The Correlation Between Mindfulness, Decentering, and Psychological Problems: A Structural Equation Modeling Meta-Analysis

IF 3.1 2区 心理学 Q2 PSYCHIATRY Mindfulness Pub Date : 2024-07-02 DOI:10.1007/s12671-024-02395-6
Lin Guo
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Abstract

Objectives

It has been assumed that decentering is one mechanism underlying the health-promoting benefits of mindfulness. This study aimed to investigate the potential mediating role of decentering in the relationship of mindfulness with psychological problems. Moreover, this study examined whether age and clinical status moderated this relationship.

Method

This study systematically reviewed prior studies published until May 2023. Data were extracted from survey results in observational studies and from baseline scores in intervention studies. The technique of meta-analytic structural equation modeling (MASEM) was applied to analyze the aggregated data. Moderator analyses examined the role of individual characteristics in the relations between (1) mindfulness and decentering, (2) decentering and psychological problems, and (3) mindfulness and psychological problems.

Results

The final meta-analysis included 110 effect sizes extracted from 57 studies, with a total number of 18,515 participants. Overall, the MASEM results showed that mindfulness had a positive, large direct effect on decentering (β = 0.42, 95% CI[0.38, 0.47]), and a negative, small-to-medium direct effect on psychological problems (β = − 0.25, 95% CI[− 0.31, − 0.20]). Decentering also had a negative, modest direct effect on psychological problems (β = − 0.24, 95% CI[− 0.29, − 0.19]). Regarding the indirect effect, decentering had a significant, small effect in the association between mindfulness and psychological problems (β = − 0.10, 95% CI[− 0.13, − 0.08]). Moderator analyses suggested that these effects were consistent across age and clinical status.

Conclusions

The current results provide preliminary evidence that the correlation between mindfulness and decentering carries over to psychological problems. Understanding this correlation is an essential step towards mapping out the underlying psychological processes moving from mindfulness to psychological outcomes. The cultivation of decentering skills should be embedded in mindfulness-based training to confer benefits on psychological problems. Moreover, secular programs that do not include cultural or spiritual aspects of mindfulness need to expand their current knowledge of what decentering involves and what impedes effective decentering.

Preregistration

This study is not preregistered.

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正念、去中心化与心理问题之间的相关性:结构方程模型元分析
研究目的 人们认为,去中心化是正念促进健康的一种机制。本研究旨在探讨去中心化在正念与心理问题之间的潜在中介作用。此外,本研究还探讨了年龄和临床状态是否会调节这种关系。观察性研究的数据来自调查结果,干预性研究的数据来自基线分数。采用元分析结构方程模型(MASEM)技术对汇总数据进行分析。调节剂分析考察了个体特征在(1)正念与去中心化、(2)去中心化与心理问题以及(3)正念与心理问题之间关系中的作用。总体而言,MASEM 结果表明,正念对去中心化有积极的、较大的直接影响(β = 0.42,95% CI[0.38,0.47]),对心理问题有消极的、中小型的直接影响(β = - 0.25,95% CI[- 0.31,- 0.20])。非中心化对心理问题也有一定的负面直接影响(β = - 0.24,95% CI[- 0.29, - 0.19])。在间接效应方面,去中心化对正念与心理问题之间的关联有显著而微小的影响(β = - 0.10, 95% CI[- 0.13, - 0.08])。结论目前的研究结果提供了初步证据,证明正念和去中心化之间的相关性会影响到心理问题。了解这种相关性是绘制从正念到心理结果的基本心理过程的重要一步。去中心化技能的培养应嵌入正念训练中,以便为心理问题带来益处。此外,那些不包括正念的文化或精神方面的世俗项目也需要扩展其现有知识,了解去中心化涉及哪些方面以及哪些因素阻碍了有效的去中心化。
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来源期刊
Mindfulness
Mindfulness Multiple-
CiteScore
6.10
自引率
19.40%
发文量
224
期刊介绍: Mindfulness seeks to advance research, clinical practice, and theory on mindfulness. It is interested in manuscripts from diverse viewpoints, including psychology, psychiatry, medicine, neurobiology, psychoneuroendocrinology, cognitive, behavioral, cultural, philosophy, spirituality, and wisdom traditions. Mindfulness encourages research submissions on the reliability and validity of assessment of mindfulness; clinical uses of mindfulness in psychological distress, psychiatric disorders, and medical conditions; alleviation of personal and societal suffering; the nature and foundations of mindfulness; mechanisms of action; and the use of mindfulness across cultures. The Journal also seeks to promote the use of mindfulness by publishing scholarly papers on the training of clinicians, institutional staff, teachers, parents, and industry personnel in mindful provision of services. Examples of topics include: Mindfulness-based psycho-educational interventions for children with learning, emotional, and behavioral disorders Treating depression and clinical symptoms in patients with chronic heart failure Yoga and mindfulness Cognitive-behavioral mindfulness group therapy interventions Mindfulnessness and emotional regulation difficulties in children Loving-kindness meditation to increase social connectedness Training for parents and children with ADHD Recovery from substance abuse Changing parents’ mindfulness Child management skills Treating childhood anxiety and depression
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