Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://repositorio.unifesp.br/handle/11600/55811 http://dx.doi.org/10.1371/journal.pone.0194035 |
Resumo: | Introduction Dispositional mindfulness can be described as the mental ability to pay attention to the present moment, non-judgmentally. There is evidence of inverse relation between dispositional mindfulness and insomnia and substance use, but as of yet, no studies evaluating the specific association between dispositional mindfulness and the components of hypnotic use disorder. Objective To evaluate the association between dispositional mindfulness and the components of dependence among female chronic hypnotic users. Design and method Seventy-six women, chronic users of hypnotics, who resorted to Mindfulness-Based Relapse Prevention for the cessation of hypnotic use were included in the study. The Five Facet Mindfulness Questionnaire (FFMQ) evaluated the levels and facets of mindfulness, and the subscales of the Benzodiazepine Dependence Questionnaire (BENDEP) assessed dependence on hypnotics. We also evaluated sociodemographic variables and symptoms of insomnia and anxiety. The associations between the FFMQ facets and the BENDEP subscales were evaluated with binomial logistic regression, adjusted for income, schooling, anxiety, and insomnia. Results We observed associations between facets of the FFMQ and specific aspects of hypnotic dependence. The facet "observing" was inversely associated with the "concern about lack of availability of the hypnotic" [aOR = 0.87 95% CI (0.79 +/- 0.97)], and the facet "non-reacting to inner experience" with "noncompliance with the prescription recommendations" [aOR = 0.86 95% CI (0.75 +/- 0.99)]. The total score of the FFMQ was inversely associated to those two dependence subscales [aOR = 0.94 95% CI (0.89 +/- 0.99)]. "Observing" and "non-reactivity to inner experience" were also inversely associated with the "impairments related to the withdrawal symptoms" [aOR = 0.84 95% CI (0.73 +/- 0.97)] and [aOR = 0.78 95% CI (0.63 +/- 0.96)], respectively. The FFMQ was not associated with "awareness of problematic hypnotic use". Conclusion Dispositional mindfulness, specifically the facets "observing" and "non-reactivity to inner experience, were inversely associated with the components of hypnotic dependence related to the anticipation of having the substance, its expected effect, and the impairments caused by the abstinence. We discuss the implications of those results for the clinical practice and future investigations. |
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Barros, Viviam Vargas [UNIFESP]Opaleye, Emerita Satiro [UNIFESP]Demarzo, Marcelo [UNIFESP]Bowen, SarahCurado, Daniela Fernandez [UNIFESP]Hachul, HelenaNoto, Ana Regina [UNIFESP]2020-07-20T16:31:14Z2020-07-20T16:31:14Z2018Plos One. San Francisco, v. 13, n. 3, 2018.1932-6203https://repositorio.unifesp.br/handle/11600/55811http://dx.doi.org/10.1371/journal.pone.0194035WOS000427703500016.pdf10.1371/journal.pone.0194035WOS:000427703500016Introduction Dispositional mindfulness can be described as the mental ability to pay attention to the present moment, non-judgmentally. There is evidence of inverse relation between dispositional mindfulness and insomnia and substance use, but as of yet, no studies evaluating the specific association between dispositional mindfulness and the components of hypnotic use disorder. Objective To evaluate the association between dispositional mindfulness and the components of dependence among female chronic hypnotic users. Design and method Seventy-six women, chronic users of hypnotics, who resorted to Mindfulness-Based Relapse Prevention for the cessation of hypnotic use were included in the study. The Five Facet Mindfulness Questionnaire (FFMQ) evaluated the levels and facets of mindfulness, and the subscales of the Benzodiazepine Dependence Questionnaire (BENDEP) assessed dependence on hypnotics. We also evaluated sociodemographic variables and symptoms of insomnia and anxiety. The associations between the FFMQ facets and the BENDEP subscales were evaluated with binomial logistic regression, adjusted for income, schooling, anxiety, and insomnia. Results We observed associations between facets of the FFMQ and specific aspects of hypnotic dependence. The facet "observing" was inversely associated with the "concern about lack of availability of the hypnotic" [aOR = 0.87 95% CI (0.79 +/- 0.97)], and the facet "non-reacting to inner experience" with "noncompliance with the prescription recommendations" [aOR = 0.86 95% CI (0.75 +/- 0.99)]. The total score of the FFMQ was inversely associated to those two dependence subscales [aOR = 0.94 95% CI (0.89 +/- 0.99)]. "Observing" and "non-reactivity to inner experience" were also inversely associated with the "impairments related to the withdrawal symptoms" [aOR = 0.84 95% CI (0.73 +/- 0.97)] and [aOR = 0.78 95% CI (0.63 +/- 0.96)], respectively. The FFMQ was not associated with "awareness of problematic hypnotic use". Conclusion Dispositional mindfulness, specifically the facets "observing" and "non-reactivity to inner experience, were inversely associated with the components of hypnotic dependence related to the anticipation of having the substance, its expected effect, and the impairments caused by the abstinence. We discuss the implications of those results for the clinical practice and future investigations.Conselho Nacional de Desenvolvimento Cientifico e TecnologicoMBRP Brasil, Brazilian Ctr Res & Training Mindfulness Based Re, Nepsis Res Ctr Hlth & Subst Use, Sao Paulo, BrazilUniv Fed Sao Paulo, Dept Psychobiol, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Mente Aberta Brazilian Ctr Mindfulness & Hlth Pro, Dept Prevent Med, Sao Paulo, SP, BrazilHosp Israelita Albert Einstein, Sao Paulo, BrazilUniv Pacific, Dept Psychol, Sch Hlth Profess, Hillsboro, OR USACasa Saude Santa Marcelina, Dept Gynecol & Obstet, Sao Paulo, BrazilUniv Fed Sao Paulo, Dept Psychobiol, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Mente Aberta Brazilian Ctr Mindfulness & Hlth Pro, Dept Prevent Med, Sao Paulo, SP, BrazilCNPq: 407116/2013-3Web of Science-engPublic Library SciencePlos OneDispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleSan Franciscov. 