From: Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments
Intervention | Number of Sessions and length of the Protocol | Session 1 (Themes and Practices Taught) | Session 2 (Themes and Practices Taught) | Session 3 (Themes and Practices Taught) | Session 4 (Themes and Practices Taught) | Session 5 (Themes and Practices Taught) | Session 6 (Themes and Practices Taught) | Session 7 (Themes and Practices Taught) | Session 8 (Themes and Practices Taught) | Session 9 (Themes and Practices Taught) | Session 10 (Themes and Practices Taught) | Mechanisms Investigated | Moderators Investigated |
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Mindfulness Based Relapse Prevention (MBRP) [13] | 8, 120-min group sessions | Automatic Pilot and Relapse. Primary practices: raisin exercise (mindful interaction with an ordinary object) and body scan meditation. | Awareness of Triggers and Craving. Primary practices: urge surfing and grounding meditation. | Mindfulness in Daily Life. Primary practices: mindfulness of breath and Stop Observe Breathe Expand Respond (SOBER space) introduction. | Mindfulness in High-Risk Situations. Primary practices: open awareness and walking meditation. | Acceptance and Skillful Action. Primary practices: SOBER space in difficult situations and mindful movement. | Seeing Thoughts as Thoughts. Primary practice: acknowledgment of thinking meditation. | Self-Care and Lifestyle Balance. Primary practice: loving-kindness meditation. | Social Support and Continuing Practice. Primary practice: concluding meditation (planting the seeds for continued mindfulness) | N/A | N/A | Impulsivity (+), craving (+), stress reactivity (+) | Anxiety (+), depression (+), gender (−) |
Mindfulness Oriented Recovery Enhancement (MORE) [22] | 10, 120-min group sessions | Mindfulness and the Automatic Habit of Addiction. Primary practice: chocolate exercise (mindful interaction with an ordinary object) and mindfulness of breath meditation. | Mindful Reappraisal. Primary practice: the power of reappraisal. | Focus on Savoring. Primary practice: mindful savoring (open awareness meditation). | Seeing Through the Illusion of Craving. Primary practice: chocolate exercise (breaking down the elements of craving and noticing the fleeting nature of urges). | Overcoming Craving and Coping with Stress. Primary practices: stress exposure and relaxation exercise and body scan meditation. | Attachment, Aversion, and Acceptance. Primary practices: thought suppression exercise and acceptance of cravings. | The Impermanent Body. Primary practices: impermanent body meditation and walking meditation. | Relationships and Relapse. Primary practice: loving-kindness meditation. | Interdependence and Finding Meaning. Primary practice: interdependence meditation. | Recovery and the Road Ahead. Primary practice: visualization of future self exercise. | Craving (+), cue reactivity (+), pain intensity (+) | Attentional bias (+), affective state (+), late positive potential (+) |
8, 90-min group sessions | Identify Body Sensations. Primary practice: body literacy. | Articulate Body Sensations. Primary practice: self-massage. | Identifying and Attending to Internal Sensations. Primary practice: mindfulness of breath meditation. | Softening of Tension. Primary practices: tissue softening exercise and internal body attention exercise. | Sustained Mindful Attention. Primary practice: maintaining awareness on specific areas of the body. | Shift in Understanding. Primary practice: noticing internal shifts. | Reappraisal. Primary practice: reappraisal based on experiential awareness. | Interoceptive Awareness and Everyday Life. Primary practice: embodied self- awareness. | N/A | N/A | Interoceptive awareness (+), mindfulness skills (−) | Symptomatic distress (−) | |
8, 120-min group sessions | Automatic Pilot. Primary practice: breathing space. | Barriers to Mindfulness. Primary practice: body scan. | Mindful Breathing. Primary practice: mindfulness of the breath. | The Arising and Passing Away of Thoughts. Primary practice: traditional sitting meditation. | Being With What Is. Scheduled “quit day.” Primary practice: mindful movement (e.g., yoga) | Thoughts Are Just Thoughts. Primary practice: open awareness. | Taking Care of Yourself. Primary practice: integrating pleasant activities into everyday life. | Maintaining Mindfulness Going Forward. Primary practice: continue to use the skills learned in future situations. | N/A | N/A | Tobacco dependence (+), withdrawal (−), craving (+) | Negative affect (+), stress (+) | |
8, 90-min group sessions | Habituation. Primary practice: introduction to mindfulness | Awareness of Triggers and Craving. Primary practice: Recognize, Accept, Investigate, and Note (RAIN) what cravings feel like as they arise practice. | Working with Stress and Negative Emotions. Primary practice: loving-kindness meditation. | Coping with Craving and Committing to Quit (“Quit Day”). Primary practice: urge surfing. | Mindfulness in Everyday Life. Primary practices: awareness of breath and walking meditation. | Automatic Pilot. Primary practice: noting meditation. | Acceptance. Primary practice: how our current thoughts and beliefs plant the seeds for future emotional states. | Course Summary. Primary practice: how to continue down the path of mindfulness. | N/A | N/A | Craving (+), abstinence from tobacco (+) | Stress reactivity (+), positive/negative affect (−) | |
8, 90-min group sessions and 1, 4-h “retreat day” | Introduction to Mindfulness. Primary practice: meditation of triggers. | Bringing Awareness to Thoughts, Emotions, Body Sensations, and Actions. Primary practices: mindful eating practice and standing body scan. | The Role of Perceptions in Relapse. Primary practice: noting practice. | Using Mindfulness to Deal with Negative Emotions. Primary practice: loving-kindness meditation. | The Role of Guilt and Shame in Relapse. Primary practice: mindfulness of painful thoughts and emotions. | Mindful Communication. Primary practice: difficult communication meditation. | Retreat Day. Primary practices: a compilation of all of the formal practices taught throughout the course. | Anger, Self- Violence, and Violence Towards Others. Primary practices: warning signs of anger and loving-kindness meditation. | Summary and Farewell. Primary practices: closing ritual and graduation ceremony. | N/A | Yes; Mindfulness (+), craving (+) | Yes; Affect (−), emotion regulation and distress tolerance (+) | |
Note: (+) = effect found, (−) = effect not found |