RecruitingNot ApplicableNCT04598399

Comparison of the Effectiveness of Two Psycho-physical Interventions: Mindfulness Based Relapse Prevention (MBRP) and Unguided Meditative Relaxation in Patients With Alcohol Use Disorder

Sponsor

Centre Hospitalier Universitaire de Nīmes

Enrollment

168 participants

Start Date

Oct 20, 2021

Study Type

INTERVENTIONAL

Conditions

Alcohol Use Disorder (AUD)

Summary

Alcohol use disorder (AUD) is the second highest preventable cause of death in France. Only 3% of patients are prescribed approved drugs for reducing alcohol consumption or maintenance of abstinence. Increasing evidence supports the efficacy of psychotherapies such as cognitive and behavioral therapies (CBT) in AUD. However, some patients are resistant to CBT and the positive effects of CBT could wane over time, resulting in mid- and long-term relapses. Mindfulness practice is increasingly widespread in the United States and its efficacy in various fields appears very promising. The study investigators hypothesize that the Mindfulness Based Relapse Prevention (MBRP) program will be more efficient than a relaxation/meditation without guidance control program in AUD.

Eligibility

Min Age: 18 Years

Inclusion Criteria2

Having a moderate to severe alcohol use disorder according to DSM 5 criteria.
The last drink must have been consumed at most in the last 60 days before the pre-inclusion visit. The patient must have had at least 1 HDD during the last drinking period

Exclusion Criteria9

Severe depression (Beck Depression Inventory> 30)
Schizophrenic disorder,
Current maniac or hypomaniac episode,
Patient with dementia or severe cognitive impairment that would prevent him/her from following the course of a session, as judged by the clinician.
Insufficient French understanding to complete the questionnaires
Pregnant or breastfeeding woman
Absence of social security regimen
Other mindfulness-based structured therapies
Refusal to sign the written consent. • The patient is under safeguard of justice or state guardianship

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Interventions

BEHAVIORALMindfulness Based Relapse Prevention

7 x 60-120 minute sessions with different themes: Automatic pilot/triggers/relapse/high-risk situations/ mindfulness in daily life. There will be a welcoming time, with a focus on at-home practice and difficulties, a theoretical presentation of new concepts, practical meditation exercises and a debriefing.

BEHAVIORALRelaxation/ meditation

7 x 60-120 minute sessions each with a different sound from nature with unguided, closed relaxation group with a maximum of 12 participants