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Bitar Z, Fekih Romdhane F, Rogoza R, Ghorab HM, Obeid S, Hallit S. Psychometric properties of the short form of the Freiburg Mindfulness Inventory in the Arabic language. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2024; 34:2702-2713. [PMID: 37820713 DOI: 10.1080/09603123.2023.2267483] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Accepted: 10/03/2023] [Indexed: 10/13/2023]
Abstract
Interests in including mindfulness techniques in medical and psychological fields have been increasing recently. Accordingly, it is important to validate the short form of the Freiburg Mindfulness Inventory (FMI-14) to help professionals living in Arabic speaking countries. Thus, we aimed to validate the FMI-14 in the Arabic language (FMI-Ar) in Arabic-speaking university students from Lebanon. We carried-out a cross-sectional study between July and September 2021; 363 university students (mean age 22.65 ± 3.48 years, 61.7% females) were enrolled. The McDonald's omega and Cronbach's alpha values for the total score were excellent (0.92 for both). Confirmatory factor analysis of the one-factor model of the FMI-Ar showed satisfactory fit indices: χ2/df = 218.33/77 = 2.83, RMSEA = 0.071 [0.060-0.082], CFI = 0.92, and TLI = 0.90. Additionally, the FMI score was negatively associated with depression (r = -0.51; p = 0.001) and anxiety (r = -0.48; p < 0.001). All hypotheses (factor, convergent, and divergent validity) related to the FMI-Ar were verified in our study. Therefore, professionals can now benefit from the FMI-Ar, a suitable scale to measure mindfulness among Lebanese University students.
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Affiliation(s)
- Zeinab Bitar
- Faculty of Medicine, Paris-Saclay University, Le Kremlin-Bicêtre, France
| | - Feten Fekih Romdhane
- The Tunisian Center of Early Intervention in Psychosis, Department of psychiatry "Ibn Omrane", Razi hospital, Manouba, Tunisia
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Radoslaw Rogoza
- University of Economics and Human Sciences in Warsaw, Warsaw, Poland
- Department of Psychology, University of Lleida, Lleida, Spain
| | - Hossam M Ghorab
- Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - Sahar Obeid
- Social and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon
- Psychology Department, College of Humanities, Effat University, Jeddah, Saudi Arabia
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
- Applied Science Research Center, Applied Science Private University, Amman, Jordan
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Hassdenteufel K, Müller M, Abele H, Brucker SY, Graf J, Zipfel S, Bauer A, Jakubowski P, Pauluschke-Fröhlich J, Wallwiener M, Wallwiener S. Using an Electronic Mindfulness-based Intervention (eMBI) to improve maternal mental health during pregnancy: Results from a randomized controlled trial. Psychiatry Res 2023; 330:115599. [PMID: 37988816 DOI: 10.1016/j.psychres.2023.115599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 09/08/2023] [Accepted: 11/07/2023] [Indexed: 11/23/2023]
Abstract
Prevalence rates of peripartum depression and anxiety are high and correlate with adverse maternal and neonatal outcomes. Mindfulness-based interventions (MBI) have been shown to reduce mental distress during pregnancy. A multicenter, randomized controlled study was conducted after screening for depressive symptoms. The intervention group (IG) was given access to an 8-week supervised eMBI between weeks 29 and 36 of pregnancy and followed up to 5 months postpartum. Psychometric data were collected using the Edinburgh Postnatal Depression Scale (EPDS), the State-Trait Anxiety Inventory (STAI), the Pregnancy-Related Anxiety Questionnaire (PRAQ-R), the Freiburg Mindfulness Inventory (FMI-14) as well as the Patient Health Questionnaire (PHQ). Out of 5299 pregnant women, 1153 scored >9 on the EPDS and N = 460 were included in the RCT. No significant interaction effects for depressive symptoms and anxiety were found. Pregnancy- and birth-related anxiety decreased significantly in the IG and 6 weeks after birth, the rate of women at risk for adverse mental outcome was significantly lower compared to the CG. Mindfulness scores improved significantly in the IG. The eMBI program did not show effective regarding general depressive or anxiety symptoms, however, positive results were demonstrated regarding pregnancy and birth-related anxiety and the prevention of postpartum depression.
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Affiliation(s)
- Kathrin Hassdenteufel
- Department of Obstetrics and Gynecology, University of Heidelberg, Heidelberg, Germany.
| | - Mitho Müller
- Department of Psychology, Ludwig Maximilian University, Munich, Germany
| | - Harald Abele
- Department of Women's Health, University Hospital Tübingen, Tübingen, Germany
| | - Sara Yvonne Brucker
- Department of Women's Health, University Hospital Tübingen, Tübingen, Germany
| | - Johanna Graf
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany
| | - Stephan Zipfel
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany
| | - Armin Bauer
- Department of Women's Health, Research Institute for Women's Health, University Hospital Tübingen, Tübingen, Germany
| | - Peter Jakubowski
- Department of Women's Health, University Hospital Tübingen, Tübingen, Germany
| | | | - Markus Wallwiener
- Department of Gynecology, Martin Luther University of Halle-Wittenberg, Halle, Germany
| | - Stephanie Wallwiener
- Department of Obstetrics and Prenatal Medicine, Martin Luther University of Halle-Wittenberg, Halle, Germany
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Konrad AC, Engert V, Albrecht R, Dobel C, Döring N, Haueisen J, Klimecki O, Sandbothe M, Kanske P. A multicenter feasibility study on implementing a brief mindful breathing exercise into regular university courses. Sci Rep 2023; 13:7908. [PMID: 37193767 DOI: 10.1038/s41598-023-34737-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 05/06/2023] [Indexed: 05/18/2023] Open
Abstract
Practicing mindfulness is associated with stress reduction and with positive effects in the context of learning and teaching. Although effects on student populations have been studied extensively, there are few studies implementing mindfulness exercises in university courses directly. For this reason, we aimed to investigate whether the use of a brief mindfulness exercise in regular university courses, guided by the lecturers, is feasible and has immediate effects on the students' mental states. We conducted a preregistered multicenter study with one observational arm, following an ABAB design. In total, N = 325 students from 19 different university courses were included at baseline and n = 101 students at post measurement. Students were recruited by N = 14 lecturers located in six different universities in Germany. Lecturers started their courses either by guiding a brief mindfulness exercise (intervention condition) or as they regularly would, with no such exercise (control condition). In both conditions, the mental states of students and lecturers were assessed. Over the semester, n = 1193 weekly observations from students and n = 160 observations from lecturers were collected. Intervention effects were analyzed with linear mixed-effects models. The brief mindfulness exercise, compared to no such exercise, was associated with lower stress composite scores, higher presence composite scores, higher motivation for the courses, as well as better mood in students. Effects persisted throughout a respective course session. Lecturers also reported positive effects of instructing mindfulness. Implementing a brief mindfulness exercise in regular university teaching sessions is feasible and has positive effects on both students and lecturers.
