Abstract
Adapted from Buddhist spiritual practices that focus on insight and awareness of one’s emotions and behaviors (Bodhi, 2011), the concept of mindfulness is being increasingly adapted by researchers and clinical practitioners. Most commonly, researchers have defined mindfulness as the awareness that arises through paying attention in a purposeful way to an ongoing moment, and doing so non-judgmentally (Kabat-Zinn, 1994). Multiple mindfulness-based interventions (MBIs) have been developed beginning with Mindfulness Based Stress Reduction (MBSR; Kabat-Zinn, 1990) for chronic pain, Mindfulness Based Cognitive Therapy (MBCT; Segal et al., 2002) for mood disorders, and Mindfulness Based Relapse Prevention (MBRP; Bowen, Chawla, & Marlatt, 2011; Witkiewitz, Marlatt, & Walker, 2005) for substance use disorders (SUDs). Also, at least two additional behavioral therapies incorporate more informal (i.e., non-meditation) aspects of mindfulness: Acceptance and Commitment Therapy (ACT; Hayes et al., 1999; Hayes, Luoma, Bond, Masuda, & Lillis, 2006) and Dialectical Behavioral Therapy (DBT; Linehan et al., 1993). Although each of these MBIs has unique components, they have a shared focus in promoting increased awareness, acceptance, and tolerance of aversive mental states (e.g., negative affect and craving) that may result in substance use.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). ‘Using self-report assessment methods to explore facets of mindfulness’, Assessment, 13, 27–45.
Bodhi, B. (2011). ‘What does mindfulness really mean? A canonical perspective’, Contemporary Buddhism, 12, 19–39.
Bowen, S. W., Chawla, N., Collins, S. E., Witkiewitz, K., Hsu, S., Grow, J., … Marlatt, G. A. (2009). ‘Mindfulness-based relapse prevention for substance use disorders: A pilot efficacy trial’, Substance Abuse, 30, 295–305.
Bowen, S., Chawla, N., & Marlatt, G. A. (2010). Mindfulness-based relapse prevention for the treatment of substance use disorders: A clinician’s guide. (New York, NY: Guilford Press).
Bowen, S., Witkiewitz, K., Clifasefi, S. L., Grow, J., Chawla, N., Hsu, S. H., … Larimer, M. E. (2014). ‘Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders’, JAMA Psychiatry, 71, 547–56.
Brewer, J. A., Elwafi, H. M., & Davis, J. H. (2013). ‘Craving to quit: Psychological models and neurobiological mechanisms of mindfulness training as treatment for addictions’, Psychology of Addictive Behaviors, 27, 366–79.
Brewer, J. A., Sinha, R., Chen, J. A., Michalsen, R. N., Babuscio, T. A., Nich, C., … Rounsaville, B. J. (2009). ‘Mindfulness training and stress reactivity in substance abuse: Results from a randomized, controlled stage I pilot study’, Substance Abuse, 30, 306–17.
Chawla, N., Collins, S., Bowen, S., Hsu, S., Grow, J., Douglass, A., & Marlatt, A. (2010). ‘The mindfulness-based relapse prevention adherence and competence scale: Development, interrater reliability, and validity’, Psychotherapy Research, 20, 388–97.
Chiesa, A., Brambilla, P., & Serretti, A. (2011). ‘Neuro-imaging of mindfulness meditations: Implications for clinical practice’, Epidemiology and Psychiatric Services, 20, 205–10.
Chiesa, A., Serretti, A., & Jakobsen, J. C. (2013). ‘Mindfulness: Top-down or bottom-up emotion regulation strategy?’ Clinical Psychology Review, 33, 82–96.
Craig, A. D. (2002). ‘How do you feel? Interoception: The sense of the physiological condition of the body’, Nature Reviews Neuroscience, 3, 655–66.
D’Argembeau, A. (2013). ‘On the role of the ventromedial prefrontal cortex in self processing: The valuation hypothesis’, Frontiers in Human Neuroscience, 7, 1–13.
