Partial efficacy of Vipassana mindfulness approach in alcohol- … · 2018-11-07 · Partial...

Partial efficacy of Vipassanamindfulness approach in alcohol-

dependent persons

Nualnong Wongtongkam : School of Biomedical Sciences, Charles Sturt University, NSW, Australia,

Seearoon Lampoo : Princess Mother National Institute on Drug Abuse Treatment

Puthawan Choocherd, and Suwanna Chianguntod : Faculty of Nursing, Siam University

Background

• Alcohol-dependent persons who drink to manage negative emotions are likely to become lifetime drinkers and have increased risk of relapse.

AimTherefore, the study aimed at

• Assessing the effectiveness of vipassana mindfulness on alcohol intake, depression and empathetic response at a rehabilitation centre

Methodology

• Mixed methods Research

• Two groups Pre – Post test Design

• Intervention Group (23 participants) and Control Group (22 participants)

Selection Criteria : • Aged > 18 years

• Diagnosed alcohol dependence

• Excluded : • severe psychotic symptoms

• unable to control behaviors while mediating

Intervention group

• Vipassana Meditation, 2 hours a day for 5 consecutive days

• Vipassana Meditation

• Buddha teaching

• Sitting and Walking

• And discussion of using day-to-day meditation

Control group

• Usual Treatments

•Instruments• The 4 self - report questionnaires

• a focus group interview

Self-report Questionnaires

1. Daily Drinking Questionnaire-Revised (DDQ-R) : assessed frequency and quantity of alcohol consumed in regular and heavy drinking each day of the week (Monday-Sunday) in previous 30 days.

2. Beck Depression Inventory (BDI): a-21 item measuring the

severity of respondents’ feeling in the past week.

3. Interpersonal Reactivity Index (IRI) : a 28-item scale,

consisted of 4 subscales : Fantasy, Perspective taking,

Empathetic Concern, and Personal Distress

4. The Mindfulness Attention Awareness Scale (MAAS) : a15-

item scale measured dispositional mindfulness.

Self-report Questionnaires

Focus Group Interviews

• 15 participants participated in a single focus group interview for 90 minutes.

• Explored the themes of 5-day intensive mindfulness based intervention, how to adopt mindfulness approach to reduce alcohol consumption and in daily life.

Data Analysis

Quantitative Analysis

• Student’s t-test –compare mean difference between two groups

• Chi-square test – compare difference among categorical data

Qualitative analysis

• Thematic Analysis

Results

Qualitative Results

• Enhance Self-control and consciousness

• Reduced Carving through controlling minds

• Disadvantages from inadequate practice

Discussion

• The findings demonstrated that a mindfulness meditation exercise lasting one month was ineffective in improving mindfulness levels and empathy scores and reducing depressive symptoms for alcohol-dependent adults

However, qualitative results showed an intervention group reported improved self-control and self-awareness .

• The non-significant outcomes could be explained through cultural and individual differences

• Cultural factors may have intervened to limit the chance of successful intervention

• Thais have been practiced mindfulness since childhood as a religious practice, have possibly acquired an immune (resistant) response to negative emotions

• Additionally, participants had to follow their usual treatment regimens- there was no time to practice mindfulness at the centre

Publication

• Journal Alcoholism Treatment Quarterly Volume 36, 2018 - Issue 1

• Taylor & Francis Online Pages 3-14 | Published online: 23 Aug 2017

• https://www.tandfonline.com/doi/abs/10.1080/07347324.2017.1355224

Acknowledgement

• The authors would like to thank you

• Prakru Bahavanaveeranusith

• to facilitate mindfulness approach

through out the intervention periods

Investigators

Thank you