Mindfulness-Based Psychoeducation With Substance Use and Anxiety Disorders

This study aimed to examine the effects of a mindfulness-based psychoeducation program on adults with co-occurring substance use and anxiety disorders. The program included structured sessions on mindfulness, emotional awareness, forgiveness, and self-awareness, designed to help participants manage stress, improve coping skills, and support long-term recovery. Participants engaged in guided exercises, group discussions, and reflective practices to reinforce these skills.

The study employed an observational, single-group design with open-label procedures. Three adult participants were enrolled, all meeting criteria for a diagnosis of substance use disorder and an anxiety disorder, excluding individuals currently in detoxification. The primary outcomes measured were reductions in stress and anxiety levels, as well as improvements in coping strategies related to substance use recovery. Secondary outcomes included participant engagement, self-reported mindfulness skills, and perceived emotional well-being.

Participants engaged in a 12-week structured mindfulness-based psychoeducation program designed to improve emotional awareness, coping strategies, and long-term recovery. The intervention incorporated guided mindfulness exercises, forgiveness practices, and self-awareness training to help participants manage anxiety and substance use. Assessments were conducted at baseline, program completion (12 weeks), and follow-up at 6 months and 12 months to measure outcomes related to stress, anxiety, and sobriety maintenance.

The study was conducted in Boca Raton, FL, and has been completed. Data from this pilot program provides preliminary insights into the feasibility and potential benefits of mindfulness-based psychoeducation for supporting recovery and mental health in adults with dual diagnoses.

• Mindfulness-Based Psychoeducation Program (Behavioral), also known as Mindfulness Program for Recovery, Forgiveness & Self-Awareness Training: Participants engaged in a structured 12-week mindfulness-based psychoeducation program designed to improve emotional awareness, coping strategies, and long-term recovery from substance use and anxiety disorders. 12 weeks, with follow-ups at 6 months and 12 months to evaluate outcomes related to anxiety reduction, stress management, and sobriety maintenance.

Primary outcomes

• Change in Anxiety [Baseline, 12 weeks, 6 months, and 12 months]: Measure: State-Trait Anxiety Inventory (STAI) Description: Participants' anxiety levels will be assessed using the validated State-Trait Anxiety Inventory (STAI). Changes in STAI scores will be observed across assessment intervals to evaluate patterns of anxiety reduction associated with mindfulness-based psychoeducation.
• Change in Perceived Stress [Time Frame: Baseline, 12 weeks, 6 months, 12 months]: Measure: Perceived Stress Scale (PSS) Description: Participants' perceived stress levels will be assessed using the validated Perceived Stress Scale (PSS). Changes in PSS scores will be observed across assessment intervals to evaluate patterns of stress reduction associated with mindfulness-based psychoeducation.

Secondary outcomes

• Maintenance of Sobriety Duration Following Mindfulness-Based Psychoeducation [Up to 12 months after baseline]: Maintenance of sobriety will be evaluated through participant self-report of continued abstinence from substances following participation in mindfulness-based psychoeducation. Duration of sobriety will be documented at follow-up intervals to observe patterns of sustained recovery, emotional stability, and relapse prevention associated with mindfulness-based behavioral support.

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Adults 18 years or older
* Diagnosed with a substance use disorder
* Diagnosed with an anxiety disorder
* Able and willing to participate in mindfulness-based psychoeducation sessions

Exclusion Criteria:

* Currently enrolled in a detoxification or medical stabilization program
* Severe cognitive impairment or psychiatric instability that would prevent participation in the study

• Results publication: Rivera C. Mindfulness-Based Psychoeducation to Reduce Anxiety and Support Recovery in Adults with Substance Use Disorders: A Pilot Observational Study. Journal of Psychology, Recovery & Forensic Research. 2026 March. doi: 10.6084/m9.figshare.31567039.

• Cice Rivera, MS, CAP, Principal investigator, Bout Me Healing