Ultra-Brief Mindfulness Training Reduces Alcohol Consumption in At-Risk Drinkers: A Randomized Double-Blind Active-Controlled Experiment
Open accessAbstract
Background: Like other complex psychosocial interventions, mindfulness-based treatments comprise various modality-specific components as well as nonspecific therapeutic ingredients that collectively contribute to efficacy. Consequently, the isolated effects of mindfulness strategies per se remain unclear. Methods: Using a randomized double-blind design, we compared the isolated effects of 11-minutes of "supervised" mindfulness instruction against a closely matched active control (relaxation) on subjective, physiological, and behavioral indices of maladaptive alcohol responding in drinkers at risk of harm from alcohol use (n = 68). Simple follow-up instructions on strategy use were provided, but practice was unsupervised and not formally monitored. Results: Both groups showed acute reductions in craving after training, although a trend group x time interaction (P = .056) suggested that this reduction was greater in the relaxation group (d = 0.722 P < .001) compared with the mindfulness group (d = 0.317, P = .004). Furthermore, upregulation of parasympathetic activity was found after relaxation (d = 0.562; P < .001) but not mindfulness instructions (d = 0.08; P > .1; group x time interaction: P = .009). By contrast, only the mindfulness group showed a reduction in past-week alcohol consumption at 7-day follow-up (-9.31 units, d = 0.593, P < .001), whereas no significant reduction was seen in the relaxation group (-3.00 units, d = 0.268, P > .1; group x time interaction: P = .026). Conclusion: Very brief mindfulness practice can significantly reduce alcohol consumption among at-risk drinkers, even with minimal encouragement to use this strategy outside of the experimental context. The effects on consumption may therefore represent a lower bound of efficacy of "ultra-brief" mindfulness instructions in hazardous drinkers, at least at short follow-up intervals.
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In an RCT of 68 patients with alcohol use, the mindfulness group exhibited a significant reduction in past-week alcohol consumption at the 7-day follow-up, while the relaxation group did not show a significant change.
“The mindfulness group exhibited a significant reduction in past-week alcohol consumption at the 7-day follow-up, while the relaxation group did not show a significant change”
From A Narrative Review of Current and Emerging Trends in the Treatment of Alcohol Use Disorder (2024) · cites this paper as [127]
The Results (Acute and Longer Term Effects on Alcohol Consumption; page unavailable) confirm a significant reduction in past-week drinking at the 7-day follow-up in the mindfulness group, but not in the relaxation group. Methods (Participants; page unavailable) confirms 68 participants, but describes them as otherwise healthy heavy drinkers and says people reporting an alcohol use disorder or prior treatment seeking were excluded; calling them patients is not supported. (LLM, conf=0.87)
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- Authors
- Kamboj, S. K., Irez, D., Serfaty, S., Thomas, E., Das, R. K., & Freeman, T. P.
- Affiliations
- University College London (GB)
- Corresponding author
- Kamboj, Sunjeev K
- Venue
- International Journal of Neuropsychopharmacology
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-08-02
- Volume
- 20
- Issue
- 11
- Pages
- 936-947
- ISSN
- 1461-1457 (ISSN-L)
- 1469-5111
- PMC
- PMC5737497
- OpenAlex
- W2741296037
- Cited by
- 41
- References
- 88
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 6 · 2023: 4 · 2022: 5 · 2021: 5 · 2020: 1 · 2019: 7 · 2018: 5 · 2017: 1
- FWCI
- 4.75
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- The International Journal of Neuropsychopharmacology (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion, cc-by)
- Funders
- University College London
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- mindfulness training, brief mindfulness intervention, alcohol consumption, at-risk drinkers, alcohol craving, relaxation training, parasympathetic activity, alcohol use disorder prevention
- MeSH terms
- Adult, Alcohol Drinking, Breath Tests, Cues, Double-Blind Method, Female, Follow-Up Studies, Humans, Male, Parasympathetic Nervous System, Surveys and Questionnaires, Relaxation, Mood Disorders, Young Adult, Mindfulness, Craving
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