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Mindfulness and modification therapy for behavioral dysregulation: results from a pilot study targeting alcohol use and aggression in women.

Peggilee Wupperman, G Alan Marlatt, Amy Cunningham, Sarah Bowen, Matthias Berking, Nicole Mulvihill-Rivera, Caroline Easton

Journal of Clinical Psychology September 19, 2011 DOI: 10.1002/jclp.20830 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Open-treatment pilot trial Pilot study Peer reviewed
Sample size 14
Population Women court-referred for alcohol abuse/dependence and aggression
Topics Meditation
Keywords Humans Alcoholism Treatment outcome Pilot projects Aggression Emotions Awareness Attention Domestic violence Middle aged Female Young adult Cognitive behavioral therapy
Key findings In an uncontrolled pilot trial of 14 court-referred women, Mindfulness & Modification Therapy was associated with significant pre-post decreases in alcohol use, drug use, and aggression, and 93% of participants were retained. The authors conclude that MMT is a feasible and acceptable treatment that may reduce dysregulated behaviors and potentially increase retention.

Abstract

Objectives: Increasing evidence suggests that deficits in mindfulness (awareness, attentiveness, and acceptance of the present moment) play a role in a range of disorders involving behavioral dysregulation. This paper adds to that literature by describing a transdiagnostic psychotherapy (Mindfulness & Modification Therapy; MMT) developed to target behavioral dysregulation.

Design: An open-treatment pilot-trial investigated the feasibility, acceptability, and pre-post effects of MMT targeting women (N = 14) court-referred for alcohol abuse/dependence and aggression.

Results: Pre-post comparisons revealed significant decreases in alcohol use, drug use, and aggression. In addition, the retention rate was 93%.

Conclusion: Preliminary evidence suggests that MMT is a feasible and acceptable treatment that decreases dysregulated behaviors such as substance use and aggression, while also potentially increasing retention.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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