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Johnson NJ, Smith RJ, Kil H. Not all mindfulness is equal: certain facets of mindfulness have important implications for well-being and mental health across the lifespan. Front Psychol 2024; 15:1347487. [PMID: 38686088 PMCID: PMC11057496 DOI: 10.3389/fpsyg.2024.1347487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Accepted: 03/29/2024] [Indexed: 05/02/2024] Open
Abstract
The connections between the five facets of mindfulness, well-being, and mental health across the lifespan have traditionally been investigated using variable-centered approaches. Less research has investigated these relationships from a person-centered, profile-based approach. In this work, we aimed to identify the profiles of mindfulness in a Canadian lifespan sample (14 to 90 years of age) and investigate how these profiles compared on age, well-being, and mental health. An age- and gender-balanced sample of 1,600 participants completed a questionnaire that measured the five facets of mindfulness; life satisfaction; existential well-being; and anxiety, depression, and stress symptoms. A latent profile analysis was conducted. Five profiles based on the five-facet model of mindfulness were identified: high mindfulness, moderate mindfulness, low mindfulness, nonjudgmentally aware, and judgmentally observing. The 3-step approach to profile comparisons was used to assess age, mental health, and well-being differences across the profiles. Those in the high mindfulness and nonjudgmentally aware profiles were generally older, while the judgmentally observing profile contained younger individuals. Those in the high mindfulness and nonjudgmentally aware profiles reported the greatest mental health and well-being. Conversely, those in the low mindfulness and judgmentally observing profiles had worse mental health than the other profiles. The moderate mindfulness profile was situated between these profile groups on age, mental health, and well-being outcomes. This pattern of results has implications for mindfulness-based intervention research and practice to better account for heterogeneity in mindfulness and better support well-being across the lifespan.
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Mirabito G, Verhaeghen P. Changes in State Mindfulness are the Key to Success in Mindfulness Interventions: Ecological Momentary Assessments of Predictors, Mediators, and Outcomes in a Four-Week Koru Mindfulness Intervention. Psychol Rep 2023:332941231216899. [PMID: 37972393 DOI: 10.1177/00332941231216899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
It is often assumed that changes in state mindfulness coupled with a decrease in intrusive thinking (e.g., rumination or worry) are the crucial ingredients in mindfulness interventions. We investigate this claim by examining within-person day-to-day changes and causal relationships among these changes in state measures of mindfulness, cognitive interference (a measure of intrusive thinking), depression, well-being, stress, sleep, physical activity, and quality of formal and informal mindfulness practice in a four-week randomized controlled mindfulness intervention with a sample of college students using the Koru mindfulness program; n = 55 for intervention, n = 57 for control; mean age = 21.4). The intervention was effective in improving day-to-day state mindfulness, cognitive interference, and sleep (the effects on all three were linear), but the effects on physical activity, depression, and well-being were not significant. Day-to-day mindfulness (the independent variable) was a predictor of change in daily cognitive interference (the mediating variable), which in turn predicted depression and well-being (dependent variables). The beneficial effects of state mindfulness were demonstrable over a lag of four days, suggesting it is indeed a key ingredient in the effectiveness of mindfulness interventions. Physical activity, sleep, and practice quality did not mediate any effects. One clear implication is that maintaining or restoring high levels of mindfulness, for instance by engaging in meditation or in more informal mindfulness exercises, would be of obvious and direct benefit to mental health and well-being.
