Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study

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dc.citation.issue3
dc.citation.volumev. 13
dc.contributor.authorBarros, Viviam Vargas [UNIFESP]
dc.contributor.authorOpaleye, Emerita Satiro [UNIFESP]
dc.contributor.authorDemarzo, Marcelo [UNIFESP]
dc.contributor.authorBowen, Sarah
dc.contributor.authorCurado, Daniela Fernandez [UNIFESP]
dc.contributor.authorHachul, Helena
dc.contributor.authorNoto, Ana Regina [UNIFESP]
dc.coverageSan Francisco
dc.date.accessioned2020-07-20T16:31:14Z
dc.date.available2020-07-20T16:31:14Z
dc.date.issued2018
dc.description.abstractIntroduction 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.en
dc.description.affiliationMBRP Brasil, Brazilian Ctr Res & Training Mindfulness Based Re, Nepsis Res Ctr Hlth & Subst Use, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Psychobiol, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Mente Aberta Brazilian Ctr Mindfulness & Hlth Pro, Dept Prevent Med, Sao Paulo, SP, Brazil
dc.description.affiliationHosp Israelita Albert Einstein, Sao Paulo, Brazil
dc.description.affiliationUniv Pacific, Dept Psychol, Sch Hlth Profess, Hillsboro, OR USA
dc.description.affiliationCasa Saude Santa Marcelina, Dept Gynecol & Obstet, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Psychobiol, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Mente Aberta Brazilian Ctr Mindfulness & Hlth Pro, Dept Prevent Med, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipConselho Nacional de Desenvolvimento Cientifico e Tecnologico
dc.description.sponsorshipIDCNPq: 407116/2013-3
dc.format.extent-
dc.identifierhttp://dx.doi.org/10.1371/journal.pone.0194035
dc.identifier.citationPlos One. San Francisco, v. 13, n. 3, 2018.
dc.identifier.doi10.1371/journal.pone.0194035
dc.identifier.fileWOS000427703500016.pdf
dc.identifier.issn1932-6203
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/55811
dc.identifier.wosWOS:000427703500016
dc.language.isoeng
dc.publisherPublic Library Science
dc.relation.ispartofPlos One
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titleDispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional studyen
dc.typeinfo:eu-repo/semantics/article
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