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18-06-2021 | ORIGINAL PAPER

Exploring the Effects of Interrelated Goals, Anxiety, and Mindfulness on Somatic Symptoms

Auteurs: Liesel Christoe-Frazier, Brian D. Johnson

Gepubliceerd in: Mindfulness | Uitgave 8/2021

Abstract

Objectives

Research has linked goal setting to improved well-being. Underlying mechanisms for how this works are not well understood. Prior research has explored the impact of interrelated goals (facilitation and conflict), client variables (anxiety and somatic symptoms), and anxiety-reducing procedures (meditation). The aim of this study was to use Reinforcement Sensitivity Theory to explore the relation between goal conflict, goal facilitation, anxiety, and mindfulness on somatic symptoms.

Methods

Undergraduate college students (n=454) completed self-report measures assessing interrelated goals, generalized anxiety, mindfulness, and somatic symptoms.

Results

Structural equation modeling (SEM) tested our primary hypothesized model that anxiety would mediate interrelated goals and somatic symptoms. While the model demonstrated acceptable fit (CFI = .946, RMSEA = .066, SRMR = .050), and full mediation for goal conflict and somatic symptoms was found, goal facilitation did not. An alternative model removed goal facilitation, and found an even better fit (CFI = .954, RMSEA = .067, SRMR = .046). Mindfulness was conceptualized as an exogenous variable and SEM tested the relationship between goal conflict, anxiety, and somatic symptoms. This model fit the data well (CFI = .940, RMSEA = .062, SRMR = .053). While mindfulness significantly predicted goal conflict, and goal conflict predicted anxiety, the indirect effect between mindfulness and anxiety was not significant.

Conclusions

Setting goals is a complex process; goal conflict was associated with increased levels of anxiety and somatic symptoms. Those who endorse mindful practices were less affected by goal conflict.

vorige artikel Compassion-Based Meditation Quality Practice and Its Impact on the Positive Attitudes Toward Others

volgende artikel Examining the Relationship Between Trait Rumination and Mindfulness Across Development and Risk Status

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Meer informatie

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(1), 27–45. https://doi.org/10.1177/1073191105283504. CrossRefPubMed

Bagozzi, R., & Yi, Y. (1993). Multitrait-multimethod matrices in consumer research: Critique and new developments. Journal of Consumer Psychology, 2(2), 143–170 http://www.jstor.org/stable/1480648. CrossRef

Bajaj, B., Robins, R., & Pande, N. (2016). Mediating role of self-esteem on the relationship between mindfulness, anxiety, and depression. Personality and Individual Differences, 96, 127–131. https://doi.org/10.1016/j.paid.2016.02.085. CrossRef

Baron, R., & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical consideration. Journal of Personality and Social Psychology, 51, 1173–1182. CrossRef

Becerra-Garcia, J., & Robles Jurado, M. (2014). Behavioral approach system activity and self-reported somatic symptoms in fibromyalgia: An exploratory study. International Journal of Rheumatic Diseases, 17(1), 89–92. https://doi.org/10.1111/1756-185X.12034. CrossRefPubMed

Bentler, P., & Wu, E. (2002). EQS 6.0 for windows user guide. [Computer software] Multivariate Software.

Bijttebier, P., Beck, I., Claes, L., & Vandereycken, W. (2009). Gray’s Reinforcement Sensitivity Theory as a framework for research on personality-psychopathology associations. Clinical Psychology Review, 29, 421–430. https://doi.org/10.1016/j.cpr.2009.04.002. CrossRefPubMed

Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. https://doi.org/10.1093/clipsy.bph077. CrossRef

Boudreaux, M. J., & Ozer, D. J. (2013). Goal conflict, goal striving, and psychological well-being. Motivation and Emotion, 37, 433–443. https://doi.org/10.1007/s11031-012-9333-2. CrossRef

Byrne, B. M. (1998). Structural equation modeling with LISREL, P RELIS, and SIMPLIS: Basic concepts, applications, and programming. Lawrence Erlbaum.

Byrne, B. M. (2008). Structural equation modeling with EQS. Psychology Press.

