Top

Mindfulness

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in:

26-10-2014 | ORIGINAL PAPER

A Mindfulness-Based Intervention for Economically Disadvantaged People: Effects on Symptoms of Stress, Anxiety, and Depression and on Cognitive Reactivity and Overgeneralization

Auteurs: Katleen Van der Gucht, Keisuke Takano, Nady Van Broeck, Filip Raes

Gepubliceerd in: Mindfulness | Uitgave 5/2015

Abstract

The chronic exposure to stress of living with less money than one needs affects people’s well-being. Studies show that mental un-well-being is associated with socioeconomic inequalities and that poverty-related stress is directly related to symptoms of anxiety and depression. We offered a mindfulness-based intervention (MBI) between September 2011 and September 2012 to a sample of low-income urban adults in Brussels and Antwerp, Belgium. The impact on symptoms of stress, anxiety, and depression was examined together with the effects on cognitive vulnerability processes of cognitive reactivity and overgeneralization and on the development of mindfulness skills. Results suggest that the MBI significantly reduced symptoms of stress, anxiety, and depression and cognitive reactivity and overgeneralization and significantly improved mindfulness skills. Greater improvement in mindfulness skills caused by MBIs might result in greater reduction in both symptoms and cognitive vulnerabilities. These findings provide promising evidence of the effectiveness of MBIs to promote economically disadvantaged people’s well-being. The results are consistent with previous studies that have examined the effectiveness of MBIs in other populations and show that a MBI is feasible in social welfare centers that serve low-income adults.

vorige artikel Relations Among Self-Compassion, PTSD Symptoms, and Psychological Health in a Trauma-Exposed Sample

volgende artikel Time-Series Analysis of Daily Changes in Mindfulness, Repetitive Thinking, and Depressive Symptoms During Mindfulness-Based Treatment

Aschan, L., Goodwin, L., Cross, S., Moran, P., Hotopf, M., & Hatch, S. L. (2013). Suicidal behaviours in South East London: prevalence, risk factors and the role of socio-economic status. Journal of Affective Disorders, 150(2), 441–449. doi: 10.1016/j.jad.2013.04.037. CrossRefPubMed

Beurs, E., Van Dyck, R., Marquenie, L. A., Lange, A., & Blonk, R. W. B. (2001). De DASS: een vragenlijst voor het meten van depressie, angst en stress. [The Dass: a questionnaire for the measurement of depression, anxiety and stress]. Gedragstherapie, 34, 35–53.

Carmody, J., Baer, R. A., Lykins, L. B. E., & Olendzki, N. (2009). An empirical study of the mechanisms of mindfulness in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 65(6), 613–626. doi: 10.1002/jclp.20579. CrossRefPubMed

Carver, C. S. (1998). Generalization, adverse events, and development of depressive symptoms. Journal of Personality, 66(4), 607–619. doi: 10.1111/1467-6494.00026. CrossRefPubMed

Carver, C. S., & Ganellen, R. J. (1983). Depression and components of self-punitiveness—high standards, self-criticism, and overgeneralization. Journal of Abnormal Psychology, 92(3), 330–337. doi: 10.1037/0021-843x.92.3.330. CrossRefPubMed

Carver, C. S., La Voie, L., Kuhl, J., & Ganellen, R. J. (1988). Cognitive concomitants of depression: a further examination of the roles of generalization, high standards, and self-criticism. Journal of Social and Clinical Psychology, 7, 350–365. CrossRef

Clarke, K. R., & Gorley, R. N. (2001). PRIMER 5 for windows. Plymouth: PRIMER-E Ltd.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Erlbaum.

Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. doi: 10.1037/0033-2909.112.1.155. CrossRefPubMed

Cuijpers, P., van Straten, A., Smit, F., Mihalopoulos, C., & Beekman, A. (2008). Preventing the onset of depressive disorders: a meta-analytic review of psychological interventions. American Journal of Psychiatry, 165(10), 1272–1280. doi: 10.1176/appi.ajp.2008.07091422. CrossRefPubMed

De Bruin, E. I., Zijlstra, B. J. H., & Bögels, S. M. (2013). The meaning of mindfulness in children and adolescents: further validation of the Child and Adolescent Mindfulness Measure (CAMM) in two independent samples from The Netherlands. Mindfulness. doi: 10.1007/s12671-013-0196-8.

