Skip to main content
Top
Gepubliceerd in:

24-02-2018 | ORIGINAL PAPER

Associations between Mindfulness Facets and PTSD Symptom Severity in Psychiatric Inpatients

Auteurs: Colleen E. Martin, Brooke A. Bartlett, Madhavi K. Reddy, Adam Gonzalez, Anka A. Vujanovic

Gepubliceerd in: Mindfulness | Uitgave 5/2018

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

The current study concurrently examined associations of mindfulness facets with PTSD symptom severity and symptom cluster severity in a trauma-exposed, psychiatric inpatient sample. Participants included 152 psychiatric inpatients (42.1% women; mage = 33.86, SD = 11.29), who reported a history of trauma exposure consistent with Diagnostic and Statistical Manual of Mental Disorders—Fifth Edition (DSM-5) PTSD Criterion A. A cross-sectional design was used to determine associations between mindfulness facets and PTSD symptom severity and symptom cluster severity. Participants completed questionnaires regarding mindfulness and PTSD symptomatology. The data were analyzed at the bivariate level as well as multivariate level through hierarchical linear regression analyses. Results revealed that the mindfulness facets of acting with awareness (β = − 0.34, p < 0.001), non-judging of inner experience (β = − 0.34, p < 0.001), and non-reactivity to inner experience (β = 0.34, p < 0.001) demonstrated significant, incremental negative associations with total PTSD symptom severity, as well as PTSD intrusions (p’s < 0.05) and negative alterations in cognitions and mood (p’s < 0.05) symptom clusters, above and beyond covariates. Covariates included total number of traumatic life events and number of psychiatric diagnoses. This study investigated associations between mindfulness facets and PTSD symptom severity in acute care, psychiatric inpatients. Mindfulness may hold significant clinical utility for trauma-exposed psychiatric inpatients with varying levels of PTSD symptom severity. Research implications and future directions are discussed.
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C: American Psychiatric Association.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C: American Psychiatric Association.CrossRef
go back to reference Aust, J., & Bradshaw, T. (2017). Mindfulness interventions for psychosis: a systematic review of the literature. Journal of Psychiatric and Mental Health Nursing, 24, 69–83.CrossRefPubMed Aust, J., & Bradshaw, T. (2017). Mindfulness interventions for psychosis: a systematic review of the literature. Journal of Psychiatric and Mental Health Nursing, 24, 69–83.CrossRefPubMed
go back to reference Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45.CrossRefPubMed Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45.CrossRefPubMed
go back to reference Baer, R.A., Smith, G.T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S … Williams, M.G. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15, 329–342. doi: https://doi.org/10.1177/1073191107313003. Baer, R.A., Smith, G.T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S … Williams, M.G. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15, 329–342. doi: https://​doi.​org/​10.​1177/​1073191107313003​.
go back to reference Bernstein, A., Tanay, G., & Vujanovic, A. A. (2011). Concurrent relations between mindful attention and awareness and psychopathology among trauma-exposed adults: Preliminary evidence of transdiagnostic resilience. Journal of Cognitive Psychotherapy, 25, 99–113.CrossRef Bernstein, A., Tanay, G., & Vujanovic, A. A. (2011). Concurrent relations between mindful attention and awareness and psychopathology among trauma-exposed adults: Preliminary evidence of transdiagnostic resilience. Journal of Cognitive Psychotherapy, 25, 99–113.CrossRef
go back to reference Bishop, S. R., Lau, M. A., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J. … Devins, G. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. Bishop, S. R., Lau, M. A., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J. … Devins, G. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241.
go back to reference Boughner, E., Thornley, E., Kharlas, D., & Frewen, P. (2016). Mindfulness-related traits partially mediate the association between lifetime and childhood trauma exposure and PTSD and dissociative symptoms in a community sample assessed online. Mindfulness, 7, 672–679. https://doi.org/10.1007/s12671-016-0502-3.CrossRef Boughner, E., Thornley, E., Kharlas, D., & Frewen, P. (2016). Mindfulness-related traits partially mediate the association between lifetime and childhood trauma exposure and PTSD and dissociative symptoms in a community sample assessed online. Mindfulness, 7, 672–679. https://​doi.​org/​10.​1007/​s12671-016-0502-3.CrossRef
