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Benefits of a Technology-Delivered Mindfulness Intervention for Psychological Distress and Positive Wellbeing in Depressed College Students: Post-Intervention and Follow-Up Effects from an RCT 通过技术提供的正念干预对抑郁大学生的心理压力和积极幸福感的益处:一项 RCT 的干预后和随访效果
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-29 DOI: 10.1007/s12671-024-02398-3
Colleen S. Conley, Carol H. Gonzales, Brynn M. Huguenel, Andrew A. Rauch, Ian J. Kahrilas, Jennifer Duffecy, Rebecca L. Silton

Objectives

The rate of depression among college students has increased significantly, reducing vitality and ability to flourish. Mindfulness interventions delivered via technological platforms offer great promise for reducing depression symptoms and supporting positive wellbeing outcomes for college students. The present study aimed to understand the broader positive wellbeing outcomes that accompany a reduction in psychological distress following use of a technology-delivered mindfulness intervention.

Methods

Using a randomized controlled treatment design, this study evaluated the benefits of a mindfulness-based mobile application (app), Headspace, on various aspects of wellbeing in depressed college students. Students (n = 145) were randomly assigned to 2 months of app-based intervention or to a waitlist control. Participants completed self-report surveys assessing mental health and wellbeing at pre-intervention, midpoint (1 month), post-intervention (2 months), and follow-up (3 months).

Results

Using intent-to-treat analysis, those randomized to use the app, compared to those on the waitlist, demonstrated a reduction in depression symptoms, and in other indicators of psychological distress (e.g., anxiety, stress, negative affect), over time. Self-reported positive wellbeing outcomes included an increase in positive affect and happiness, enhanced capacity to savor the moment, enhanced compassion, self-regulation, and trait mindfulness. These statistically significant benefits were medium to large in size and lasted into the 1-month follow-up period. Further, students’ patterns of app use point to the critical gap that evidence-based technology-delivered interventions can fill.

Conclusions

Building on previous research, the present study illustrated that a technology-delivered mindfulness intervention comprehensively improved aspects of psychological distress and positive wellbeing in a sustained manner in college students.

Preregistration

This study was registered at OSF, https://osf.io/3trzk.

目标大学生的抑郁症发病率大幅上升,降低了他们的活力和发展能力。通过技术平台提供的正念干预为大学生减少抑郁症状和支持积极的幸福结果提供了巨大的希望。本研究旨在了解在使用技术提供的正念干预后,伴随着心理困扰的减轻而产生的更广泛的积极幸福结果。方法本研究采用随机对照治疗设计,评估了基于正念的移动应用程序(App)Headspace 对抑郁症大学生各方面幸福感的益处。学生(n = 145)被随机分配到为期 2 个月的应用程序干预或等待名单对照组。结果通过意向治疗分析,与等待名单上的人相比,被随机分配使用该应用程序的人随着时间的推移,抑郁症状和其他心理困扰指标(如焦虑、压力、负面情绪)均有所减轻。自我报告的积极健康结果包括积极情绪和幸福感的增加、品味当下能力的增强、同情心的增强、自我调节能力的增强以及正念特质的增强。这些在统计上具有重大意义的益处在规模上属于中等到大型,并持续到 1 个月的后续阶段。此外,学生使用应用程序的模式表明,以证据为基础的技术干预可以填补这一关键空白。结论在以往研究的基础上,本研究表明,以技术为基础的正念干预能够以持续的方式全面改善大学生的心理困扰和积极幸福感。预注册本研究已在 OSF 注册,https://osf.io/3trzk。
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引用次数: 0
Enhancing Remote Parent–Child Video Visits During Parental Incarceration Using IMMERSIVE, a Brief Mindful Relational Savoring Intervention 使用 IMMERSIVE(一种简短的心智关系品味干预)加强父母监禁期间的远程亲子视频探视
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-29 DOI: 10.1007/s12671-024-02415-5
Margaret L. Kerr, Pajarita Charles, Kaitlyn Pritzl, Sarah Jensen, Chandni Anandha Krishnan, Victoria Ylizaliturri, Julie Poehlmann

Objectives

Incarcerated parents and children’s caregivers participated in a brief mindfulness skills intervention called IMMERSIVE: Including Meaningful Mindful Experiences of Relational Savoring In Visiting Environments. The goal of IMMERSIVE was to support positive visiting experiences for families during incarceration by increasing adult perspective-taking, mindfulness, and positive emotion when reflecting on children’s visiting experiences.

