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Mindfulness
Springer
Mindfulness

Springer

1868-8527

Mindfulness/Journal MindfulnessSSCI
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    Mindfulness-Based School Interventions: a Systematic Review of Outcome Evidence Quality by Study Design

    Phan, Mary L.Renshaw, Tyler L.Caramanico, JulieGreeson, Jeffrey M....
    23页
    查看更多>>摘要:Objectives The purpose of this systematic review was to assess the current literature on mindfulness-based school interventions (MBSIs) by evaluating evidence across specific outcomes for youth. Methods We evaluated 77 studies with a total sample of 12,358 students across five continents, assessing the quality of each study through a robust coding system for evidence-based guidelines. Coders rated each study numerically per study design as 1 + + (RCT with a very low risk of bias) to 4 (expert opinion) and across studies for the corresponding evidence letter grade, from highest quality ("A Grade") to lowest quality ("D Grade") evidence. Results The highest quality evidence ("A Grade") across outcomes indicated that MBSIs increased prosocial behavior, resilience, executive function, attention, and mindfulness, and decreased anxiety, attention problems/ADHD behaviors, and conduct behaviors. The highest quality evidence for well-being was split, with some studies showing increased well-being and some showing no improvements. The highest quality evidence suggests MBSIs have a null effect on depression symptoms. Conclusions This review demonstrates the promise of incorporating mindfulness interventions in school settings for improving certain youth outcomes. We urge researchers interested in MBSIs to study their effectiveness using more rigorous designs (e.g., RCTs with active control groups, multi-method outcome assessment, and follow-up evaluation), to minimize bias and promote higher quality-not just increased quantity-evidence that can be relied upon to guide school-based practice.

    Autobiographical Memory and Mindfulness: a Critical Review with a Systematic Search

    Dominguez, EvangelinaCasagrande, MariaRaffone, Antonino
    38页
    查看更多>>摘要:Objectives Autobiographical memory (AM) is linked to the construct of self, which is influenced by mindfulness training. Furthermore, both self-reference and AM can be affected by psychopathological conditions, such as depression. This article offers a critical review with a systematic search of the studies using different paradigms to investigate the effects of mindfulness training on AM, as well as the relationships between trait mindfulness and AM. Methods The review includes studies with behavioral, self-report, and neuroimaging methods by considering both non-clinical and clinical investigations in an integrative perspective. Fifty articles were reviewed. The review addressed the following main fields: mindfulness and autobiographical memory specificity; mindfulness and emotional autobiographical recall; and self-inquiry into negative autobiographical narratives and mindfulness. An additional section analyzed 18 studies that addressed the effects of mindfulness training on memory flashbacks. Results In line with the hypotheses, grounded on theories of AM, self, conscious processing, memory reconsolidation, and Buddhist psychology, the review results suggest that the influences of mindfulness training and trait mindfulness on AM can be related to enhanced cognitive, emotional, and self-referential flexibility. This influence is also associated with improved meta-awareness, acceptance, and the flexibility to shift from a first- to a third-person self-perspective in AM recall. In particular, the review highlights increased self-referential flexibility related to mindfulness, which during AM recall would enable a more balanced retrieval of episodic, semantic, and emotional contents, as well as increased AM specificity and reduced emotional reactivity. A mindfulness-related reconsolidation of the links between AM traces and the self might play a crucial role. The mindfulness-related changes of the experiences during AM recall may be translated into long-term reconsolidation-related changes in the AM traces, with a potential interactive effect on the self, thus becoming more flexible. The review also highlights brain mechanisms underlying these influences, given by changes in activity and functional connectivity of core regions in the default mode network (medial prefrontal cortex and posterior cingulate cortex), salience network (anterior cingulate cortex and anterior insula), and central executive network (dorsolateral prefrontal cortex). Finally, we suggest new research developments from the review and the related theoretical perspective. Conclusion The review results, together with the proposed theoretical accounts, bridge a set of investigations on several autobiographical memory phenomena and mindfulness, and might usefully lead to further studies, also with relevant clinical and cognitive neuroscience implications.

