Evidence map›Paper›PMID 41536215›Full record

Trial reportPsychological medicine2026

Implicit opioid associations in OUD treatment: prediction of treatment response and moderation by mindfulness-oriented recovery enhancement.

Nina A Coooperman, Nicole Khauli, Adam W Hanley, Eric L Garland

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychological medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Nina A Cooopermanhttps://ror.org/05vt9qd57Rutgers Robert Wood Johnson Medical School, USA.ORCID https://orcid.org/0000-0002-2086-6042
Nicole Khaulihttps://ror.org/044ntvm43Montefiore Medical Center, USA.ORCID https://orcid.org/0000-0001-7328-1120
Adam W Hanleyhttps://ror.org/05g3dte14Florida State University, USA.
Eric L GarlandDepartment of Psychiatry, https://ror.org/0168r3w48University of California San Diego School of Medicine, USA.

Funding

Optimizing Patient-Centered Opioid Tapering with Mindfulness-Oriented Recovery EnhancementR01DA058621 · NIDA · UNIVERSITY OF UTAH · PI Nina Cooperman, Eric Lee Garland · 2023 to 2026
$4.6M
Motivational Interviewing and Mindfulness-Oriented Recovery Enhancement for Tobacco Dependence and Other Drug use in Methadone TreatmentR01DA057631 · NIDA · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI Nina Cooperman, Eric Lee Garland · 2022 to 2026
$3.8M
Implementation and Effectiveness of Mindfulness Oriented Recovery Enhancement as an Adjunct to Methadone Treatment for Opioid Use DisorderR01DA056537 · NIDA · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI Nina Cooperman, Eric Lee Garland · 2022 to 2026
$3.4M
Analgesic and Opioid Sparing Brain Mechanisms of Mindfulness-Oriented Recovery Enhancement for Chronic Low Back PainR01AT011772 · NCCIH · UNIVERSITY OF UTAH · PI Eric Lee Garland, Fadel Zeidan · 2022 to 2026
$3.0M
Mindfulness Oriented Recovery Enhancement as an Adjunct to Methadone Treatment for Opioid Use and Chronic Pain ManagementR33AT010109 · NCCIH · RBHS-ROBERT WOOD JOHNSON MEDICAL SCHOOL · PI COOPERMAN, NINA · 2019 to 2020
$1.5M
NCCIH NIH HHS R01 AT011772NCCIH NIH HHS R33 AT010109NIDA NIH HHS R01 DA056537NIDA NIH HHS R01 DA057631NIDA NIH HHS R01 DA058621NIH HHS R01AT011772NIH HHS R33AT010109, R01DA058621, R01DA056537, R01DA057631
6 · The paper itself

Abstract

backgroundSubstance use is sustained partly through implicit associations toward drugs - i.e. automatic positive attitudes and motivational responses toward drug-related cues. Such implicit associations may be inferred by behavioral measures that capture the relative ease, speed, or priming of those associations. However, implicit opioid associations in patients with opioid use disorder (OUD) remain underexplored, and it is unknown whether mindfulness-based interventions such as Mindfulness-Oriented Recovery Enhancement (MORE) can modify implicit associations to support recovery.

methodsWe conducted secondary analyses of data from a clinical trial of adults with OUD (N = 154), randomized to either methadone treatment as usual (TAU) or TAU plus MORE. Participants completed an opioid implicit association test (IAT) at baseline. Days of opioid use were tracked over 16 weeks. Data were analyzed using logistic and zero-inflated negative binomial (ZINB) regressions to examine the impact of baseline IAT scores on future opioid use and MORE's moderating effect.

resultsIn the TAU group, each 1-unit increase in IAT D score was associated with a 216% increase in the odds of opioid use (OR = 3.16,

conclusionsImplicit attitudes toward opioids predicted higher opioid use among individuals receiving methadone. However, MORE attenuated this relationship and may counteract automatic cognitive biases that sustain opioid use.

Indexed as

MethadoneMindfulnessOpiate Substitution TreatmentOpioid-Related DisordersAdultFemaleHumansMaleMiddle AgedTreatment OutcomeMethadoneimplicit association testmindfulnessopioid use disorderpain

Identifiers

PMID41536215
PMCPMC12885336

What OpenQuestion holds

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Registered trials

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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.