beheshtimotlagh A, narimani M, basharpoor S. Comparing the Effectiveness of Two Approaches To Relapse Prevention Based on Mindfulness and Integrative Intervention on Improving Emotion Regulation in Individuals Recovering from Substance Use Disorder: A Quasi-Experimental Study. J Health Res Commun 2026; 12 (1)
URL:
http://jhc.mazums.ac.ir/article-1-1247-en.html
Department of Psychology, Faculty of Psychology and Educational Sciences, University of Mohaghegh Ardabili, Ardabil, Iran
Abstract: (23 Views)
Introduction: Substance use disorder is associated with difficulty in emotion regulation, deficits in coping skills, and a high likelihood of relapse. Although mindfulness-based relapse prevention has received attention in recent years, new evidence suggests that integrative interventions that simultaneously target cognitive, emotional, and behavioral components may be more effective. The present study aimed to compare the effectiveness of an integrative relapse prevention intervention package and mindfulness-based relapse prevention on emotion regulation in substance-dependent individuals.
Methods: The present study was a quasi-experimental investigation employing a pretest-posttest design with a follow-up phase and a control group. The statistical population consisted of 60 individuals with substance dependence attending addiction treatment centers; participants were selected via convenience sampling and randomly assigned to three groups: an integrative relapse prevention group (n=20), a mindfulness-based relapse prevention group (n=20), and a control group (n=20). Both prevention programs comprised eight 90-minute sessions. Data were collected using the Gross and John (2003) Emotion Regulation Questionnaire and analyzed using SPSS software (version 26) and repeated-measures analysis of variance (ANOVA).
Findings: The findings showed that both interventions significantly increased cognitive reappraisal and significantly reduced emotional suppression compared to the control group (P<0.001). However, the integrative relapse prevention intervention had a greater effect on increasing cognitive reappraisal (η²=0.697) and reducing emotional suppression (η²=0.702) at post-test and follow-up compared to mindfulness-based relapse prevention.
Conclusion: The results of this study support the use of multicomponent interventions based on emotion regulation in relapse prevention programs. Attention to training cognitive reappraisal skills and reducing the use of maladaptive emotion regulation strategies can be considered as one of the key components in treatment and rehabilitation programs for people with substance use disorders.