Durlak, J. A. (2009). How to select, calculate, and interpret effect sizes. Journal of Pediatric Psychology, 34(9), 917–928. doi: 10.1093/jpepsy/jsp004. CrossRefPubMed

Greco, L. A., Baer, R. A., & Smith, G. T. (2011). Assessing mindfulness in children and adolescents: development and validation of the Child and Adolescent Mindfulness Measure (CAMM). Psychological Assessment, 23(3), 606–614. doi: 10.1037/a0022819. CrossRefPubMed

Hayes, S. C., Levin, M. E., Plumb-Vilardaga, J., Villatte, J. L., & Pistorello, J. (2013). Acceptance and commitment therapy and contextual behavioral science: examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior Therapy, 44(2), 180–198. PubMedCentralCrossRefPubMed

Hick, S. F., & Furlotte, C. (2010). An exploratory study of radical mindfulness training with severely economically disadvantaged people: findings of a Canadian study. Australian Social Work, 63(3), 281–298. doi: 10.1080/0312407x.2010.496865. CrossRef

Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183. doi: 10.1037/a0018555. PubMedCentralCrossRefPubMed

Ibrahim, A. K., Kelly, S. J., & Glazebrook, C. (2013). Socioeconomic status and the risk of depression among UK higher education students. Social Psychiatry and Psychiatric Epidemiology, 48(9), 1491–1501. doi: 10.1007/s00127-013-0663-5. CrossRefPubMed

Kabat-Zinn, J. (1990). Full catastrophe living: how to cope with stress, pain and illness using mindfulness meditation. New York: Delacorte.

Kabat-Zinn, J. (1994). Wherever you go there you are: mindfulness meditation in everyday life. New York: Hyperion.

Kemmler, G., Holzner, B., Kopp, M., Dunser, M., Greil, R., Hahn, E., et al. (2002). Multidimensional scaling as a tool for analysing quality of life data. Quality of Life Research, 11(3), 223–233. doi: 10.1023/a:1015207400490. CrossRefPubMed

Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., et al. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771. doi: 10.1016/j.cpr.2013.05.005. CrossRefPubMed

Klatt, M. D., Buckworth, J., & Malarkey, W. B. (2009). Effects of low-dose mindfulness-based stress reduction (MBSR-ld) on working adults. Health Education & Behavior, 36(3), 601–614. doi: 10.1177/1090198108317627. CrossRef

Kruskal, J. B., & Wish, M. (1978). Multidimensional scaling. Beverly Hills: Sage Publications.

Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., et al. (2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48(11), 1105–1112. doi: 10.1016/j.brat.2010.08.003. CrossRefPubMed

Lambert, Z. V., Wildt, A. R., & Durand, R. M. (1988). Redundancy analysis—an alternative to canonical correlation and multivariate multiple-regression in exploring interset associations. Psychological Bulletin, 104(2), 282–289. doi: 10.1037//0033-2909.104.2.282. CrossRef

Lau, M. A., Segal, Z. V., & Williams, J. M. G. (2004). Teasdale’s differential activation hypothesis: implications for mechanisms of depressive relapse and suicidal behaviour. Behaviour Research and Therapy, 42, 1001–1017. doi: 10.1016/j.brat.2004.03.003. CrossRefPubMed

Li, Z. Y., Page, A., Martin, G., & Taylor, R. (2011). Attributable risk of psychiatric and socio-economic factors for suicide from individual-level, population-based studies: a systematic review. Social Science & Medicine, 72(4), 608–616. doi: 10.1016/j.socscimed.2010.11.008. CrossRef

Lloyd, J., Bond, F. W., & Flaxman, P. E. (2013). The value of psychological flexibility: examining psychological mechanisms underpinning a cognitive behavioural therapy intervention for burnout. Work and Stress, 27(2), 181–199. doi: 10.1080/02678373.2013.782157. CrossRef

Lorant, V., Deliege, D., Eaton, W., Robert, A., Philippot, P., & Ansseau, M. (2003). Socioeconomic inequalities in depression: a meta-analysis. American Journal of Epidemiology, 157(2), 98–112. doi: 10.1093/aje/kwf182. CrossRefPubMed

Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Sidney: Psychology Foundation.