133info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000427703500016.pdfapplication/pdf1526643${dspace.ui.url}/bitstream/11600/55811/1/WOS000427703500016.pdfea1e3f09cb38f0cd39f7d16f8ae88275MD51open accessTEXTWOS000427703500016.pdf.txtWOS000427703500016.pdf.txtExtracted texttext/plain57172${dspace.ui.url}/bitstream/11600/55811/2/WOS000427703500016.pdf.txta7a5aca644d7625a3064bc06b0e8b4ccMD52open accessTHUMBNAILWOS000427703500016.pdf.jpgWOS000427703500016.pdf.jpgIM Thumbnailimage/jpeg7715${dspace.ui.url}/bitstream/11600/55811/4/WOS000427703500016.pdf.jpg6d4a628079b05b00760774d6029c6dd0MD54open access11600/558112022-08-01 02:14:24.018open accessoai:repositorio.unifesp.br:11600/55811Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:24:08.541992Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study |
title |
Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study |
spellingShingle |
Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study Barros, Viviam Vargas [UNIFESP] |
title_short |
Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study |
title_full |
Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study |
title_fullStr |
Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study |
title_full_unstemmed |
Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study |
title_sort |
Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study |
author |
Barros, Viviam Vargas [UNIFESP] |
author_facet |
Barros, Viviam Vargas [UNIFESP] Opaleye, Emerita Satiro [UNIFESP] Demarzo, Marcelo [UNIFESP] Bowen, Sarah Curado, Daniela Fernandez [UNIFESP] Hachul, Helena Noto, Ana Regina [UNIFESP] |
author_role |
author |
author2 |
Opaleye, Emerita Satiro [UNIFESP] Demarzo, Marcelo [UNIFESP] Bowen, Sarah Curado, Daniela Fernandez [UNIFESP] Hachul, Helena Noto, Ana Regina [UNIFESP] |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Barros, Viviam Vargas [UNIFESP] Opaleye, Emerita Satiro [UNIFESP] Demarzo, Marcelo [UNIFESP] Bowen, Sarah Curado, Daniela Fernandez [UNIFESP] Hachul, Helena Noto, Ana Regina [UNIFESP] |
description |
Introduction Dispositional mindfulness can be described as the mental ability to pay attention to the present moment, non-judgmentally. There is evidence of inverse relation between dispositional mindfulness and insomnia and substance use, but as of yet, no studies evaluating the specific association between dispositional mindfulness and the components of hypnotic use disorder. Objective To evaluate the association between dispositional mindfulness and the components of dependence among female chronic hypnotic users. Design and method Seventy-six women, chronic users of hypnotics, who resorted to Mindfulness-Based Relapse Prevention for the cessation of hypnotic use were included in the study. The Five Facet Mindfulness Questionnaire (FFMQ) evaluated the levels and facets of mindfulness, and the subscales of the Benzodiazepine Dependence Questionnaire (BENDEP) assessed dependence on hypnotics. We also evaluated sociodemographic variables and symptoms of insomnia and anxiety. The associations between the FFMQ facets and the BENDEP subscales were evaluated with binomial logistic regression, adjusted for income, schooling, anxiety, and insomnia. Results We observed associations between facets of the FFMQ and specific aspects of hypnotic dependence. The facet "observing" was inversely associated with the "concern about lack of availability of the hypnotic" [aOR = 0.87 95% CI (0.79 +/- 0.97)], and the facet "non-reacting to inner experience" with "noncompliance with the prescription recommendations" [aOR = 0.86 95% CI (0.75 +/- 0.99)]. The total score of the FFMQ was inversely associated to those two dependence subscales [aOR = 0.94 95% CI (0.89 +/- 0.99)]. "Observing" and "non-reactivity to inner experience" were also inversely associated with the "impairments related to the withdrawal symptoms" [aOR = 0.84 95% CI (0.73 +/- 0.97)] and [aOR = 0.78 95% CI (0.63 +/- 0.96)], respectively. The FFMQ was not associated with "awareness of problematic hypnotic use". Conclusion Dispositional mindfulness, specifically the facets "observing" and "non-reactivity to inner experience, were inversely associated with the components of hypnotic dependence related to the anticipation of having the substance, its expected effect, and the impairments caused by the abstinence. We discuss the implications of those results for the clinical practice and future investigations. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018 |
dc.date.accessioned.fl_str_mv |
2020-07-20T16:31:14Z |
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2020-07-20T16:31:14Z |
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Plos One. San Francisco, v. 13, n. 3, 2018. |
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https://repositorio.unifesp.br/handle/11600/55811 http://dx.doi.org/10.1371/journal.pone.0194035 |
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1932-6203 |
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WOS000427703500016.pdf |
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10.1371/journal.pone.0194035 |
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Plos One. San Francisco, v. 13, n. 3, 2018. 1932-6203 WOS000427703500016.pdf 10.1371/journal.pone.0194035 WOS:000427703500016 |
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https://repositorio.unifesp.br/handle/11600/55811 http://dx.doi.org/10.1371/journal.pone.0194035 |
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