Method

In this mixed-methods study, implemented using an intervention-only group design, 44 families participated in the study, which included pre-intervention interviews, parent–child remote video visits, and two IMMERSIVE visit coaching sessions. We audio-recorded pre-intervention interviews focusing on the child, pre-visit coaching sessions, and post-visit coaching sessions. Parental reflective functioning was coded from transcripts. In addition, pre- and post-visit transcripts were analyzed for the frequency of positive emotion words, negative emotion words, and mindfulness words utilizing text analysis (Linguistic Inquiry and Word Count-22).

Results

For incarcerated parents, parental reflective functioning increased from pre-intervention to pre-visit coaching, with gains maintained through post-visit coaching sessions (medium effect size, p < 0.05). Negative emotion words decreased from pre- to post-visit coaching (large effect size, p < 0.05), with a particularly large effect size observed for at-home caregivers. Most caregivers and incarcerated parents reported that the intervention was helpful.

Conclusions

The study provides initial evidence that the IMMERSIVE intervention may help incarcerated parents gain insight into their children’s visiting experiences and help at-home caregivers use more positive and fewer negative emotion words when reflecting on children’s visiting experiences. Future research should confirm these benefits while expanding mindfulness skills interventions to include vulnerable children and families, such as families affected by parental incarceration.

Preregistration

This study is not preregistered.

目标被监禁的父母和儿童看护者参加了一项名为 IMMERSIVE 的简短正念技能干预活动:在探视环境中加入有意义的正念体验。IMMERSIVE 的目标是通过提高成人在反思儿童探访经历时的视角、正念和积极情绪,为监禁期间家庭的积极探访经历提供支持。方法在这项混合方法研究中,我们采用了只进行干预的小组设计,共有 44 个家庭参与了研究,其中包括干预前访谈、亲子远程视频探访和两次 IMMERSIVE 探视辅导课程。我们对干预前的访谈、探访前的辅导课和探访后的辅导课进行了录音,重点关注孩子的情况。我们从记录誊本中对家长的反思功能进行了编码。此外,我们还利用文本分析法(Linguistic Inquiry and Word Count-22)对探视前和探视后的记录誊本中的积极情绪词、消极情绪词和正念词的频率进行了分析。结果对于被监禁的父母来说,从干预前到探视辅导前,父母的反思功能得到了提高,并且在探视辅导后的课程中保持了提高(中等效应大小,p < 0.05)。从探访前到探访后,消极情绪词有所减少(大效应量,p <0.05),其中居家照顾者的效应量尤其大。结论这项研究提供了初步证据,表明 IMMERSIVE 干预可以帮助被监禁的父母深入了解他们孩子的探视经历,并帮助居家看护人在反思孩子的探视经历时使用更多的积极情绪词和更少的消极情绪词。未来的研究应该证实这些益处,同时将正念技能干预扩展到弱势儿童和家庭,如受父母监禁影响的家庭。
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引用次数: 0
Affective and Motivational Experiences of Mindful and Distracted Walking at Moderately High Intensity 中高强度步行和分心步行的情感和动力体验
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-27 DOI: 10.1007/s12671-024-02417-3
Sarah Ullrich-French, Anne E. Cox, Amanda K. McMahon, Sara A. Thompson

Objectives

Previous research reported that distraction strategies (e.g., music, podcast) result in more positive exercise experiences compared to no strategy or association (internal attention) strategies. Mindfulness is considered an associative strategy that also includes awareness with acceptance and non-judgement. Initial evidence suggests mindful exercise is similar in affective experience to distracted exercise. Whether these results for mindful associative attention hold at a controlled higher intensity is not clear. Therefore, this study tested if a guided mindful exercise condition differed from a podcast (distraction) exercise condition on affective and motivational responses at a controlled moderately high exercise intensity.

Method

An inactive female sample (n = 30) participated in a within-subjects crossover design consisting of a baseline and counterbalanced mindful and podcast 20-min continuous walking exercise conditions 1 week apart. Affect (in-task and post-task) and motivational responses were recorded. An interview to gather in-depth experiential responses was conducted after the final session.