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Affiliation(s)
- Grazia Mirabito
- Department of psychology, Georgia Institute of Technology, Atlanta, GA, USA
| | - Paul Verhaeghen
- Department of psychology, Georgia Institute of Technology, Atlanta, GA, USA
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3
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Li P, Mao L, Hu M, Lu Z, Yuan X, Zhang Y, Hu Z. Mindfulness on Rumination in Patients with Depressive Disorder: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16101. [PMID: 36498174 PMCID: PMC9737922 DOI: 10.3390/ijerph192316101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 11/18/2022] [Accepted: 11/26/2022] [Indexed: 06/17/2023]
Abstract
Objective: To systematically evaluate the effectiveness of mindfulness-based interventions (MBIs) on rumination among patients with depression and their efficacy across countries and year of publication and control conditions. Methods: Web of Science Core Collection, Medline, BIOSIS Citation Index, KCI-Korean Journal Database, SciELO Citation Index, PubMed, Cochrane Library, and Embase were searched to include randomized controlled trials of MBIs for depressive rumination that met the criteria. The Rumination Scale was used as the primary outcome indicator; Depression, mindfulness, and anxiety indexes were selected as the secondary outcome indicators. An evaluation of bias risk was conducted to identify possible sources of bias based on methodological and clinical factors. RevMan5.3 software was used to perform a meta-analysis of the extracted data. Results: Nineteen studies with 1138 patients were included. Meta-analysis showed that MBIs could significantly reduce rumination levels in patients with depression (standardized mean difference (SMD) = −0.46; 95% confidence interval (CI): −0.58, −0.34; p < 0.001), notably improve depression (SMD = −0.58; 95% CI: −0.83, −0.32; p < 0.001), enhance mindfulness ability (SMD = 0.95; 95% CI: 0.57, 1.32; p < 0.001), and reduce the anxiety of patients with depression (SMD = −0.45, 95% CI: −0.62, −0.27; p < 0.001). MBIs conducted in Asia improved rumination better than studies in Europe and North America (SMD = −2.05 95% CI: −4.08, −0.01; p < 0.001) but had no greater effect than behavior activation on depression. The interventions carried out in the past 5 years were significantly better than earlier studies in improving mindfulness levels (SMD = 2.74; 95% CI: 0.81, 4.66; p = 0.005). Conclusions: MBIs are effective in the treatment of depression as they produce pleasant improvement in rumination and depression, decrease the degree of anxiety, and enhance mindfulness levels compared to controls. In newer forms of MBIs, regional differences need to be considered when designing the intervention program. More large, high-quality randomized controlled studies are needed to confirm the conclusion that the effectiveness of MBIs has differences in terms of the trial area and year of publication.
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Affiliation(s)
- Pan Li
- Department of Psychosomatic Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China
- School of Public Policy and Administration, Nanchang University, Nanchang 330036, China
| | - Lingyun Mao
- Department of Psychosomatic Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - Maorong Hu
- Department of Psychosomatic Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - Zihang Lu
- Department of Psychosomatic Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China
- School of Public Policy and Administration, Nanchang University, Nanchang 330036, China
| | - Xin Yuan
- Department of Psychosomatic Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China
| | - Yanyan Zhang
- Department of Psychosomatic Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China
- School of Public Policy and Administration, Nanchang University, Nanchang 330036, China
| | - Zhizhong Hu
- Department of Psychosomatic Medicine, The First Affiliated Hospital of Nanchang University, Nanchang 330006, China
- School of Public Policy and Administration, Nanchang University, Nanchang 330036, China
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Newman MG, Basterfield C, Erickson TM, Caulley E, Przeworski A, Llera SJ. Psychotherapeutic treatments for generalized anxiety disorder: cognitive and behavioral therapies, enhancement strategies, and emerging efforts. Expert Rev Neurother 2022; 22:751-770. [PMID: 36107159 PMCID: PMC9754763 DOI: 10.1080/14737175.2022.2125800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Accepted: 09/14/2022] [Indexed: 11/04/2022]
Abstract
INTRODUCTION Generalized anxiety disorder (GAD) is common and disabling. Different versions of cognitive behavioral therapy (CBT) have been tested, but no treatment works for everyone. Therefore, researchers have attempted approaches to enhance CBT. AREAS COVERED The current narrative review examines meta-analyses and individual trials of CBT-based treatments for GAD. We focus on CBT and its cognitive and behavioral components as well as efforts to enhance CBT and its dissemination and generalizability. Enhancement efforts included interpersonal and emotional processing therapy, mindfulness-based CBT, emotion regulation therapy, intolerance of uncertainty therapy, the unified protocol, metacognitive therapy, motivational interviewing, and contrast avoidance targeted treatment. Emerging strategies to enhance dissemination have focused on technologically based treatments. Attempts at generalizability have included examination of efficacy within diverse racial and ethnic groups. EXPERT OPINION We conclude that CBT is efficacious, and a number of enhancement efforts have shown some promise in improving upon CBT in single trials. However, more research is needed, particularly efforts to determine which enhancements work best for which individuals and what are the mechanisms of change. Furthermore, few technological interventions have been compared to active treatments. Finally, much more attention needs to be paid to ethnic and racial diversity in randomized controlled trials.
