NCT06739304

Brief Summary

This study developed a Mindfulness-based Relapse Prevention targeting craving. Based on the Randomized Controlled Trial design, 600 adult USD females and 600 adult USD males with methamphetamine, heroin, or ketamine in Intervention group(MBI) , the matched 250 subjects in Control group and 250 healthy matched controls (HC) participated in this study, 1200 adult USD subjects of Intervention group received the 8-week Group mindfulness intervention performed by psychiatrists. SUD patients were assessed three times, before, during(1-2 weeks after the MBI began), and after the intervention by a variety of clinical variables, cognitive task(reginal segmental task),fMRI and blood test to verify the effectiveness of the intervention method, attempting to expand the model of addiction and mindfulness.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,200

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2023

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 10, 2023

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 5, 2023

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 10, 2023

Completed
20 days until next milestone

First Submitted

Initial submission to the registry

November 30, 2023

Completed
1.1 years until next milestone

First Posted

Study publicly available on registry

December 18, 2024

Completed
Last Updated

April 1, 2025

Status Verified

December 1, 2024

Enrollment Period

2 months

First QC Date

November 30, 2023

Last Update Submit

March 26, 2025

Conditions

Keywords

addictionMindfulness-based Relapse Preventionanxietydepressionsubliminal perception

Outcome Measures

Primary Outcomes (4)

  • Patient Health Questionnaire-Depression Scale (PHQ-9)

    A quick depression assessment. The minimum score is 0 and maximum is 27. Higher scores indicate higher levels of depression. Minimal depression: scores 1-4. Mild depression: scores 5-9. Moderate depression: scores 10-14. Moderately severe depression: 15-19. Severe depression: 20-27.

    before, during(1-2 weeks after the mindfulness-based intervention began), and immediately after the intervention

  • Beck Anxiety Inventory (BAI-21)

    Anxiety Assessment with 21 items. Minimum score is 0, and maximum is 63. The higher scores indicate higher levels of anxiety.

    before, during(1-2 weeks after the mindfulness-based intervention began), and immediately after the intervention

  • region segmental task

    correct rate of reginal segmental task

    before and immediately after the mindfulness-based intervention

  • fMRI

    Brain structure and brain function

    before, during(1-2 weeks after the mindfulness-based intervention began), and immediately after the intervention

Study Arms (2)

Mindfulness-Based Relapse Prevention

EXPERIMENTAL

250 adult USD females of Intervention group received the 8-week Group mindfulness intervention performed by psychiatrists,and were assessed three times, before, during(1-2 weeks after the MBI began), and after the intervention by a variety of clinical variables, cognitive task(reginal segmental task),fMRI and blood test to verify the effectiveness of the intervention method, attempting to expand the model of addiction and mindfulness.

Behavioral: Mindfulness-based Relapse Prevention

Control group

NO INTERVENTION

the matched 250 females in Control group were assessed by the by a variety of clinical variables, cognitive task(reginal segmental task),FMRI and blood test.

Interventions

250 adult USD females of Intervention group received the 8-week Group mindfulness intervention performed by psychiatrists.

Mindfulness-Based Relapse Prevention

Eligibility Criteria

Age25 Years - 57 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility DetailsFemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Meets the diagnostic criteria for DSM-5 of substance use disorders;
  • The duration of using the addictive substance shall not be less than 1 year;
  • Prohibit addictive substances for at least 48 hours before conducting magnetic resonance imaging scans;
  • Han nationality, junior high school or above education level, aged 18-57 years old;
  • Informed and agreed to participate in this study, with the consent of the Ethics Committee.

You may not qualify if:

  • Have a history of mental illness before taking drugs;
  • Other substance use disorders (excluding nicotine);
  • Brain organic diseases, history of craniocerebral injury, history of coma;
  • Individuals with mental disorders who meet the DSM-5 diagnostic criteria within two generations;
  • History of endocrine diseases; Those with abnormal function in blood, heart, liver, and kidney after examination;
  • Intelligence impairment IQ.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Sir Run Run Shaw Hospital

Hangzhou, Zhejiang, 310000, China

Location

Related Publications (30)

  • Carroll KM, Kiluk BD. Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again. Psychol Addict Behav. 2017 Dec;31(8):847-861. doi: 10.1037/adb0000311. Epub 2017 Aug 31.

