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Linguistic analysis to assess the effect of a mindfulness intervention on self-change for adults in substance use recovery.

Substance abuse
April 1, 2010
Patricia Liehr et al. (6 authors)
Clinical Trial, Phase IControlled Clinical TrialJournal ArticleResearch Support, N.I.H., ExtramuralHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether a Mindfulness-based TC (MBTC) intervention could reduce stress and improve self-change, potentially impacting treatment retention in substance abuse patients.

Results Summary

The MBTC group used fewer negative emotion words than the control group, and both groups showed decreased negative emotion and anxiety word-use alongside increased positive emotion word-use over time. However, sustained self-change required continued mindfulness practice beyond the guided intervention.

Population

Substance abuse patients in therapeutic community (TC) treatment programs (140 in control, 253 in MBTC group).

Effective Dosage

Not specified

Duration

9 months

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Mindfulness-based TC (MBTC) intervention
no change
feeling and thinking word-use in written stories of stress
TC residents
-
showed no differences
#1
Mindfulness-based TC (MBTC) intervention
decrease
negative emotion words
TC residents in a MBTC intervention group
-
used fewer
#2
-
decrease
negative emotion word-use
both groups
-
decreased
#3
-
decrease
anxiety word-use
both groups
-
decreased
#4
-
increase
positive emotion word-use
both groups
-
increased
#5
Abstract

Substance use is a pervasive health problem. Therapeutic community (TC) is an established substance abuse treatment but TC environments are stressful and dropout rates are high. Mindfulness-based TC (MBTC) intervention was developed to address TC stress and support self-change that could impact treatment retention. Self-change was assessed through feeling and thinking word-use in written stories of stress from 140 TC residents in a historical control group and 253 TC residents in a MBTC intervention group. Data were collected 5 times over a 9-month period. Linguistic analysis showed no differences between the groups over time; however, over all time points, the MBTC intervention group used fewer negative emotion words than the TC control group. Also, negative emotion (P < .01) and anxiety (P < .01) word-use decreased whereas positive emotion word-use increased (P < .05) over time in both groups. Descriptive data from linguistic analyses indicated that sustained self-change demands participation in mindfulness behaviors beyond the instructor-guided MBTC intervention.

Medical Subject Headings (MeSH)
AdolescentAdultAnxietyEmotionsFemaleHumansLinguisticsMaleMeditationPsychotherapySelf EfficacyStress, PsychologicalSubstance-Related DisordersTherapeutic Community
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations13
Citations/Year0.9
Relative Citation Ratio0.54
NIH Percentile29.3%
Research Impact Scores
APT Score0.50
Weight Score1.16
Normalized Score0.61
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