Mindfulness最新文献

Objectives

This study aimed to examine the psychometric properties of the Sussex-Oxford Compassion for Others Scale (SOCS–O) in a large sample of Spanish undergraduate nursing students.

Method

After a forward–backward translation process, we conducted a cross-sectional study among nursing students in their first year of training at two Spanish universities. The mean age of the participants (n = 683) was 22.74 years old, and 83.46% were women. Together with compassion for others, mindfulness was also assessed.

Results

Descriptive results revealed high scores across all dimensions of the SOCS–O. The data supported a 3-factor structure with correlated factors (χ²(167) = 363.47, p < 0.01; CFI = 0.96; TLI = 0.95; RMSEA = 0.05, 90% CI = 0.04, 0.05; SRMR = 0.04). Reliability estimates, measured by Cronbach’s alpha, were excellent, ranging from 0.87 to 0.93. Measurement invariance across gender was confirmed. Men exhibited significantly lower levels in all compassion dimensions: Recognizing suffering (mean difference = − 0.40), Understanding the universality of suffering (mean difference = − 0.33), and Behavioral compassion (mean difference = − 0.57) (all p < 0.01). The structural equation model showed a clear relationship between mindfulness and compassion (χ²(581) = 1345.79, p < 0.01; CFI = 0.92; TLI = 0.92; RMSEA = 0.04, 90% CI = 0.04, 0.04; SRMR = 0.06).

Conclusions

The findings showed that the Spanish version of the SOCS–O has robust psychometric properties. The SOCS–O is a reliable tool for measuring compassion with three subscales and helps advance understanding of compassion among student nurses. The positive relationship between mindfulness and compassion suggests that incorporating mindfulness training into nursing curricula could enhance the delivery of compassionate care.

Preregistration

This study was not preregistered.

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.

Objectives

Mindfulness-Based Cognitive Therapy (MBCT) reduces recurrence and current depressive symptoms in patients with major depressive disorder (MDD). To understand how and for whom MBCT works, a person-centered approach focusing on mindfulness profiles can be useful. Four mindfulness profiles, each associated differently with mental health outcomes, have previously been identified. So far, no studies have examined whether profiles change after MBCT and whether these changes are related to treatment outcome.

Method

Latent transition analysis (LTA) was performed on pre- and post-MBCT subscale scores of the Five Facet Mindfulness Questionnaire (FFMQ) in patients with current or remitted MDD (n=500). LTA allowed the assessment of individual changes in mindfulness profile after MBCT and the relation between profile change and corresponding changes in measures of mental health, including depressive symptoms, overall functional impairment, worry, and self-compassion.

Results

LTA re-established the four profiles previously identified cross-sectionally: “Very low mindfulness” (VLM), “Non-judgmentally aware” (NJA), “Judgmentally observing” (JO), and “High mindfulness” (HM). For 71 out of 168 patients with VLM profiles changed to NJA and for another 30 to HM. For 49 out of the 129 patients with NJA and for 37 out of 141 patients with JO profiles changed to HM. All 61 patients starting with HM kept HM. In general, change was related to greater than average improvement in mental health, while no change in profile was related to less than average improvement in mental health (except for HM).

Conclusions

Our findings indicate that changes in mindfulness profile after MBCT was differentially related to clinical change. These results from a person-centered approach offer new avenues to further elucidate the working mechanism of MBCT and improve its outcome.

Preregistration

This study was not preregistered.

Meta-analyses of mindfulness-based interventions (MBIs) in schools consistently show small, positive effects, but the field remains dominated by studies with low methodological rigour. Recent large randomised controlled trials in adolescents demonstrate poor traction in this age group together with some adverse effects, creating a crossroads for their future. In their recent commentary on the null effects of the MYRIAD trial (Kuyken et al., 2022), Strohmaier and Bailey (2023) postulated that making mindfulness practice available within the school day may increase the dosage and benefits of MBIs for adolescents, and called for funders to direct efforts at developing and testing this approach. We agree that identifying ways to increase dose beyond weekly classroom lessons is important, but explore whether this suggestion is practical or developmentally appropriate for secondary school settings. Our commentary broadens to group together other large and moderately large RCTs that have also shown disappointing results in adolescents, and presents seven barriers that together may be compounding the lack of effect in this age group. We offer alternative suggestions for future school-based research and delivery of MBIs.

Objectives

The Compassion Scale (CS) is a model-based scale to measure compassion for others, comprising four subcomponents: kindness, common humanity, mindfulness, and sensitivity to the suffering of others. This research examined the psychometric properties of the Compassion Scale in Japan (CS-J).