Results

Experimental manipulation was supported with significantly higher (p < 0.001) state mindfulness and internal focus in the mindful compared to the podcast condition. No other differences (p > 0.05) emerged across the two conditions on any affect or cognitive outcomes. However, interviews revealed some aversive experiences to mindfulness condition by a third of the sample. Those high on trait intrinsic motivation experienced higher state intrinsic motivation, but only in the mindfulness condition.

Conclusions

Results help guide how and for whom guided mindfulness can be used to support positive exercise experiences. Those who do not appreciate the sensations of exercise experience may not benefit from an acute mindful exercise experience.

Preregistration

This study is not preregistered.

目的以前的研究表明,与不使用任何策略或联想(内部注意力)策略相比,分散注意力策略(如音乐、播客)能带来更积极的运动体验。正念被认为是一种联想策略,也包括接受和不做判断的意识。初步证据表明,正念运动在情感体验上与分心运动相似。至于这些正念联想注意的结果是否能在更高强度的控制下保持,目前还不清楚。因此,本研究测试了在可控的中等强度运动中,引导性正念运动条件与播客(分散注意力)运动条件在情感和动机反应上是否存在差异。方法一个非活动女性样本(n = 30)参加了一个主体内交叉设计,包括基线和平衡正念和播客 20 分钟连续步行运动条件,两者相隔一周。对情绪(任务中和任务后)和动机反应进行了记录。结果实验操作得到了支持,与播客条件相比,正念条件下的正念状态和内在专注力显著更高(p < 0.001)。两种条件在情感或认知结果上没有其他差异(p > 0.05)。然而,访谈显示,三分之一的样本对正念状态有一些厌恶体验。那些特质内在动机较高的人经历了较高的状态内在动机,但只有在正念条件下才出现这种情况。那些不欣赏运动体验感觉的人可能不会从急性正念运动体验中受益。
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引用次数: 0
Bridging the Gap Between Sīla and Samādhi: The Role of Mindfulness in Pre-Meditative Practice 弥合 Sīla 与 Samādhi 之间的差距:正念在冥想前练习中的作用
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-26 DOI: 10.1007/s12671-024-02411-9
Aviran Ben-David

This article explores the dynamic aspect of sīla, which entails divergent constructions of the moral practice in the schemes of the path in the Pāli canonical and post-canonical texts. In early Buddhist tradition, sīla is usually defined as the moral discipline consisting of three factors of the Eightfold Path (Right Speech, Right Action, and Right Livelihood), corresponding with varied lists of precepts applied to different agents. In addition to that partial understanding, this paper aspires to enrich the concept of sīla that goes beyond mere observance of precepts and includes practices related to the extended category of mindfulness. In the advanced stages of the path, mindfulness is usually incorporated with samādhi (concentration) to access deep meditative states. Nonetheless, the different interpretations of the path imply that some features of mindfulness practice have an active role in the prior mental dimension of moral development. Practices such as sati-sampajañña (mindfulness and clear comprehension), bhojane mattaññū (moderation in eating), jāgariyā (wakefulness), and santosa (contentment) all precede formal meditative development. However, they are included under the wide framework of mindfulness. Although these practices are not identified as ethical per se, they play a vital role in the practice of sīla and provide the necessary conditions for advanced mental development in formal meditative practice. As a result of these findings, this paper aspires to expand the notion of sīla as an integrated stage that combines bodily, verbal, and mental development, which comprises the pre-meditative practice.

本文探讨了 sīla 的动态方面,其中包含了对帕利正典和后典中道路计划中道德实践的不同建构。在早期佛教传统中,sīla 通常被定义为由八正道的三个因素(正确的言语、正确的行为和正确的生活)组成的道德修养,与之相对应的是适用于不同行为主体的不同戒律清单。除了这种片面的理解之外,本文还希望丰富 "正念"(sīla)的概念,使其超越单纯遵守戒律的范畴,并包括与 "正念 "这一扩展范畴相关的实践。在修行之路的高级阶段,正念通常与三摩地(专注)相结合,以进入深度冥想状态。尽管如此,对正念之道的不同解释意味着正念修习的某些特征在道德发展的先行心理维度中发挥着积极作用。诸如sati-sampajañña(正念和清晰的理解)、bhojane mattañū(饮食节制)、jāgariyā(觉醒)和santosa(知足)等练习都先于正式的冥想发展。不过,它们都被纳入了正念的大框架下。虽然这些练习本身没有被认定为道德练习,但它们在 sīla 的练习中发挥着至关重要的作用,并为正式禅修中的高级心智发展提供了必要条件。基于这些发现,本文希望将 "正念"(sīla)的概念扩展为一个结合了身体、语言和心智发展的综合阶段,它包含了冥想前的练习。
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引用次数: 0
Parents’ Self-Compassion as a Moderator Between Children’s Emotional Regulation Difficulties and Parents’ Depressive Symptoms 父母的自我同情是儿童情绪调节困难与父母抑郁症状之间的调节因素
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-24 DOI: 10.1007/s12671-024-02412-8
Maite Larrucea-Iruretagoyena, Izaskun Orue, Esther Calvete

