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Mindfulness based relapse prevention (MBRP, Marlatt) in a naturalistic setting for patients with substance use disorder (SUD)

Published online by Cambridge University Press:  01 September 2022

J. Veeser ,
C. Hanak ,
A. Rogiers ,
M. Devos  and
N. Page
J. Veeser*
Affiliation:
Brugmann University Hospital and Enaden addiction center, Brussels, Belgium, Psychiatry, Brussels, Belgium
C. Hanak
Affiliation:
Brugmann University Hospital, Psychiatry, Brussels, Belgium
A. Rogiers
Affiliation:
Vrije Universiteit Brussel, Faculty Of Medicine, Brussels, Belgium CHU Brugmann, Psychiatry, Brussels, Belgium
M. Devos
Affiliation:
Enaden, Psychiatry, BRUSSELS, Belgium
N. Page
Affiliation:
Enaden, Psychiatry, BRUSSELS, Belgium
*
*Corresponding author.

Abstract

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Introduction

MBRP has become an established treatment in the field of addiction, but implementing the program in an outpatient setting remains a challenge.

Objectives

We investigated the feasibility of MBRP in an naturalistic outpatient setting and the effect of mindfulness on underlying factors of addiction.

Methods

All patients treated between 2015 and 2019 in the MBRP program at Brugmann University Hospital and Addiction Center Enaden were eligible to participate. Patients were asked to fill in a questionnaire about underlying factors of SUD in the domains of pleasure, emotion regulation, stress, relationship with others and relationship with oneself as well as the effect of the completed training on these factors.

Results

Of the 147(74 F) recruited patients; 32 patients completed the questionnaire. The study population differed in terms of substance (mainly alcohol but also cocaine, cannabis, heroine) as well in their aims towards the substance (reduce, stop or maintaining abstinence). Participation of at least 4 of the 8 sessions was 63 % and overall satisfaction of patients was high. We found a positive effect of mindfulness on all of the underlying factors for SUD. Underlying factors of SUD, as well as the effect of mindfulness on these factors showed strong individual variation. The most frequently observed negative effect was acute craving; 1 patient became acute suicidal.

Conclusions

MBRP is feasible and has a clinical relevant impact on underlying factors of SUD. Negative effects were also observed and should be carefully monitored.

Disclosure

No significant relationships.

Keywords

mindfulnessaddictionnegative effectsMBRP
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S817 - S818
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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