Mindfulness Meditation May Reduce Drug User Relapse

Many people who undergo treatment for addiction will relapse and begin using drugs again soon after their therapy ends, but a new study suggests that meditation techniques may help prevent such relapses.

In the study, 286 people who had been treated for substance abuse were assigned to receive one of three therapies after their initial treatment: a program that involved only group discussions, a “relapse- prevention” therapy that involved learning to avoid situations where they might be tempted to use drugs, and a mindfulness-based program that involved meditation sessions to improve self-awareness.

Six months later, participants in the both the relapse prevention and mindfulness group had a reduced risk of relapsing to using drugs or heavy drinking compared with participants in the group discussions group.And after one year, participants in the mindfulness group reported fewer days of drug use, and were at reduced risk of heavy drinking compared with those in the relapse prevention group. This result suggests that the mindfulness-based program may have a more enduring effect, the researchers said.

The researchers emphasized that mindfulness-based programs are not intended to replace standard programs for preventing drug relapse.

“We need to consider many different approaches to addiction treatment. It’s a tough problem,” said study researcher Sarah Bowen, an assistant professor at the University of Washington’s department of psychiatry and behavioral sciences. Mindfulness therapy is “another possibility for people to explore,” she said.

More research is needed to identify which groups of people benefit most from the approach, Bowen said.

Meditation for addiction

About 40 to 60 percent of people who undergo addiction treatment relapse within one year after their treatment ends, the researchers said.

Although 12-step and traditional relapse-prevention programs have value in preventing relapse, “we still have a lot of work to do,” Bowen said.

Mindfulness-based relapse prevention, a program developed by Bowen and colleagues, is essentially a “training in awareness,” Bowen said.

In this program, each session is about two hours, with 30 minutes of guided meditation followed by discussions about what people experienced during meditation and how it relates to addiction or relapse, Bowen said. The meditation sessions are intended to bring heightened attention to things that patients usually ignore, such as how it feels to eat a bite of food, or other bodily sensations, as well as thoughts and feelings.

The mindfulness program may work to prevent relapse in part because it makes people more aware of what happens when they have cravings.

“If you’re not aware of what’s going on, you don’t have a choice, you just react,” Bowen said.

The program also teaches people how to “be with” or accept uncomfortable feelings, such as cravings, rather than fight them, Bowen said. In this way, people learn skills that they can apply to their everyday lives, and not just situations in which they feel tempted, which is usually the focus of other prevention programs, she said.

Addiction and emotions

Dr. Scott Krakower, assistant unit chief of psychiatry at Zucker Hillside Hospital in Glen Oaks, N.Y., who was not involved in the study, said people with addiction often suffer from other conditions that involve problems regulating emotions, such as depression, anxiety or self-harm.

Emotional problems, such as feelings of numbness with depression, can be a reason people turn to drugs, he said.

The mindfulness program helps teach people to “tolerate feelings of emotional distress, so when they feel like they’re going to use [drugs], they don’t,” Krakowe said.

Krakower noted that mindfulness meditation programs have already been shown to be useful for depression.

Future studies are needed to examine the effectiveness of the therapy for substance abuse over longer periods, Krakower said. But at the very least, it seems that the program can be helpful for people with emotional dysregulation, which is the majority of the substance abuse population, Krakower said.

The study is published online today (March 19) in the journal JAMA Psychiatry.

Source: Live science

Meditation’s Effects Similar to Pills for Anxiety, Depression, and Pain

In a review of randomized clinical trials, Johns Hopkins researchers find that meditation is effective for combatting common mental health woes.

Meditation has been used for centuries, but its benefits have been primarily anecdotal, whether it’s a Tibetan monk blocking out pain to walk across hot coals or a college student meditating to cope with the loss of a loved one.

Now, researchers at Johns Hopkins University have applied scientific analysis to the practice and found that mindfulness meditation programs, which promote heightened awareness, can help with common mental health problems.

The study, published in the journal JAMA Internal Medicine, found measurable evidence of improvement in anxiety, depression, pain, and stress after eight weeks of treatment.

“For example, the effect size for the effect on depression was 0.3, which is what would be expected with the use of an anti-depressant,” the researchers said.

To come to these conclusions, researchers evaluated existing studies on meditation and rated them based on scientific standards of bias risk, precision, directness, and consistency. In the end, they analyzed 47 randomized clinical trials with a total of 3,515 participants.

Dr. Kevin Barrows, director of mindfulness programs at the University of California, San Francisco’s Osher Center for Integrative Medicine, said the study’s findings were “not surprising, but affirming.” He said that meditation often receives unfair criticism because studies on its effectiveness do not always meet the rigorous scientific standard of research.

“This a refutation of that,” Barrows, who was not involved in the JAMA study, told Healthline. “This is a scientifically rigorous study. It does corroborate the efficacy of mindfulness.”

What Is Mindfulness Meditation?
Mindfulness meditation, or vipassana, involves periods of time spent becoming more aware of one’s body and surroundings. It can be as simple as counting your breaths with your eyes closed, but to get the full benefits, it takes practice.

The goal of this kind of meditation is to simply be aware of the full circumstances of being alive.

In the book Mindfulness in Plain English, the Ven. Henepola Gunaratana, a Buddhist monk from Sri Lanka, writes that the goal of meditation is not to change the world around us, but to control our reaction to it.

“Vipassana is a form of mental training that will teach you to experience the world in an entirely new way. You will learn for the first time what is truly happening to you, around you, and within you,” Gunaratana wrote. “It is a process of self-discovery, a participatory investigation in which you observe your own experiences while participating in them, and as they occur.”

Mindfulness meditation has been used as a complimentary therapy for mental problems for generations, but the new empirical evidence may help the practice become more widely accepted in the mainstream health field.

Source: cbs news