Objectives

Recent studies suggest that children’s emotional difficulties may impact their parents’ psychological well-being, and certain protective factors could mitigate this association. The existing literature points to self-compassion as a potential protective factor against stress and difficulties. To this end, the present study aimed to explore the potential protective role of parents’ self-compassion in the prospective relationship between children’s emotional regulation difficulties and parents’ depressive symptoms.

Method

The initial sample consisted of 214 children (53.3% girls; Mage = 12.71, SD = 1.37) and their parents: 209 mothers (Mage = 46.74 years, SD = 4.42) and 181 fathers (Mage = 48.85 years, SD = 5.42). The participants answered self-report questionnaires in a two-wave longitudinal study conducted over one year. A multilevel analysis was performed to examine the predictive pathways of parents’ depressive symptoms from children’s emotional regulation difficulties, parents’ self-compassion, and their interaction. Gender differences were addressed in the predictive associations.

Results

Children’s emotional regulation difficulties predicted their parents’ depressive symptoms after one year, and this association was found to become attenuated as parents’ self-compassion increased. No significant gender differences were found for depressive symptoms or self-compassion, and parents’ gender did not moderate any of the longitudinal associations.

Conclusion

Children’s emotional regulation difficulties may increase risk for parental depressive symptoms, but parental self-compassion mitigates this relationship.

Preregistration

This study was not preregistered.

目的最近的研究表明,儿童的情绪困难可能会影响其父母的心理健康,而某些保护因素可以减轻这种关联。现有文献指出,自我同情是应对压力和困难的潜在保护因素。为此,本研究旨在探讨父母的自我同情在儿童情绪调节困难与父母抑郁症状之间的前瞻性关系中的潜在保护作用:其中母亲 209 人(平均年龄 46.74 岁,标准差 4.42 岁),父亲 181 人(平均年龄 48.85 岁,标准差 5.42 岁)。在为期一年的两波纵向研究中,参与者回答了自我报告问卷。研究人员进行了多层次分析,从子女的情绪调节困难、父母的自我同情以及它们之间的相互作用来研究父母抑郁症状的预测途径。结果发现,儿童的情绪调节障碍可预测父母一年后的抑郁症状,随着父母自我同情程度的提高,这种关联会减弱。结论儿童的情绪调节障碍可能会增加父母出现抑郁症状的风险,但父母的自我同情会减轻这种关系。
{"title":"Parents’ Self-Compassion as a Moderator Between Children’s Emotional Regulation Difficulties and Parents’ Depressive Symptoms","authors":"Maite Larrucea-Iruretagoyena, Izaskun Orue, Esther Calvete","doi":"10.1007/s12671-024-02412-8","DOIUrl":"https://doi.org/10.1007/s12671-024-02412-8","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>Recent studies suggest that children’s emotional difficulties may impact their parents’ psychological well-being, and certain protective factors could mitigate this association. The existing literature points to self-compassion as a potential protective factor against stress and difficulties. To this end, the present study aimed to explore the potential protective role of parents’ self-compassion in the prospective relationship between children’s emotional regulation difficulties and parents’ depressive symptoms.</p><h3 data-test=\"abstract-sub-heading\">Method</h3><p>The initial sample consisted of 214 children (53.3% girls; <i>M</i><sub>age</sub> = 12.71, <i>SD</i> = 1.37) and their parents: 209 mothers (<i>M</i><sub>age</sub> = 46.74 years, <i>SD</i> = 4.42) and 181 fathers (<i>M</i><sub>age</sub> = 48.85 years, <i>SD</i> = 5.42). The participants answered self-report questionnaires in a two-wave longitudinal study conducted over one year. A multilevel analysis was performed to examine the predictive pathways of parents’ depressive symptoms from children’s emotional regulation difficulties, parents’ self-compassion, and their interaction. Gender differences were addressed in the predictive associations.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Children’s emotional regulation difficulties predicted their parents’ depressive symptoms after one year, and this association was found to become attenuated as parents’ self-compassion increased. No significant gender differences were found for depressive symptoms or self-compassion, and parents’ gender did not moderate any of the longitudinal associations.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Children’s emotional regulation difficulties may increase risk for parental depressive symptoms, but parental self-compassion mitigates this relationship.</p><h3 data-test=\"abstract-sub-heading\">Preregistration</h3><p>This study was not preregistered.</p>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"42 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141781348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does Mindfulness Mediate the Relationship Between Emotion Regulation and Pro-Environmental Behaviors Differently Based on Gender? 正念在情绪调节与亲环境行为之间的中介作用是否因性别而异?
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-24 DOI: 10.1007/s12671-024-02405-7
Giulia Ballarotto, Valeria D’Anna, Lorenzo Stefàno, Patrizia Velotti

