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Individual mindfulness-based psychotherapy for cannabis or cocaine dependence: a pilot feasibility trial.

Elias Dakwar, Frances R. Levin

American Journal on Addictions August 30, 2013 DOI: 10.1111/j.1521-0391.2013.12036.x (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Pilot feasibility study Peer reviewed
Sample size 25
Population Adults with cocaine or cannabis dependence
Intervention Mindfulness-based psychotherapy
Duration 10-week intervention
Topics Meditation Addiction Cannabis
Keywords Humans Cocaine-related disorders Marijuana abuse Treatment outcome Feasibility studies Pilot projects Psychotherapy Adult Middle aged Female
Key points Individual mindfulness-based psychotherapy was tolerable and feasible for cocaine or cannabis dependence, with 74% of 25 patients completing the 10-week protocol. Abstinence at 10 weeks was achieved by 8 of 14 cannabis-dependent patients (57% by intent-to-treat) and 6 of 11 cocaine-dependent patients (55% by intent-to-treat), rates the authors describe as substantially greater than those of historical comparison groups.

Abstract

Background: Mindfulness-based approaches may be effective treatments for substance use disorders (SUDs), but they have only been investigated for SUDs in the group setting.

Methods: A novel 10-week individual mindfulness-based psychotherapy was provided weekly to participants. Tolerability and therapeutic feasibility were assessed by retention rates, incidence of adverse events or clinical worsening, and abstinence rates at the end of the protocol.

Results: Twenty-five patients were enrolled overall, and 19 completed (74% overall retention rate). Of the 14 cannabis dependent patients enrolled in the study, 11 completed (79%), and 8 achieved abstinence (57% by intent-to-treat analysis) at 10 weeks. Of the 11 cocaine dependent patients, 8 completed (73%), and 6 achieved abstinence (55% by ITT) at 10 weeks. Abstinence rates were substantially greater than those of historical comparison groups.

Conclusions: These findings indicate that mindfulness training can be tolerably and feasibly extended to the individual psychotherapy setting for the treatment of cocaine or cannabis dependence.

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