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Do mindfulness-based interventions change brain function in people with substance dependence? A systematic review of the fMRI evidence

Lorenzetti, Valentina; Gaillard, Alexandra; Beyer, Emillie; Kowalczyk, Magdalena; Kamboj, Sunjeev K; Manning, Victoria; Gleeson, John; (2023) Do mindfulness-based interventions change brain function in people with substance dependence? A systematic review of the fMRI evidence. BMC Psychiatry , 23 (1) , Article 407. 10.1186/s12888-023-04789-7. Green open access

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Abstract

BACKGROUND: Substance use disorders (SUDs) affect ~ 35 million people globally and are associated with strong cravings, stress, and brain alterations. Mindfulness-based interventions (MBIs) can mitigate the adverse psychosocial outcomes of SUDs, but the underlying neurobiology is unclear. Emerging findings were systematically synthesised from fMRI studies about MBI-associated changes in brain function in SUDs and their associations with mindfulness, drug quantity, and craving. METHODS: PsycINFO, Medline, CINAHL, PubMed, Scopus, and Web of Science were searched. Seven studies met inclusion criteria. RESULTS: Group by time effects indicated that MBIs in SUDs (6 tobacco and 1 opioid) were associated with changes in the function of brain pathways implicated in mindfulness and addiction (e.g., anterior cingulate cortex and striatum), which correlated with greater mindfulness, lower craving and drug quantity. CONCLUSIONS: The evidence for fMRI-related changes with MBI in SUD is currently limited. More fMRI studies are required to identify how MBIs mitigate and facilitate recovery from aberrant brain functioning in SUDs.

Type: Article
Title: Do mindfulness-based interventions change brain function in people with substance dependence? A systematic review of the fMRI evidence
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/s12888-023-04789-7
Publisher version: https://doi.org/10.1186/s12888-023-04789-7
Language: English
Additional information: © 2023 BioMed Central Ltd. This article is licensed under a Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/).
Keywords: Substance use disorder (SUD), Addiction, Mindfulness, Mindfulness-based intervention (MBI), Functional magnetic resonance imaging (fMRI), Review
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10171760
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