Objectives

This study aimed to explore possible gender differences in the relationship between emotion dysregulation, mindfulness, and pro-environmental behaviors. Specifically, it aimed to investigate whether mindfulness mediated the association between emotion dysregulation and pro-environmental behaviors, and if there were any gender differences in this relationship.

Method

A sample of 1,406 employees (56.3% males, average age = 44.85) participated in the study. Participants completed the Pro-Environmental Behaviors Scale (PEBS), Difficulties in Emotion Regulation Scale- Short Form (DERS-SF), and Five Facet Mindfulness Questionnaire (FFMQ) to assess pro-environmental behaviors, emotion regulation, and mindfulness, respectively. Data were analyzed using ANOVA, Pearson's correlation analysis, and mediation analysis.

Results

Women exhibited higher scores on the PEBS total scale (p < 0.001; 𝜂2 = 0.02), higher scores on the Observe and Describe FFMQ subscales (p < 0.001; 𝜂2 = 0.01), and lower scores on the Non-react FFMQ subscale (p < 0.001; 𝜂2 = 0.01), compared to men. No gender differences were found on the DERS-SF total scale (p > 0.05; 𝜂2 = 0.00). Higher levels of emotion dysregulation were associated with lower pro-environmental behaviors (r = - 0.12; p < 0.05). Mindfulness mediated the relationship between emotion dysregulation and pro-environmental behaviors, specifically through the ability to observe one's own emotions and external stimuli. Gender differences were found based on the Non-react facet of mindfulness, which is negatively associated with pro-environmental behaviors in men (β = - 0.08; p < 0.05) and positively associated with them in women (β = 0.09; p < 0.05).

Conclusions

The findings suggest that emotion dysregulation and mindfulness are associated with pro-environmental behaviors. The ability to observe one's own emotions and external stimuli plays a significant role in promoting sustainable behaviors, while the ability to perceive one's own emotions without feeling overwhelmed or compelled to react to them has different associations with pro-environmental behaviors in men and women. These results provide insights for the development of interventions targeting emotion regulation and mindfulness to encourage pro-environmental behaviors, specifically based on gender.

Preregistration

This study is not preregistered.

本研究旨在探讨情绪失调、正念和亲环境行为之间可能存在的性别差异。具体而言,研究旨在探讨正念是否能调节情绪失调与亲环境行为之间的关系,以及这种关系中是否存在性别差异。方法共有 1 406 名员工(56.3% 为男性,平均年龄为 44.85 岁)参与了这项研究。参与者填写了亲环境行为量表(PEBS)、情绪调节困难量表-简表(DERS-SF)和五方面正念问卷(FFMQ),以分别评估亲环境行为、情绪调节和正念。采用方差分析、皮尔逊相关分析和中介分析对数据进行了分析。结果女性在 PEBS 总量表上的得分更高(p < 0.001; 𝜂2 = 0.02),观察和描述 FFMQ 分量表得分较高(p < 0.001; 𝜂2 = 0.01),而非反应 FFMQ 分量表得分较低(p < 0.001; 𝜂2 = 0.01)。在 DERS-SF 总量表中没有发现性别差异(p > 0.05; 𝜂2 = 0.00)。较高的情绪失调水平与较低的亲环境行为相关(r = - 0.12; p < 0.05)。正念对情绪失调与亲环境行为之间的关系起到了中介作用,特别是通过观察自身情绪和外部刺激的能力。基于正念的非反应面发现了性别差异,男性正念与亲环境行为负相关(β = - 0.08; p < 0.05),女性正念与亲环境行为正相关(β = 0.09; p < 0.05)。观察自身情绪和外部刺激的能力在促进可持续行为方面发挥着重要作用,而感知自身情绪而不感到不知所措或被迫对其做出反应的能力与男性和女性的亲环境行为有着不同的关联。这些结果为开发以情绪调节和正念为目标的干预措施提供了启示,从而鼓励人们采取亲环境行为,特别是基于性别的亲环境行为。
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引用次数: 0
Resting-State Functional Connectivity Associated with Non-Judgmental Awareness Predicted Multiple Measures of Negative Affect 与非判断意识相关的静息状态功能连通性可预测多种消极情绪测量结果
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-23 DOI: 10.1007/s12671-024-02413-7
Yi-Sheng Wong, Savannah Siew, Junhong Yu

