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The Community Resiliency Model®: a Pilot of an Interoception Intervention to Increase the Emotional Self-Regulation of Women in Addiction Treatment

Abstract

Addiction is associated with trauma, and a body-based approach may help attenuate the long-term impacts of trauma, including addiction and mental disorders. The Community Resiliency Model® (CRM) is a novel, simple, body-based set of sensory awareness skills, which focus on “felt-sense” or interoception. We provided a single 5-h Community Resiliency Model® class in an urban drug treatment center for impoverished women in the Southeastern US. Using a pre-post mixed methods design, we collected data from 20 women on well-being, physical symptoms, anger, depression, anxiety, and spirituality. The post-test revealed that participant somatic complaints, anger, and anxiety symptoms had declined significantly, with a moderate to large effect size; well-being increased significantly, with a small effect size. Participants found the skills and concepts of CRM helpful and shared them with others. CRM is a feasible, inexpensive, and acceptable training that may be valuable for persons with addictions.

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Acknowledgments

The authors wish to thank Elaine Miller-Karas, Kathy Steele, and Drs. Frank Corrigan, Gregory Fricchione, Bonnie Jennings, Terence Chorba, and Laura Kimble, for their valuable insights. We thank the Emory nursing students who assisted the women in the resourcing skill activity. We especially appreciate the women participants for their willingness to try something new.

Funding

The authors wish to acknowledge the support of the Atlanta Women’s Foundation, Community Advanced Practice Nurses, and the Emory University Center for Faculty Development and Excellence.

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LG conceived, drafted, and finalized the manuscript. DJ, JM, and BG assisted with topic refinement and manuscript drafting and editing. MH conducted the analysis and was involved in editing the manuscript. LN assisted with topic refinement and researching the model. All authors approved the final article.

Corresponding author

Correspondence to Linda Grabbe.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5).

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The authors declare that they have no conflict of interest.

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Appendix

Appendix

Table 4 Community Resiliency Model skills

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Grabbe, L., Higgins, M., Jordan, D. et al. The Community Resiliency Model®: a Pilot of an Interoception Intervention to Increase the Emotional Self-Regulation of Women in Addiction Treatment. Int J Ment Health Addiction 19, 793–808 (2021). https://doi.org/10.1007/s11469-019-00189-9

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Keywords

  • Addiction
  • Trauma
  • Resiliency
  • Mindfulness
  • Interoception-mental health