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J Clin Psychol. 2015 Oct;71(10):964-78. doi: 10.1002/jclp.22213. Epub 2015 Aug 19.

Mindfulness and Modification Therapy for Behavioral Dysregulation: A Comparison Trial Focused on Substance Use and Aggression.

Author information

1
John Jay College/City University of New York.
2
Yale School of Medicine.
3
Weill Cornell Medical College-New York Presbyterian Hospital.
4
Ichan School of Medicine at Mt Sinai.
5
Peter Flom Consulting.
6
Columbia University Teachers College.

Abstract

OBJECTIVES:

Disorders of behavioral dysregulation often involve more than one dsyregulated behavior (e.g., drug abuse and aggression, alcohol abuse and gambling). The high co-occurrence suggests the need of a transdiagnostic treatment that can be customized to target multiple specific behaviors.

METHOD:

The current pilot study compared a 20-week, individual transdiagnostic therapy (mindfulness and modification therapy [MMT]) versus treatment as usual (TAU) in targeting alcohol problems, drug use, physical aggression, and verbal aggression in self-referred women. Assessments were administered at baseline, post-intervention, and 2-month follow-up.

RESULTS:

Wilcoxon signed-ranked tests and multilevel modeling showed that MMT (n = 13) displayed (a) significant and large decreases in alcohol/drug use, physical aggression, and verbal aggression; (b) significantly greater decreases in alcohol/drug use and physical aggression than did TAU (n = 8); and (c) minimal-to-no deterioration of effects at follow-up. Both conditions showed significant decreases in verbal aggression, with no statistically significant difference between conditions. MMT also displayed greater improvements in mindfulness.

CONCLUSIONS:

Preliminary findings support the feasibility and efficacy of MMT in decreasing multiple dysregulated behaviors.

KEYWORDS:

aggression; alcohol; behavior; drug; dysregulation; impulsive; intervention; mindfulness; therapy; transdiagnostic

PMID:
26287444
DOI:
10.1002/jclp.22213
[Indexed for MEDLINE]

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