Elwafi, H. M., Witkiewitz, K., Mallik, S., Thornhill IV, T. A., & Brewer, J. A. (2013). ‘Mindfulness training for smoking cessation: Moderation of the relationship between craving and cigarette use’, Drug and Alcohol Dependence, 130, 222–9.
Farb, N. A., Anderson, A. K., Mayberg, H., Bean, J., McKeon, D., & Segal, Z. V. (2010). ‘Minding one’s emotions: Mindfulness training alters the neural expression of sadness’, Emotion, 10, 25–33.
Farb, N. A., Segal, Z. V., Mayberg, H., Bean, J., McKeon, D., Fatima, Z., & Anderson, A. K. (2007). ‘Attending to the present: Mindfulness meditation reveals distinct neural modes of self-reference’, Social Cognitive and Affective Neuroscience, 2, 313–22.
Feldstein Ewing, S. W., & Chung, T. (2013). ‘Neuroimaging mechanisms of change in psychotherapy for addictive behaviors: Emerging translational approaches that bridge biology and behavior’, Psychology of Addictive Behaviors, 27, 329–35.
Garland, E. L., Gaylord, S. A., Boettiger, C. A., & Howard, M. O. (2010). ‘Mindfulness training modifies cognitive, affective, and physiological mechanisms implicated in alcohol dependence: Results from a randomized controlled pilot trial’, Journal of Psychoactive Drugs, 42, 177–92.
Gifford, E. V., Kohlenberg, B. S., Hayes, S. C., Antonuccio, D. O., Piasecki, M. M., Rasmussen-Hall, M. L., & Palm, K. M. (2004). ‘Acceptance-based treatment for smoking cessation’, Behavior Therapy, 35, 689–705.
Greenwald, A. G., McGhee, D. E., & Schwartz, J. L. K. (1998). ‘Measuring individual differences in implicit cognition: The implicit association test’, Journal of Personality and Social Psychology, 74, 1464–80.
Hayes, S. C., Luoma, J. C., Bond, F. W., Masuda, A., & Lillis, J. (2006). ‘Acceptance and Commitment Therapy: Model, processes and outcomes’, Behaviour Research and Therapy, 44, 1–25.
Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and Commitment Therapy: An experiential approach to behavior change. (New York, NY: Guilford Press).
Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). ‘How does mindlulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective’, Perspectives on Psychological Science, 6, 537–59.
Hölzel, B. K., Ott, U., Gard, T., Hempel, H., Weygandt, M., Morgen, K., & Vaitl, D. (2008). ‘Investigation of mindlulness meditation practitioners with voxel-based morphometry’, Social Cognitive and Affective Neuroscience, 3, 55–61.
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. (New York, NY: Dell Publishing).
Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. (New York, NY: Hyperion Books).
Kabat-Zinn, J. (2003). ‘Mindlulness-based interventions in context: Past, present, and luture’, Clinical Psychology: Science and Practice, 10, 144–56.
Kober, H., Mende-Siedlecki, P., Kross, E. F., Weber, J., Mischel, W., Hart, C. L., & Oschner, K. N. (2010). ‘Prefrontal-striatal pathway underlies cognitive regulation of craving’, Proceedings of the National Academy of Sciences, 107, 14811–16.
Koob, G. F., & Le Moal, M. (2005). ‘Plasticity of reward neurocircuitry and the dark side of drug addiction’, Nature Neuroscience, 8, 1442–4.
Kuhn, C. M., & Koob, G. F. (2010). Advances in the neuroscience of addiction. (Boca Raton, FL: CRC Press).
Lazar, S. W., Kerr, C., Wasserman, R. H., Gray, J. R., Greve, D., Treadway M. T., … Fischl, B. (2005). ‘Meditation experience is associated with increased cortical thickness’, NeuroReport, 16, 1893–7.
Linehan, M. M. (1993). Skills training manual for treating borderline personality disorder. (New York, NY: Guilford Press).
Luders, E., Toga, A. W., Lepore, N., & Gaser, C. (2009). ‘The underlying anatomical correlates of long-term meditation: Larger hippocampal and frontal volumes of gray matter’, Neuroimage, 45, 672–8.
