Associations between dispositional mindfulness, craving, and drinking in alcohol-dependent patients: An ecological momentary assessment study
| Autor: | Edwin H. Szeto, Dike van de Mheen, Michelle Snelleman, Tim M. Schoenmakers, Andrew J. Waters |
|---|---|
| Přispěvatelé: | Klinische Psychologie (Psychologie, FMG), Verslaving, Tilburg Experience Sampling Center (TESC), Tranzo, Scientific center for care and wellbeing |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Mindfulness RELAPSE PREVENTION TRAIT MINDFULNESS Alcohol Drinking media_common.quotation_subject Ecological Momentary Assessment approach bias 030508 substance abuse Medicine (miscellaneous) APPROACH/AVOIDANCE TENDENCIES Craving Attentional bias ATTENTIONAL BIAS Relapse prevention APPROACH BIAS MODIFICATION MECHANISMS 03 medical and health sciences Sobriety mental disorders medicine Humans SUBSTANCE USE media_common Ecology Addiction Abstinence Middle Aged Cognitive bias Psychiatry and Mental health Clinical Psychology Alcoholism ADDICTION DEPRESSIVE SYMPTOMS Computers Handheld Female medicine.symptom SMOKING 0305 other medical science Psychology |
| Zdroj: | Psychology of Addictive Behaviors, 33(5), 431-441. Educational Publishing Foundation |
| ISSN: | 1939-1501 0893-164X |
| Popis: | Hazardous alcohol use remains a significant global public health problem. A better understanding of relapse may assist the development of new interventions. Low levels of dispositional mindfulness may be a risk factor for craving and alcohol use, but few studies have examined these associations prospectively in an alcohol-dependent sample. In an ecological momentary assessment (EMA) study, Dutch alcohol dependent patients (N = 43) carried around a personal digital assistant for 4 weeks while trying to maintain abstinence. Participants completed assessments at random times 3 times per day, and when they felt a strong urge to drink or came to the brink of drinking without doing so. At each assessment, stress, negative affect, craving, recent drinking, and attentional or approach bias were assessed. Dispositional mindfulness was assessed at baseline with the Mindful Attention Awareness Scale (MAAS). More mindful individuals (higher MAAS scores) reported lower craving than less mindful individuals. There was no evidence that stress, negative affect, attentional bias, or approach bias mediated the association between MAAS and craving. However, there was evidence for an indirect path from MAAS to drinking such that higher mindfulness was associated with lower craving ratings that in turn were associated with less drinking. There was no evidence that MAAS significantly moderated associations between stress/negative affect/cognitive biases and craving, or between craving and drinking. In sum, more mindful recovering alcohol dependent patients reported lower craving ratings than less mindful patients, and this association appeared to be independent of stress/negative affect and cognitive biases. (PsycINFO Database Record (c) 2019 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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