go back to reference Bovin, M.J., Marx, B.P., Weathers, F.W., Gallagher, M.W., Rodriguez, P., Schnurr, P.P … Keane, T.M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders-fifth edition (PCL-5) in veterans. Psychological Assessment, 28, 1379–1391. doi: https://doi.org/10.1037/pas0000254. Bovin, M.J., Marx, B.P., Weathers, F.W., Gallagher, M.W., Rodriguez, P., Schnurr, P.P … Keane, T.M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders-fifth edition (PCL-5) in veterans. Psychological Assessment, 28, 1379–1391. doi: https://​doi.​org/​10.​1037/​pas0000254.
go back to reference Branstrom, R., Kvillemo, P., & Moskowitz, J. T. (2010). A randomized study of the effects of mindfulness training on psychological well-being and symptoms of stress in patients treated for cancer at 6-month follow-up. International Journal of Behavioral Medicine, 19, 535–542.CrossRef Branstrom, R., Kvillemo, P., & Moskowitz, J. T. (2010). A randomized study of the effects of mindfulness training on psychological well-being and symptoms of stress in patients treated for cancer at 6-month follow-up. International Journal of Behavioral Medicine, 19, 535–542.CrossRef
go back to reference Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.CrossRefPubMed Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.CrossRefPubMed
go back to reference Chopko, B. A., & Schwartz, R. C. (2013). The relation between mindfulness and posttraumatic stress symptoms among police officers. Journal of Loss and Trauma, 18, 1–9.CrossRef Chopko, B. A., & Schwartz, R. C. (2013). The relation between mindfulness and posttraumatic stress symptoms among police officers. Journal of Loss and Trauma, 18, 1–9.CrossRef
go back to reference Delizonna, L. L., Williams, R. P., & Langer, E. J. (2009). The effect of mindfulness on heart rate control. Journal of Adult Development, 16, 61–65.CrossRef Delizonna, L. L., Williams, R. P., & Langer, E. J. (2009). The effect of mindfulness on heart rate control. Journal of Adult Development, 16, 61–65.CrossRef
go back to reference Foa, E. B., Hembree, E. A., & Rothbaum, B. O. (2007). Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences. New York: Oxford University Press. Foa, E. B., Hembree, E. A., & Rothbaum, B. O. (2007). Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences. New York: Oxford University Press.
go back to reference Follette, V., Palm, K. M., & Pearson, A. N. (2006). Mindfulness and trauma: implications for treatment. Journal of Rational-Emotive & Cognitive-Behaviour Therapy, 24, 45–61.CrossRef Follette, V., Palm, K. M., & Pearson, A. N. (2006). Mindfulness and trauma: implications for treatment. Journal of Rational-Emotive & Cognitive-Behaviour Therapy, 24, 45–61.CrossRef
go back to reference Hanley, A. W., Garland, E. L., & Tedeschi, R. G. (2017). Relating dispositional mindfulness, contemplative practice, and positive reappraisal with posttraumatic cognitive coping, stress, and growth. Psychological Trauma: Theory, Research, Practice, and Policy, 9, 526–536. https://doi.org/10.1037/tra0000208.CrossRef Hanley, A. W., Garland, E. L., & Tedeschi, R. G. (2017). Relating dispositional mindfulness, contemplative practice, and positive reappraisal with posttraumatic cognitive coping, stress, and growth. Psychological Trauma: Theory, Research, Practice, and Policy, 9, 526–536. https://​doi.​org/​10.​1037/​tra0000208.CrossRef
go back to reference Kalill, K. S., Treanor, M., & Roemer, L. (2014). The importance of non-reactivity to posttraumatic stress symptoms: a case for mindfulness. Mindfulness, 5, 314–321.CrossRef Kalill, K. S., Treanor, M., & Roemer, L. (2014). The importance of non-reactivity to posttraumatic stress symptoms: a case for mindfulness. Mindfulness, 5, 314–321.CrossRef
go back to reference Kearney, D. J., McDermott, K., Malte, C., Martinez, M., & Simpson, T. L. (2012). Effects of participation in a mindfulness program for veterans with posttraumatic stress disorder: a randomized controlled pilot study. Journal of Clinical Psychology, 69, 14–27.CrossRefPubMed Kearney, D. J., McDermott, K., Malte, C., Martinez, M., & Simpson, T. L. (2012). Effects of participation in a mindfulness program for veterans with posttraumatic stress disorder: a randomized controlled pilot study. Journal of Clinical Psychology, 69, 14–27.CrossRefPubMed
