Abstract
Objectives
We explored whether baseline individual differences in mindfulness related to changes in mindfulness and emotional outcomes, following a mindfulness-based intervention (MBI).
Method
Self-reported and behavioral mindfulness, as measured with a breath counting tool, and self-reported emotional outcomes were assessed in fifty community participants, previous to being randomly allocated to a group MBI (or to a waiting list control condition). At post-intervention, participants initially allocated in the control condition started group MBI training and a 3-month follow-up was available for the full sample.
Results
MBI increased self-reported and behavioral mindfulness both from pre- to post-intervention (p < .001, d ranging from 1.16 to 2.11) and from pre-intervention to follow-up (p < .001, d ranging from 0.97 to − 1.87), as well as reduced distress and perseverative thinking, and increased well-being (p < .001, d ranging from 2.16 to 2.22 and from 2.12 to 2.43, from pre- to post-intervention and to follow-up, respectively). Lower baseline mindfulness was associated with higher increase in mindfulness indexes following MBI (p < .001), while baseline mindfulness measures did not predict emotional outcomes neither at post-intervention nor at follow-up. Higher baseline psychological distress and perseverative thinking and lower psychological well-being were related, respectively, to greater reductions in emotional symptoms and a higher increase in well-being.
Conclusions
Although participants with lower baseline mindfulness showed greater increase in mindfulness than their higher counterparts, the more the emotional symptoms and the lower the well-being at pre-intervention, the more benefit could be gained from an MBI irrespective of baseline mindfulness.
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References
Antúnez, Z., & Vinet, E. V. (2012). Depression anxiety stress scales (DASS - 21): validation of the abbreviated version in Chile university students. Terapia Psicologica, 30(3), 49–55. https://doi.org/10.4067/S0718-48082012000300005.
Baer, R., Smith, G., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. https://doi.org/10.1177/1073191105283504.
Baldwin, M. (Ed.). (2013). The use of self in therapy. London: Routledge.
Bergomi, C., Tschacher, W., & Kupper, Z. (2013). The assessment of mindfulness with self-report measures: existing scales and open issues. Mindfulness, 4, 191–202. https://doi.org/10.1007/s12671-012-0110-9.
Campos, D., Cebolla, A., Quero, S., Bretón-López, J., Botella, C., Soler, J., García-Campayo, J., Demarzo, M., & Baños, R. M. (2016). Meditation and happiness: mindfulness and self-compassion may mediate the meditation–happiness relationship. Personality and Individual Differences, 93, 80–85. https://doi.org/10.1016/j.paid.2015.08.040.
de Vibe, M., Solhaug, I., Tyssen, R., Friborg, O., Rosenvinge, J. H., Sørlie, T., Halland, E., & Bjørndal, A. (2015). Does personality moderate the effects of mindfulness training for medical and psychology students? Mindfulness, 6, 281–289. https://doi.org/10.1007/s12671-013-0258-y.
Dixon, H. C., & Overall, N. C. (2016). Dispositional mindfulness attenuates the link between daily stress and depressed mood. Journal of Social and Clinical Psychology, 35, 255–268. https://doi.org/10.1521/jscp.2016.35.3.255.
Ehring, T., Zetsche, U., Weidacker, K., Wahl, K., Schönfeld, S., & Ehlers, A. (2011). The perseverative thinking questionnaire (PTQ): validation of a content-independent measure of repetitive negative thinking. Journal of Behavior Therapy and Experimental Psychiatry, 42, 225–232. https://doi.org/10.1016/j.jbtep.2010.12.003.
Eid, M., Geiser, C., & Nussbeck, F. W. (2009). Multrait-multimethod analysis in psychotherapy research: new methodological approaches. Psychotherapy Research, 19, 390–396. https://doi.org/10.1080/10503300802621198.
Elices, M., Carmona, C., Narváez, V., Seto, V., Martín-Blanco, A., Pascual, J. C., Soriano, J., & Soler, J. (2017). Direct experience while eating: laboratory outcomes among individuals with eating disorders versus healthy controls. Eating Behaviors, 27, 23–26. https://doi.org/10.1016/j.eatbeh.2017.10.002.