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Affiliation(s)
- Annika C Konrad
- Clinical Psychology and Behavioral Neuroscience, Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Chemnitzer Str. 46, 01187, Dresden, Germany.
| | - Veronika Engert
- Institute of Psychosocial Medicine, Psychotherapy, and Psychooncology, Jena University Hospital, Jena, Germany
| | - Reyk Albrecht
- Faculty of Social and Behavioral Sciences, Friedrich Schiller University Jena, Jena, Germany
| | - Christian Dobel
- Department of Otorhinolaryngology, Jena University Hospital, Jena, Germany
| | - Nicola Döring
- Institute of Media and Communication Science, Ilmenau University of Technology, Ilmenau, Germany
| | - Jens Haueisen
- Institute of Biomedical Engineering and Informatics, Ilmenau University of Technology, Ilmenau, Germany
| | - Olga Klimecki
- Clinical Psychology and Behavioral Neuroscience, Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Chemnitzer Str. 46, 01187, Dresden, Germany
| | - Mike Sandbothe
- Department of Social Work, Ernst Abbe University of Applied Sciences Jena, Jena, Germany
| | - Philipp Kanske
- Clinical Psychology and Behavioral Neuroscience, Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Chemnitzer Str. 46, 01187, Dresden, Germany
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Rotter G, Ortiz M, Binting S, Tomzik J, Reese F, Roll S, Brinkhaus B, Teut M. Mindful Walking in Patients with Chronic Low Back Pain: A Randomized Controlled Trial. JOURNAL OF INTEGRATIVE AND COMPLEMENTARY MEDICINE 2022; 28:474-483. [PMID: 35363058 PMCID: PMC9232228 DOI: 10.1089/jicm.2021.0361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Aim: The objective of this study was to investigate the effectiveness of a mindful walking program (MWP) in patients with chronic low back pain (CLBP). Methods: The trial was a two-armed, randomized, controlled single-center open clinical trial. The study was performed in the Outpatient Clinic for Integrative Medicine of the Charité–Universitätsmedizin Berlin. The participants were adults aged 18–65 years with CLBP (≥3 months) and an average low back pain within the past 7 days measured on a visual analog scale (VAS, 0 = no pain, 100 = worst imaginable pain) of at least 40 mm. The patients received either eight weekly MWP sessions or no intervention (control). The primary outcome was the perceived pain intensity assessed with a VAS (0–100 mm) after 8 weeks. The secondary outcomes included back function assessed by the Hannover Functional Questionnaire Backache (FFbH-R) and perceived stress assessed by the 14-item Cohen's Perceived Stress Scale (PSS-14). The results were obtained by analysis of covariance adjusted for the respective baseline values. Results: In total, 55 patients were randomized (MWP: n = 29, 82.8% female, mean (±standard deviation) age: 52.5 ± 8.6 years, pain: 56.4 ± 14.1 mm; control: n = 26, 84.6% female, 54.8 ± 7.5 years, pain: 55.4 ± 13.1 mm). After 8 weeks, compared with the control conditions, the MWP was not associated with a statistically significant benefit for pain (VAS), adjusted mean − 9.6 [−22.3 to 3.1], p = 0.136, clinical benefits for back function (FFbH-R), adjusted mean 2.2 [−4.2 to 8.6], p = 0.493, or stress (PSS-14), adjusted mean − 1.6 [−4.8 to 1.6], p = 0.326. Conclusion: In conclusion, compared with no intervention, mindful walking did not significantly improve pain, back function, or perceived stress in patients with CLBP. Clinical Trial registration: ClinicalTrials.gov (NCT01893073).