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Affiliation(s)
- Michelle G Newman
- Department of Psychology, The Pennsylvania State University, Park, PA, USA
| | | | - Thane M Erickson
- Department of Psychology, Seattle Pacific University, Seattle, Washington, USA
| | - Evan Caulley
- Department of Psychology, Seattle Pacific University, Seattle, Washington, USA
| | - Amy Przeworski
- Department of Psychology, Case Western Reserve University, Cleveland, Ohio, USA
| | - Sandra J Llera
- Department of Psychology, Towson University, Baltimore, Maryland, USA
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5
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McCluskey DL, Haliwa I, Wilson JM, Keeley JW, Shook NJ. Experiential avoidance mediates the relation between mindfulness and anxiety. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-020-00929-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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6
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Deen H, Notebaert L, Van Bockstaele B, Clarke PJF, Todd J. For there is nothing either good or bad: a study of the mediating effect of interpretation bias on the association between mindfulness and reduced post-traumatic stress vulnerability. BMC Psychiatry 2022; 22:329. [PMID: 35550057 PMCID: PMC9097341 DOI: 10.1186/s12888-022-03950-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 04/20/2022] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Despite increasing interest in the association between mindfulness and reduced trauma vulnerability, and the use of mindfulness in the latest interventions for Post-Traumatic Stress Disorder (PTSD), few studies have examined the mechanisms through which mindfulness may influence post-trauma psychopathology. The present study aimed to determine whether negative interpretation bias, the tendency to interpret ambiguous information as negative or threatening rather than positive or safe, mediates the association between higher levels of trait mindfulness and lower levels of PTSD symptoms. Negative interpretation bias was examined due to prior evidence indicating it is associated with being less mindful and post trauma psychopathology. METHODS The study examined 133 undergraduate students who reported exposure to one or more potentially traumatic events in their lifetime. Participants completed self-report measures of trait mindfulness (Five Facet Mindfulness Questionnaire - Short Form; FFMQ-SF) and PTSD symptoms (Post-Traumatic Stress Disorder Checklist - Civilian version; PCL-C) as well an interpretation bias task that assessed the degree to which participants interpreted a range of everyday hypothetical scenarios to be threatening to their physical and/or psychological wellbeing. RESULTS Results of a mediation analysis indicated a significant negative direct effect of trait mindfulness on PTSD symptomatology (p < .001). There was no evidence that negative interpretation bias mediated this relationship [BCa CI [-0.04, 0.03)], nor was it associated with trait mindfulness (p = .90) and PTSD symptomatology (p = .37). CONCLUSIONS The results of the current study provide further evidence of the link between trait mindfulness and reduced post-trauma psychopathology while providing no support for the role of negative interpretation bias in this relationship.
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Affiliation(s)
- Hannah Deen
- School of Psychology, University of Sydney, Sydney, Australia. .,The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, Australia.
| | - Lies Notebaert
- grid.1012.20000 0004 1936 7910Centre for the Advancement of Research on Emotion, School of Psychological Science, University of Western Australia, Crawley, Australia
| | - Bram Van Bockstaele
- grid.1012.20000 0004 1936 7910Centre for the Advancement of Research on Emotion, School of Psychological Science, University of Western Australia, Crawley, Australia ,grid.7177.60000000084992262Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, the Netherlands
| | - Patrick J. F. Clarke
- grid.1032.00000 0004 0375 4078Affective, Behavioural, and Cognitive Neuroscience Research Group, Curtin University, Perth, Australia
| | - Jemma Todd
- grid.1013.30000 0004 1936 834XSchool of Psychology, University of Sydney, Sydney, Australia ,grid.1012.20000 0004 1936 7910Centre for the Advancement of Research on Emotion, School of Psychological Science, University of Western Australia, Crawley, Australia
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Larrazabal MA, Naragon-Gainey K, Conway CC. Distress Tolerance and Stress-induced Emotion Regulation Behavior. JOURNAL OF RESEARCH IN PERSONALITY 2022. [DOI: 10.1016/j.jrp.2022.104243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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8
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Serhatoğlu S, Koydemir S, Schütz A. When Mindfulness Becomes a Mental Health Risk: The Relevance of Emotion Regulation Difficulties and Need Frustration. THE JOURNAL OF PSYCHOLOGY 2022; 156:310-329. [PMID: 35303415 DOI: 10.1080/00223980.2022.2048777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
Although a great deal of research has shown the positive effects of mindfulness on mental health, some studies have provided evidence that mindfulness can have negative consequences. However, not much is known about the conditions that can account for such negative effects. We examined the moderating roles of difficulties in emotion regulation and basic psychological need frustration in the relationship between mindfulness and psychological ill-being. Longitudinal data were collected at three points in time during a 6-month period from two adult samples in Turkey and Germany. Self-report measures were used to measure ill-being, mindfulness, emotion regulation difficulties, and need frustration. In the German sample, difficulties in emotion regulation and need frustration were related to ill-being, but there were no significant interactions. In the Turkish sample, need frustration predicted ill-being, and the interaction between mindfulness and difficulties in emotion regulation also predicted ill-being. Mindfulness was a protective factor among people with no major difficulties in emotion regulation, whereas it was a risk factor among those with emotion regulation difficulties. The findings suggest that the relationship between mindfulness and ill-being may be more complex than previously thought.
