Cited by 216Mindfulness and Compassion InterventionsOpioid Use Disorder TreatmentSubstance Abuse Treatment and Outcomes

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Effects of Mindfulness-Oriented Recovery Enhancement on reward responsiveness and opioid cue-reactivity

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Garland, Eric L., Froeliger, Brett, Howard, Matthew O.·2014·Psychopharmacology

DOI 10.1007/s00213-014-3504-7PMC PMC4111972

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Abstract

Rationale Dysregulated reward processing is a hallmark feature of drug addiction; however, scant research has evaluated restructuring reward processing in the context of addiction treatment.Objectives We examined effects of Mindfulness-Oriented Recovery Enhancement (MORE) on reward responsiveness (RR) and opioid cue-reactivity in a sample of chronic pain patients with opioid use problems. We previously reported that MORE decreased pain, opioid misuse, and craving relative to a social support control group (SG). Here, we examined whether these outcomes were linked to changes in RR in a subset of participants.Methods Participants were chronic pain patients (71 % women, age 46.6 ± 13.9) who received MORE (n = 20) or SG (n = 29). RR was measured before and after 8 weeks of treatment via heart rate (HR) and heart rate variability (HRV) responses during a dot probe task that included opioid-related, pain-related, and natural reward stimuli, as well as craving ratings.Results The MORE group, who reported decreased opioid misuse and opioid craving during treatment, evidenced less subjective opioid cue-reactivity, greater HR decelerations, and greater increases in HRV to all cues after treatment compared to the SG; HR and HRV effects were most pronounced for natural reward cues. Within the MORE group, HR deceleration to natural reward cues was correlated with increased subjective arousal to the cues, whereas HR deceleration to opioid cues was correlated with decreased subjective arousal. Effects of MORE on craving were mediated by enhanced RR.Conclusions Results suggest that during treatment with MORE, cardiac-autonomic responsiveness to non-drug reward increases, while reactivity to opioid reward decreases. Studies are needed to discern whether changes in RR were a result or a determinant of reductions in opioid misuse and craving. RR may play a role in addiction treatment.

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Authors: Garland, E. L., Froeliger, B., & Howard, M. O.
Affiliations: University of Utah (US)
Medical University of South Carolina (US)
University of North Carolina at Chapel Hill (US)
Corresponding author: Garland, Eric L.
ORCID: Garland, Eric L.
Froeliger, Brett
Howard, Matthew O.
Venue: Psychopharmacology
Publisher: Springer Science and Business Media LLC
Published: 2014-03-05
Volume: 231
Issue: 16
Pages: 3229-3238
ISSN: 0033-3158 (ISSN-L)
1432-2072
DOI: 10.1007/s00213-014-3504-7
PMC: PMC4111972
OpenAlex: W2064924323
Cited by: 216
References: 72
Citations by year: 2026: 4 · 2025: 12 · 2024: 13 · 2023: 14 · 2022: 19 · 2021: 19 · 2020: 54 · 2019: 23 · 2018: 14 · 2017: 15 · 2016: 8 · 2015: 15 · 2014: 6
FWCI: 17.36
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Psychopharmacology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: Fahs-Beck Fund for Research and Experimentation
National Institutes of Health
National Institute on Drug Abuse (DA 032517, R03DA032517, R34DA037005, DA037005)
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: Mindfulness-Oriented Recovery Enhancement, reward responsiveness, opioid use disorder, chronic pain, opioid misuse, opioid craving, heart rate variability, natural reward, addiction treatment, mindfulness-based interventions
MeSH terms: Adult, Affect, Arousal, Attention, Cues, Female, Heart Rate, Humans, Male, Middle Aged, Opioid-Related Disorders, Reward, Self Report, Chronic Pain, Prescription Drug Misuse, Mindfulness

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Effects of Mindfulness-Oriented Recovery Enhancement on reward responsiveness and opioid cue-reactivity

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