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Affiliation(s)
- Gabriele Rotter
- Institute of Social Medicine, Epidemiology and Health Economics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt – Universität zu Berlin, Berlin, Germany
| | - Miriam Ortiz
- Institute of Social Medicine, Epidemiology and Health Economics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt – Universität zu Berlin, Berlin, Germany
| | - Sylvia Binting
- Institute of Social Medicine, Epidemiology and Health Economics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt – Universität zu Berlin, Berlin, Germany
| | - Juliane Tomzik
- Institute of Social Medicine, Epidemiology and Health Economics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt – Universität zu Berlin, Berlin, Germany
| | - Frauke Reese
- Institute of Social Medicine, Epidemiology and Health Economics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt – Universität zu Berlin, Berlin, Germany
| | - Stephanie Roll
- Institute of Social Medicine, Epidemiology and Health Economics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt – Universität zu Berlin, Berlin, Germany
| | - Benno Brinkhaus
- Institute of Social Medicine, Epidemiology and Health Economics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt – Universität zu Berlin, Berlin, Germany
| | - Michael Teut
- Institute of Social Medicine, Epidemiology and Health Economics, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt – Universität zu Berlin, Berlin, Germany
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Smith JH, Kempton HM, Williams MN, Ommen C. Mindfulness as practice: A network analysis of FMI data. COUNSELLING & PSYCHOTHERAPY RESEARCH 2021. [DOI: 10.1002/capr.12400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
| | | | | | - Clifford Ommen
- School of Psychology Massey University Auckland New Zealand
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Phan HP, Ngu BH, Chen SC, Wu L, Shi SY, Lin RY, Shih JH, Wang HW. Advancing the Study of Positive Psychology: The Use of a Multifaceted Structure of Mindfulness for Development. Front Psychol 2020; 11:1602. [PMID: 32765367 PMCID: PMC7380170 DOI: 10.3389/fpsyg.2020.01602] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Accepted: 06/15/2020] [Indexed: 11/13/2022] Open
Abstract
Positive psychology, as a distinctive paradigm, focuses on the remedy of pathologies and, by contrast, the promotion of positive experiences and conditions in life (e.g., encouraging a state of flourishing). Positive psychology, in its simplistic form, may provide evidence and insightful understanding into the proactivity of human agency (Seligman, 1999; Seligman and Csíkszentmihályi, 2000). Drawing from this emphasis, we have developed the theory of optimization, which attempts to explain the achievement of optimal functioning in life (e.g., optimal cognitive functioning: academic performance). By the same token, in the course of our research development into the theory of optimization, we have also delved into a comparable theoretical orientation, namely: the multifaceted nature of mindfulness, consisting of three interrelated components - the psychological component of mindfulness, the philosophical component of mindfulness, and the spiritual component of mindfulness. This conceptualization of mindfulness is rather unique for its incorporation of both Western and Eastern knowledge, philosophical viewpoints, and epistemologies into one holistic framework. The main premise of this conceptual analysis article is to advance the study of positive psychology by specifically introducing our recently developed model of mindfulness, in this case, the multifaceted structure of mindfulness with its three distinct components. Importantly, we make attempts to highlight the significance of this multifaceted model by situating it within the theory of optimization for academic learning. Using philosophical psychology and personal-based teaching and research reasoning, we provide a valid rationale as to how aspects of our proposed model of mindfulness (e.g., reaching a state of enlightenment) could act to facilitate and optimize a person's state of functioning (e.g., cognitive functioning). Moreover, we posit that our rationale regarding mindfulness as a potential "optimizing agent" for the purpose of optimal functioning could, indeed, emphasize and reflect the salient nature of positive psychology. In other words, we contend that an explanatory account of mindfulness from the perspectives of Confucianism and Buddhism could, in this analysis, coincide with and support the meaningful understanding and appreciation for the study of positive psychology in educational and non-educational contexts. We conclude the article by exploring the complex issue of methodology - that is, for example, how would a researcher measure, assess, and/or empirically validate the multifaceted nature of mindfulness?
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Affiliation(s)
- Huy P Phan
- School of Education, University of New England, Armidale, NSW, Australia.,Department of Education, National Taipei University of Education, Taipei, Taiwan.,Graduate Institute of Asian Humanities, Huafan University, New Taipei City, Taiwan
| | - Bing H Ngu
- School of Education, University of New England, Armidale, NSW, Australia
| | - Si Chi Chen
- Department of Education, National Taipei University of Education, Taipei, Taiwan
| | - Lijuing Wu
- Department of Education, National Taipei University of Education, Taipei, Taiwan
| | - Sheng-Ying Shi
- Graduate Institute of Asian Humanities, Huafan University, New Taipei City, Taiwan
| | - Ruey-Yih Lin
- Department of Industrial Engineering and Management Information, Huafan University, New Taipei City, Taiwan
| | - Jen-Hwa Shih
- Department of Buddhist Studies, Huafan University, New Taipei City, Taiwan
| | - Hui-Wen Wang
- Department of Asian Philosophy and Eastern Studies, Huafan University, New Taipei City, Taiwan
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7
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Pires JG, Nunes CHSDS, Nunes MFO, Demarzo MMP. Validity Evidence of an Instrument for Mindfulness Assessment (MA) Based on its Internal Structure and External Criterion. PSICOLOGIA: CIÊNCIA E PROFISSÃO 2020. [DOI: 10.1590/1982-3703003199218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Operationalizing the concept of mindfulness has been a challenge for researches. In this article, we present and discuss the procedures for the assessment of the internal structure and validity of the criteria for Mindfulness Assessment (MAP), as well as the results obtained. The collection of factors was done by exploratory factor analysis (EFA), and item- selection by item response theory (IRT). This study counted with 788 Brazilians, with ages ranging from 17 to 65 years (M = 26.11; SD = 9.59); 79% of which were women. Four factors were extracted: Mindfulness (α = 0.88), Attention (α = 0.84), Acceptance (α = 0.74) and Novelty seeking (α = 0.62). 47 items were retained in the MAP. We also compared the scores between non-meditator (n = 653) and meditator (n = 112) respondents. Analyses by IRT showed the items to be adequately adjusted. Significant differences between scores of meditators and non-meditator respondents were revealed. These findings suggest that the MAP is a valid and reliable instrument, regarding its internal structure and criterion-related evidence, which suggests its appropriateness in the study of adults.
