Swipe om te navigeren naar een ander artikel
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.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C: American Psychiatric Association. CrossRef
Armour, C., Tsai, J., Durham, T.A., Charak, R., Beign, T.L., Elhai, J.D … Pietrzak, R.H. (2015). Dimensional structure of DSM-5 posttraumatic stress symptoms: support for a hybrid anhedonia and externalizing behaviors model. Journal of Psychiatric Research, 61, 106–113. doi: https://doi.org/10.1016/j.jpsychires.2014.10.012.
Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report. Assessment, 11, 191–206. https://doi.org/10.1177/1073191104268029.
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.
Barton, B. J., Cumella, E. J., & Sanathara, V. A. (2006). Psychiatric comorbidities of female inpatients with eating disorders. Psychosomatic Medicine, 68, 454–462. https://doi.org/10.1097/01.psy.0000221254.77675.f5. 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
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.
Boden, M. T., Bernstein, A., Walser, R. D., Bui, L., Alvarez, J., & Bonn-Miller, M. O. (2012). Changes in facets of mindfulness and posttraumatic stress disorder treatment outcome. Psychiatry Research, 200, 609–613. https://doi.org/10.1016/j.psychres.2012.07.011. 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
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.
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
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
Dahm, K. A., Meyer, E. C., Neff, K. D., Kimbrel, N. A., Gulliver, S. B., & Morissette, S. B. (2015). Mindfulness, self-compassion, posttraumatic stress disorder symptoms, and functional disability in U.S. Iraq and Afghanistan war veterans. Journal of Traumatic Stress, 28, 460–464. https://doi.org/10.1002/jts.22045. CrossRefPubMedPubMedCentral
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
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.
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
Garland, E., Roberts-Lewis, A., Tronnier, C. D., Graves, R., & Kelley, K. (2016). Mindfulness-oriented recovery enhancement versus CBT for cooccurring substance dependence, traumatic stress, and psychiatric disorders: proximal outcomes from a pragmatic randomized trial. Behaviour Research and Therapy, 77, 7–16. https://doi.org/10.1016/j.brat.2015.11.012. CrossRefPubMed
Gonzalez, A., Locicero, B., Mahaffey, B., Fleming, C., Harris, J., & Vujanovic, A. (2016). Internalized HIV stigma and mindfulness: associations with PTSD symptom severity in trauma-exposed adults with HIV/AIDS. Behavior Modification, 40, 144–163. https://doi.org/10.1177/0145445515615354. CrossRefPubMed
Grubaugh, A.L., Zinow, H.M., Paul, S., Egede, L.E., & Frueh, C. (2011). Trauma exposure and posttraumatic stress disorder in adults with severe mental illness. Clinical Psychology Review, 31, 883–399. doi: https://doi.org/10.1016/j.cpr.2011.04.003.
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
Howgego, I. M., Owen, C., Meldrum, L., Yellowlees, P., Dark, F., & Parslow, R. (2005). Posttraumatic stress disorder: An exploratory study examining rates of trauma and PTSD and its effect on client outcomes in community mental health. BMC Psychiatry, 5, 21. https://doi.org/10.1186/1471-244X-5-21. CrossRefPubMedPubMedCentral
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
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
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.