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Fabbri M, Simione L, Martoni M, Mirolli M. The Relationship between Acceptance and Sleep–Wake Quality before, during, and after the First Italian COVID-19 Lockdown. Clocks Sleep 2022; 4:172-184. [PMID: 35323170 PMCID: PMC8947186 DOI: 10.3390/clockssleep4010016] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2022] [Revised: 02/28/2022] [Accepted: 03/03/2022] [Indexed: 11/23/2022] Open
Abstract
Several studies have reported that the COVID-19 pandemic has had deleterious effects on sleep quality and mood, but the mechanisms underlying these effects are not clearly understood. Recently, it has been shown that the acceptance component of mindfulness reduces anxiety, and, in turn, lower anxiety improves sleep quality. The purpose of this cross-sectional study was to assess changes in mindfulness traits, sleep–wake quality, and general distress, before, during, and after the first COVID-19 wave, testing the model in which acceptance influences sleep through anxiety in each period. A total of 250 participants were recruited before (Pre-Lockdown group: 69 participants, 29 females, 33.04 ± 12.94 years), during (Lockdown group: 78 participants, 59 females, 29.174 ± 8.50 years), and after (After-Lockdown group: 103 participants, 86 females, 30.29 ± 9.46 years) the first Italian lockdown. In each group, self-report questionnaires, assessing mindfulness facets, distress, and sleep–wake quality, were administered and assessed. The Lockdown group reported lower acceptance and higher depression, while the After-Lockdown group reported lower sleep–wake quality and higher anxiety. The results of the path analysis confirmed that higher acceptance reduced anxiety and higher anxiety decreased sleep–wake quality in all groups. Our results confirm that acceptance influences sleep through the mediating role of anxiety.
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Affiliation(s)
- Marco Fabbri
- Department of Psychology, University of Campania Luigi Vanvitelli, Viale Ellittico 31, 81100 Caserta, Italy
- Correspondence:
| | - Luca Simione
- Institute of Cognitive Sciences and Technologies, National Research Council (ISTC-CNR), Via San Martino della Battaglia 44, 00185 Rome, Italy; (L.S.); (M.M.)
| | - Monica Martoni
- Department of Experimental, Diagnostic and Specialized Medicine, St.Orsola-Malpighi Hospital, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy;
| | - Marco Mirolli
- Institute of Cognitive Sciences and Technologies, National Research Council (ISTC-CNR), Via San Martino della Battaglia 44, 00185 Rome, Italy; (L.S.); (M.M.)
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A trans-diagnostic cognitive behavioural conceptualisation of the positive and negative roles of social media use in adolescents’ mental health and wellbeing. COGNITIVE BEHAVIOUR THERAPIST 2022. [DOI: 10.1017/s1754470x22000034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Abstract
Whilst research into the association between social media and mental health is growing, clinical interest in the field has been dominated by a lack of theoretical integration and a focus on pathological patterns of use. Here we present a trans-diagnostic cognitive behavioural conceptualisation of the positive and negative roles of social media use in adolescence, with a focus on how it interacts with common mental health difficulties. Drawing on clinical experience and an integration of relevant theory/literature, the model proposes that particular patterns of social media use be judged as helpful/unhelpful to the extent that they help/hinder the adolescent from satisfying core needs, particularly those relating to acceptance and belonging. Furthermore, it introduces several key interacting processes, including purposeful/habitual modes of engagement, approach/avoidance behaviours, as well as the potential for social media to exacerbate/ameliorate cognitive biases. The purpose of the model is to act as an aide for therapists to collaboratively formulate the role of social media in young people’s lives, with a view to informing treatment, and ultimately, supporting the development of interventions to help young people use social media in the service of their needs and values.
Key learning aims
(1)
To gain an understanding of a trans-diagnostic conceptualisation of social media use and its interaction with common mental health difficulties in adolescence.
(2)
To gain an understanding of relevant research and theory underpinning the conceptualisation.