Objectives

In recent years, an increasing number of studies have highlighted the usefulness of the Five Facet Mindfulness Questionnaire (FFMQ) in identifying varying levels of trait mindfulness. As higher trait mindfulness (as reflected by higher FFMQ scores) has been associated with fewer negative affective symptoms, a thorough understanding of the neural correlates associated with FFMQ scores would inform the development of more individualized mindfulness interventions. The current study investigated how individual differences in trait mindfulness are related to different resting-state functional connectivity patterns, and whether these patterns could predict negative affective symptoms.

Methods

We analyzed data from 71 adults (age range: 20–45 years) from the Max Planck Institute-Leipzig Mind-Brain-Body dataset. Participants completed the FFMQ, the Beck Depression Inventory-II, and the Hospital Anxiety and Depression Scale, underwent resting-state functional magnetic resonance imaging scans and reported the content of thought emerged during the scanning session. Network-based statistics were used to identify resting-state networks that were significantly associated with the FFMQ facets. The strengths of these networks were then used to predict negative affective symptoms.

Results

Results indicated that higher scores on the facets of act with awareness and nonjudge were associated with fewer negative affective symptoms. The network-based statistics revealed networks of edges that were significantly associated with the facet of nonjudge. Moreover, this network significantly predicted multiple measures of negative affect. There were no networks that were significantly associated with other facets.

Conclusions

These findings provide evidence at the neural level to suggest that the facet of nonjudge is inversely linked to negative affective symptoms.

Preregistration

This study was not preregistered.

目的近年来,越来越多的研究强调了五面正念问卷(FFMQ)在识别不同水平的特质正念方面的作用。由于较高的正念特质(如较高的 FFMQ 分数所反映的)与较少的消极情绪症状有关,因此透彻了解与 FFMQ 分数相关的神经相关性将为开发更加个性化的正念干预措施提供信息。本研究调查了正念特质的个体差异与不同静息态功能连接模式的关系,以及这些模式是否能预测负性情绪症状。方法我们分析了马克斯-普朗克研究所-莱比锡心-脑-体数据集中71名成年人(年龄范围:20-45岁)的数据。参与者填写了 FFMQ、贝克抑郁量表-II 和医院焦虑抑郁量表,接受了静息态功能磁共振成像扫描,并报告了扫描过程中出现的思维内容。研究人员使用基于网络的统计方法来识别与 FFMQ 各方面显著相关的静息态网络。结果表明,在 "意识行动 "和 "不评判 "方面得分越高,负面情绪症状越少。基于网络的统计显示,边缘网络与 "不批判 "显著相关。此外,该网络还能显著预测多种负面情绪。结论这些研究结果在神经层面上提供了证据,表明 "不评判 "与消极情绪症状成反比。
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引用次数: 0
Affirmative Mindfulness, Acceptance, and Compassion-Based Group Intervention for Sexual Minorities (Free2Be): A Non-Randomized Mixed-Method Study for Feasibility with Exploratory Analysis of Effectiveness 以肯定、正念、接纳和同情为基础的性少数群体小组干预(Free2Be):非随机混合方法可行性研究与有效性探索性分析
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-23 DOI: 10.1007/s12671-024-02403-9
Daniel Seabra, Jorge Gato, Nicola Petrocchi, Maria do Céu Salvador

Objectives

Despite sexual minority (SM), i.e. individuals who identify as lesbian women, gay men, bisexual, or pansexual, individuals presenting worse mental health outcomes when compared to heterosexual individuals, they face more difficulties in accessing affirmative and quality health services. This study is a mixed-method non-randomized single-arm trial targeting SM individuals assessing the feasibility and exploratory findings from an affirmative mindfulness, acceptance, and compassion-based group intervention (Free2Be).