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Karatepe HT, Yavuz KF. Reliability, validity, and factorial structure of the Turkish version of the Freiburg Mindfulness Inventory (Turkish FMI). PSYCHIAT CLIN PSYCH 2019. [DOI: 10.1080/24750573.2019.1663582] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Affiliation(s)
- Hasan Turan Karatepe
- Psychiatry Department, Istanbul Medeniyet University, Bakırköy, Istanbul, Turkey
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Mindfulness Meditation and Fantasy Relaxation in a Group Setting Leads to a Diminished Sense of Self and an Increased Present Orientation. Behav Sci (Basel) 2019; 9:bs9080087. [PMID: 31443211 PMCID: PMC6721387 DOI: 10.3390/bs9080087] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Revised: 08/05/2019] [Accepted: 08/12/2019] [Indexed: 12/27/2022] Open
Abstract
(1) Background: Mind-body interventions (MBI), such as meditation or other relaxation techniques, have become the focus of attention in the clinical and health sciences. Differences in the effects of induction techniques are being increasingly investigated. (2) Methods: Here, we compared changes in the individual experience of time, space, and self in 44 students in an integrative health-promotion program. They participated in a study employing mindfulness meditation and a relaxation intervention with one week between sessions, thus employing a within-subjects design. (3) Results: No significant differences were detected when subjective reports were compared directly after each intervention. However, we found significant sequence effects between t1 and t2, independent of the meditation type. The sense of self diminished, the present orientation increased, and the past and future orientations decreased in both interventions. (4) Conclusions: We propose using scales to assess subjective time, self, and space as basic constituents of experience to measure the specificity of intervention methods, as well as longitudinal changes.
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Mental health and mindfulness amongst Australian fire fighters. BMC Psychol 2019; 7:34. [PMID: 31200776 PMCID: PMC6570940 DOI: 10.1186/s40359-019-0311-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Accepted: 05/31/2019] [Indexed: 11/28/2022] Open
Abstract
Background While extensive research has highlighted the positive mental health outcomes associated with mindfulness, little work has examined how mindfulness may protect the mental health of first responders exposed to trauma. This is important as there is increasing evidence that mindfulness skills, if protective, can be taught to groups of at-risk workers. The purpose of the current research was to examine the potential role mindfulness may have in supporting the mental health of Australian fire fighters. Methods The sample consisted of 114 professional fire fighters who completed demographic and job-related questions followed by measures of mindfulness (FMI-14), well-being (WHO-5), depression (HADS-D) and anxiety (HADS-A). Hierarchical multiple linear regressions were performed to determine whether levels of mindfulness were associated with anxiety, depression and wellbeing after accounting for age and number of years of fire service. Results High levels of mindfulness were associated with decreased depression (p ≤ .001) and anxiety (p ≤ .001) as well as increased psychological well-being (p ≤ .001). Measures of mindfulness were able to explain a substantial amount of the variability in well-being (26.8%), anxiety (23.6%) and depression (22.4%), regardless of age and years of fire service. Conclusions The present study provides evidence for robust associations between dispositional mindfulness and mental health markers of depression, anxiety and well-being in Australian fire fighters recently exposed to trauma. Mindfulness is a psychological characteristic that may be able to be modified, although further research is required to substantiate these findings and to formally test mindfulness interventions. Such studies would allow greater insight into the underlying mechanisms through which mindfulness may exert its beneficial effects. Electronic supplementary material The online version of this article (10.1186/s40359-019-0311-2) contains supplementary material, which is available to authorized users.
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11
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Meditation Experience and Mindfulness Are Associated with Reduced Self-Reported Mind-Wandering in Meditators—A German Version of the Daydreaming Frequency Scale. PSYCH 2019. [DOI: 10.3390/psych1010014] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Mind-wandering or daydreaming can be described as spontaneous thoughts that are independent of the task at hand and the current sensory information. Mindfulness, defined as the ability to focus on the present moment with an accepting attitude towards the present experience, is considered to be the opposite of mind-wandering. We aimed at assessing how long-term meditation practice influences mind-wandering in everyday life and to which extent mind-wandering and self-reported aspects of mindfulness are conceptually linked. We first investigated the factorial structure of a German version of the Daydreaming Frequency Scale (DDFS) in a student population. Then we applied this version in meditators to a) investigate the relationship between meditation experience and reported levels of mind-wandering in daily life and b) explore how different facets of mindfulness, assessed with the Freiburg Mindfulness Inventory (FMI), relate to mind-wandering. Using a correlational design, we show that, among meditators, more meditation practice in years accounts for less self-reported mind-wandering in daily life. There was a negative association between mindfulness (FMI) and mind-wandering (DDFS). Our results provide evidence for clarifying the relationship between, meditation experience, mindfulness and mind-wandering and further validate the use of the FMI as a sensitive tool for assessing a two-factor structure of mindfulness.
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12
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Linares Gutierrez D, Kübel S, Giersch A, Schmidt S, Meissner K, Wittmann M. Meditation-Induced States, Vagal Tone, and Breathing Activity Are Related to Changes in Auditory Temporal Integration. Behav Sci (Basel) 2019; 9:bs9050051. [PMID: 31067755 PMCID: PMC6562910 DOI: 10.3390/bs9050051] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2019] [Revised: 05/04/2019] [Accepted: 05/05/2019] [Indexed: 11/30/2022] Open
Abstract
This study is based on the relationship between meditation, the present moment, and psychophysiology. We employed the metronome task to operationalize the extension of the present moment. A pre-post longitudinal study was conducted. The performance in the metronome task was compared before and after the interventions (meditation, story). The aim was to assess whether physiological changes (heart, breathing) during meditation influence the temporal-integration (TI) of metronome beats. Mindfulness meditators either meditated (n = 41) or listened to a story (n = 43). The heart and breathing activity were recorded during the intervention and compared to a resting-state condition. By applying path analyses we found that meditation led to an increase of the duration of integration intervals at the slowest metronome frequency (inter-stimulus interval, ISI = 3 s). After meditation, the higher the heart-rate variability (i.e., the root mean square of successive differences, RMSSD), the longer the duration of integration intervals at the fastest frequency (ISI = 0.33 s). Moreover, the higher the breathing rate during meditation, the greater the integration of intervals at ISI = 1 s. These findings add evidence to meditation-induced changes on the TI of metronome beats and the concept of the embodiment of mental functioning.