    Embracing the Complexity of our Inner Worlds: Understanding the Dynamics of Self-Compassion and Self-Criticism

    Ciarrochi, JosephYap, KeongSahdra, BaljinderHayes, Steven C....
    10页
    查看更多>>摘要:Objectives: Although research in self-compassion has been rapidly growing, there is still substantial controversy about its meaning and measurement. The controversy centers on Neff's popular Self- Compassion Scale (SCS) and the argument that compassionate self-responding (CSR) and uncompassionate self-responding (UCS) are a single dimension versus the argument that they are two semi-independent, unipolar dimensions, with UCS not reflective of "true" self-compassion. Methods: We review the evidence for both positions and conclude that the data cannot yet resolve the debate. Results: Neither position is proven to be right or wrong. We recommend the way forward is to let go of traditional factor analytic approaches and examine self-compassionate behavior as a dynamic network of interacting processes that are influenced by context. This leads us to three classes of testable hypotheses. The link between CS and UCS will depend on the timeframe of measurement, current circumstances, and individual differences. Conclusions: We propose a middle ground to the SCS debate; rather than supporting the single total score, 2-factor score (CSR and UCS) or the 6-factor score (the six subscales of the SCS), we argue these constructs interact dynamically, and the decision of which scoring method to use should depend on the three testable contextual hypotheses.

    Training Mindfulness Facilitators: Evaluating the VA CALM Program at the Veterans Health Administration

    Serpa, J. GregAtwood, KathyShamblen, Stephen R.Sangpukdee, Aree...
    9页
    查看更多>>摘要:Objectives As the demand for Mindfulness-Based Interventions (MBIs) expands, there is a growing need for training healthcare professionals to deliver these interventions. To meet this demand, VA CALM (Veterans Affairs - Compassionate Awareness Learning Module) was developed and evaluated. Methods Participants (n = 74, female = 73%) were a national sample of VA clinicians including psychologists (48%), social workers (33%), physicians (10%), nurses (5%), and other clinicians (4%) who joined the year-long training program delivered via hybrid learning platforms including live video and in-person instruction. The evaluation was a single-arm, repeated measures design comparing outcomes at baseline, at the halfway point of training, and immediately post-training. Outcomes from standardized measures included burnout, competence, mindfulness, self-compassion, and stress. Participant self-efficacy was also assessed. Results Random intercept regressions were performed examining linear and quadratic time contrasts as predictors of study outcome change trajectories. The pattern of change was largely linear, where there were statistically significant and large magnitude (r > .50) increases at each observation period for burnout (r = -0.52), competence with one-on-one interventions (r = 0.68) and groups (r = 0.76), mindfulness (r = 0.61), perceived stress (r = -0.51), self-compassion (r = 0.58), and selfefficacy (r = 0.83). The linear model indicates changes in study outcomes were cumulative over the course of the training. Conclusions VA CALM is an effective training program for mindfulness facilitators and appears to confer additional participant benefits, even when participants have significant experience with mindfulness.

    Being Mindful of What is Absent

    Analayo, Bhikkhu
    8页
    查看更多>>摘要:The cultivation of mindfulness in early Buddhist soteriology can comprise awareness of an absence. Such absence can be specific, in the sense of the absence of a particular mental condition. It can also take on a general sense, in that certain meditation practices that involve mindfulness can take as their object the notion that there is nothing at all. Besides being the standard approach for cultivating one of the immaterial spheres, a pre-Buddhist form of practice, the same notion that there is nothing can also be related to insight. Such insight could be retrospectively applied to the attainment of the immaterial sphere of nothingness, or else insight could be cultivated in conjunction with tranquility in a way that involves the same notion of nothingness, testifying to the interrelatedness of these two modalities of meditation in early Buddhism. In addition, the term nothingness can also serve as an epithet for the final goal of Nirvana, a usage that can also be related to mindfulness.