(3)
To gain an understanding of core processes and dimensions of social media use, and their interaction with common mental health difficulties in this age group, for the purpose of assessment and formulation.
(4)
To stimulate ideas about how to include adolescent service users’ online world(s) in treatment (where indicated), both with respect to potential risks to ameliorate and benefits to capitalise upon.
(5)
To stimulate and provide a framework for clinically relevant research in the field and the development of interventions to support young people to flourish online.
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11
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Accept Anxiety to Improve Sleep: The Impact of the COVID-19 Lockdown on the Relationships between Mindfulness, Distress, and Sleep Quality. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182413149. [PMID: 34948759 PMCID: PMC8701850 DOI: 10.3390/ijerph182413149] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/23/2021] [Revised: 12/04/2021] [Accepted: 12/10/2021] [Indexed: 11/16/2022]
Abstract
It has been recently proposed that mindfulness can improve sleep quality through the mediating role on psychological distress and that acceptance may play a pivotal role in mindfulness beneficial effects. The aim of the present work was to understand the effects of the COVID-19 lockdown on dispositional mindfulness, sleep, and distress, and on their relationships. In particular, we wanted to test the hypothesis that the detrimental effects of lockdown on sleep depended on mindfulness and distress (including anxiety and depression) and that the acceptance facet of mindfulness played the leading role. A longitudinal study based on self-report questionnaires was conducted on 39 Italian adults (M age = 35.03, SD = 14.02; 21 men) assessing mindfulness, distress, and sleep quality before (23 December 2019–8 March 2020) and during (27 April 2020–10 May 2020) the first Italian COVID-19 lockdown. Lockdown decreased mindfulness while increasing distress and sleep problems. Path analysis showed that the effects of lockdown on sleep were fully mediated by mindfulness and distress. Furthermore, a more detailed analysis showed that these effects were mainly dependent on the acceptance component of mindfulness working through anxiety. The present study confirms, in the context of the COVID-19 lockdown, a model according to which mindfulness, and specifically acceptance, influences sleep through the mediating role of distress.
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12
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Gibb A, Wilson JM, Ford C, Shook NJ. Does mindfulness reduce negative interpretation bias? Cogn Emot 2021; 36:284-299. [PMID: 34854352 DOI: 10.1080/02699931.2021.2008322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Negative interpretation bias, or the tendency to interpret ambiguous life events in a negative manner rather than positive or neutral, is a precursor to depression and anxiety. Evidence suggests that mindfulness reduces depression and anxiety, as well as a number of different negative cognitive biases. However, little is known about the association between mindfulness and negative interpretation bias specifically. Across two cross-sectional studies, we investigated this relation. In Study 1 (N = 135), greater trait mindfulness was correlated with less negative interpretation bias. In Study 2 (N = 173), we experimentally tested whether a brief mindfulness induction, compared to a mind-wandering task, decreased negative interpretation bias. Although there was not a direct effect of condition (mindfulness vs. mind-wandering) on negative interpretation bias, there was a significant indirect effect through negative mood. That is, participants in the mind-wandering condition reported greater negative mood following the induction compared to participants in the mindfulness condition, which was associated with more negative interpretation bias. The results suggest mindfulness is associated with less negative interpretation bias and may reduce negative interpretation bias by decreasing negative mood.
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Affiliation(s)
| | | | - Cameron Ford
- West Virginia University.,NOVA Behavioural Healthcare Corporation
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13
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Ford CG, Kiken LG, Haliwa I, Shook NJ. Negatively biased cognition as a mechanism of mindfulness: a review of the literature. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-02147-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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14
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Liu C, Liu Z, Yuan G. Cyberbullying victimization and problematic Internet use among Chinese adolescents: Longitudinal mediation through mindfulness and depression. J Health Psychol 2020; 26:2822-2831. [PMID: 32567374 DOI: 10.1177/1359105320934158] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Although previous research has demonstrated that the experience of cyberbullying victimization is associated with behavioral and psychological health problems, it is still unclear how cyberbullying victimization affects physical and mental health issues. Our aim was to test the longitudinal linkage between cyberbullying victimization and problematic Internet use (PIU) via the possible mediating roles of mindfulness and depression. This study employed a two-wave longitudinal design. 661 Chinese junior high school students were assessed using self-reported questionnaires about cyberbullying victimization, mindfulness, severity of depression, and PIU. The results revealed that the experience of cyberbullying victimization was positively related to PIU through the mediating variables of mindfulness and depression.
