Table 2.
How Behavioral Addiction Treatments Target Self-Regulation
| Treatment | Key Self-Regulation Skills Targeted |
Key Treatment Strategies Employed to Target Self-Regulation |
|---|---|---|
| Cognitive-Behavioral Therapy (CBT) Approaches: (Carroll, 1998; Marlatt & Gordon, 1985; Monti et al., 1989; McCrady & Epstein, 2009) Meyers & Smith, 1995; Miller, 2004; O’Farrell & Fals-Stewart, 2006) |
Stimulus Control Behavioral Activation Reappraisal Problem Solving Drink/Drug Refusal Active Communication Seeking Social Support |
- Role-play/behavioral rehearsal - Self-monitoring - Functional analysis - Socratic discussion - Homework assignments - Incorporate significant others into treatment |
| Twelve-Step Facilitation (TSF; Nowinski et al., 1992) |
Seeking Social Support Spiritual/Religious Coping Stimulus Control |
- Facilitate regular attendance to Twelve-step meetings - Discussion and reinforcement of 12-step principles |
| Mindfulness-meditation approaches (Mindfulness-based relapse prevention (MBRP; Bowen et al., 2010), Mindfulness-based Recovery Enhancement; MORE; Garland et al., 2013) |
Acceptance Defusion Self-Compassion Emotional Awareness Grounding |
- In-session mindfulness meditation practice - Facilitation of regular home mindfulness meditation practice - Discussion about direct experiences following mindfulness practice - Imaginal exposure exercises |
| Acceptance and Commitment Therapy (ACT; Hayes et al., 2011) |
Acceptance Defusion Emotional Awareness Values Clarification Behavioral Activation |
- Metaphors - Experiential exercises - Mindfulness exercises - Values clarification exercises - Imaginal exposure exercises |
| Dialectical Behavior Therapy (DBT; Linehan, 1993) |
Active Communication Acceptance Emotional Awareness Grounding Behavioral Activation |
- Role-play/behavioral rehearsal - Self-monitoring - Functional/behavioral chain analysis - Homework assignments - Phone coaching - Brief mindfulness exercises - Experiential exercises |
| Skills for Improving Distress Intolerance (SIDI, Bornovalova et al., 2012) |
Acceptance Emotional Awareness Grounding Behavioral Activation Active Communication |
- Self-monitoring - Functional analysis - Homework assignment - Imaginal exposure exercises |
| Affect Regulation Training (ART; Stasiewicz et al., 2013) |
Acceptance Self-Compassion Emotional Awareness |
- Imaginal exposure - Mindfulness exercises |
| Motivational Interviewing (MI; Miller & Rollnick, 2012) |
Values Clarification | - Evoking and selectively reinforcing change talk |