Lutz, A., Dunne, J. D., & Davidson, R. J. (2007). ‘Meditation and the neuroscience of consciousness’ in P. D. Zelazo, M. Moscovitch, & E. Thompson (Eds.), Cambridge Handbook of Consciousness (Cambridge: Cambridge University Press).
Morgenstern, J., Naqvi, N. H., Debellis, R., & Breiter H. C. (2013). ‘The contributions of cognitive neuro science and neuroimaging to understanding mechanisms of behavior change in addiction’, Psychology of Addictive Behaviors, 27, 336–50.
Naqvi, N. H., & Bechara, A. (2009). ‘The hidden island of addiction: The insula’, Trends in Neurosciences, 32, 56–67.
Naqvi, N. H., Rudraul, D., Damasio, H., & Bechara, A. (2007). ‘Damage to the insula disrupts addiction to cigarette smoking’, Science, 315, 531–4.
Ostafin, B. D., Bauer, C., & Myxter, P. (2012). ‘Mindlulness decouples the relation between automatic alcohol motivation and heavy drinking’, Journal of Social and Clinical Psychology, 31, 729–45.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. (New York, NY: Guilford Press).
Wallace, B. A. (2007). Contemplative science: Where Buddhism and neuroscience converge (New York, NY: Columbia University Press).
Westbrook, C., Creswell, J. D., Tabibnia, G., Julson, E., Kober, H., & Tindle, H. A. (2013). ‘Mindiul attention reduces neural and sell-reported cue-induced craving in smokers’, Social Cognitive and Affective Neuroscience, 8, 73–84.
Witkiewitz, K., & Bowen, S. (2010). ‘Depression, craving and substance use following a randomized trial of mindlulness-based relapse prevention’, Journal of Consulting and Clinical Psychology, 78, 362–74.
Witkiewitz, K., Bowen, S., Douglas, H., & Hsu, S. H. (2013). ‘Mindlulness-based relapse prevention for substance craving’, Addictive Behaviors, 38, 1563–71.
Witkiewitz, K., Lustyk, M. K. B., & Bowen, S. (2013). ‘Retraining the addicted brain: A review of hypothesized neurobiological mechanisms of mindlulness-based relapse prevention’, Psychology of Addictive Behaviors, 27, 351–65.
Witkiewitz, K., Marlatt, G. A., & Walker, D. (2005). ‘Mindlulness-based relapse prevention for alcohol and substance use disorders’, Journal of Cognitive Psychotherapy: An International Quarterly, 19, 211–28.
Witkiewitz, K., Warner, K., Sully, B., Barricks, A., Stauller, C., Thompson, B. L., & Luoma, J. B. (2014). ‘Randomized trial comparing mindlulness-based relapse prevention with relapse prevention for women offenders at a residential addiction treatment center’, Substance Use & Misuse, 49, 536–46.
Xue, S., Tang, Y Y, & Posner, M. I. (2011). ‘Short-term meditation increases network efficiency of the anterior cingulate cortex’, NeuroReport, 22, 570–4.
Editor information
Editors and Affiliations
Copyright information
© 2015 Matthew R. Pearson, Corey R. Roos, David B. Brown, and Katie Witkiewitz
About this chapter
Cite this chapter
Pearson, M.R., Roos, C.R., Brown, D.B., Witkiewitz, K. (2015). Neuroscience and Mindfulness-Based Interventions: Translating Neural Mechanisms to Addiction Treatment. In: Ewing, S.W.F., Witkiewitz, K., Filbey, F.M. (eds) Neuroimaging and Psychosocial Addiction Treatment. Palgrave Macmillan, London. https://doi.org/10.1057/9781137362650_6
Download citation
DOI: https://doi.org/10.1057/9781137362650_6
Publisher Name: Palgrave Macmillan, London
Print ISBN: 978-1-349-56759-1
Online ISBN: 978-1-137-36265-0
eBook Packages: Palgrave Social Sciences CollectionSocial Sciences (R0)