-treatment patients: A randomized clinical trial. PLoS One 2023
Cites 19
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- Prospects for a clinical science of mindfulness-based intervention. American Psychologist October 1, 2015
- Mindfulness-based cognitive therapy for depression. Industrial Psychiatry Journal October 29, 2024
- Mindfulness-Based Intervention Effects on Substance Use and Relapse Among Women in Residential Treatment: A Randomized Controlled Trial With 8.5-Month Follow-Up Period From the Moment-by-Moment in Women's Recovery Project. Psychosomatic Medicine July 1, 2021
and 14 more in the library