Luberto, C. M., White, C., Sears, R. W., & Cotton, S. (2013). Integrative medicine for treating depression: an update on the latest evidence. Current Psychiatry Reports, 15(9), 391. doi: 10.1007/s11920-013-0391-2. CrossRefPubMed

Marchand, W. R. (2012). Mindfulness-based stress reduction, mindfulness-based cognitive therapy, and Zen meditation for depression, anxiety, pain, and psychological distress. Journal of Psychiatric Practice, 18(4), 233–252. doi: 10.1097/01.pra.0000416014.53215.86. CrossRefPubMed

McCracken, L. M., Gutierrez-Martinez, O., & Smyth, C. (2013). “Decentering” reflects psychological flexibility in people with chronic pain and correlates with their quality of functioning. Health Psychology, 32(7), 820–823. doi: 10.1037/a0028093. CrossRefPubMed

Oksanen, J., Blanchet, G. F., Kindt, R., Legendre, P., Minchin, P. R., O’Hara, R. B., et al. (2013). Package ‘vegan’: community ecology package (R package version 2.0-10).

Olive, M. L., & Smith, B. W. (2005). Effect size calculations and single subject designs. Educational Psychology, 25, 313–324. CrossRef

Piet, J., Wurtzen, H., & Zachariae, R. (2012). The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: a systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 80(6), 1007–1020. doi: 10.1037/a0028329. CrossRefPubMed

Raes, F., Dewulf, D., Van Heeringen, C., & Williams, J. M. G. (2009). Mindfulness and reduced cognitive reactivity to sad mood: evidence from a correlational study and a non-randomized waiting list controlled study. Behaviour Research and Therapy, 47(7), 623–627. doi: 10.1016/j.brat.2009.03.007. CrossRefPubMed

Raes, F., Griffith, J. W., Van der Gucht, K., & Williams, J. M. G. (2013). School-based prevention and reduction of depression in adolescents: a cluster-randomized controlled trial of a mindfulness group program. Mindfulness. doi: 10.1007/s12671-013-0202-1.

Raes, F., Griffith, J. W., Vanbrabant, K., Nelis, S., Smets, J., Craeynest, M., et al. (2014). Negative overgeneralization to the self and overgeneral autobiographical memory: independent predictors of a more severe course of depression. Manuscript submitted for publication.

Regehr, C., Glancy, D., & Pitts, A. (2013). Interventions to reduce stress in university students: a review and meta-analysis. Journal of Affective Disorders, 148(1), 1–11. doi: 10.1016/j.jad.2012.11.026. CrossRefPubMed

Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., & Beasley, D. (2010). Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice. Journal of Psychosomatic Research, 68(1), 29–36. doi: 10.1016/j.jpsychores.2009.03.010. CrossRefPubMed

Santiago, C. D., Wadsworth, M. E., & Stump, J. (2011). Socioeconomic status, neighborhood disadvantage, and poverty-related stress: prospective effects on psychological syndromes among diverse low-income families. Journal of Economic Psychology, 32(2), 218–230. doi: 10.1016/j.joep.2009.10.008. CrossRef

Scher, C. D., Ingram, R. E., & Segal, Z. V. (2005). Cognitive reactivity and vulnerability: empirical evaluation of construct activation and cognitive diatheses in unipolar depression. Clinical Psychology Review, 25(4), 487–510. doi: 10.1016/j.cpr.2005.01.005. CrossRefPubMed

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press.

