Mindfulness-Based Relapse Prevention with racial and ethnic minority women
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Racial and ethnic disparities in the treatment of addiction have been acknowledged for several years, yet little is known about which empirically supported treatments for substance use disorders are more or less effective in treating racial and ethnic minority clients. The current study was a secondary analysis of a randomized clinical trial of two evidence-based treatments, mindfulness-based relapse prevention (MBRP) and relapse prevention (RP), as part of a residential addiction treatment program for women referred by the criminal justice system (n=70). At 15-week follow-up, regression analyses found that racial and ethnic minority women in MBRP, compared to non-Hispanic and racial and ethnic minority women in RP, reported significantly fewer drug use days (d=.31) and lower addiction severity (d=.65), based on the Addiction Severity Index. Although the small sample size is a limitation, the results suggest that MBRP may be more efficacious than traditional treatments for racial and ethnic minority women.
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In a smaller study of a similar population, MBRP led to fewer drug use days and lower addiction severity.
“In a smaller study of a similar population MBRP led to fewer drug use days and lower addiction severity (Witkiewitz, Brenna, & Bowen, 2013).”
From Mindfulness-Based Relapse Prevention in a Jail Drug Treatment Program. (2019) · cites this paper as Witkiewitz, Brenna, & Bowen, 2013
There is some evidence that MBPs are particularly effective for racial/ethnic minority women and gender diverse groups.
“There is some evidence for MBPs being particularly effective for certain groups such as racial/ethnic minority women (Witkiewitz et al., 2013) and gender diverse groups (Roos et al., 2019).”
From Dismantling Mindfulness-Based Programs: a Systematic Review to Identify Active Components of Treatment (2020) · cites this paper as Witkiewitz et al., 2013
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Ber gjörhyglimiðuð bakslagsvörn árangur í meðferð fíknisjúkdóma
Friðriksson, A. (2014)
Beginning with the Symptom: Incorporating Mindfulness in the Treatment of Substance Misuse
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Efetividade de intervenções baseadas em Mindfulness sobre o abuso de substâncias
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Moniz-Lewis, D. I. K., & Witkiewitz, K. A. (2024) · Journal of Substance Use and Addiction Treatment · doi:10.1016/j.josat.2024.209537
Self-citationTarhan, N., Demirsoy, Ç., & Tutgun-Ünal, A. (2025) · Psychiatry International · doi:10.3390/psychiatryint6010019
Lozano, A., Saavedra, L. M., Bautista, T. G., Sánchez, M., Morgan‐López, A. A., & Amaro, H. D. L. A. (2025) · Prevention Science · doi:10.1007/s11121-025-01862-3
Self-Efficacy as a Potential Mechanism of Behavior Change in Mindfulness-Based Relapse PreventionPreprint
Witkiewitz, K. A., & Moniz-Lewis, D. I. K. (2022) · OSF Preprints (OSF Preprints)
Self-citationRelapse capital: rethinking substance use relapse within a recovery capital framework
Klein, M. (2026) · Addiction Research & Theory · doi:10.1080/16066359.2026.2693275
- Authors
- Witkiewitz, K., Greenfield, B. L., & Bowen, S.
- Affiliations
- University of New Mexico (US)
- University of Washington (US)
- Corresponding author
- Witkiewitz, Katie
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2013-12
- Volume
- 38
- Issue
- 12
- Pages
- 2821-2824
- ISSN
- 0306-4603 (ISSN-L)
- PMC
- PMC5441877
- OpenAlex
- W2078032665
- Cited by
- 71
- References
- 35
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 11 · 2021: 4 · 2020: 6 · 2019: 9 · 2018: 12 · 2017: 7 · 2016: 3 · 2015: 4 · 2014: 4
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Washington State University Vancouver
- Centers for Disease Control and Prevention
- National Institute on Alcohol Abuse and Alcoholism (T32AA018108)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- mindfulness-based relapse prevention, relapse prevention, racial and ethnic minority women, substance use disorders, residential addiction treatment, criminal justice referral, Addiction Severity Index, treatment efficacy
- MeSH terms
- Adult, Ethnicity, Female, Humans, Minority Groups, Severity of Illness Index, Substance-Related Disorders, Racial Groups, Secondary Prevention, Mindfulness
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