go back to reference Kim, S. H., Schneider, S. M., Bevans, M., Kravitz, L., Mermier, C., Qualls, C., & Burge, M. R. (2013). PTSD symptom reduction with mindfulness-based stretching and deep breathing exercise: randomized controlled clinical trial of efficacy. The Journal of Clinical Endocrinology and Metabolism, 98, 2984–2992.CrossRefPubMedPubMedCentral Kim, S. H., Schneider, S. M., Bevans, M., Kravitz, L., Mermier, C., Qualls, C., & Burge, M. R. (2013). PTSD symptom reduction with mindfulness-based stretching and deep breathing exercise: randomized controlled clinical trial of efficacy. The Journal of Clinical Endocrinology and Metabolism, 98, 2984–2992.CrossRefPubMedPubMedCentral
go back to reference King, A.P., Erickson, T.M., Giardino, N.D., Favorite, T., Rauch, S.A.M., Robinson, E. … Liberzon, I. (2013). A pilot study of group mindfulness-based cognitive therapy (MBCT) for combat veterans with posttraumatic stress disorder (PTSD). Depression and Anxiety, 30, 638–645. King, A.P., Erickson, T.M., Giardino, N.D., Favorite, T., Rauch, S.A.M., Robinson, E. … Liberzon, I. (2013). A pilot study of group mindfulness-based cognitive therapy (MBCT) for combat veterans with posttraumatic stress disorder (PTSD). Depression and Anxiety, 30, 638–645.
go back to reference Lau, M. A., Bishop, Z. V., Buis, T., Anderson, N. D., & Carlson, L. (2006). The Toronto mindfulness scale: Development and validation. Journal of Clinical Psychology, 62, 1445–1467.CrossRefPubMed Lau, M. A., Bishop, Z. V., Buis, T., Anderson, N. D., & Carlson, L. (2006). The Toronto mindfulness scale: Development and validation. Journal of Clinical Psychology, 62, 1445–1467.CrossRefPubMed
go back to reference Melartin, T. K., Rystala, H. J., Leskela, U. S., Lestela-Mielonen, P. S., Sokero, T. P., & Isomesta, E. T. (2002). Journal of Clinical Psychiatry, 63, 126–134.CrossRefPubMed Melartin, T. K., Rystala, H. J., Leskela, U. S., Lestela-Mielonen, P. S., Sokero, T. P., & Isomesta, E. T. (2002). Journal of Clinical Psychiatry, 63, 126–134.CrossRefPubMed
go back to reference Mueser, K.T., Gottlieb, J.D., Xie, H., Lu, W., Yanos, P.T., Rosenberg, S.D … McHugo, G.J. (2015). Evaluation of cognitive restructuring for post-traumatic stress disorder in people with severe mental illness. The British Journal of Psychiatry, 206, 501–508. doi: https://doi.org/10.1192/bjp.bp.114.147926. Mueser, K.T., Gottlieb, J.D., Xie, H., Lu, W., Yanos, P.T., Rosenberg, S.D … McHugo, G.J. (2015). Evaluation of cognitive restructuring for post-traumatic stress disorder in people with severe mental illness. The British Journal of Psychiatry, 206, 501–508. doi: https://​doi.​org/​10.​1192/​bjp.​bp.​114.​147926.
go back to reference Niles, B. L., Klunk-Gillis, J., Ryngala, D. J., Silberbogen, A. K., Paysnick, A., & Wolf, E. J. (2012). Comparing mindfulness and psycho-education treatments for combat-related PTSD using a tele-health approach. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 538–547.CrossRef Niles, B. L., Klunk-Gillis, J., Ryngala, D. J., Silberbogen, A. K., Paysnick, A., & Wolf, E. J. (2012). Comparing mindfulness and psycho-education treatments for combat-related PTSD using a tele-health approach. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 538–547.CrossRef
go back to reference Owens, G. P., Walter, K. H., Chard, K. M., & Davis, P. A. (2012). Changes in mindfulness skills and treatment response among veterans in residential PTSD treatment. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 221–228. https://doi.org/10.1037/a0024251.CrossRef Owens, G. P., Walter, K. H., Chard, K. M., & Davis, P. A. (2012). Changes in mindfulness skills and treatment response among veterans in residential PTSD treatment. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 221–228. https://​doi.​org/​10.​1037/​a0024251.CrossRef
go back to reference Polusny, M.A., Erbes, C.R., Thuras, P., Moran, A., Lamberty, G.J., Collins, R.C … Lim, K.O. (2015). Mindfulness-based stress reduction for posttraumatic stress disorder among veterans: a randomized clinical trial. JAMA, 314, 456–465. doi: https://doi.org/10.1001/jama.2015.8361. Polusny, M.A., Erbes, C.R., Thuras, P., Moran, A., Lamberty, G.J., Collins, R.C … Lim, K.O. (2015). Mindfulness-based stress reduction for posttraumatic stress disorder among veterans: a randomized clinical trial. JAMA, 314, 456–465. doi: https://​doi.​org/​10.​1001/​jama.​2015.​8361.