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Affiliation(s)
| | - Sebastian Kübel
- Institute for Frontier Areas of Psychology and Mental Health, 79098 Freiburg, Germany.
| | - Anne Giersch
- INSERM U1114, 67091 Strasbourg, France.
- FMTS, Psychiatry Department, University Hospital of Strasbourg, 67200 Strasbourg, France.
| | - Stefan Schmidt
- Department of Psychosomatic Medicine and Psychotherapy, Medical Faculty, Medical Center-University of Freiburg, 79104 Freiburg, Germany.
| | - Karin Meissner
- Division of Integrative Health Promotion, Department of Social Work and Health, University of Applied Sciences, 96450 Coburg, Germany.
- Institute of Medical Psychology, Ludwig-Maximilian University Munich, 80336 Munich, Germany.
| | - Marc Wittmann
- Institute for Frontier Areas of Psychology and Mental Health, 79098 Freiburg, Germany.
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13
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Price CJ, Crowell SE, Pike KC, Cheng SC, Puzia M, Thompson EA. Psychological and Autonomic Correlates of Emotion Dysregulation among Women in Substance Use Disorder Treatment. Subst Use Misuse 2019; 54:110-119. [PMID: 30273086 PMCID: PMC6379107 DOI: 10.1080/10826084.2018.1508297] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
BACKGROUND Emotion regulation is increasingly recognized as important for the prevention and treatment of substance use disorder (SUD). However, there is an identified lack of physiological indexes of emotion dysregulation in SUD treatment studies, critically needed to better understand the link between emotion regulation capacity (measured physiologically) and self-report health outcomes among individuals in SUD treatment. OBJECTIVE To examine the association between respiratory sinus arrhythmia (RSA) and self-report health outcomes among women in SUD treatment. METHODS This is a cross-sectional study based on baseline data from 217 women enrolled in a randomized control trial to study a mind-body intervention as an adjunct to SUD treatment. All participants were enrolled in community-based outpatient treatment. Participants were administered questionnaires to examine sample characteristics, mental health symptoms, and interoceptive awareness and mindfulness skills. RSA data was gathered as an index of emotion dysregulation. Descriptive statistics, bivariate correlations, and regression were used in the analyses. RESULTS Findings highlight the extensive trauma histories, low SES, and the high symptoms of distress in this sample. RSA was only significantly correlated with interoceptive awareness after controlling for age and BMI. Measures of symptomatic distress and mindfulness were not correlated with RSA. Conclusions/Importance: Results provide the first evidence of RSA as an index of interoceptive awareness in this population. The inclusion of biomarkers such as RSA in SUD clinical studies may help identify individuals that are in need of targeted treatments that include interoceptive awareness training focused on improving emotion regulation.
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Affiliation(s)
- Cynthia J Price
- a Department of Biobehavioral Nursing and Health Informatics , University of Washington , Seattle , Washington , USA
| | - Sheila E Crowell
- b Department of Psychology , University of Utah , Salt Lake City , Utah, USA
| | - Kenneth C Pike
- c Department of Psychosocial and Community Health Nursing , University of Washington , Seattle , Washington , USA
| | - Sunny Chieh Cheng
- d Nursing and Healthcare Leadership , University of Washington , Tacoma , Washington, USA
| | - Megan Puzia
- b Department of Psychology , University of Utah , Salt Lake City , Utah, USA
| | - Elaine Adams Thompson
- c Department of Psychosocial and Community Health Nursing , University of Washington , Seattle , Washington , USA
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Price CJ, Thompson EA, Crowell SE, Pike K, Cheng SC, Parent S, Hooven C. Immediate effects of interoceptive awareness training through Mindful Awareness in Body-oriented Therapy (MABT) for women in substance use disorder treatment. Subst Abus 2018; 40:102-115. [PMID: 29949455 DOI: 10.1080/08897077.2018.1488335] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Background: Sensory information gained through interoceptive awareness may play an important role in affective behavior and successful inhibition of drug use. This study examined the immediate pre-post effects of the mind-body intervention Mindful Awareness in Body-oriented Therapy (MABT) as an adjunct to women's substance use disorder (SUD) treatment. MABT teaches interoceptive awareness skills to promote self-care and emotion regulation. Methods: Women in intensive outpatient treatment (IOP) for chemical dependency (N = 217) at 3 community clinics in the Pacific Northwest of the United States were recruited and randomly assigned to one of 3 study conditions: MABT + treatment as usual (TAU), women's health education (WHE) +TAU (active control condition), and TAU only. At baseline and 3 months post-intervention, assessments were made of interoceptive awareness skills and mindfulness, emotion regulation (self-report and psychophysiological measures), symptomatic distress (depression and trauma-related symptoms), and substance use (days abstinent) and craving. Changes in outcomes across time were assessed using multilevel mixed-effects linear regression. Results: Findings based on an intent-to-treat approach demonstrated significant improvements in interoceptive awareness and mindfulness skills, emotion dysregulation (self-report and psychophysiology), and days abstinent for women who received MABT compared with the other study groups. Additional analyses based on participants who completed the major components of MABT (at least 75% of the intervention sessions) revealed these same improvements as well as reductions in depressive symptoms and substance craving. Conclusions: Findings that interoceptive training is associated with health outcomes for women in SUD treatment are consistent with emerging neurocognitive models that link interoception to emotion regulation and to related health outcomes, providing knowledge critical to supporting and improving SUD treatment.