    Exploring the Link Between Self-compassion and Compulsive Exercise Amongst Women

    Cuesta-Zamora, CristinaParra, MartaToledano-Gonzalez, AbelRicarte, Jorge...
    13页
    查看更多>>摘要:Objectives Self-compassion, defined as the ability to be accepting and loving towards oneself, has been identified as a potential protective factor against the development of body dissatisfaction and eating disorders (ED). In contrast, compulsive exercise is a core feature in the development and progression of EDs and is often employed as a maladaptive coping strategy for negative emotions and body image concerns. However, the relationships between self-compassion and compulsive exercise attitudes and behaviours are as yet unexplored. Methods A total of 539 Spanish female university students (Mage = 20.03, SD = 2.22) completed measures of compulsive exercise, frequency of compensatory exercise, self-compassion, eating disorder symptoms, and anxiety and depression. Results Hierarchical multiple regressions showed that lower levels of self-compassion significantly predicted some compulsive exercise elements (namely, weight control exercise and lack of exercise enjoyment) after controlling for ED symptoms, anxiety, depression and age. However, frequency of compensatory exercise was unrelated to self-compassion elements. Findings from the mediation models suggest an indirect effect of self-compassion on the association between compulsive exercise and ED symptoms. Conclusions The findings suggest a significant link between low self-compassion and greater harmful exercise attitudes and behaviours towards exercise. Further research is needed to clarify whether self-compassion may be a core feature in the development and maintenance of harmful attitudes and behaviours towards exercise.

    Validation of the Comprehensive Inventory of Mindfulness Experiences (CHIME) in Portuguese Children

    Magalhaes, SofiaLimpo, Teresa
    14页
    查看更多>>摘要:Objectives Despite the increasing interest in mindfulness, there are few multifaceted mindfulness measures for children, mainly in Portuguese. Thus, this study developed the Portuguese version of the Comprehensive Inventory of Mindfulness Experiences (CHIME). Because this scale was initially created for adolescents, we also aimed to adapt it to children. Methods After translating the original CHIME to Portuguese and adapting the wording for children, the instrument was administered to 223 9-10-year-olds, along with self-report measures of affect and quality of life, teacher-rated measures of inhibition, inattention, and emotional lability, and a performance-based attentional measure. We examined CHIME's factorial validity, inspected facets' reliability, and tested convergent, discriminant, and predictive validity. Results Confirmatory factor analyses (CFA) supported a 7-factor structure of the scale, after removing the accepting and non-judgmental attitude facet. Factor loadings (> .34) and reliability indices (> .54) were acceptable, though the average variance extracted was less than desirable. Correlations with external correlates provided support to CHIME's convergent and divergent validity (rs range .13-.55, ps < .05). Finally, evidence of predictive validity was found with a regression analysis showing that external awareness (b = - .16) and openness to experience (b = - .17) predicted academic achievement. Conclusions This study provided preliminary validity and reliability evidence on the Portuguese CHIME. This instrument can provide relevant insights about the mindfulness facets and offer useful indications for the development of evidence-based interventions in childhood.

    Virtual Group-Based Mindfulness Intervention for Autistic Adults: a Feasibility Study

    Lunsky, YonaRedquest, BrianneAlbaum, CarlyHutton, Sue...
    13页
    查看更多>>摘要:Objectives Although mindfulness-based interventions have been shown to be helpful in reducing psychological distress in autistic adults, limited research has explored virtual delivery in the autism community. We designed an adapted virtual group-based mindfulness intervention, based on input from autistic adults, and evaluated its feasibility in terms of demand, acceptability, implementation, practicality, adaptation, and limited efficacy testing. Methods Informed by an online needs assessment survey of 77 autistic adults, 37 individuals completed a six-week autism informed manualized course delivered virtually. Participants completed pre, post, and 12-week follow up, and also provided qualitative feedback. Results There was a demand for the course, adaptations were successful, and participants indicated good acceptability of the intervention. Open-ended feedback highlighted advantages and challenges with the technology, the benefits of connecting with other autistic adults, and unique aspects of the mindfulness instruction. Participants reported reduced levels of distress which were maintained at three-month follow-up, and increased mindfulness, and self-compassion. Conclusions Autism-informed adaptations to standard mindfulness-based interventions can lead to self-reported improvements in mindfulness, self-compassion, and distress by autistic adults. Continued research with outcome measures tailored toward autistic adults will be important, during and post-pandemic.

