Are Mindfulness-Based Interventions Effective for Substance Use Disorders? A Systematic Review of the Evidence

@article{Chiesa2014AreMI,
  title={Are Mindfulness-Based Interventions Effective for Substance Use Disorders? A Systematic Review of the Evidence},
  author={Alberto Chiesa and Alessandro Serretti},
  journal={Substance Use \& Misuse},
  year={2014},
  volume={49},
  pages={492 - 512}
}
Mindfulness-based interventions (MBIs) are increasingly suggested as therapeutic approaches for effecting substance use and misuse (SUM). The aim of this article is to review current evidence on the therapeutic efficacy of MBIs for SUM. A literature search was undertaken using four electronic databases and references of retrieved articles. The search included articles written in English published up to December 2011. Quality of included trials was assessed. In total, 24 studies were included… 
Unresolved Issues in the Application of Mindfulness-Based Interventions for Substance Use Disorders
TLDR
Results indicated that both relapse prevention and MBRR were associated with better substance use outcomes at a six-month follow-up and that MBRP, but not relapse prevention, was association with better Substance Use Disorders outcome at a 12monthFollow-up.
Mindfulness-based interventions for substance use disorders.
TLDR
The evidence was very uncertain about the effects of MBIs relative to other treatments on continuous abstinence rate at post-treatment and certainty of evidence for all other outcomes was very low due to imprecision, risk of bias, and/or inconsistency.
The Clinical Efficacy of Mindfulness-Based Treatments for Alcohol and Drugs Use Disorders: A Meta-Analytic Review of Randomized and Nonrandomized Controlled Trials
TLDR
A meta-analytic review of randomized and nonrandomized controlled trials, considering primary and secondary outcomes that comprehensively operationalize treatment efficacy found mindfulness-based interventions seemed to show clinically significant advantages compared to other clinical approaches in relation to specific primary andsecondary outcomes.
Systematic Reviews of Mindfulness and Acceptance and Commitment Therapy for Alcohol Use Disorder: Should we be using Third Wave Therapies?
TLDR
ACT and mindfulness provide an alternative to existing treatments, particularly for patients who have not responded to, or have disengaged from, standard treatments, and some evidence ACT and mindfulness are useful for comorbid mental health conditions.
A Systematic Review and Meta-Analysis of Cultural Adaptations of Mindfulness-Based Interventions for Hispanic Populations
TLDR
Findings from this study suggest there is clear evidence that cultural adaptations can improve evidence-based treatment implementation among Hispanics, but more methodologically rigorous studies are needed.
Evidence Map of Mindfulness
TLDR
This evidence map provides an overview of “mindfulness” intervention research and describes its volume and focus to help interpret the state of the evidence to inform policy and clinical decision making.
The Emerging Role of Mindfulness Meditation as Effective Self-Management Strategy, Part 2: Clinical Implications for Chronic Pain, Substance Misuse, and Insomnia.
TLDR
Future large, well-designed randomized clinical trials using active controls in service members and veterans with co-occurring pain and psychological health conditions are necessary to provide more precise clinical guidance.
Treatment effectiveness of a mindfulness-based inpatient group psychotherapy in adolescent substance use disorder - study protocol for a randomized controlled trial
TLDR
This clinical trial is to evaluate the added treatment effect of a mindfulness-based group psychotherapy (“Mind it!”) for adolescents with SUD in comparison to the current standard treatment and to explore the feasibility of the intervention and possible mediators of treatment effects.
Mindfulness-based Relapse Prevention for Substance Use Disorders: A Systematic Review and Meta-analysis
TLDR
Confidence in estimates suggesting MBRP yields small effects on withdrawal/craving and negative consequences versus comparator interventions is limited, suggesting future trials should aim to minimize participant attrition to improve confidence in effect estimates.
Mindfulness in the treatment of substance use disorders: A phenomenological study of Swedish practitioners’ experiences
Mindfulness and mindfulness-based interventions (MBIs) have been applied in numerous fields from behavioral medicine, nursing and psychiatry, to psychology and social work. Research on mindfulness
...
...

References

SHOWING 1-10 OF 127 REFERENCES
Mindfulness Meditation for Substance Use Disorders: A Systematic Review
TLDR
Overall, although preliminary evidence suggests MM efficacy and safety, conclusive data for MM as a treatment of SUDs are lacking and future trials must be of sufficient sample size to answer a specific clinical question.
Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis.
TLDR
MBSR showed a nonspecific effect on stress reduction in comparison to an inactive control, both in reducing stress and in enhancing spirituality values, and a possible specific effect compared to an intervention designed to be structurally equivalent to the meditation program.
Language-based measures of mindfulness: initial validity and clinical utility.
TLDR
Initial support for ML as a valid, clinically useful mindfulness measure is provided: greater use of ML predicted fewer AOD use days during the 4-month follow-up, and predictive validity of ML categories supported.
Mindfulness-based cognitive therapy: evaluating current evidence and informing future research.
TLDR
The current evidence from the randomized trials suggests that, for patients with 3 or more previous depressive episodes, MBCT has an additive benefit to usual care, however, because of the nature of the control groups, these findings cannot be attributed to MBCt-specific effects.
Depression, craving, and substance use following a randomized trial of mindfulness-based relapse prevention.
TLDR
Evidence is provided for the value of incorporating mindfulness practice into substance abuse treatment and identifies a potential mechanism of change following Mindfulness-based relapse prevention.
The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review.
TLDR
Effect size estimates suggest that mindfulness-based therapy was moderately effective for improving anxiety and mood symptoms from pre- to posttreatment in the overall sample, and this intervention is a promising intervention for treating anxiety and Mood problems in clinical populations.
Mindfulness based cognitive therapy for psychiatric disorders: A systematic review and meta-analysis
Mindfulness-Based Relapse Prevention for Substance Use Disorders: A Pilot Efficacy Trial
TLDR
Results from this initial trial support the feasibility and initial efficacy of MBRP as an aftercare approach for individuals who have recently completed an intensive treatment for substance use disorders.
The contribution of mindfulness practice to a multicomponent behavioral sleep intervention following substance abuse treatment in adolescents: a treatment-development study.
TLDR
It is suggested that sleep is an important therapeutic target in substance abusing adolescents and that MM may be a useful component to promote improved sleep.
Mindfulness Training and Stress Reactivity in Substance Abuse: Results from a Randomized, Controlled Stage I Pilot Study
TLDR
Evidence is provided of the feasibility of MT in treating SUDs and suggests that MT may be efficacious in targeting stress, and reduced psychological and physiological indices of stress during provocation in MT compared to CBT.
...
...