Ultra-Brief Mindfulness Training Reduces Alcohol Consumption in At-Risk Drinkers: A Randomized Double-Blind Active-Controlled Experiment

Sunjeev K Kamboj, Damla Irez, Shirley Serfaty, Emily Thomas, Ravi K Das, Tom P Freeman

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Like other complex psychosocial interventions, mindfulness-based treatments comprise various modality-specific components as well as nonspecific therapeutic ingredients that collectively contribute to efficacy. Consequently, the isolated effects of mindfulness strategies per se remain unclear.

Methods: Using a randomized double-blind design, we compared the isolated effects of 11-minutes of "supervised" mindfulness instruction against a closely matched active control (relaxation) on subjective, physiological, and behavioral indices of maladaptive alcohol responding in drinkers at risk of harm from alcohol use (n = 68). Simple follow-up instructions on strategy use were provided, but practice was unsupervised and not formally monitored.

Results: Both groups showed acute reductions in craving after training, although a trend group x time interaction (P = .056) suggested that this reduction was greater in the relaxation group (d = 0.722 P < .001) compared with the mindfulness group (d = 0.317, P = .004). Furthermore, upregulation of parasympathetic activity was found after relaxation (d = 0.562; P < .001) but not mindfulness instructions (d = 0.08; P > .1; group x time interaction: P = .009). By contrast, only the mindfulness group showed a reduction in past-week alcohol consumption at 7-day follow-up (-9.31 units, d = 0.593, P < .001), whereas no significant reduction was seen in the relaxation group (-3.00 units, d = 0.268, P > .1; group x time interaction: P = .026).

Conclusion: Very brief mindfulness practice can significantly reduce alcohol consumption among at-risk drinkers, even with minimal encouragement to use this strategy outside of the experimental context. The effects on consumption may therefore represent a lower bound of efficacy of "ultra-brief" mindfulness instructions in hazardous drinkers, at least at short follow-up intervals.

LanguageEnglish
Pages936-947
Number of pages12
JournalInternational Journal of Neuropsychopharmacology
Volume20
Issue number11
Early online date2 Aug 2017
DOIs
StatusPublished - 1 Nov 2017

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Mindfulness
Alcohol Drinking
Alcohols
Up-Regulation

Keywords

  • Adult
  • Alcohol Drinking/psychology
  • Breath Tests
  • Craving
  • Cues
  • Double-Blind Method
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Mindfulness/methods
  • Mood Disorders/etiology
  • Parasympathetic Nervous System/physiopathology
  • Relaxation
  • Surveys and Questionnaires
  • Young Adult

Cite this

Ultra-Brief Mindfulness Training Reduces Alcohol Consumption in At-Risk Drinkers : A Randomized Double-Blind Active-Controlled Experiment. / Kamboj, Sunjeev K; Irez, Damla; Serfaty, Shirley; Thomas, Emily; Das, Ravi K; Freeman, Tom P.

In: International Journal of Neuropsychopharmacology, Vol. 20, No. 11, 01.11.2017, p. 936-947.

Research output: Contribution to journalArticle

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abstract = "Background: Like other complex psychosocial interventions, mindfulness-based treatments comprise various modality-specific components as well as nonspecific therapeutic ingredients that collectively contribute to efficacy. Consequently, the isolated effects of mindfulness strategies per se remain unclear.Methods: Using a randomized double-blind design, we compared the isolated effects of 11-minutes of {"}supervised{"} mindfulness instruction against a closely matched active control (relaxation) on subjective, physiological, and behavioral indices of maladaptive alcohol responding in drinkers at risk of harm from alcohol use (n = 68). Simple follow-up instructions on strategy use were provided, but practice was unsupervised and not formally monitored.Results: Both groups showed acute reductions in craving after training, although a trend group x time interaction (P = .056) suggested that this reduction was greater in the relaxation group (d = 0.722 P < .001) compared with the mindfulness group (d = 0.317, P = .004). Furthermore, upregulation of parasympathetic activity was found after relaxation (d = 0.562; P < .001) but not mindfulness instructions (d = 0.08; P > .1; group x time interaction: P = .009). By contrast, only the mindfulness group showed a reduction in past-week alcohol consumption at 7-day follow-up (-9.31 units, d = 0.593, P < .001), whereas no significant reduction was seen in the relaxation group (-3.00 units, d = 0.268, P > .1; group x time interaction: P = .026).Conclusion: Very brief mindfulness practice can significantly reduce alcohol consumption among at-risk drinkers, even with minimal encouragement to use this strategy outside of the experimental context. The effects on consumption may therefore represent a lower bound of efficacy of {"}ultra-brief{"} mindfulness instructions in hazardous drinkers, at least at short follow-up intervals.",
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T2 - International Journal of Neuropsychopharmacology

AU - Kamboj, Sunjeev K

AU - Irez, Damla

AU - Serfaty, Shirley

AU - Thomas, Emily

AU - Das, Ravi K

AU - Freeman, Tom P

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AB - Background: Like other complex psychosocial interventions, mindfulness-based treatments comprise various modality-specific components as well as nonspecific therapeutic ingredients that collectively contribute to efficacy. Consequently, the isolated effects of mindfulness strategies per se remain unclear.Methods: Using a randomized double-blind design, we compared the isolated effects of 11-minutes of "supervised" mindfulness instruction against a closely matched active control (relaxation) on subjective, physiological, and behavioral indices of maladaptive alcohol responding in drinkers at risk of harm from alcohol use (n = 68). Simple follow-up instructions on strategy use were provided, but practice was unsupervised and not formally monitored.Results: Both groups showed acute reductions in craving after training, although a trend group x time interaction (P = .056) suggested that this reduction was greater in the relaxation group (d = 0.722 P < .001) compared with the mindfulness group (d = 0.317, P = .004). Furthermore, upregulation of parasympathetic activity was found after relaxation (d = 0.562; P < .001) but not mindfulness instructions (d = 0.08; P > .1; group x time interaction: P = .009). By contrast, only the mindfulness group showed a reduction in past-week alcohol consumption at 7-day follow-up (-9.31 units, d = 0.593, P < .001), whereas no significant reduction was seen in the relaxation group (-3.00 units, d = 0.268, P > .1; group x time interaction: P = .026).Conclusion: Very brief mindfulness practice can significantly reduce alcohol consumption among at-risk drinkers, even with minimal encouragement to use this strategy outside of the experimental context. The effects on consumption may therefore represent a lower bound of efficacy of "ultra-brief" mindfulness instructions in hazardous drinkers, at least at short follow-up intervals.

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KW - Alcohol Drinking/psychology

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KW - Craving

KW - Cues

KW - Double-Blind Method

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Mindfulness/methods

KW - Mood Disorders/etiology

KW - Parasympathetic Nervous System/physiopathology

KW - Relaxation

KW - Surveys and Questionnaires

KW - Young Adult

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DO - 10.1093/ijnp/pyx064

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VL - 20

SP - 936

EP - 947

JO - International Journal of Neuropsychopharmacology

JF - International Journal of Neuropsychopharmacology

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ER -