Method

Eighteen participants who self-identified as SM, with a mean age of 30.80 years old, underwent a face-to-face group intervention with 13 weekly sessions (Free2Be). Feasibility was assessed in three domains (acceptability, practicality, and preliminary effectiveness) with self-report questionnaires and hetero-report interviews, during and after the intervention, and using a mixed-methods approach. Using a pre–post and participant-by-participant design, changes were assessed in self-reported internalized stigma, psychopathology indicators, and mindfulness, acceptance, and compassion processes.

Results

The Free2Be was acceptable and feasible in all three domains. Participants who completed the intervention (≥ 80% of attendance) revealed significant or reliable decreases in stress and social anxiety symptoms, self-criticism, and fear of compassion for the self.

Conclusions

The study provides evidence of the feasibility of the intervention. This affirmative mindfulness, acceptance, and compassion-based group intervention seems to be feasible and acceptable for SM individuals. These promising findings warrant further investigation within a pilot study.

目的尽管性少数群体(SM),即被认定为女同性恋者、男同性恋者、双性恋者或泛性者的个体,与异性恋个体相比,心理健康状况更差,但他们在获得平权和优质医疗服务方面面临更多困难。本研究是一项混合方法的非随机单臂试验,以 SM 群体为对象,评估基于正念、接纳和同情的平权团体干预(Free2Be)的可行性和探索性发现。方法 18 名自我认同为 SM 的参与者(平均年龄为 30.80 岁)接受了每周 13 次的面对面团体干预(Free2Be)。在干预过程中和干预结束后,采用混合方法从三个方面(可接受性、实用性和初步有效性)对可行性进行了评估,包括自我报告问卷和异性报告访谈。结果 Free2Be 在所有三个方面都是可接受和可行的。完成干预的参与者(出席率≥ 80%)显示,他们的压力和社交焦虑症状、自我批评以及对自我同情的恐惧都有显著或可靠的减少。这项以肯定正念、接纳和同情为基础的小组干预似乎是可行的,并且可以为 SM 个人所接受。这些令人鼓舞的发现值得在试点研究中进一步调查。
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引用次数: 0
Mindful Non-Judging and Posttraumatic Reactions in Police Academy Cadets: A Path Analysis 警校学员的 "不评判意识 "与创伤后反应:路径分析
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-17 DOI: 10.1007/s12671-024-02402-w
Brian A. Chopko, Richard E. Adams, Jeremy Davis, Terri L. Pelger, Patrick A. Palmieri

Objectives

Dispositional mindfulness has been associated with lower posttraumatic stress disorder (PTSD) and other negative health symptoms in the police population. Of the various mindfulness facets (i.e., non-judging, observing, describing, acting with awareness), non-judging has been demonstrated to be the strongest predictor of lower PTSD symptoms in police academy cadets. The mechanisms by which non-judging may lead to enhanced health outcomes in police officers are poorly understood and require further investigation.

Method

The purpose of the current study was to test a model involving a pathway from pre-trauma mindful non-judging to PTSD symptoms and ultimately posttraumatic growth (PTG) that is mediated by worldviews in a sample of police academy cadets (n = 379). Data were collected via a survey packet distributed at a police academy located in a Southern state of the United States. We examined the relationships among demographic factors, adverse child events, negative life events, mindful non-judgment, world assumptions, PTSD, and PTG using path analysis.

Results

The results indicated that positive worldviews served as a mediator between dispositional mindful non-judging and lower PTSD symptoms, which ultimately led to lower PTG.

Conclusions

These findings have important implications for the selection and training of police academy cadets with the goal of increasing resilience to occupational trauma exposure. Additionally, these results have clinical implications regarding the treatment of officers experiencing symptoms of PTSD.

Preregistration

This study is not preregistered.