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Affiliation(s)
- Cynthia J Price
- a Department of Biobehavioral Nursing and Health Informatics , University of Washington , Seattle , Washington , USA
| | - Elaine A Thompson
- b Department of Psychosocial and Community Health Nursing , University of Washington , Seattle , Washington , USA
| | - Sheila E Crowell
- c Department of Psychology , University of Utah , Salt Lake City , Utah , USA
| | - Kenneth Pike
- b Department of Psychosocial and Community Health Nursing , University of Washington , Seattle , Washington , USA
| | - Sunny C Cheng
- d Nursing and Healthcare Leadership Program , University of Washington , Tacoma , Washington , USA
| | - Sara Parent
- a Department of Biobehavioral Nursing and Health Informatics , University of Washington , Seattle , Washington , USA
| | - Carole Hooven
- b Department of Psychosocial and Community Health Nursing , University of Washington , Seattle , Washington , USA
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Abstract
Mindfulness is linked with improved regulatory processes of attention and emotion. The potential benefits of mindfulness are vast, including more positive emotional states and diminished arousal in response to emotional stimuli. This study aims to expand of the current knowledge of the mechanisms of mindfulness by relating the latter to cardiovascular processes. The paper describes two studies which investigated the relationship of trait mindfulness to self-report measures of emotions elicited during a violent video clip and cardiovascular responses to the clip. Both studies recruited male and female participants, mainly university undergraduate students. The clip was 5-min-long and evoked mainly feelings of tension and disgust. In study 1, we found that higher scores for trait mindfulness were associated with increased scores for valence (r = .370, p = .009), indicating a more positive interpretation of the clip. In study 2, the average heart rate during the clip was lower than during the preceding (p < .05) and following (p < .01) non-exposure conditions. Higher trait mindfulness was related to diminished heart rate reactivity (r = −.364, p = .044) and recovery (r = −.415, p = .020). This latter effect was obtained only when trait anxiety was used as a statistical covariate. Additionally, increased trait mindfulness was accompanied by higher resting heart rate (r = .390, p = .027). These outcomes suggest that mindfulness is linked with reductions in negative feelings evoked by violent motion stimuli.
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Sauer S, Buettner R, Heidenreich T, Lemke J, Berg C, Kurz C. Mindful Machine Learning. EUROPEAN JOURNAL OF PSYCHOLOGICAL ASSESSMENT 2018. [DOI: 10.1027/1015-5759/a000312] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Abstract. Mindfulness refers to a stance of nonjudgmental awareness of present-moment experiences. A growing body of research suggests that mindfulness may increase cognitive resources, thereby buffering stress. However, existing models have not achieved a consensus on how mindfulness should be operationalized. As the sound measurement of mindfulness is the foundation needed before substantial hypotheses can be supported, we propose a novel way of gauging the psychometric quality of a mindfulness measurement instrument (the Freiburg Mindfulness Inventory; FMI). Specifically, we employed 10 predictive algorithms to scrutinize the measurement quality of the FMI. Our criterion of measurement quality was the degree to which an algorithm separated mindfulness practitioner from nonpractitioners in a sample of N = 276. A high predictive accuracy of class membership can be taken as an indicator of the psychometric quality of the instrument. In sum, two findings are of interest. First, over and above some items of the FMI were able to reliably predict class membership. However, some items appeared to be uninformative. Second, from an applied methodological point of view, it appears that machine learning algorithms can outperform traditional predictive methods such as logistic regression. This finding may generalize to other branches of research.
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Affiliation(s)
- Sebastian Sauer
- Institute of Business Psychology/ Institute of Management & Information Systems, FOM University of Applied Sciences, Munich, Germany
- Brain, Mind, and Healing Program, Samueli Institute, Alexandria, VA, USA
| | - Ricardo Buettner
- Institute of Business Psychology/ Institute of Management & Information Systems, FOM University of Applied Sciences, Munich, Germany
| | - Thomas Heidenreich
- Faculty of Social Work, Health, and Nursing, Esslingen University of Applied Sciences, Germany
| | - Jana Lemke
- Institute of Transcultural Health Sciences, Viadrina University, Frankfurt/Oder, Germany
| | - Christoph Berg
- Institute of Business Psychology/ Institute of Management & Information Systems, FOM University of Applied Sciences, Munich, Germany
| | - Christoph Kurz
- Institute of Health Economics and Health Care Managemant, Helmholtz Zentrum München, Germany
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Differential Effects of Attention-, Compassion-, and Socio-Cognitively Based Mental Practices on Self-Reports of Mindfulness and Compassion. Mindfulness (N Y) 2017; 8:1488-1512. [PMID: 29201246 PMCID: PMC5693975 DOI: 10.1007/s12671-017-0716-z] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Research on the effects of mindfulness- and compassion-based interventions is flourishing along with self-report scales to assess facets of these broad concepts. However, debates remain as to which mental practices are most appropriate to develop the attentional, cognitive, and socio-affective facets of mindfulness and compassion. One crucial question is whether present-moment, attention-focused mindfulness practices are sufficient to induce a cascade of changes across the different proposed facets of mindfulness, including nonjudgmental acceptance, as well as compassion or whether explicit socio-affective training is required. Here, we address these questions in the context of a 9-month longitudinal study (the ReSource Project) by examining the differential effects of three different 3-month mental training modules on subscales of mindfulness and compassion questionnaires. The “Presence” module, which aimed at cultivating present-moment-focused attention and body awareness, led to increases in the observing, nonreacting, and presence subscales, but not to increases in acceptance or nonjudging. These latter facets benefitted from specific cultivation through the socio-cognitive “Perspective” module and socio-affective, compassion-based “Affect” module, respectively. These modules also led to further increases in scores on the subscales affected by the Presence module. Moreover, scores on the compassion scales were uniquely influenced by the Affect module. Thus, whereas a present-moment attention-focused training, as implemented in many mindfulness-based programs, was indeed able to increase attentional facets of mindfulness, only socio-cognitive and compassion-based practices led to broad changes in ethical-motivational qualities like a nonjudgmental attitude, compassion, and self-compassion.
