Effectiveness of Mindfulness for Anger Expression on Men in Treatment for Substance Use Disorders: a Randomized Controlled Trial

Itamar José Félix-Junior; Emérita Sátiro Opaleye; Ana Paula Gonçalves Donate; André Bedendo; Mayra Pires Alves Machado; José Carlos Fernandes Galduróz; Sarah Bowen; Ana Regina Noto

doi:10.1007/s11469-023-01113-y

Effectiveness of Mindfulness for Anger Expression on Men in Treatment for Substance Use Disorders: a Randomized Controlled Trial

Itamar José Félix-Junior, Emérita Sátiro Opaleye^*, Ana Paula Gonçalves Donate, André Bedendo, Mayra Pires Alves Machado, José Carlos Fernandes Galduróz, Sarah Bowen, Ana Regina Noto

^*Corresponding author for this work

Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Mindfulness is effective in managing cravings and preventing relapse in substance use disorders (SUD), but its effectiveness in managing anger is unclear. We aim to assess the effects of mindfulness-based relapse prevention (MBRP) on anger in men treated in therapeutics communities for SUD in Brazil. The sample size was designed to a minimum of 160 participants; 223 were randomized to MBRP or treatment as usual. After eight sessions of MBRP, the level of mindfulness and anger expression measures were assessed. Generalized estimated equations showed that MBRP group had a decreased effect on the anger expression index, reducing the anger expression-in and anger expression-out and increasing anger control-in and anger control-out compared to control. Mediation analysis showed that the level of mindfulness mediated group effects on anger expression index. MBRP protocol has shown benefits for anger management among inpatients with SUD.

Original language	English
Journal	International Journal of Mental Health and Addiction
DOIs	https://doi.org/10.1007/s11469-023-01113-y
Publication status	Published - 3 Aug 2023

Bibliographical note

Funding Information:
ARN was supported by Grant #2015/19472–5 from the Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) from 2016 to 2022. IJFJ receives scholarship #2019/01767–0 from FAPESP. The agency did not have any role regarding decision about analysis and discussion within this manuscript.

Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

Anger management
Mindfulness
Substance use disorders

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10.1007/s11469-023-01113-y

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title = "Effectiveness of Mindfulness for Anger Expression on Men in Treatment for Substance Use Disorders: a Randomized Controlled Trial",

abstract = "Mindfulness is effective in managing cravings and preventing relapse in substance use disorders (SUD), but its effectiveness in managing anger is unclear. We aim to assess the effects of mindfulness-based relapse prevention (MBRP) on anger in men treated in therapeutics communities for SUD in Brazil. The sample size was designed to a minimum of 160 participants; 223 were randomized to MBRP or treatment as usual. After eight sessions of MBRP, the level of mindfulness and anger expression measures were assessed. Generalized estimated equations showed that MBRP group had a decreased effect on the anger expression index, reducing the anger expression-in and anger expression-out and increasing anger control-in and anger control-out compared to control. Mediation analysis showed that the level of mindfulness mediated group effects on anger expression index. MBRP protocol has shown benefits for anger management among inpatients with SUD.",

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AU - Bedendo, André

AU - Machado, Mayra Pires Alves

AU - Galduróz, José Carlos Fernandes

AU - Bowen, Sarah

AU - Noto, Ana Regina

N1 - Funding Information: ARN was supported by Grant #2015/19472–5 from the Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) from 2016 to 2022. IJFJ receives scholarship #2019/01767–0 from FAPESP. The agency did not have any role regarding decision about analysis and discussion within this manuscript. Publisher Copyright: © 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

PY - 2023/8/3

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N2 - Mindfulness is effective in managing cravings and preventing relapse in substance use disorders (SUD), but its effectiveness in managing anger is unclear. We aim to assess the effects of mindfulness-based relapse prevention (MBRP) on anger in men treated in therapeutics communities for SUD in Brazil. The sample size was designed to a minimum of 160 participants; 223 were randomized to MBRP or treatment as usual. After eight sessions of MBRP, the level of mindfulness and anger expression measures were assessed. Generalized estimated equations showed that MBRP group had a decreased effect on the anger expression index, reducing the anger expression-in and anger expression-out and increasing anger control-in and anger control-out compared to control. Mediation analysis showed that the level of mindfulness mediated group effects on anger expression index. MBRP protocol has shown benefits for anger management among inpatients with SUD.

AB - Mindfulness is effective in managing cravings and preventing relapse in substance use disorders (SUD), but its effectiveness in managing anger is unclear. We aim to assess the effects of mindfulness-based relapse prevention (MBRP) on anger in men treated in therapeutics communities for SUD in Brazil. The sample size was designed to a minimum of 160 participants; 223 were randomized to MBRP or treatment as usual. After eight sessions of MBRP, the level of mindfulness and anger expression measures were assessed. Generalized estimated equations showed that MBRP group had a decreased effect on the anger expression index, reducing the anger expression-in and anger expression-out and increasing anger control-in and anger control-out compared to control. Mediation analysis showed that the level of mindfulness mediated group effects on anger expression index. MBRP protocol has shown benefits for anger management among inpatients with SUD.

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Effectiveness of Mindfulness for Anger Expression on Men in Treatment for Substance Use Disorders: a Randomized Controlled Trial

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Keywords

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