  • Da Silva Roggi P M, Da Gama M F N, Neves F S, et al. Update on treatment of craving in patients with addiction using cognitive behavioral therapy

    RESULT
  • Mohan UR, Watrous AJ, Miller JF, Lega BC, Sperling MR, Worrell GA, Gross RE, Zaghloul KA, Jobst BC, Davis KA, Sheth SA, Stein JM, Das SR, Gorniak R, Wanda PA, Rizzuto DS, Kahana MJ, Jacobs J. The effects of direct brain stimulation in humans depend on frequency, amplitude, and white-matter proximity. Brain Stimul. 2020 Sep-Oct;13(5):1183-1195. doi: 10.1016/j.brs.2020.05.009. Epub 2020 May 21.

  • Solinas M, Belujon P, Fernagut PO, Jaber M, Thiriet N. Dopamine and addiction: what have we learned from 40 years of research. J Neural Transm (Vienna). 2019 Apr;126(4):481-516. doi: 10.1007/s00702-018-1957-2. Epub 2018 Dec 19.

  • Hare BD, Duman RS. Prefrontal cortex circuits in depression and anxiety: contribution of discrete neuronal populations and target regions. Mol Psychiatry. 2020 Nov;25(11):2742-2758. doi: 10.1038/s41380-020-0685-9. Epub 2020 Feb 21.

  • Wydra K, Suder A, Frankowska M, Borroto Escuela DO, Fuxe K, Filip M. Effects of intra-accumbal or intra-prefrontal cortex microinjections of adenosine 2A receptor ligands on responses to cocaine reward and seeking in rats. Psychopharmacology (Berl). 2018 Dec;235(12):3509-3523. doi: 10.1007/s00213-018-5072-8. Epub 2018 Nov 13.

  • Feil J, Zangen A. Brain stimulation in the study and treatment of addiction. Neurosci Biobehav Rev. 2010 Mar;34(4):559-74. doi: 10.1016/j.neubiorev.2009.11.006. Epub 2009 Nov 13.

  • Hoppes K. The application of mindfulness-based cognitive interventions in the treatment of co-occurring addictive and mood disorders. CNS Spectr. 2006 Nov;11(11):829-51. doi: 10.1017/s1092852900014991.

  • Chen P, Jindani F, Perry J, et al. Mindfulness and problem gambling treatment

    RESULT
  • Grant S, Colaiaco B, Motala A, Shanman R, Booth M, Sorbero M, Hempel S. Mindfulness-based Relapse Prevention for Substance Use Disorders: A Systematic Review and Meta-analysis. J Addict Med. 2017 Sep/Oct;11(5):386-396. doi: 10.1097/ADM.0000000000000338.

  • Witkiewitz K, Lustyk MKB, Bowen S. Retraining the addicted brain: a review of hypothesized neurobiological mechanisms of mindfulness-based relapse prevention. Psychol Addict Behav. 2013 Jun;27(2):351-365. doi: 10.1037/a0029258. Epub 2012 Jul 9.

  • Chambers R, Lo B C Y, Allen N B. The impact of intensive mindfulness training on attentional control, cognitive style, and affect

    RESULT
  • Bowen S, Chawla N, Collins SE, Witkiewitz K, Hsu S, Grow J, Clifasefi S, Garner M, Douglass A, Larimer ME, Marlatt A. Mindfulness-based relapse prevention for substance use disorders: a pilot efficacy trial. Subst Abus. 2009 Oct-Dec;30(4):295-305. doi: 10.1080/08897070903250084.

  • Winhall J. Treating trauma and addiction with the felt sense polyvagal model: A bottom-up approach

    RESULT
  • Froeliger B, McConnell PA, Stankeviciute N, McClure EA, Kalivas PW, Gray KM. The effects of N-Acetylcysteine on frontostriatal resting-state functional connectivity, withdrawal symptoms and smoking abstinence: A double-blind, placebo-controlled fMRI pilot study. Drug Alcohol Depend. 2015 Nov 1;156:234-242. doi: 10.1016/j.drugalcdep.2015.09.021. Epub 2015 Sep 26.

  • Garland EL. Restructuring reward processing with Mindfulness-Oriented Recovery Enhancement: novel therapeutic mechanisms to remediate hedonic dysregulation in addiction, stress, and pain. Ann N Y Acad Sci. 2016 Jun;1373(1):25-37. doi: 10.1111/nyas.13034. Epub 2016 Apr 1.

