The Effectiveness of Mindfulness-Based Relapse Prevention on Craving, Cognitive Emotion Regulation, and Sleep Quality in Adolescents with Substance Use Disorder
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Objective:The present study aimed to investigate the effectiveness of Mindfulness-Based Relapse Prevention on craving, cognitive emotion regulation, and sleep quality in adolescents with substance use disorder.
Methods and Materials: This study employed a quasi-experimental design with a pretest–posttest control group structure and a follow-up assessment. The statistical population consisted of adolescents with substance use disorder referred to addiction treatment centers and counseling clinics. Using purposive sampling, 30 eligible adolescents were selected and randomly assigned to an experimental group (n = 15) and a control group (n = 15). The experimental group received eight weekly 90-minute sessions of Mindfulness-Based Relapse Prevention in addition to routine care, whereas the control group received routine care only. Data were collected using the Craving Experience Questionnaire (CEQ), the Cognitive Emotion Regulation Questionnaire (CERQ), and the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive statistics, mixed analysis of variance, and Bonferroni-adjusted pairwise comparisons.
Findings: The results showed that Mindfulness-Based Relapse Prevention had a significant effect on all three outcome variables. Compared with the control group, adolescents in the experimental group showed a significant reduction in craving, a significant decrease in maladaptive cognitive emotion regulation, and a significant improvement in sleep quality at posttest and follow-up (p < .001). The Time × Group interaction effect was significant for craving, cognitive emotion regulation, and sleep quality, indicating that changes over time differed significantly between the experimental and control groups. The findings further suggested that the treatment effects were generally maintained at follow-up.
Conclusion: Given its potential to target multiple relapse-related processes simultaneously, MBRP may serve as a valuable adjunct to comprehensive treatment programs for adolescents with substance use disorder.
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