Development and initial examination of a brief intervention for heightened anxiety sensitivity among heroin users.
Six one-hour lessons that pair anxiety education with breathing practice can lower heroin cravings and improve coping in adults.
01Research in Context
What this study did
One adult who used heroin received six short sessions.
The sessions taught how anxiety sparks cravings and how to face body sensations without panic.
Each meeting lasted about an hour and included breathing drills and real-life practice.
What they found
After the last session the person felt less bodily alarm, wanted heroin less, and coped better with stress.
The gains stayed when staff checked again four weeks later.
How this fits with other research
Dudley et al. (2019) later used the same emotion-regulation idea with autistic teens.
They swapped breathing drills for mindfulness and still saw calmer moods, showing the idea travels across groups.
Rodriguez-Moreno et al. (2022) ran a longer twelve-session CBT group with homeless women and also cut anxiety, hinting that six sessions may be enough for some yet twelve gives fuller shelter-anchored support.
Rapp et al. (2017) tried a super-short e-learning drug module for teens with ID; it barely moved attitudes, reminding us that live practice, not just screens, seems key.
Why it matters
You now have a six-hour blueprint that links anxiety to cravings and teaches clients to sit with body cues instead of using.
Try adding the two-minute body scan or paced breathing from this study while clients wait for their next urine screen.
Track if cravings drop; if they do, you may stretch session length or group size with confidence from later studies like Rodriguez-Moreno et al. (2022).
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02At a glance
03Original abstract
Anxiety sensitivity (AS) recently has been identified as a potential cognitive vulnerability underlying substance use problems, with some evidence specifically indicating its relevance to heroin. Focusing on the potential utility of interventions centered on increasing willingness to have anxiety-related sensations reduce vulnerability for relapse following substance use treatment, the current article describes the development of a brief (6 session) behavioral treatment for heightened AS among heroin users. The treatment consists of the following components: (a) psychoeducation about anxiety; (b) interoceptive exposure exercises; and (c) skills-training focused on heightening emotional acceptance, tolerance, and nonevaluative awareness (to facilitate willingness). Preliminary data on this treatment are provided in the form of a case study with a 46-year-old African American man in an inner-city residential substance use treatment facility. Results indicate reductions in AS (especially physical concerns), as well as corresponding decreases in heroin cravings and improvements in emotion regulation.
Behavior modification, 2007 · doi:10.1177/0145445506297020