Evidence map›Paper›PMID 39389547›Full record

ArticleJournal of substance use and addiction treatment2025

Exploring heterogeneity in recovery from substance use disorder following mindfulness-based relapse prevention: A latent profile analysis.

David I K Moniz-Lewis, Katie Witkiewitz

Abstract read
In one paragraph

Article in Journal of substance use and addiction treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

David I K Moniz-LewisCenter for Alcohol Substance Use and Addiction, University of New Mexico, USA; Department of Psychology, University of New Mexico, USA. Electronic address: monizlewis@unm.edu.
Katie WitkiewitzCenter for Alcohol Substance Use and Addiction, University of New Mexico, USA; Department of Psychology, University of New Mexico, USA.

Funding

Alcohol Research Training: Methods & MechanismsT32AA018108 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Katie A Witkiewitz · 2010 to 2026
$5.6M
Mindfulness-Based Relapse Prevention as Video Conferencing Continuing Care to Promote Long Term Recovery from Alcohol Use DisorderR01AA031159 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Katie A Witkiewitz · 2023 to 2026
$2.6M
NIAAA NIH HHS R01 AA031159NIAAA NIH HHS T32 AA018108NIDA NIH HHS UG3/UH3DA051241
6 · The paper itself

Abstract

introductionSubstance use disorder (SUD) recovery is heterogeneous. Yet, over the last 50 years, substance use treatment providers and researchers have often defined success as sustained abstinence from substance use. An often overlooked but equally valid pathway to recovery for persons with SUD is non-abstinent recovery. However, most of the literature on non-abstinent recovery exists for individuals with alcohol use disorder (AUD) with few studies of non-abstinent recovery for other types of SUD. Literature exploring the mechanisms that lead to non-abstinent recovery is also lacking. As such, the current study aimed to examine recovery profiles for individuals (N = 454) recruited in two randomized clinical trials comparing mindfulness-based relapse prevention with cognitive-behavioral relapse prevention and/or treatment as usual.

methodsLatent profile analysis empirically derived profiles of recovery following outpatient aftercare SUD treatment. Multinomial logistic regression examined associations between treatment assignment and recovery profile, including potential psychological mediators (e.g., mindfulness) and contextual moderators (e.g., annual household income).

resultsAnalyses supported four recovery profiles: (1) low-functioning frequent substance use; (2) low-functioning infrequent substance use; (3) high-functioning frequent substance use; (4) high-functioning infrequent substance use. There were no significant interaction effects of race or ethnicity by treatment type, or household income by treatment type, in predicting recovery profiles. Trait mindfulness, craving, and psychological flexibility failed to mediate the association between treatment assignment and recovery profile; however, there were statistically significant differences in trait mindfulness with individuals expected to be classified in the low-functioning infrequent substance use profile showing significantly lower levels of trait mindfulness compared to individuals in the two high-functioning profiles.

conclusionsFindings suggest that recovery from SUD is heterogeneous, and profiles of recovery based on dimensions of substance use and functioning can be identified across a variety of SUD, including among people with co-occurring SUD. Additionally, trait mindfulness appears to be a differentiating factor across recovery profiles. Further research is needed to explore how psychological and social factors may moderate and influence both abstinent and non-abstinent forms of recovery.

Indexed as

Cognitive Behavioral TherapyMindfulnessSecondary PreventionSubstance-Related DisordersAdultFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicContextual factorsLatent profile analysisMechanisms of behavior changeMediationMindfulnessModerationNon-abstinent recoverySubstance use disorder

Identifiers

PMID39389547
PMCPMC11769764

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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.