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

Carver, C., & White, T. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS scales. Journal of Personality and Social Psychology, 67(2), 319–333. https://doi.org/10.1037/0022-3514.67.2.319. CrossRef

Chen, Y., Yang, X., Wang, L., & Zhang, X. (2013). A randomized controlled trial of the effects of brief mindfulness meditation on anxiety symptoms and systolic blood pressure in Chinese nursing students. Nurse Education Today, 33(10), 1166–1172. https://doi.org/10.1016/j.nedt.2012.11.014. CrossRefPubMed

Cheon, S. (2013). Differential effectiveness of sitting meditation program and movement meditation program in reducing college students’ cognitive and somatic trait anxiety. Doctoral dissertation, Syracuse University. https://surface.syr.edu/idde_etd/60.

Comrey, A., & Lee, H. (1992). A first course in factor analysis. Lawrence Erlbaum.

Cosme, D., & Wiens, S. (2015). Self-reported trait mindfulness and affective reactivity: A motivational approach using multiple psychophysiological measures. PLoS One, 10(3), e0119466. https://doi.org/10.1371/journal.pone.0119466. CrossRefPubMedPubMedCentral

Crane, C., Winder, R., Hargus, E., Amarasinghe, M., & Barnhofer, T. (2012). Effects of mindfulness-based cognitive therapy on specificity of life goals. Cognitive Therapy and Research, 36(3), 182–189. https://doi.org/10.1007/s10608-010-9349-4. CrossRefPubMed

Davis, M. C., Zautra, A., Wolf, L. D., Tennen, H., & Young, E. (2015). Mindfulness and cognitive-behavioral interventions for chronic pain: Differential effects on daily pain reactivity and stress reactivity. Journal of Consulting and Clinical Psychology, 83(1), 24–35. https://doi.org/10.1037/a0038200. CrossRefPubMed

Delle Fave, A., Brdar, I., Wissing, M. P., & Vella-Brodrick, D. A. (2013). Sources and motives for personal meaning in adulthood. The Journal of Positive Psychology, 8(6), 517–529. https://doi.org/10.1080/17439760.2013.830761. CrossRef

Dickson, J. M., & Moberly, N. J. (2010). Depression, anxiety, and reduced facilitation in adolescents’ personal goal systems. Cognitive Therapy and Research, 34(4), 576–581. https://doi.org/10.1007/s10608-010-9307-1. CrossRef

Dobrow, M. J., Orchard, M. C., Golden, B., Holowaty, E., Paszat, L., Brown, A. D., & Sullivan, T. (2008). Response audit of an Internet survey of health care providers and administrators: Implications for determination of response rates. Journal of Medical Internet Research, 10(4), e30. https://doi.org/10.2196/jmir.1090. CrossRefPubMedPubMedCentral

Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J. (2007). Mindfulness and emotion regulation: The development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29(3), 177–190. https://doi.org/10.1007/s10862-006-9035-8. CrossRef

Field, A. (2005). Discovering statistics using SPSS. Sage.

Freund, A. M., Knecht, M., & Wiese, B. S. (2014). Multidomain engagement and self-reported psychosomatic symptoms in middle-aged women and men. Gerontology, 60(3), 255–262. https://doi.org/10.1159/000358756. CrossRefPubMed

Gotink, R. A., Chu, P., Busschbach, J. J. V., Benson, H., Fricchione, G. L., & Hunink, M. G. M. (2015). Standardised mindfulness-based interventions in healthcare: An overview of systematic reviews and meta-analyses of RCTs. PLoS One, 10(4), e0124344. https://doi.org/10.1371/journal.pone.0124344. CrossRefPubMedPubMedCentral

Gray, J. A. (1976). The behavioral inhibition system: A possible substrate for anxiety. In M. P. Feldman & A. M. Broadhurst (Eds.), pp. 3-41. Theoretical and Experimental Bases of Behavior Modification (pp. 3-41). Wiley.

Gray, J. A., & McNaughton, N. (1996). The neuropsychology of anxiety: Reprise. In D. A. Hope (Ed.), Current Theory and research in motivation, Vol. 43. Nebraska Symposium on Motivation, 1995; Perspective on anxiety panic and fear (pp. 61–134). University of Nebraska Press.

Gray, J. A., & McNaughton, N. (2000). The neuropsychology of anxiety: An enquiry into the functions of the septo-hippocampal system. Oxford University Press. https://doi.org/10.1093/acpof:oso/9780198522713.001.00001.

