The contribution of mindfulness practice to a multicomponent behavioral sleep intervention following substance abuse treatment in adolescents: a treatment-development study
Abstract
Poor sleep is common in substance use disorders (SUDs) and is a risk factor for relapse. Within the context of a multicomponent, mindfulness-based sleep intervention that included mindfulness meditation (MM) for adolescent outpatients with SUDs (n = 55), this analysis assessed the contributions of MM practice intensity to gains in sleep quality and self-efficacy related to SUDs. Eighteen adolescents completed a 6-session study intervention and questionnaires on psychological distress, sleep quality, mindfulness practice, and substance use at baseline, 8, 20, and 60 weeks postentry. Program participation was associated with improvements in sleep and emotional distress, and reduced substance use. MM practice frequency correlated with increased sleep duration and improvement in self-efficacy about substance use. Increased sleep duration was associated with improvements in psychological distress, relapse resistance, and substance use-related problems. These findings suggest that sleep is an important therapeutic target in substance abusing adolescents and that MM may be a useful component to promote improved sleep.
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Britton et al. found that as little as 5-10 min/day for 2-3 days/week increased self-reported sleep duration by more than an hour, but as practice times approached 30 min/day, sleep duration began to decrease and cortical arousal began to increase.
“Britton et al.175 found that as little as 5–10 min/day for 2–3 days/week (<1 h/week) increased self-reported sleep duration by more than an hour, but that as practice times approached 30 min/day (>3 h/week), then sleep duration began to decrease (Fig. 2D) and cortical arousal began to increase (Fig. 2A–C).164”
From Awakening is not a metaphor: the effects of Buddhist meditation practices on basic wakefulness (2014) · cites this paper as [175]
In a small trial of 18 adolescent participants, a multicomponent sleep intervention based on sleep restriction, stimulus control, and mindfulness meditation reduced substance use, and increased sleep duration was associated with reductions in substance-related problems.
“In a small trial (18 adolescent participants) of a multicomponent sleep intervention based on sleep restriction, stimulus control, and mindfulness meditation, participants reported reduced substance use. Increased sleep duration was associated with reductions in substance-related problems (Britton et al., 2010).”
From Sleep and circadian contributions to adolescent alcohol use disorder (2015) · cites this paper as Britton et al., 2010
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- Authors
- Britton, W. B., Bootzin, R. R., Cousins, J. C., Hasler, B. P., Peck, T., & Shapiro, S. L.
- Affiliations
- Brown University (US)
- University of Arizona (US)
- University of Pittsburgh (US)
- Santa Clara University (US)
- Venue
- Substance Abuse
- Publisher
- SAGE Publications
- Published
- 2010-04
- Volume
- 31
- Issue
- 2
- Pages
- 86-97
- ISSN
- 0889-7077 (ISSN-L)
- 1547-0164
- OpenAlex
- W1970196042
- Cited by
- 133
- References
- 62
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 7 · 2022: 4 · 2021: 7 · 2020: 9 · 2019: 7 · 2018: 10 · 2017: 14 · 2016: 8 · 2015: 13 · 2014: 14 · 2013: 12 · 2012: 10
- FWCI
- 11.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Substance Abuse (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- mindfulness meditation, sleep quality, substance use disorders, adolescents, addiction treatment, relapse prevention, self-efficacy, psychological distress, sleep duration, treatment development, multicomponent intervention
- MeSH terms
- Adolescent, Adolescent Behavior, Emotions, Female, Humans, Male, Psychotherapy, Sleep Wake Disorders, Stress, Psychological, Meditation, Substance-Related Disorders, Self Efficacy, Secondary Prevention, Young Adult
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