go back to reference Price, C. J., Wells, E. A., Donovan, D. M., & Brooks, M. (2012). Implementation and acceptability of mindful awareness in body-oriented therapy in women’s substance use disorder treatment. The Journal of Alternative and Complementary Medicine, 18, 4540462. https://doi.org/10.1089/acm.2011.0126. Price, C. J., Wells, E. A., Donovan, D. M., & Brooks, M. (2012). Implementation and acceptability of mindful awareness in body-oriented therapy in women’s substance use disorder treatment. The Journal of Alternative and Complementary Medicine, 18, 4540462. https://​doi.​org/​10.​1089/​acm.​2011.​0126.
go back to reference Resick, P. A., Monson, C. M., & Chard, K. M. (2008). Cognitive processing therapy: Veteran/ military version. Washington, DC: United States Department of Veterans Affairs. Resick, P. A., Monson, C. M., & Chard, K. M. (2008). Cognitive processing therapy: Veteran/ military version. Washington, DC: United States Department of Veterans Affairs.
go back to reference Schnurr, P., Friedman, M., Foy, D., Shea, T., Hsieh, F., Lavori, P … Bernardy, N. (2003). A randomized trial of trauma-focused group therapy for posttraumatic stress disorder. Archives of General Psychiatry, 60, 481–489. Schnurr, P., Friedman, M., Foy, D., Shea, T., Hsieh, F., Lavori, P … Bernardy, N. (2003). A randomized trial of trauma-focused group therapy for posttraumatic stress disorder. Archives of General Psychiatry, 60, 481–489.
go back to reference Thompson, B. L., & Waltz, J. (2010). Mindfulness and experiential avoidance as predictors of posttraumatic stress disorder avoidance symptom severity. Journal of Anxiety Disorders, 24, 409–415.CrossRefPubMed Thompson, B. L., & Waltz, J. (2010). Mindfulness and experiential avoidance as predictors of posttraumatic stress disorder avoidance symptom severity. Journal of Anxiety Disorders, 24, 409–415.CrossRefPubMed
go back to reference Vujanovic, A. A., Niles, B. L., & Abrams, J. L. (2016). Mindfulness and meditation in the conceptualization and treatment of posttraumatic stress disorder. In E. Shonin, W. Van Gorden, & M. Griffiths (Eds.), Mindfulness and Buddhist-derived approaches in mental health and addictions (pp. 225–246). New York: Spring Press. https://doi.org/10.1007/978-3-319-22255-4_11. Vujanovic, A. A., Niles, B. L., & Abrams, J. L. (2016). Mindfulness and meditation in the conceptualization and treatment of posttraumatic stress disorder. In E. Shonin, W. Van Gorden, & M. Griffiths (Eds.), Mindfulness and Buddhist-derived approaches in mental health and addictions (pp. 225–246). New York: Spring Press. https://​doi.​org/​10.​1007/​978-3-319-22255-4_​11.
go back to reference Vujanovic, A. A., Niles, B., Pietrefesa, A., Schmertz, S. K., & Potter, C. M. (2011). Mindfulness in the treatment of posttraumatic stress disorder among military veterans. Professional Psychology: Research and Practice, 42, 24–31. https://doi.org/10.1037/a0022272.CrossRef Vujanovic, A. A., Niles, B., Pietrefesa, A., Schmertz, S. K., & Potter, C. M. (2011). Mindfulness in the treatment of posttraumatic stress disorder among military veterans. Professional Psychology: Research and Practice, 42, 24–31. https://​doi.​org/​10.​1037/​a0022272.CrossRef
go back to reference Vujanovic, A. A., Youngwirth, N. E., Johnson, K. A., & Zvolensky, M. J. (2009). Mindfulness-based acceptance and posttraumatic stress symptoms among trauma-exposed adults without axis I psychopathology. Journal of Anxiety Disorders, 23(2), 297–303.CrossRefPubMed Vujanovic, A. A., Youngwirth, N. E., Johnson, K. A., & Zvolensky, M. J. (2009). Mindfulness-based acceptance and posttraumatic stress symptoms among trauma-exposed adults without axis I psychopathology. Journal of Anxiety Disorders, 23(2), 297–303.CrossRefPubMed
go back to reference Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013). The PTSD checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov. Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013). The PTSD checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.​ptsd.​va.​gov.
Metagegevens
Titel
Associations between Mindfulness Facets and PTSD Symptom Severity in Psychiatric Inpatients
Auteurs
Colleen E. Martin
Brooke A. Bartlett
Madhavi K. Reddy
Adam Gonzalez
Anka A. Vujanovic
Publicatiedatum
24-02-2018
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 5/2018
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-018-0904-5

Andere artikelen Uitgave 5/2018

Mindfulness 5/2018 Naar de uitgave