目标正念与警察群体中创伤后应激障碍(PTSD)和其他负面健康症状的降低有关。在正念的各个层面(即不做判断、观察、描述、有意识地行动)中,不做判断已被证明是预测警校学员创伤后应激障碍症状降低的最有力因素。本研究的目的是在警校学员样本(n = 379)中测试一个模型,该模型涉及从创伤前正念不评判到创伤后应激障碍症状并最终导致创伤后成长(PTG)的途径,而这一途径是以世界观为中介的。数据是通过在美国南部某州的一所警察学院发放的调查包收集的。我们通过路径分析研究了人口统计因素、不良儿童事件、负面生活事件、正念不评判、世界观假设、创伤后应激障碍和 PTG 之间的关系。结果结果表明,积极的世界观在正念不评判和较低的创伤后应激障碍症状之间起到了中介作用,最终导致较低的 PTG。此外,这些结果对治疗出现创伤后应激障碍症状的警官也有临床意义。
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引用次数: 0
Mindfulness in Orthopedic Rehabilitation: Can the Use of a Mindfulness Diary Positively Influence the Therapeutic Outcome of Orthopedic Rehabilitation? 正念在骨科康复中的应用:正念日记的使用能否积极影响骨科康复的治疗效果?
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-07-13 DOI: 10.1007/s12671-024-02396-5
Franziska Schäffer, Petra Jansen

Objectives

Mindfulness is a proven therapeutic practice for reducing anxiety, depression, and chronic pain, which are factors that influence the success of hip/knee replacement surgery. The present study aimed to investigate the effect of mindfulness bibliotherapy in rehabilitation on anxiety, depression, and health status. The objective was to determine whether there is a connection between the level of mindfulness before rehabilitation and the health status after rehabilitation.

Method

Ninety-three patients (M age = 63.34, SD = 10.49) from an outpatient rehabilitation clinic participated in the study. Forty-three patients were included in the mindfulness bibliotherapy group, and 45 were included in the waitlist control group. Anxiety, depression (both measured with the Hospital Anxiety and Depression Scale), quality of life (measured with the SF-36), and walking ability (measured with the Timed “Up and Go”-Test), as well as orthopedic measurements and dispositional mindfulness, were measured before and after the intervention. A follow-up measurement was carried out 4 weeks after the end of rehabilitation.

Results

A significant interaction effect between test time (pre- and post-test) and group (mindfulness bibliotherapy and waitlist control group) was detected for the measurement of Anxiety. The Anxiety score decreased in the intervention group from the pre-test to the post-test and the follow-up. In addition, the five subscales of dispositional mindfulness, age, and gender predicted mental health status (measured with the mental health scale of the SF-36) at the end of rehabilitation, F(7, 85) = 2.52, p = 0.021, even though no individual predictor reached significance.

Conclusions

Mindfulness diary practice can be a helpful therapy approach to support patients and to regain the goal of full capacity for working life and everyday life after surgery. Further studies need to investigate more intensively the relationships between the mode of action of mindfulness interventions in the setting of orthopedic rehabilitation.

Preregistration

This study was preregistered in OSF (https://osf.io/4tmwq/).

目的正念是一种行之有效的治疗方法,可以减轻焦虑、抑郁和慢性疼痛,而这些都是影响髋关节/膝关节置换手术成功与否的因素。本研究旨在调查正念书目疗法在康复治疗中对焦虑、抑郁和健康状况的影响。方法93名来自康复门诊的患者(中位年龄=63.34,标度=10.49)参与了本研究。43名患者被纳入正念书目疗法组,45名患者被纳入候补对照组。在干预前后,对患者的焦虑、抑郁(均采用医院焦虑抑郁量表测量)、生活质量(采用 SF-36 测量)、行走能力(采用定时 "站起来走 "测试测量)以及骨科测量和倾向性正念进行了测量。结果 在焦虑测量中,测试时间(测试前和测试后)与组别(正念书目疗法组和等待对照组)之间存在显著的交互效应。干预组的焦虑得分在测试前、测试后和随访期间都有所下降。此外,正念的五个分量表、年龄和性别都能预测康复结束时的心理健康状况(用 SF-36 的心理健康量表测量),F(7,85)= 2.52,p= 0.021,尽管没有任何单个预测因子达到显著性。进一步的研究需要更深入地调查正念干预在骨科康复环境中的作用模式之间的关系。本研究已在OSF(https://osf.io/4tmwq/)上预先注册。
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引用次数: 0
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Mindfulness
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