Faul, F., Erdfelder, E., Buchner, A., & Lang, A. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods, 41, 1149–1160. https://doi.org/10.3758/BRM.41.4.1149.
Fresco, D. M., Moore, M. T., van Dulmen, M. H., Segal, Z. V., Ma, S. H., Teasdale, J. D., & Williams, J. M. (2007). Initial psychometric properties of the experiences questionnaire: validation of a self-report measure of decentering. Behavior Therapy, 38(3), 234–246. https://doi.org/10.1016/j.beth.2006.08.003.
Greeson, J. M., Smoski, M. J., Suarez, E. C., Brantley, J. G., Ekblad, A. G., Lynch, T. R., & Wolever, R. Q. (2015). Decreased symptoms of depression after mindfulness-based stress reduction: Potential moderating effects of religiosity, spirituality, trait mindfulness, sex, and age. Journal of Alternative and Complementary Medicine, 21, 166–174. https://doi.org/10.1089/acm.2014.0285.
Grossman, P. (2011). Defining mindfulness by how poorly I think I pay attention during everyday awareness and other intractable problems for psychology’s (re)invention of mindfulness: comment on Brown et al. (2011). Psychological Assessment, 23, 1034–1040. https://doi.org/10.1037/a0022713.
Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. https://doi.org/10.1016/j.cpr.2015.01.006.
Harnett, P. H., Reid, N., Loxton, N. J., & Lee, N. (2016). The relationship between trait mindfulness, personality and psychological distress: a revised reinforcement sensitivity theory perspective. Personality and Individual Differences, 99, 100–105. https://doi.org/10.1016/j.paid.2016.04.085.
Hervás, G., & Vázquez, C. (2013). Construction and validation of a measure of integrative well-being in seven languages: The Pemberton Happiness Index. Health and Quality of Life Outcomes, 11, Article 66. https://doi.org/10.1186/1477-7525-11-66.
Hervás, G., Cebolla, A., & Soler, J. (2016). Mindfulness-based psychological interventions and benefits: state of the art. Clínica y Salud, 27(3), 115–124. https://doi.org/10.1016/j.clysa.2016.09.002.
Junge, M. N., Lehr, D., Bockting, C. L. H., Berking, M., Riper, H., Cuijpers, P., & Ebert, D. D. (2015). For whom are internet-based occupational mental health interventions effective? Moderators of internet-based problem-solving training outcome. Internet Interventions, 2(1), 39–47. https://doi.org/10.1016/j.invent.2014.11.007.
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy.bpg016.
Kuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bondolfi, G., Hayes, R., Huijbers, M., Ma, H., Schweizer, S., Segal, Z., Speckens, A., Teasdale, J. D., van Heeringen, S., Williams, M., Byford, S., Byng, R., & Dalgleish, T. (2016). Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse: an individual patient data meta-analysis from randomized trials. JAMA Psychiatry, 73, 565–574. https://doi.org/10.1001/jamapsychiatry.2016.0076.
Laurent, H. K., Laurent, S. M., Nelson, B., Wright, D. B., & De Araujo Sanchez, M.-A. (2015). Dispositional mindfulness moderates the effect of a brief mindfulness induction on physiological stress responses. Mindfulness, 6, 1192–1200. https://doi.org/10.1007/s12671-014-0377-0.
Levinson, D. B., Stoll, E. L., Kindy, S. D., Merry, H. L., & Davidson, R. J. (2014). A mind you can count on: validating breath counting as a behavioral measure of mindfulness. Frontiers in Psychology, 5, Article 1202. https://doi.org/10.3389/fpsyg.2014.01202.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335–343. https://doi.org/10.1016/0005-7967(94)00075-u.
Montero-Marín, J., Puebla-Guedea, M., Herrera-Mercadal, P., Cebolla, A., Soler, J., Demarzo, M., Vázquez, C., Rodríguez-Bornaetxea, F., & García-Campayo, J. (2016). Psychological effects of a 1-month meditation retreat on experienced meditators: the role of non-attachment. Frontiers in Psychology, 7, Article 1935. https://doi.org/10.3389/fpsyg.2016.01935.
Nyklíček, I., & Irrmischer, M. (2017). For whom does mindfulness-based stress reduction work? Moderating effects of personality. Mindfulness, 8, 1106–1116. https://doi.org/10.1007/s12671-017-0687-0.