    Mindfulness-Based Cognitive Therapy: A Preliminary Examination of the (Event-Related) Potential for Modifying Threat-Related Attentional Bias in Anxiety

    Gupta, Resh S.Kujawa, AutumnFresco, David M.Kang, Hakmook...
    14页
    查看更多>>摘要:Objectives Mindfulness-based cognitive therapy (MBCT) can reduce anxiety and depression symptoms in adults with anxiety disorders, and changes in threat-related attentional bias may be a key mechanism driving the intervention's effects on anxiety symptoms. Event-related potentials (ERPs) can illuminate the physiological mechanism through which MBCT targets threat bias and reduces symptoms of anxiety. This preliminary study examined whether P1 ERP threat-related attentional bias markers in anxious adults change from pre- to post-MBCT delivered in-person or virtually (via Zoom) and investigated the relationship between P1 threat-related attentional bias markers and treatment response. Methods Pre- and post-MBCT, participants with moderate to high levels of anxiety (N = 50) completed a dot-probe task with simultaneous EEG recording. Analyses focused on pre- and post-MBCT P1 amplitudes elicited by angry-neutral and happy-neutral face pair cues, probes, and reaction times in the dot-probe task and anxiety and depression symptoms. Results Pre- to post-MBCT, there was a significant reduction in P1-Probe amplitudes (d = .23), anxiety (d = .41) and depression (d = .80) symptoms, and reaction times (d = .10). Larger P1-Angry Cue amplitudes, indexing hypervigilance to angry faces, were associated with higher levels of anxiety both pre- and post-MBCT (d = .20). Post-MBCT, anxiety symptoms were lower in the in-person versus virtual group (d = .80). Conclusions MBCT may increase processing efficiency and decreases anxiety and depression symptoms in anxious adults. However, changes in threat bias specifically were generally not supported. Replication with a comparison group is needed to clarify whether changes were MBCT-specific.

    Nonattachment Alleviates the Longitudinal Impact of Experienced and Anticipated Discrimination on Parents of Children with Autism Spectrum Disorder

    Chan, Kevin Ka ShingYip, Charles Chiu HungWang, Zixin
    12页
    查看更多>>摘要:Objectives Research shows that stigma has an adverse psychological impact on parents of children with autism spectrum disorder (ASD). However, there are very few studies examining the potential protective factors that may buffer the adverse impact. The present study investigated the longitudinal associations of experienced discrimination and anticipated discrimination with detrimental cognitive consequences (i.e., self-stigma content and self-stigma process) and affective consequences (i.e., parenting stress and depressive symptoms) for parents of children with ASD and tested whether these associations would be moderated by nonattachment. Methods At two time points separated by 24 months, 381 Hong Kong parents of children with ASD completed standardized questionnaires to provide data on experienced discrimination, anticipated discrimination, nonattachment, self-stigma content, self-stigma process, parenting stress, and depressive symptoms. Results Hierarchical regressions showed that experienced discrimination and anticipated discrimination had significant interactions with nonattachment at baseline in predicting adverse psychological consequences (i.e., self-stigma content, self-stigma process, parenting stress, and depressive symptoms) at follow-up. In addition, simple slope analyses showed that the associations of experienced discrimination and anticipated discrimination with the adverse psychological consequences were weaker in parents with high nonattachment than in parents with low nonattachment. Conclusions Our findings indicate the longitudinal associations of experienced discrimination and anticipated discrimination with detrimental cognitive consequences and affective consequences for parents of children with ASD, and highlight the protective effects of nonattachment against such associations. These findings suggest the importance of supporting parents of children with ASD to increase nonattachment in order to cope with discrimination and improve psychological well-being.