Cognitive-behavioral stress management for individuals with substance use disorders: a pilot study
- PMID: 17700298
- DOI: 10.1097/NMD.0b013e31811f3ffd
Cognitive-behavioral stress management for individuals with substance use disorders: a pilot study
Abstract
Stress-induced craving and stress reactivity may influence risk for substance use or relapse to use. Interventions designed to attenuate stress-induced craving and stress reactivity may serve as excellent adjuncts to more comprehensive treatment programs. The purpose of this study was to (1) tailor an existing, manualized, cognitive-behavioral stress management (CBSM) intervention for use in individuals with substance use disorders and (2) preliminarily evaluate the effects of the intervention using an experimental stress-induction paradigm. Twenty individuals were interviewed and then completed a psychological stress task, the Mental Arithmetic Task (MAT). After this, participants were assigned to either the CBSM intervention group or a nontreatment comparison group. Approximately 3 weeks later, participants completed a second MAT. In contrast to the comparison group, the CBSM group demonstrated significantly less stress-induced craving (p<.04) and stress (p<.02), and reported greater ability to resist urges to use (p<.02) after the second MAT. These findings are among the first to report on the use of an intervention to attenuate craving and stress reactivity among individuals with substance use disorders. Although preliminary, the findings suggest that systematic investigation of interventions specifically targeting stress management in individuals with substance use disorders should be undertaken.
Similar articles
-
Efficacy of auricular acupressure as an adjuvant therapy in substance abuse treatment: a pilot study.Altern Ther Health Med. 2006 Jan-Feb;12(1):66-9. Altern Ther Health Med. 2006. PMID: 16454149 Clinical Trial.
-
The relationship of stress, coping, effect expectancies and craving.Eur Addict Res. 2007;13(1):31-8. doi: 10.1159/000095813. Eur Addict Res. 2007. PMID: 17172777
-
Repeated psychological stress testing in stimulant-dependent patients.Prog Neuropsychopharmacol Biol Psychiatry. 2005 Jun;29(5):669-77. doi: 10.1016/j.pnpbp.2005.04.012. Prog Neuropsychopharmacol Biol Psychiatry. 2005. PMID: 15913869 Clinical Trial.
-
How does stress increase risk of drug abuse and relapse?Psychopharmacology (Berl). 2001 Dec;158(4):343-59. doi: 10.1007/s002130100917. Epub 2001 Oct 26. Psychopharmacology (Berl). 2001. PMID: 11797055 Review.
-
The disease of addiction: origins, treatment, and recovery.Dis Mon. 2008 Oct;54(10):696-721. doi: 10.1016/j.disamonth.2008.07.002. Dis Mon. 2008. PMID: 18790142 Review. No abstract available.
Cited by
-
Ultra-brief breath counting (mindfulness) training promotes recovery from stress-induced alcohol-seeking in student drinkers.Addict Behav. 2020 Mar;102:106141. doi: 10.1016/j.addbeh.2019.106141. Epub 2019 Oct 18. Addict Behav. 2020. PMID: 31704429 Free PMC article. Clinical Trial.
-
Effects of repetitive imagination of alcohol consumption on craving in alcohol-dependent patients: A pilot study.Addict Behav Rep. 2016 Aug 7;4:51-57. doi: 10.1016/j.abrep.2016.08.001. eCollection 2016 Dec. Addict Behav Rep. 2016. PMID: 29511724 Free PMC article.
-
Delay discounting and the use of mindful attention versus distraction in the treatment of drug addiction: a conceptual review.J Exp Anal Behav. 2015 Jan;103(1):234-48. doi: 10.1002/jeab.122. Epub 2014 Dec 25. J Exp Anal Behav. 2015. PMID: 25545725 Free PMC article. Review.
-
A stress-coping profile of opioid dependent individuals entering naltrexone treatment: a comparison with healthy controls.Psychol Addict Behav. 2009 Dec;23(4):613-9. doi: 10.1037/a0017324. Psychol Addict Behav. 2009. PMID: 20025367 Free PMC article.