Method

This research (n = 1742) examined the factor structure of the CS-J, the relations of the CS-J to compassion-related constructs (Study 1), intra- and interpersonal well-being (Study 2), and dispositions primarily concerned with the welfare of others (Study 3), and the test-retest reliability over a month (Study 4).

Results

Exploratory structural equation modeling identified that a bifactor structure best represented the CS-J. Internal reliability indicators warranted the use of total scores (internal consistency, ω = 0.94) and subscales (ω = 0.82 to 0.92). The test-retest reliability was adequate for the total scores (r = 0.73) and acceptable for the subscales (r = 0.45 to 0.68). The CS-J showed positive correlations with self-compassion, compassionate engagement and action, mindfulness, empathetic concerns, perspective-taking, altruism, compassionate goals, self-image goals, interdependent happiness, positive affect, life satisfaction, psychological well-being, and social desirability with small to large effect sizes. The CS-J was negatively associated with negative affect and psychological stress responses with small effect sizes.

Conclusions

These results provided evidence for the validity of the CS-J. Our results in Japan indicated that compassion for others represents a balanced system of increased compassionate responding and decreased uncompassionate responding toward others’ suffering.

Preregistration

Our studies were preregistered at the Open Science Framework (https://osf.io/jha6q and https://osf.io/b8f5v).

Objectives

this scoping review aimed to explore the diversity of existing nature-based mindfulness (NBM) interventions. The specific objectives of this review were to (1) describe the practices and methods that are used in NBM interventions, and to (2) determine the environmental conditions that are typically associated with NBM interventions.

Method

Thirty peer-reviewed scientific studies were identified via a systematic PRISMA search protocol and then thematically analysed and categorically organised.

Results

In relation to the first research objective, a typological scheme for classifying NBM interventions was proposed in which four main categorizations of NBM interventions were identified, including (1) conventional practices combined with nature, (2) activity-based practices using nature, (3) NBM therapy practices, and (4) emerging practices. These themes demonstrate the diversity of existing NBM interventions and provide a more integrated understanding of the applicability of these interventions across different clinical and non-clinical contexts. In relation to the second research objective, existing NBM interventions were found to be conducted in (1) naturally occurring, (2) curated natural, and (3) simulated natural environments. Within these categories, a diverse range of restorative environments were identified as suitable contexts for NBM interventions, with forest-based interventions being the most commonly used environment.

Conclusions

Overall, this study contributes to a more integrated understanding of the practices, methods, and environmental conditions typical of existing NBM interventions, proposes a classification scheme for NBM interventions, and identifies a number of new developments within the field as well as promising avenues for future research and practice.

Preregistration

This study has not been preregistered.

Objectives

Experiences of difficulty (e.g., anxiety, difficult emotions) can occur during mindfulness practice. This study characterized the occurrence of such difficulties, defined as abnormal distress, dysregulation, or agitation, among high-suicide-risk participants during a mindfulness-based intervention. The study also evaluated whether mindfulness difficulties were associated with baseline differences or poorer outcomes during follow-up.

Method

Participants (n = 50; mean age = 49 years, 84% male, 24% Latinx) were from the Mindfulness-Based Cognitive Therapy for Suicide Prevention (MBCT-S) trial. Occurrences of mindfulness difficulties were identified via systematic review of progress notes. Serious clinical outcomes (suicidal events, suicide attempts, and psychiatric hospitalizations) were tracked over 12 months follow-up. Participants experiencing difficulties during MBCT-S were compared to those who did not on baseline characteristics and serious clinical outcomes. Incidence density sampling and Cox proportional regression analyses tested whether experiencing difficulties during mindfulness increased the risk of subsequent serious clinical outcomes.

Results

Eighteen percent of participants had difficulty during mindfulness practice, which mostly included experiences of anxiety or hallucinations. Those experiencing difficulty showed several diagnostic differences at baseline, but were not at significantly greater risk of a suicidal event, HR 0.62 (95% confidence interval [CI], 0.14–2.71) or an acute psychiatric hospitalization, HR 0.85 (95% CI, 0.19–3.82). There were no suicide attempts among the nine participants who experienced mindfulness difficulty, compared to five suicide attempts in those without mindfulness difficulty.

Conclusions

Difficulties during mindfulness practice were common, but did not show increased risk of serious clinical outcomes in participants at high risk of suicide.

Preregistration

This study reports findings from a secondary analyses of a randomized clinical trial that was preregistered at clinicaltrials.gov (NCT01872338).

