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Little is known about the factors associated with engagement in mindfulness-based interventions (MBIs). Moreover, engagement in MBIs is usually defined in terms of class attendance (‘physical engagement’) only. However, in the psychotherapy literature, there is increasing emphasis on measuring participants’ involvement with interventions (‘psychological engagement’). This study tests a model that rumination and worry act as barriers to physical and psychological engagement in MBIs and that this in turn impedes learning mindfulness. One hundred and twenty-four participants were given access to a 2-week online mindfulness-based self-help (MBSH) intervention. Self-report measures of mindfulness, rumination, worry, positive beliefs about rumination, positive beliefs about worry and physical and psychological engagement were administered. A path analysis was used to test the linear relationships between the variables. Physical and psychological engagement were identified as two distinct constructs. Findings were that rumination and worry both predicted psychological disengagement in MBSH. Psychological engagement predicted change in the describe, act with awareness, non-judge and non-react facets of mindfulness while physical engagement only predicted changes in the non-react facet of mindfulness. Thus, rumination and worry may increase risk of psychological disengagement from MBSH which may in turn hinder cultivating mindfulness. Future suggestions for practice are discussed.
Arbuckle, J. L. (2006). AMOS (version 7.0) [computer software]. Chicago: SPSS.
Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143. https://doi.org/10.1093/clipsy/bpg015.
Bishop, S. R. (2002). What do we really know about mindfulness-based stress reduction? Psychosomatic Medicine, 64(1), 71–83. https://doi.org/10.1097/00006842-200201000-00010. CrossRefPubMed
Bohlmeijer, E., Peter, M., Fledderus, M., Veehof, M., & Baer, R. (2011). Psychometric properties of the five facet mindfulness questionnaire in depressed adults and development of a short form. Assessment. https://doi.org/10.1177/1073191111408231.
Borkovec, T. D., Robinson, E., Pruzinsky, T., & DePree, J. A. (1983). Preliminary exploration of worry: some characteristics and processes. Behaviour Research and Therapy, 21(1), 9–16. https://doi.org/10.1016/0005-7967(83)90121-3.
Byrne, B. M. (2010). Structured equation modeling with AMOS. Basic concepts, applications, and programming (2nd ed.). New York: Taylor and Francis.
Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31(1), 23–33. https://doi.org/10.1007/s10865-007-9130-7. CrossRefPubMed
Cavanagh, K., & Millings, A. (2013). (Inter)personal computing: the role of the therapeutic relationship in E-mental health. Journal of Contemporary Psychotherapy, 43, 197–206. CrossRef
Cavanagh, K., Strauss, C., Cicconi, F., Griffiths, N., Wyper, A., & Jones, F. (2013). A randomised controlled trial of a brief online mindfulness-based intervention. Behaviour Research and Therapy, 51(9), 573–578. https://doi.org/10.1016/j.brat.2013.06.003. CrossRefPubMed
Cavanagh, K., Strauss, C., Forder, L., & Jones, F. (2014). Can mindfulness and acceptance be learnt by self-help?: a systematic review and meta-analysis of mindfulness and acceptance-based self-help interventions. Clinical Psychology Review, 34(2), 118–129. https://doi.org/10.1016/j.cpr.2014.01.001. CrossRefPubMed
Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: an integrative review. Clinical Psychology Review, 29(6), 560–572. https://doi.org/10.1016/j.cpr.2009.06.005. CrossRefPubMed
