New research shows that a mind-body therapy called Mindfulness-Oriented Recovery Enhancement (MORE) increases the brain’s response to natural, healthy rewards while decreasing its response to opioid-related cues.
For the study, researchers examined data from four experiments involving 135 adults who took opioids daily for chronic pain. Study participants were randomly assigned to two groups where they participated in eight weeks of MORE or eight weeks of a therapist-led support group.
At the beginning and end of the study period, researchers collected electroencephalogram (EEG) data, which measures brain function through electrical activity at the scalp.
The results showed that over the course of the study, the brains of the study participants in the MORE group became significantly less reactive to cues related to their opioid medications, while also becoming significantly more responsive when participants used mindfulness to savor natural pleasure.
“Previous research shows that prolonged use of opioids makes our brains more sensitive to pain and less receptive to the joy one might normally experience from natural rewards, like spending time with loved ones or appreciating a beautiful sunset,” said Dr. Eric Garland, associate dean for research at the University of Utah College of Social Work and lead author of the study.
“This blunted ability to experience natural positive feelings leads people to take higher and higher doses of opioids just to feel okay, and ultimately propels a downward spiral of opioid dependence and misuse. Because of this downward spiral, scholars are increasingly referring to chronic pain and opioid misuse as ‘diseases of despair.'”
“The results of this study show that MORE can actually reverse that devastating trajectory,” he noted.
In addition to the objective EEG findings, participants in MORE also reported feeling enhanced joy and more meaning in life, according to Garland.
They also reported experiencing significantly less pain and greater positive psychological health — positive emotions, the ability to savor natural pleasure and self-transcendence — than those in the support group.
The researchers concluded that three months after treatment, MORE reduced the risk of opioid misuse by increasing positive psychological health and decreasing pain.
Garland developed MORE as an integrative mind-body therapy designed to promote positive psychological health while simultaneously addressing addiction, pain and stress. MORE teaches mental training techniques to help people find meaning in the face of adversity while simultaneously alleviating physical and emotional pain by cultivating positive feelings and experiences.
“MORE teaches people to better notice, appreciate and amplify the good things in life, while also deriving meaning and value from difficult situations,” he explained.
By changing brain function and promoting positive psychological health, MORE may increase happiness and an enhanced sense of meaningfulness in the face of adversity, Garland noted. These positive psychological effects, in turn, appear to reduce pain and prevent the misuse of opioids.
“Enhancing joy and meaning in life through mindfulness may be an antidote to diseases of despair,” Garland said.
It is estimated that approximately 20 to 30 percent of U.S. adults experience chronic pain. Opioid painkillers are often prescribed to these patients, but one-quarter of those who take these drugs long-term end up misusing them. With opioids accounting for 63 percent of all drug overdose deaths in 2015, the widespread misuse of this class of drugs has been deemed a public health crisis.
“Our nation’s opioid crisis kills more than 100 people a day,” said Garland. “It is critical that we help develop new and effective ways to prevent opioid misuse. The data shows that MORE can play that key role.”
The study was published in the journal Science Advances.
Source: University of Utah
Photo: Staff in the University of Utah’s Center on Mindfulness and Integrative Health Intervention Development set up a subject for electroencephalogram (EEG), eye-tracking, and autonomic psychophysiology testing. Credit: Spencer Bott/University of Utah College of Social Work.