Gray, J., Ozer, D., & Rosenthal, R. (2017). Goal conflict and psychological well-being: A meta-analysis. Journal of Research in Personality, 66(1), 27–37. https://doi.org/10.1016/j.jrp.2016.12.003. CrossRef

Greeson, J. M., Toohey, M. J., & Pearce, M. J. (2015). An adapted, four week mind-body skills group for medical students: Reducing stress, increasing mindfulness, and enhancing self-care. EXPLORE, 11(3), 186–192. https://doi.org/10.1016/j.explore.2015.02.003. CrossRefPubMed

Grossman, P., & Van Dam, N. T. (2011). Mindfulness, by any other name…: Trials and tribulations of sati in western psychology and science. Contemporary Buddhism, 12(1), 219–239. https://doi.org/10.1080/14639947.2011.564841. CrossRef

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). Guilford Press.

Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55. https://doi.org/10.1080/10705519909540118. CrossRef

Jackson, D. L. (2003). Revisiting sample size and number of parameter estimates: Some support for the N:q hypothesis. Structural Equation Modeling, 10(1), 128–141. https://doi.org/10.1207/S15328007SEM1001_6. CrossRef

Keune, P., Bostanov, V., Hautzinger, M., & Kotchoubey, B. (2011). Mindfulness-based cognitive therapy (MBCT), cognitive style, and the temporal dynamics of frontal EEG alpha asymmetry in recurrently depressed patients. Biological Psychology, 88(2-3), 243–252. https://doi.org/10.1016/j.biopsycho.2011.08.008. CrossRefPubMed

Kline, R. B. (2011). Principles and practice of Structural Equation Modeling (3rd ed.). Guilford Press.

Kocalevent, R., Hinz, A., & Brahler, E. (2013). Standardization of a screening instrument (PHQ-15) for somatization syndromes in the general population. BMC Psychiatry, 13, 91–99. https://doi.org/10.1186/1471-244X-13-91. CrossRefPubMedPubMedCentral

Kroenke, K., Spitzer, R. L., deGruy, F. V., & Swindle, R. (1998). 15-item patient health questionnaire. Retrieved from PsycTests. https://doi.org/10.1037/t19590-000.

Kroenke, K., Spitzer, R. L., Williams, J. B., & Löwe, B. (2010). The patient health questionnaire somatic, anxiety, and depressive symptom scales: a systematic review. General Hospital Psychiatry, 32(4), 345–359. https://doi.org/10.1016/j.genhosppsych.2010.03.006. CrossRefPubMed

Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., Shapiro, S., Carmody, J., Abbey, S., & Devins, G. (2006). The toronto mindfulness scale: Development and validation. Journal of Clinical Psychology, 62(12), 1445–1467. https://doi.org/10.1002/jclp.20326. CrossRefPubMed

Little, T. D., Rhemtulla, M., Gibson, K., & Schoemann, A. M. (2013). Why the items versus parcels controversy needn’t be one. Multivariate Behavioral Research, 18(3), 285–300. https://doi.org/10.1037/a0033266. CrossRef

Löwe, B., Decker, O., Müller, S., Brähler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y. (2008). Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Medical Care, 46(3), 266–274. CrossRef

Mardia, K. V. (1970). Measures of multivariate skewness and kurtosis with applications. Biometrika, 57(3), 519–530. https://doi.org/10.2307/2334770. CrossRef

Markarian, S. A., Pickett, S. M., Deveson, D. F., & Kariona, B. B. (2013). A model of BIS/BAS sensitivity, emotion regulation difficulties, and depression, anxiety, and stress symptoms in relation to sleep quality. Psychiatry Research, 210(1), 281–286. https://doi.org/10.1016/j.psychres.2013.06.004. CrossRefPubMed

Matsunaga, M. (2008). Item parceling in structural equation modeling: A primer. Communication Methods and Measures, 2(4), 260–293. https://doi.org/10.1080/19312450802458935. CrossRef

Miller, W., & Rose, G. (2009). Toward a theory of motivational interviewing. American Psychologist, 64(6), 527–537. https://doi.org/10.1037/a0016830. CrossRef

Morris, L., Mansell, W., & McEvoy, P. (2016). The take control course: Conceptual rationale for the development of a transdiagnostic group for common mental health problems. Frontiers in Psychology, 7(99), 1–15. https://doi.org/10.3389/fpsyg.2016.00099. CrossRef

Mrazek, M. D., Franklin, M. S., Phillips, D. T., Baird, B., & Schooler, J. W. (2013). Mindfulness training improves working memory capacity and GRE performance while reducing mind wandering. Psychological Science, 24(5), 776–781. CrossRef

Muraven, M. (2017). Goal conflict in designing an autonomous artificial system. arXiv:1703.06354 [cs.AI]. aarxiv.org/abs/1703.06354.