Crane, C., Crane, R. S., Eames, C., Fennell, M. J., Silverton, S., Williams, J. M. G., & Barnhofer, T. (2014). The effects of amount of home meditation practice in Mindfulness Based Cognitive Therapy on hazard of relapse to depression in the Staying Well after Depression Trial. Behaviour Research and Therapy, 63, 17–24. https://doi.org/10.1016/j.brat.2014.08.015. CrossRefPubMedPubMedCentral
Dimidjian, S., Beck, A., Felder, J. N., Boggs, J. M., Gallop, R., & Segal, Z. V. (2014). Web-based mindfulness-based cognitive therapy for reducing residual depressive symptoms: an open trial and quasi-experimental comparison to propensity score matched controls. Behaviour Research and Therapy, 63, 83–89. https://doi.org/10.1016/j.brat.2014.09.004. CrossRefPubMedPubMedCentral
Gawęda, Ł., & Kokoszka, A. (2014). Meta-cognitive beliefs as a mediator for the relationship between Cloninger’s temperament and character dimensions and depressive and anxiety symptoms among healthy subjects. Comprehensive Psychiatry, 55(4), 1029–1037. https://doi.org/10.1016/j.comppsych.2013.10.013. CrossRefPubMed
George, W., Joe, D., Simpson, D., & Broome, K. M. (1998). Effects of readiness for drug abuse treatment on client retention and assessment of process. Addiction, 93, 1177–1190. https://doi.org/10.1046/j.1360-0443.1998.93811776. CrossRef
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. CrossRefPubMed
Gu, J., Strauss, C., Crane, C., Barnhofer, T., Karl, A., Cavanagh, K., & Kuyken, W. (2016). Examining the factor structure of the 39-item and 15-item versions of the Five Facet Mindfulness Questionnaire before and after mindfulness-based cognitive therapy for people with recurrent depression. Psychological Assessment, 28(7), 791. https://doi.org/10.1037/pas0000263. CrossRefPubMedPubMedCentral
Hawley, L. L., Schwartz, D., Bieling, P. J., Irving, J., Corcoran, K., Farb, N. A., Anderson, A. K., & Segal, Z. V. (2014). Mindfulness practice, rumination and clinical outcome in mindfulness-based treatment. Cognitive Therapy and Research, 38(1), 1–9. https://doi.org/10.1007/s10608-013-9586-4. CrossRef
Holdsworth, E., Bowen, E., Brown, S., & Howat, D. (2014). Client engagement in psychotherapeutic treatment and associations with client characteristics, therapist characteristics, and treatment factors. Clinical Psychology Review, 34(5), 428–450. https://doi.org/10.1016/j.cpr.2014.06.004. CrossRefPubMed
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.
Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: a review of empirical studies. Clinical Psychology Review, 31(6), 1041–1056. https://doi.org/10.1016/j.cpr.2011.04.006. CrossRefPubMedPubMedCentral
Kertz, S. J., Koran, J., Stevens, K. T., & Björgvinsson, T. (2015). Repetitive negative thinking predicts depression and anxiety symptom improvement during brief cognitive behavioral therapy. Behaviour Research and Therapy, 68, 54–63. https://doi.org/10.1016/j.brat.2015.03.006. 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. https://doi.org/10.1016/j.cpr.2013.05.005. CrossRefPubMed
Kline, R. B. (2005). Principles and practice of structural equation modelling (2nd ed.). New York: Guilford Press.
Kressel, D., De Leon, G., Palij, M., & Rubin, G. (2000). Measuring client clinical progress in therapeutic community treatment: the therapeutic community client assessment inventory, client assessment summary, and staff assessment summary. Journal of Substance Abuse Treatment, 19(3), 267–272. https://doi.org/10.1016/S0740-5472(00)00108-2. CrossRefPubMed
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, K., Williams, M., Byford, S., Byng, R., & Dalgleish, T. (2016). Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse. JAMA Psychiatry 73, 565. https://doi.org/10.1001/jamapsychiatry.2016.0076.
Lomas, T., Cartwright, T., Edginton, T., & Ridge, D. (2014). A qualitative analysis of experiential challenges associated with meditation practice. Mindfulness, 6, 1–13. https://doi.org/10.1007/s12671-014-0329-8.
