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20-05-2024 | ORIGINAL PAPER

Changes in Dispositional Mindfulness Predict Veterans’ Symptom Severity After an Intensive Cognitive Processing Therapy Program with Mindfulness Components

Auteurs: Daniel R. Szoke, Jonathan Murphy, Dale L. Smith, Philip Held

Gepubliceerd in: Mindfulness | Uitgave 6/2024

Abstract

Objectives

This study assessed the long-term association between cultivated mindfulness and post-traumatic stress disorder (PTSD) symptom improvement following a 3-week intensive treatment program (ITP) for veterans. The aim was to determine whether changes in self-reported dispositional mindfulness were related to reduced self-reported PTSD and depression symptom severity, 6 months after participating in the ITP.

Method

The sample comprised 288 veterans, 144 of whom completed follow-up surveys. The ITP integrated Cognitive Processing Therapy with mindfulness and yoga practices modeled off Mindfulness-Based Stress Reduction, delivered daily over the course of 3 weeks. Participants completed self-report measures at baseline, post-treatment, and 6-month follow-up. Linear mixed-effects regression models were employed to analyze the link between dispositional mindfulness changes and symptom severity.

Results

Significant reductions in PTSD and depression symptoms occurred from baseline to the 6-month follow-up (effect sizes Cohen’s d = 1.02 and 0.70, respectively). Dispositional mindfulness scores increased during treatment and were maintained at the at 6-month follow-up (effect size d = 0.36). Increased dispositional mindfulness was significantly related to lower PTSD and depression symptom severity. Changes in all four facets of dispositional mindfulness examined, especially Acting with Awareness and Non-judgement, were associated with 6-month follow-up PTSD severity, and all but Describe were associated with 6-month follow-up depression severity.

Conclusions

This study provided evidence of the long-term association between self-reported mindfulness, cultivated in an ITP, and reduced PTSD and depression symptoms. Dispositional mindfulness was associated with enduring relief from trauma-related symptoms, emphasizing its potential role in sustaining treatment outcomes. This study highlights the potential of mindfulness practices in ITPs for veterans diagnosed with PTSD.

Preregistration

This study is not preregistered.

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Titel: Changes in Dispositional Mindfulness Predict Veterans’ Symptom Severity After an Intensive Cognitive Processing Therapy Program with Mindfulness Components
Auteurs: Daniel R. Szoke
Jonathan Murphy
Dale L. Smith
Philip Held
Publicatiedatum: 20-05-2024
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 6/2024
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-024-02377-8

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Abstract

Objectives

Method

Results

Conclusions

Preregistration

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