  • Garland E L, Bryan M A, Hanley A W, et al. Neurocognitive mechanisms of mindfulness-based interventions for addiction

    RESULT
  • Garland EL, Froeliger B, Howard MO. Effects of Mindfulness-Oriented Recovery Enhancement on reward responsiveness and opioid cue-reactivity. Psychopharmacology (Berl). 2014 Aug;231(16):3229-38. doi: 10.1007/s00213-014-3504-7. Epub 2014 Mar 5.

  • Kirlic N, Cohen Z, Stewart J L. Neurocircuitry of Mindfulness-Based Interventions for Substance Use Prevention and Recovery

    RESULT
  • Parks G A, Marlatt G A. Relapse prevention therapy: A cognitive-behavioral approach

    RESULT
  • Witkiewitz K, Marlatt G A, Walker D. Mindfulness-based relapse prevention for alcohol and substance use disorders

    RESULT
  • Ramos LA, Blankers M, van Wingen G, de Bruijn T, Pauws SC, Goudriaan AE. Predicting Success of a Digital Self-Help Intervention for Alcohol and Substance Use With Machine Learning. Front Psychol. 2021 Sep 3;12:734633. doi: 10.3389/fpsyg.2021.734633. eCollection 2021.

  • Knudsen HK, Abraham AJ, Roman PM. Adoption and implementation of medications in addiction treatment programs. J Addict Med. 2011 Mar;5(1):21-7. doi: 10.1097/ADM.0b013e3181d41ddb.

  • Sofuoglu M, DeVito EE, Waters AJ, Carroll KM. Cognitive Function as a Transdiagnostic Treatment Target in Stimulant Use Disorders. J Dual Diagn. 2016;12(1):90-106. doi: 10.1080/15504263.2016.1146383.

  • Friedman NP, Robbins TW. The role of prefrontal cortex in cognitive control and executive function. Neuropsychopharmacology. 2022 Jan;47(1):72-89. doi: 10.1038/s41386-021-01132-0. Epub 2021 Aug 18.

  • Lindgren KP, Hendershot CS, Ramirez JJ, Bernat E, Rangel-Gomez M, Peterson KP, Murphy JG. A dual process perspective on advances in cognitive science and alcohol use disorder. Clin Psychol Rev. 2019 Apr;69:83-96. doi: 10.1016/j.cpr.2018.04.002. Epub 2018 Apr 11.

  • Bradizza CM, Stasiewicz PR, Paas ND. Relapse to alcohol and drug use among individuals diagnosed with co-occurring mental health and substance use disorders: a review. Clin Psychol Rev. 2006 Mar;26(2):162-78. doi: 10.1016/j.cpr.2005.11.005. Epub 2006 Jan 6.

  • Perales JC, King DL, Navas JF, Schimmenti A, Sescousse G, Starcevic V, van Holst RJ, Billieux J. Learning to lose control: A process-based account of behavioral addiction. Neurosci Biobehav Rev. 2020 Jan;108:771-780. doi: 10.1016/j.neubiorev.2019.12.025. Epub 2019 Dec 14.

  • Diana M, Raij T, Melis M, Nummenmaa A, Leggio L, Bonci A. Rehabilitating the addicted brain with transcranial magnetic stimulation. Nat Rev Neurosci. 2017 Nov;18(11):685-693. doi: 10.1038/nrn.2017.113. Epub 2017 Sep 29.

  • Taylor AMW. Corticolimbic circuitry in the modulation of chronic pain and substance abuse. Prog Neuropsychopharmacol Biol Psychiatry. 2018 Dec 20;87(Pt B):263-268. doi: 10.1016/j.pnpbp.2017.05.009. Epub 2017 May 10.

MeSH Terms

Conditions

Substance-Related DisordersBehavior, AddictiveAnxiety DisordersDepression

Condition Hierarchy (Ancestors)

Chemically-Induced DisordersMental DisordersCompulsive BehaviorImpulsive BehaviorBehaviorBehavioral Symptoms

Study Officials

  • Yanhui Liao, MD

    Sir Run Run Shaw Hospital

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 30, 2023

First Posted

December 18, 2024

Study Start

June 10, 2023

Primary Completion

August 5, 2023

Study Completion

November 10, 2023

Last Updated

April 1, 2025

Record last verified: 2024-12

Data Sharing

IPD Sharing
Will not share

Due to ethical and privacy consideration, IPD might not be shared

Locations