Muris, P., Roelofs, J., Rassin, E., Franken, I., & Mayer, B. (2005). Mediating effects of rumination and worry on the links between neuroticism, anxiety and depression. Personality and Individual Differences, 39(6), 1105–1111. https://doi.org/10.1016/j.paid.2005.04.005. CrossRef
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. Journal of Personality and Social Psychology, 61(1), 115. https://doi.org/10.1037/0022-35126.96.36.199. CrossRefPubMed
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400–424. https://doi.org/10.1111/j.1745-6924.2008.00088. CrossRefPubMed
Oei, T. P., & Kazmierczak, T. (1997). Factors associated with dropout in a group cognitive behaviour therapy for mood disorders. Behaviour Research and Therapy, 35(11), 1025–1030. https://doi.org/10.1016/S0005-7967(97)00060-0. CrossRefPubMed
Papageorgiou, C., & Wells, A. (2001). Positive beliefs about depressive rumination: development and preliminary validation of a self-report scale. Behavior Therapy, 32(1), 13–26. https://doi.org/10.1016/S0005-7894(01)80041-1. CrossRef
Papageorgiou, C., & Wells, A. (2004). Depressive rumination. Nature, Theory and Treatment. https://doi.org/10.1002/9780470713853.
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(7), 338–343. https://doi.org/10.1016/j.brat.2013.03.006. CrossRefPubMed
Piet, J., & Hougaard, E. (2011). The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clinical Psychology Review, 31(6), 1032–1040. https://doi.org/10.1016/j.cpr.2011.05.002. CrossRefPubMed
Simpson, D. D., & Joe, G. W. (2004). A longitudinal evaluation of treatment engagement and recovery stages. Journal of Substance Abuse Treatment, 27(2), 89–97. https://doi.org/10.1016/j.jsat.2004.03.001. CrossRefPubMed
Strauss, C., Cavanagh, K., Oliver, A., & Pettman, D. (2014). Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: a meta-analysis of randomised controlled trials. PLoS One, 9(4), e96110. https://doi.org/10.1371/journal.pone.0096110. CrossRefPubMedPubMedCentral
Taylor, B. L., Strauss, C., Cavanagh, K., & Jones, F. (2014). The effectiveness of self-help mindfulness-based cognitive therapy in a student sample: a randomised controlled trial. Behaviour Research and Therapy, 63, 63–69. https://doi.org/10.1016/j.brat.2014.09.007. CrossRef
Teasdale, J. D. (1999). Metacognition, mindfulness and the modification of mood disorders. Clinical Psychology & Psychotherapy, 6(2), 146–155. https://doi.org/10.1002/(SICI)1099-0879(199905)6:2<146::AID-CPP%3E195>3.0.CO;2-E.
Watkins, E. R. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134(2), 163. https://doi.org/10.1037/0033-2909.134.2.163. CrossRefPubMedPubMedCentral
Watkins, E., & Baracaia, S. (2001). Why do people ruminate in dysphoric moods? Personality and Individual Differences, 30(5), 723–734. https://doi.org/10.1016/S0191-8869(00)00053-2. CrossRef
Wells, A., & Cartwright-Hatton, S. (2004). A short form of the metacognitions questionnaire: properties of the MCQ-30. Behaviour Research and Therapy, 42(4), 385–396. https://doi.org/10.1016/S0005-7967(03)00147-5. CrossRefPubMed
Wells, A., & Matthews, G. (1996). Modelling cognition in emotional disorder: the S-REF model. Behaviour Research and Therapy, 34(11), 881–888. https://doi.org/10.1016/S0005-7967(96)00050-2. CrossRefPubMed
Zemore, S. E., & Ajzen, I. (2014). Predicting substance abuse treatment completion using a new scale based on the theory of planned behavior. Journal of Substance Abuse Treatment, 46(2), 174–182. https://doi.org/10.1016/j.jsat.2013.06.011. CrossRefPubMed
- Barriers to Mindfulness: a Path Analytic Model Exploring the Role of Rumination and Worry in Predicting Psychological and Physical Engagement in an Online Mindfulness-Based Intervention
- Springer US