Evidence map›Paper›PMID 26701171›Full record

Trial reportBehaviour research and therapy2016

Mindfulness-Oriented Recovery Enhancement versus CBT for co-occurring substance dependence, traumatic stress, and psychiatric disorders: Proximal outcomes from a pragmatic randomized trial.

Eric L Garland, Amelia Roberts-Lewis, Christine D Tronnier, Rebecca Graves, Karen Kelley

Erratum issued Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Behaviour research and therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05873491 (Homeless People in French-speaking Switzerland and Integrative Medicine), which is not on this map. Cited by 67 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 4 pooled it
15.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05873491 completednot on this mapstarted 2023, after this paper: background citation

Homeless People in French-speaking Switzerland and Integrative Medicine: A Pilot Intervention in Music Therapy

TypeobservationalSponsorCenter for Primary Care and Public Health (Unisante), University of Lausanne, SwitzerlandRan2023 to 2023Enrolled16ConditionsHomelessnessArmsMusic therapy
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 4 syntheses or guidelines pooled it, 174 citations in OpenAlex.

  1. Pooled it
  2. Mindfulness-based interventions for substance use disorders.The Cochrane database of systematic reviews · 2021
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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Eric L GarlandUniversity of Utah, USA. Electronic address: eric.garland@socwk.utah.edu.
Amelia Roberts-LewisUniversity of North Carolina at Chapel Hill, USA.
Christine D TronnierSmith College, USA.
Rebecca GravesTriangle Residential Options for Substance Abusers, Inc., USA.
Karen KelleyTriangle Residential Options for Substance Abusers, Inc., USA.
Triangle · USSmith College · USUniversity of North Carolina at Chapel Hill · USUniversity of Utah · US

Funding

Targeting Military Opioid Misuse with Mindfulness-Oriented Recovery EnhancementR34DA037005 · NIDA · UNIVERSITY OF UTAH · PI GARLAND, ERIC LEE · 2013 to 2015
$667k
Triangle Network to Engage Homeless Individuals with Substance Abuse and Mental HH79TI020489 · SU · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERTS-LEWIS, AMELIA C · 2008 to 2012
–
CSAT SAMHSA HHS TI 020489NIDA NIH HHS R34 DA037005NIDA NIH HHS R34DA037005
6 · The paper itself

Abstract

In many clinical settings, there is a high comorbidity between substance use disorders, psychiatric disorders, and traumatic stress. Novel therapies are needed to address these co-occurring issues efficiently. The aim of the present study was to conduct a pragmatic randomized controlled trial comparing Mindfulness-Oriented Recovery Enhancement (MORE) to group Cognitive-Behavioral Therapy (CBT) and treatment-as-usual (TAU) for previously homeless men residing in a therapeutic community. Men with co-occurring substance use and psychiatric disorders, as well as extensive trauma histories, were randomly assigned to 10 weeks of group treatment with MORE (n = 64), CBT (n = 64), or TAU (n = 52). Study findings indicated that from pre-to post-treatment MORE was associated with modest yet significantly greater improvements in substance craving, post-traumatic stress, and negative affect than CBT, and greater improvements in post-traumatic stress and positive affect than TAU. A significant indirect effect of MORE on decreasing craving and post-traumatic stress by increasing dispositional mindfulness was observed, suggesting that MORE may target these issues via enhancing mindful awareness in everyday life. This pragmatic trial represents the first head-to-head comparison of MORE against an empirically-supported treatment for co-occurring disorders. Results suggest that MORE, as an integrative therapy designed to bolster self-regulatory capacity, may hold promise as a treatment for intersecting clinical conditions.

Indexed as

AdultAwarenessCognitive Behavioral TherapyComorbidityHumansMaleMiddle AgedMindfulnessPsychotherapy, GroupStress Disorders, TraumaticSubstance-Related DisordersTreatment OutcomeAddictionEmotion regulationMindfulnessPTSDReappraisalSavoringTransdiagnostic

Identifiers

PMID26701171
PMCPMC4752876
OpenAlexW2174697612

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.