Singer, J. D., & Willett, J. B. (2003). Applied longitudinal data analysis: modeling change and event occurrence. New York: Oxford University Press. CrossRef

Team, R. D. C. (2007). R: a language and environment for statistical computing. Vienna: R Foundation for Statistical Computing.

Thapar, A., Collishaw, S., Pine, D. S., & Thapar, A. K. (2012). Depression in adolescence. Lancet, 379(9820), 1056–1067. doi: 10.1016/s0140-6736(11)60871-4. PubMedCentralCrossRefPubMed

Vago, D. R. (2014). Mapping modalities of self-awareness in mindfulness practice: a potential mechanism for clarifying habits of mind. In S. Sequeira (Ed.), Advances in meditation research: neuroscience and clinical applications vol. 1307 (pp. 28–42). Annals of the New York Academy of Sciences.

van de Leemput, I. A., Wichers, M., Cramer, A. O. J., Borsboom, D., Tuerlinckx, F., Kuppens, P., et al. (2014). Critical slowing down as early warning for the onset and termination of depression. Proceedings of the National Academy of Sciences of the United States of America, 111(1), 87–92. doi: 10.1073/pnas.1312114110. PubMedCentralCrossRefPubMed

Van der Does, W. (2002). Cognitive reactivity to sad mood: structure and validity of a new measure. Behaviour Research and Therapy, 40(1), 105–120. CrossRefPubMed

Van der Does, W., & Williams, J. M. G. (2003). Leiden index of depression sensitivity-revised (LEIDS-R). Leiden: Leiden University.

Vollestad, J., Nielsen, M. B., & Nielsen, G. H. (2012). Mindfulness- and acceptance-based interventions for anxiety disorders: a systematic review and meta-analysis. British Journal of Clinical Psychology, 51, 239–260. doi: 10.1111/j.2044-8260.2011.02024.x. CrossRefPubMed

Wadsworth, M. E., & Achenbach, T. M. (2005). Explaining the link between low socioeconomic status and psychopathology: testing two mechanisms of the social causation hypothesis. Journal of Consulting and Clinical Psychology, 73(6), 1146–1153. doi: 10.1037/0022-006x.73.6.1146. CrossRefPubMed

Willemsen, J., Markey, S., Declercq, F., & Vanheule, S. (2011). Negative emotionality in a large community sample of adolescents: the factor structure and measurement invariance of the short version of the Depression Anxiety Stress Scales (DASS-21). Stress and Health, 27(3), E120–E128. doi: 10.1002/smi.1342. CrossRef

Zainal, N. Z., Booth, S., & Huppert, F. A. (2013). The efficacy of mindfulness-based stress reduction on mental health of breast cancer patients: a meta-analysis. Psycho-Oncology, 22(7), 1457–1465. doi: 10.1002/pon.3171. CrossRefPubMed

Titel: A Mindfulness-Based Intervention for Economically Disadvantaged People: Effects on Symptoms of Stress, Anxiety, and Depression and on Cognitive Reactivity and Overgeneralization
Auteurs: Katleen Van der Gucht
Keisuke Takano
Nady Van Broeck
Filip Raes
Publicatiedatum: 26-10-2014
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 5/2015
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-014-0353-8

Bohn Stafleu van Loghum

Tip

Swipe om te navigeren naar een ander artikel

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 5/2015

Sustained Attention and Motivation in Zen Meditators and Non-meditators

The Head and the Heart: Effects of Understanding and Experiencing Lovingkindness on Attitudes Toward the Self and Others

Mindfulness Skills, Anxiety Sensitivity, and Cognitive Reactivity in Patients with Posttraumatic Stress Disorder

Using MBCT in a Chronic Pain Setting: A Qualitative Analysis of Participants’ Experiences

A Brief Mindfulness Intervention for Healthy College Students and Its Effects on Psychological Distress, Self-Control, Meta-Mood, and Subjective Vitality

Mindfulness, Work Climate, and Psychological Need Satisfaction in Employee Well-being