Pickering, A., & Corr, P. (2008). J.A. Gray’s reinforcement sensitivity theory (RST) of personality. In G. Boyle, G. Matthews, & D. Saklofske (Eds.), The SAGE handbook of personality: Theory and assessment personality measurement and testing (pp. 239–255). Sage. https://doi.org/10.4135/9781849200462.n11.

Pielech, M., Vowles, K. E., & Wicksell, R. (2017). Acceptance and commitment therapy for pediatric chronic pain: Theory and application. Children (Basel), 4(2), 10. https://doi.org/10.3390/children4020010. CrossRef

Podsakoff, P. M., MacKenzie, S. B., Lee, J.-Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903. https://doi.org/10.1037/0021-9010.88.5.879. CrossRef

Qualtrics. (2015). Qualtrics, Version: October, 2015. Provo, UT: Available from: http://www.qualtrics.com

Riediger, M. (2001). On the dynamic relations among multiple goals: Intergoal conflict and intergoal facilitation in younger and older adulthood. Retrieved May 15, 2020, from http://webdoc.sub.gwdg.de/ebook/diss/2003/fu-berlin/2001/266/indexe.html.

Riediger, M., & Freund, A. M. (2004). Interference and facilitation among personal goals: Differential associations with subjective well-being and persistent goal pursuit. Personality and Social Psychology Bulletin, 30(12), 1511–1523. https://doi.org/10.1177/0146167204271184. CrossRefPubMed

Riediger, M., Freund, A. M., & Baltes, P. B. (2005). Managing life through personal goals: Intergoal facilitation and intensity of goal pursuit in younger and older adulthood. Journal of Gerontology: Psychological Sciences, 60(2), 84–91. https://doi.org/10.1093/geronb/60.2.p84. CrossRef

Sauer, S., Walach, H., & Kohls, N. (2011). Gray’s behavioural inhibition system as a mediator of mindfulness towards well-being. Personality and Individual Differences, 50(4), 506–511. https://doi.org/10.1016/j.paid.2010.11.019. CrossRef

Shih, T. H., & Fan, X. (2008). Comparing response rates from web and mail surveys: A meta-analysis. Field Methods, 20(3), 249–271. https://doi.org/10.1177/1525822X08317085. CrossRef

Spitzer, R. L., Kroenke, K., & Williams, J. B. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. JAMA, 282(18), 1737–1744. https://doi.org/10.1001/jama.282.18.1737. CrossRefPubMed

Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092. CrossRefPubMed

Stein, C. H., Hoffmann, E., Bonar, E. E., Leith, J. E., Abraham, K. M., Hamill, A. C., Kraus, S. W., Gumber, S., & Fogo, W. R. (2012). The United States economic crisis: Young adults’ reports of economic pressures, financial and religious coping and psychological well-being. Journal of Family and Economic Issues, 34, 200–210. https://doi.org/10.1007/s10834-012-9328-x. CrossRef

Tabachnick, B. G., & Fidell, L. S. (2012). Using multivariate statistics (6th ed.). Pearson.

van Ravesteijn, H. J., Suijkerbuijk, Y. B., Langbroek, J. A., Muskens, E., Lucassen, P. L., van Weel, C., Wester, F., & Speckers, A. (2014). Mindfulness-based cognitive therapy (MBCT) for patients with medically unexplained symptoms: Process of change. Journal of Psychosomatic Research, 77(1), 27–33. https://doi.org/10.1016/j.jpsychores.2014.04.01. CrossRefPubMed

Weston, R., & Gore, P. A. (2006). A brief guide to structural equation modeling. The Counseling Psychologist, 34(5), 719–751. https://doi.org/10.1177/0011000006286345. CrossRef

Titel: Exploring the Effects of Interrelated Goals, Anxiety, and Mindfulness on Somatic Symptoms
Auteurs: Liesel Christoe-Frazier
Brian D. Johnson
Publicatiedatum: 18-06-2021
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 8/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-021-01653-1

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