Objective: Experiences of difficulty (e.g., anxiety, difficult emotions) can occur during mindfulness practice. This study characterized the occurrence of such difficulties, defined as abnormal distress, dysregulation or agitation, among high suicide risk participants during a mindfulness-based intervention. The study also evaluated whether mindfulness difficulties were associated with baseline differences or poorer outcomes during follow-up.

Method: Participants (n=50; mean age=49 years, 84% male, 24% Latinx) were from the Mindfulness Based Cognitive Therapy for Suicide Prevention (MBCT-S) trial. Occurrences of mindfulness difficulties were identified via systematic review of progress notes. Serious clinical outcomes (suicidal events, suicide attempts, and psychiatric hospitalizations) were tracked over 12-months follow-up. Participants experiencing difficulties during MBCT-S were compared to those who did not on baseline characteristics and serious clinical outcomes. Incidence density sampling and Cox proportional regression analyses tested whether experiencing difficulties during mindfulness increased the risk of subsequent serious clinical outcomes.

Results: 18% of participants had difficulty during mindfulness practice, which mostly included experiences of anxiety or hallucinations. Those experiencing difficulty showed several diagnostic differences at baseline, but were not at significantly greater risk of a suicidal event, HR 0.62 (95% confidence interval [CI]: 0.14 - 2.71) or an acute psychiatric hospitalization, HR 0.85 (95% CI: 0.19 - 3.82). There were no suicide attempts among the 9 participants who experienced mindfulness difficulty, compared to 5 suicide attempts in those without mindfulness difficulty.

Conclusions: Difficulties during mindfulness practice were common, but did not show increased risk of serious clinical outcomes in participants at high-risk of suicide.

Preregistration: This study reports findings from a secondary analyses of a randomized clinical trial that was preregistered at clinicaltrials.gov (NCT01872338).

Objectives

Two key parental reflective capacities—mindful parenting (MP) and parental reflective functioning (PRF) — have been shown to promote healthy parent-child relationships through parents’ increased sensitivity and responsiveness to their children’s needs in spite of parenting stressors. Despite the theoretical overlap between these two constructs, researchers have continued to examine them independently. Therefore, the purpose of this scoping review was to review the overlapping and distinctive outcomes and correlates in the empirical MP and PRF literatures.

Method

A comprehensive literature search across the MP and PRF literature for studies published from 2005 through early 2020 (pre-COVID-19 pandemic) was conducted.

Results

A review of 301 articles (n = 180 MP and n = 121 PRF) revealed overlapping study outcomes and correlates, including improvement in parent and child well-being, parenting behaviors, and attachment. Both MP and PRF literatures suggest MP and PRF are amenable to intervention-induced changes, although mostly documented in White mothers, which results may not be generalizable to diverse populations.

Conclusions

Researchers should consider the impact MP and PRF have on positive family relationships. Results suggest that scholars should consider investigating and intervening on MP and PRF simultaneously. Specifically, results identified MP and PRF convergent associations and perhaps synergistic impacts on positive parenting behaviors. Limitations and future directions are discussed.

Preregistration

This review was not preregistered.

Objectives

Past studies reported that self-compassion did not significantly moderate the association between perfectionistic standards and psychological distress. Recent research highlighted the need to separate high standards (i.e., excellencism) from perfectionistic standards. Based on the Model of Excellencism and Perfectionism, this study reexamined the moderating role of self-compassion in the distinctive association of excellencism and perfectionistic standards with psychological distress and well-being.

Methods

A cross-sectional design with a sufficiently powered sample of 583 university students (M_age = 22.80, SD = 3.45) who completed measures of excellencism, perfectionism, self-compassion, psychological distress, and psychological well-being. Multiple regression analyses and moderated multiple regressions were conducted to test relationships between the variables.

Results

Self-compassion significantly moderated the relationship between perfectionistic standards and psychological distress. At low levels of self-compassion, students pursuing perfection (perfection strivers; high on perfectionism and excellencism) had significantly higher psychological distress compared to students pursuing excellence (excellence strivers; high on excellencism and low on perfectionism). Furthermore, self-compassion significantly moderated the relationship between excellencism and psychological well-being. The difference in psychological well-being between the nonexcellence/nonperfection (low on perfectionism and excellencism) and excellence strivers was significantly attenuated at high levels of self-compassion.

Conclusions

When clearly separating excellencism and perfectionism, self-compassion acted as a moderator of the debilitative effects associated with perfectionistic standards. Although perfection strivers are generally more self-critical than excellence strivers, those who practice self-compassion seem to be able to reduce their risk of experiencing symptoms of stress, anxiety, and depression.