Park, T., Reilly-Spong, M., & Gross, C. R. (2013). Mindfulness: A systematic review of instruments to measure an emergent patient-reported outcome (PRO). Quality of Life Research, 22(10), 2639–2659. https://doi.org/10.1007/s11136-013-0395-8.
Quaglia, J. T., Braun, S. E., Freeman, S. P., McDaniel, M. A., & Brown, K. W. (2016). Meta-analytic evidence for effects of mindfulness training on dimensions of self-reported dispositional mindfulness. Psychological Assessment, 28, 803–818. https://doi.org/10.1037/pas0000268.
Schooler, J. W., Smallwood, J., Christoff, K., Handy, T. C., Reichle, E. D., & Sayette, M. A. (2011). Meta-awareness, perceptual decoupling and the wandering mind. Trends in Cognitive Sciences, 15, 319–326. https://doi.org/10.1016/j.tics.2011.05.006.
Seear, K. H., & Vella-Broderick, D. A. (2013). Efficacy of positive psychology interventions to increase well-being: examining the role of dispositional mindfulness. Social Indicators Research, 114, 1125–1114. https://doi.org/10.1037/pas000026810.1007/s11205-012-0193-7.
Shapiro, S. L., Brown, K. W., Thoresen, C., & Plante, T. G. (2011). The moderation of mindfulness-based stress reduction effects by trait mindfulness: results from a randomized controlled trial. Journal of Clinical Psychology, 67(3), 267–277. https://doi.org/10.1002/jclp.20761.
Soler, J., Cebolla, A., Feliu-Soler, A., Demarzo, M. M. P., Pascual, J. C., Baños, R., & García-Campayo, J. (2014). Relationship between meditative practice and self-reported mindfulness: The MINDSENS composite index. PLoS ONE, 9(1), e86622. https://doi.org/10.1371/journal.pone.0086622.
Visted, E., Vøllestad, J., Nielsen, M. B., & Nielsen, G. H. (2015). The impact of group-based mindfulness training on self-reported mindfulness: a systematic review and meta-analysis. Mindfulness, 6, 501–522. https://doi.org/10.1007/s12671-014-0283-5.
Wong, F., Massar, K. A. A., Chee, M. W. L., & Lim, J. (2018). Towards an objective measure of mindfulness: replicating and extending the features of the breath-counting task. Mindfulness, 9, 1402–1410. https://doi.org/10.1007/s12671-017-0880-1.
Acknowledgments
We thank Dr. Levinson and the Davidson Lab for providing us with the script for programming the breath counting tool.
Funding
Miquel Tortella-Feliu has received research grants from Framework Programme 7 of the European Union (Collaborative Project 613598) and from the Spanish Government - Instituto de Salud Carlos III (Health Research Project PI16/00144), Ausiàs Cebolla reported that this work was supported by CIBEROBN, an initiative of the ISCIII (ISC III CB06 03/0052), and Joaquim Soler has received research funding from Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM, Instituto de Salud Carlos III of the Ministry of Science, Innovation and Universities). José Luís-Reig and Juan Gea have not received research funding.
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MT-F designed the study, oversaw data collection and analyses, conducted data analyses, and wrote the paper. J L-R was responsible of planning the intervention and participant recruitment, conducted the assessments and the intervention, collected data, and contributed to data analyses and to the writing of the article. JG programmed the breath counting tool with the script provided by Dr. Levinson and the Davidson Lab. AC and JS contributed to the selection of self-reported assessment instruments and to the writing of the paper, and provided expert advice throughout the research process.
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All research procedures, including the way to provide information to enable informed consent and the specific contents of the document to obtain the written informed consent from participants to participate in the study, received approval from the Research Ethics Committee at the University of the Balearic Islands.
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The authors declared that they have no conflict of interest.
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Tortella-Feliu, M., Luís-Reig, J., Gea, J. et al. An Exploratory Study on the Relations Between Mindfulness and Mindfulness-Based Intervention Outcomes. Mindfulness 11, 2561–2572 (2020). https://doi.org/10.1007/s12671-020-01471-x
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DOI: https://doi.org/10.1007/s12671-020-01471-x