Landrum, S. S. (2016). Enhancing recovery from trauma: facilitating a mindfulness skills group on a Department of Veterans Affairs inpatient PTSD unit. Social Work with Groups, 39, 35–47. https://doi.org/10.1080/01609513.2014.999203. CrossRef
Lang, A. J. (2017). Mindfulness in PTSD treatment. Current Opinion in Psychology, 14, 40–43. https://doi.org/10.1016/j.copsyc.2016.10.005. CrossRefPubMed
Lee, J., Lee, S. W., Choi, K., Chung, U., & Jeong, B. (2015). Differential mediating effects of PTSD symptom clusters on alcohol use and sleep in university students with trauma experiences: a multi-group analysis. Personality and Individual Differences, 85, 1–6. https://doi.org/10.1016/j.paid.2015.04.035. CrossRef
Maheux, A., & Price, M. (2015). Investigation of the relation between PTSD symptoms and self-compassion: comparison across DSM IV and DSM 5 PTSD symptom clusters. Self and Identity, 14, 627–637. https://doi.org/10.1080/15298868.2015.1037791. CrossRef
Martin, C. E., Vujanovic, A. A., & Day, S. X. (2017). Posttraumatic stress disorder symptom severity and emotion regulation in acute-care psychiatric inpatients: associations with suicidality. Journal of Aggression, Maltreatment, & Trauma, 26, 1024–1041. https://doi.org/10.1080/10926771.2017.1341443. CrossRef
Mauritz, M. W., Goossens, P. J. J., Draijer, N., & van Achterberg, T. (2013). Prevalence of interpersonal trauma exposure and trauma-related disorders in severe mental illness. Psycho-Traumatology, 4, 185–199. https://doi.org/10.3402/ejpt.v4i0.19985.
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., Goodman, L.B., Trumbetta, S.L., Rosenberg, S.D., Osher, F.C., Vidaver, R … Foy, D.W. (1998). Trauma and posttraumatic stress disorder in severe mental illness. Journal of Consulting and Clinical Psychology, 66, 493–499. doi: https://doi.org/10.1037/0022006X.66.3.493.
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
Perich, T., Manicavasagar, V., Mitchell, P. B., & Ball, J. R. (2013). The association between meditation practice and treatment outcome in mindfulness-based cognitive therapy for bipolar disorder. Behaviour Research and Therapy, 51, 338–343. https://doi.org/10.1016/j.brat.2013.03.006. CrossRefPubMed
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.
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.
Resick, P. A., Monson, C. M., & Chard, K. M. (2008). Cognitive processing therapy: Veteran/ military version. Washington, DC: United States Department of Veterans Affairs.
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.
Stephenson, K. R., Simpson, T. L., Martinez, M. E., & Kearney, D. J. (2017). Changes in mindfulness and posttraumatic stress disorder symptoms among veterans enrolled in mindfulness-based stress reduction. Journal of Clinical Psychology, 73, 201–217. https://doi.org/10.1002/jclp.22323. CrossRefPubMed
Tombaugh, T. N., & McIntyre, N. J. (1992). The mini-mental state examination: a comprehensive review. Journal of the American Geriatrics Society, 40, 922–935. https://doi.org/10.1111/j.1532-5415.1992.tb01992.x. CrossRefPubMed
Vujanovic, A. A., Bakhshaie, J., Martin, C., Reddy, M. K., & Anestis, M. D. (2017a). Posttraumatic stress and distress tolerance: Associations with suicidality in acute-care psychiatric inpatients. Journal of Nervous and Mental Disease, 205, 531–541. https://doi.org/10.1097/NMD.0000000000000690.
Vujanovic, A. A., Dutcher, C. D., & Berenz, E. C. (2017b). Multimodal examination of distress tolerance and posttraumatic stress disorder symptoms in acute-care psychiatric inpatients. Journal of Anxiety Disorders, 48, 45–53. https://doi.org/10.1016/j.janxdis.2016.08.005. CrossRefPubMed
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.
Walsh, E., Moran, P., Scott, C., McKenzie, K., Burns, T., Creed, F., Tyrer, P., Murray, R. M., Fahy, T., & UK700 Group. (2003). Prevalence of violent victimization in severe mental illness. British Journal of Psychiatry, 183, 233–238. https://doi.org/10.1192/bjp.183.3.233.
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.
Weiss, N. H., Tull, M. T., Borne, M. E. R., & Gratz, K. L. (2013). Posttraumatic stress disorder symptom severity and HIV-risk behaviors among substance-dependent inpatients. AIDS Care, 25, 1219–1226. https://doi.org/10.1080/09540121.2013.764381. CrossRefPubMed
- Associations between Mindfulness Facets and PTSD Symptom Severity in Psychiatric Inpatients
Colleen E. Martin
Brooke A. Bartlett
Madhavi K. Reddy
Anka A. Vujanovic
- Springer US