The Impact of Adding A Self-Compassion Module To The Treatment of Opioid-Dependent Young Adults: A Pilot Study
Young adult opioid addiction is on the rise in many parts of the country. Young adults’ use of opioids, in the form of illicit prescription drugs or heroin, is especially challenging for treatment engagement and retention due to high rates of relapse and debilitating shame and guilt. Normal developmental milestones of life are halted. Mental health research has found self-compassion training to be helpful; however, it is underrepresented in addiction research. Enhancing substance abuse best treatment practices such as motivational interviewing (MI) may result in fewer incidences of relapse, as well as a decrease in shame, depression, and anxiety when paired with a focus on self-compassion. The objective of this pilot study was to determine the feasibility and potential utility of large scale study examining whether adding a self-compassion module to treatment-as-usual (TAU) increases the frequency of client change talk compared with TAU alone. A secondary focus included a review of client satisfaction scores between the two study groups to determine how they would evaluate the treatment they received and their experiences participating in the study. There were 17 opioid-dependent young adults (ages 18–25) randomly assigned to one of two conditions in an outpatient substance abuse treatment clinic. Measurements of the frequency of change talk were collected at five distinct points during the intervention. At the completion of the final session, the participants evaluated their satisfaction scores using the CSQ-8 and responded to a series of open-ended questions. Results of an ANCOVA and independent t-tests were utilized to determine any differences between the two groups in the frequency of change talk and client satisfaction. An analysis of common themes shared by participants showed a preference for individual counseling and a structured place to go, as well as a desire for the intervention to be longer than three sessions. The study indicated that a focus on self-compassion combined with treatment-as-usual did not differ in outcome when compared with treatment-as-usual alone. Additionally, both treatment conditions were equal in terms of client satisfaction. However, it should be noted that pilot trials are highly susceptible to Type II error. Issues encountered in this pilot study that have implications for large scale efficacy studies on this topic and/or with young adult opioid users were discussed.