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Mayer CH, Viviers R, Flotman AP, Schneider-Stengel D. Enhancing Sense of Coherence and Mindfulness in an Ecclesiastical, Intercultural Group Training Context. JOURNAL OF RELIGION AND HEALTH 2016; 55:2023-2038. [PMID: 27562757 DOI: 10.1007/s10943-016-0301-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Sense of coherence (SOC) and mindfulness (MI) are believed to promote the health and well-being of individuals and organisations. The aim of this longitudinal study was to contribute to the literature on the development of SOC through training and interventions and thereby explore the development of these constructs in a group of senior professionals in the German Catholic Church. A sample of eight participants voluntarily enrolled for a 12-day training programme spread over a period of nine months to develop intercultural and inter-religious competencies, SOC and MI. Quantitative scores of the pre- and post-test SOC and MI questionnaires were qualitatively analysed. Results indicate that the majority of participants scored lower in the post-test on SOC and slightly higher in MI. The discussion explores the pitfalls in the development of these constructs in the study's participants and highlights the implications for theory and practice. Practical training implications for developing SOC and MI are offered.
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Affiliation(s)
- Claude-Hélène Mayer
- Department of Industrial and Organisational Psychology, University of South Africa (UNISA), 3-114, AJH van der Walt Building, P.O. Box 392, Pretoria, 0003, Gauteng, South Africa
| | - Rian Viviers
- Department of Industrial and Organisational Psychology, University of South Africa (UNISA), 3-114, AJH van der Walt Building, P.O. Box 392, Pretoria, 0003, Gauteng, South Africa
| | - Aden-Paul Flotman
- Department of Industrial and Organisational Psychology, University of South Africa (UNISA), 3-114, AJH van der Walt Building, P.O. Box 392, Pretoria, 0003, Gauteng, South Africa.
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Mayer CH, Surtee S, Visser D. Exploring personality traits, mindfulness and sense of coherence of women working in higher education. SOUTH AFRICAN JOURNAL OF HUMAN RESOURCE MANAGEMENT 2016. [DOI: 10.4102/sajhrm.v14i1.674] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Orientation: Previous research shows that personality traits (PT), mindfulness (MI) and sense of coherence (SOC) are connected to psychological well-being and of importance to Human Resource Management (HRM).Purpose: The purpose of this article was to determine the relationship between PT, MI and SOC of women working in South African Higher Education Institutions (HEIs).Motivation for study: The study explores the relationships of PT, MI and SOC in women in HEIs to contribute to a deeper understanding of these relationships within the HRM context, particularly with regard to training and development in HEIs.Research design, approach and method: A cross-sectional, survey-based research design was used to address the research objective. Both snowball and convenience sampling were utilised to obtain the sample (n = 125). The sample was derived from the Higher Education Resource Services network. The Life Orientation Questionnaire, Freiburger MI Inventory and Big Five PT Questionnaire were utilised and showed acceptable levels of reliability. Exploratory factor analysis with either a direct oblimin or varimax rotation was used to investigate the factor structure of the questionnaires (λ < 1 were used), because one of the questionnaires had not been used in the South African context before. Descriptive statistics, factor analysis, Spearman/ Pearson correlations, canonical correlations and multiple regressions were used to determine the relationship between the variables.Main findings: The results showed a significant relationship between the components PT, MI and SOC. It appears that PT plays a significant role in influencing MI and SOC.Practical/managerial implications: Managers and human resource practitioners need to recognise how PT, MI and SOC interrelate and need to become aware of the impact of these positive psychological constructs on women in HEIs.Contribution: These findings contribute new knowledge that can be used to create healthy HEIs through empirically-based, gender-specific training programmes.
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Kotzé M, Nel P. The psychometric properties of the Mindful Attention Awareness Scale (MAAS) and Freiburg Mindfulness Inventory (FMI) as measures of mindfulness and their relationship with burnout and work engagement. SA JOURNAL OF INDUSTRIAL PSYCHOLOGY 2016. [DOI: 10.4102/sajip.v42i1.1366] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Orientation: Given the increasing interest in mindfulness in the workplace, recent research recommends that the psychometric properties of existing mindfulness measures be evaluated in terms of convergent and predictive validity.Research purpose: The research purpose was to assess the psychometric properties of the 15-item (short version) Mindful Attention Awareness Scale (MAAS) and the 14-item (short version) Freiburg Mindfulness Inventory (FMI) in parallel on a South African sample. Furthermore, the research aimed to investigate the convergent validity between the FMI and MAAS as well as their relationship to burnout and work engagement (predictive validity).Motivation for the study: Organisational scholars must investigate the most appropriate instruments for measuring mindfulness in the workplace. Doing so would allow an eventual meta-analysis on the construct and its relationships and utility in the workplace.Research design, approach and methodology: For this study, a quantitative cross-sectional survey research design was employed. Convenience sampling was chosen and 497 participants applying for admission to a management and leadership degree programme at a South African Business School participated in the study. All participants of the sample are employed at either private or public institutions. Confirmatory factor analysis was used to determine the convergent validity of the instruments. Cronbach’s alpha was utilised in determining the reliabilities of the instruments. The product–moment correlation by Pearson was used to compare the two instruments in terms of their relationship to burnout and work engagement. Stepwise multiple regression was used to determine whether the FMI and MAAS are significant predictors of burnout and work engagement (predictive validity).Main findings: The results showed that the short versions of both the FMI and the MAAS are valid and reliable unidimensional measures of mindfulness. The findings showed that the two instruments are moderately correlated, providing adequate evidence of convergent validity. With regards to predictive validity, both the FMI and MAAS showed statistically significant relations with burnout and work engagement. Yet, the MAAS showed higher correlations with these constructs. A similar picture emerged with regards to the stepwise multiple regression results. The MAAS was the only significant predictor of burnout, explaining 12% of the variance. Both the MAAS and FMI were significant predictors of work engagement. The MAAS explained 13% of the variance in work engagement while the FMI explained 3% of the variance.Practical/managerial implications: Given these results, the MAAS currently seems to be a more appropriate measurement of mindfulness in the workplace given its ability to better predict work engagement and burnout than the FMI.Contribution/value-add: The study has provided much needed empirical evidence on the psychometric properties of the FMI and MAAS as measures of mindfulness on a South African sample.