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Affiliation(s)
- Caimeng Liu
- Department of Psychology, Institute of Education Science, Leshan Normal University, P. R. China
| | - Zhen Liu
- Shanghai Mental Health Center, School of Medicine, Shanghai Jiao Tong University, P. R. China
| | - Guangzhe Yuan
- Department of Psychology, Faculty of Social Sciences, The University of Macau, P.R. China
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15
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Hoge EA, Reese HE, Oliva IA, Gabriel CD, Guidos BM, Bui E, Simon NM, Dutton MA. Investigating the Role of Interpretation Bias in Mindfulness-Based Treatment of Adults With Generalized Anxiety Disorder. Front Psychol 2020; 11:82. [PMID: 32116907 PMCID: PMC7026003 DOI: 10.3389/fpsyg.2020.00082] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Accepted: 01/13/2020] [Indexed: 11/13/2022] Open
Abstract
Although mindfulness-based interventions (MBIs) have garnered empirical support for a wide range of psychological conditions, the psychological processes that mediate the relationship between MBIs and subsequent symptomatic improvement are less well-understood. In the present study we sought to examine, for the first time, the relationship between mindfulness, negative interpretation bias as measured by the homophone task, and anxiety among adults with Generalized Anxiety Disorder (GAD). Forty-two individuals with GAD completed measures of mindfulness, interpretation bias, and anxiety before and after treatment with Mindfulness-based Stress Reduction (MBSR). Contrary to prior research, we did not find evidence of an indirect relationship between baseline levels of mindfulness and anxiety via negative interpretation bias. MBSR did result in significant reductions in negative interpretation bias from baseline to post-treatment; however, we did not find evidence of an indirect relationship between changes in mindfulness and changes in anxiety via changes in interpretation bias. Taken together, these results provide minimal support for the hypothesized relationship between mindfulness, negative interpretation bias, and anxiety among adults with GAD. Limitations and specific suggestions for further inquiry are discussed.
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Affiliation(s)
- Elizabeth A Hoge
- Department of Psychiatry, Georgetown University Medical Center, Washington, DC, United States
| | - Hannah E Reese
- Department of Psychology, Bowdoin College, Brunswick, ME, United States
| | - Isabelle A Oliva
- Department of Psychiatry, Georgetown University Medical Center, Washington, DC, United States
| | - Caroline D Gabriel
- Department of Psychiatry, Georgetown University Medical Center, Washington, DC, United States
| | - Brittany M Guidos
- Department of Psychiatry, Georgetown University Medical Center, Washington, DC, United States
| | - Eric Bui
- Department of Psychiatry, Center for Anxiety and Traumatic Stress Disorders, Massachusetts General Hospital, Boston, MA, United States
| | - Naomi M Simon
- Department of Psychiatry, New York University Langone Health, New York, NY, United States
| | - Mary Ann Dutton
- Department of Psychiatry, Georgetown University Medical Center, Washington, DC, United States
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16
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Godbout N, Bakhos G, Dussault É, Hébert M. Childhood Interpersonal Trauma and Sexual Satisfaction in Patients Seeing Sex Therapy: Examining Mindfulness and Psychological Distress as Mediators. JOURNAL OF SEX & MARITAL THERAPY 2019; 46:43-56. [PMID: 31250709 DOI: 10.1080/0092623x.2019.1626309] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Mindful attention and awareness may promote sexual satisfaction. However, experiencing cumulative childhood interpersonal trauma (CCT; sexual abuse, neglect, etc.) is associated with distress, which might interfere with dispositional mindfulness and lead to lower sexual satisfaction. Although the concept of mindfulness emerged as an interesting variable to understand sexual difficulties, little empirical data are available on this topic. This study tested an integrative mediation model of the relation between CCT, psychological distress, dispositional mindfulness, and sexual satisfaction within a clinical sample of 410 adult patients consulting in sex therapy. Patients completed questionnaires assessing CCT, psychological distress, dispositional mindfulness, and sexual satisfaction. Results showed that the majority of patients reported experiences of childhood interpersonal trauma. Path analyses highlighted three distinct significant paths from CCT to sexual satisfaction. First, dispositional mindfulness mediated the relationship between CCT and sexual satisfaction. Second, psychological distress also mediated the relationship between CCT and sexual satisfaction. Third, the effect of CCT on sexual satisfaction was sequentially mediated through greater levels of psychological distress and lower levels of dispositional mindfulness. The model explained 19% of the variance in sexual satisfaction. Findings suggest that dispositional mindfulness and psychological distress are key processes explaining sexual satisfaction in CCT survivors.
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