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Sauer S, Lemke J, Zinn W, Buettner R, Kohls N. Mindful in a random forest: Assessing the validity of mindfulness items using random forests methods. PERSONALITY AND INDIVIDUAL DIFFERENCES 2015. [DOI: 10.1016/j.paid.2014.09.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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Individual differences in self-attributed mindfulness levels are related to the experience of time and cognitive self-control. PERSONALITY AND INDIVIDUAL DIFFERENCES 2014. [DOI: 10.1016/j.paid.2014.02.011] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Read JR, Perz J, Ussher JM. Ways of coping with premenstrual change: development and validation of a premenstrual coping measure. BMC WOMENS HEALTH 2014; 14:1. [PMID: 24383580 PMCID: PMC3880968 DOI: 10.1186/1472-6874-14-1] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/26/2013] [Accepted: 12/18/2013] [Indexed: 11/10/2022]
Abstract
BACKGROUND Negative premenstrual change can result in distress for a significant proportion of women. Previous research has suggested that women employ a range of coping strategies and behaviours in order to manage and reduce premenstrual distress. However, as yet there has been no specific scale available to measure premenstrual coping. This research aimed to develop and validate a measure of premenstrual coping which can be used in future investigations of negative premenstrual experience. METHODS A sample of 250 women living in Australia, reporting mild to severe premenstrual distress, completed an online survey containing 64 items related to premenstrual coping. The items were generated by reviewing past literature related to premenstrual experience, in particular recent qualitative research on premenstrual coping. A principal components factor analysis with varimax rotation was conducted to determine item clusters that would form a measure. Reliability and validity were tested using calculations of Cronbach alphas, correlational analysis with psychological coping scales and a content analysis of participant reports of coping strategies. RESULTS The factor analysis, which involved two principal component analyses, resulted in five factors containing 32 premenstrual coping behaviours. Interpretation of the factor solution drew on empirical and theoretical accounts of premenstrual coping and the emergent factors were labelled Avoiding Harm, Awareness and Acceptance of Premenstrual Change, Adjusting Energy, Self-Care, and Communicating. These factors form the subscales of the Premenstrual Coping Measure (PMCM). The subscales demonstrated acceptable to very good reliability and tests of construct, concurrent and content validity were supportive of sound validity. CONCLUSIONS The PMCM provides a valid and reliable scale for quantifying ways of coping specific to negative premenstrual change. Conceptual similarity was found between some coping behaviours and behaviours positioned as symptoms of premenstrual change. Explanations for this overlap may be found in cultural discourses associated with idealised femininity and PMS (premenstrual syndrome). Further psychometric investigation of the PMCM will enhance knowledge of the role of coping with negative premenstrual experience.
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Affiliation(s)
| | - Janette Perz
- Centre for Health Research, University of Western Sydney, Locked Bag 1797, Penrith, NSW 2751, Australia.
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Büssing A, Walach H, Kohls N, Zimmermann F, Trousselard M. Conscious Presence and Self Control as a measure of situational awareness in soldiers - A validation study. Int J Ment Health Syst 2013; 7:1. [PMID: 23289791 PMCID: PMC3558360 DOI: 10.1186/1752-4458-7-1] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2012] [Accepted: 01/04/2013] [Indexed: 11/10/2022] Open
Abstract
UNLABELLED BACKGROUND The concept of `mindfulness´ was operationalized primarily for patients with chronic stressors, while it is rarely used in reference to soldiers. We intended to validate a modified instrument on the basis of the Freiburg Mindfulness Inventory (FMI) to measure soldiers' situational awareness ("mindfulness") in stressful situations/missions. The instrument we will explore in this paper is termed the Conscious Presence and Self Control (CPSC) scale. METHODS The CPSC and further instruments, i.e., Perceived Stress Scale (PSS), stressful military experiences (PCL-M), life satisfaction (BMLSS), Positive Life Construction (ePLC), and self-perceived health affections (VAS), were administered to 281 German soldiers. The soldiers were mainly exposed to explosive ordnance, military police, medical service, and patients with posttraumatic stress disorders. RESULTS The 10-item CPSC scale exhibited a one-factorial structure and showed a good internal consistence (Cronbach´s alpha = .86); there were neither ceiling nor bottom effects. The CPSC scores correlated moderately with Positive Life Construction and life satisfaction, and negatively with perceived stress and health affections. Regression analyses indicated that posttraumatic stress disorder symptoms (negative), and the development of effective strategies to deal with disturbing pictures and experiences (positive) were the best predictor of soldiers´ CPSC scores. Soldiers with health affections exhibiting impact upon their daily life had significantly lower CPSC scores than those without impairment (F=8.1; p < .0001). CONCLUSIONS As core conceptualizations of `mindfulness´ are not necessarily discussed in a military context, the FMI was adopted for military personnel populations, while its two factorial structure with the sub-constructs `acceptance´ and `presence´ was retained. The resulting 10-item CPSC scale had good internal consistence, sound associations with measures of health affections and life satisfaction, and thus can be used as a short and rapid measure in pre-post mission and interventional studies.
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Affiliation(s)
- Arndt Büssing
- Quality of Life, Spirituality and Coping, Center for Integrative Medicine, Faculty of Health, Witten/Herdecke University, Herdecke, Germany.
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