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Gepubliceerd in:

08-01-2021 | ORIGINAL PAPER

From Mindfulness to Personal Recovery: the Mediating Roles of Self-Warmth, Psychological Flexibility, and Valued Living

Auteurs: Winnie W. S. Mak, Floria H. N. Chio, Kathie S. C. Chong, Rita W. Law

Gepubliceerd in: Mindfulness | Uitgave 4/2021

Abstract

Objectives

The present study tested a model of mindfulness and its relationships with personal recovery of people with mental illness. It was hypothesized that mindfulness would be positively related to personal recovery through increased self-compassion, valued living, and reduced psychological inflexibility.

Method

One hundred and fifty-three people with mental illness completed questionnaires including measures of demographics, mindfulness, psychological inflexibility, self-compassion, valued living, and personal recovery.

Results

Results suggested that mindfulness is related to personal recovery through increased self-warmth (indirect effect = .04, SE_aXb = .02, CI: .00 to .09), valued living (indirect effect = .06, SE_aXb = .03, CI: .01 to .12), and reduced psychological inflexibility (indirect effect = .26, SE_aXb = .06, CI: .14 to .39).

Conclusions

These findings suggested that mindfulness may be a vital ingredient in promoting personal recovery and that it exerts effects on personal recovery through these specific recovery-conducive qualities among people with mental illness. Implications of this model of mindfulness were discussed.

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Anthony, W. A. (1993). Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16(4), 11–23.CrossRef

Anthony, W. A. (2000). A recovery-oriented service system: setting some system level standards. Psychiatric Rehabilitation Journal, 24(2), 159–168.CrossRef

Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., Walsh, E., Duggan, D., & Williams, G. (2008). Construct validity of the Five Facet Mindfulness Questionnaire in meditating and nonmeditating samples. Assessment, 15, 329–342.CrossRefPubMed

Birnie, K., Speca, M., & Carlson, L. E. (2010). Exploring self-compassion and empathy in the context of mindfulness-based stress reduction (MBSR). Stress and Health, 26, 359–371.CrossRef

Bishop, S., Lau, M., Shapiro, S., Carlson, L.,Anderson, N., 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.

Bond, F., Hayes, S., Baer, R., Carpenter, K., Orcutt, H., Guenole, N., … Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: a revised measure of psychological flexibility and experiential avoidance. Behavior Therapy, 42, 676–688.

Braehler, C., Gumley, A., Harper, J., Wallace, S., Norrie, J., & Gilbert, P. (2013). Exploring change processes in compassion focused therapy in psychosis: results of a feasibility randomized controlled trial. British Journal of Clinical Psychology, 52(2), 199–214.CrossRefPubMed

Brenner, R. E., Heath, P. J., Vogel, D. L., & Credé, M. (2017). Two is more valid than one: examining the factor structure of the Self-Compassion Scale (SCS). Journal of Counseling Psychology, 64(6), 696–707.PubMedCrossRef

Brenner, R. E., Vogel, D. L., Lannin, D. G., Engel, K. E., Seidman, A. J., & Heath, P. J. (2018). Do self-compassion and self-coldness distinctly relate to distress and well-being? A theoretical model of self-relating. Journal of Counseling Psychology, 65(3), 346–357.PubMedCrossRef

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

Carvalho, S. A., Xavier, A., Gillanders, D., Pinto-Gouveia, J., & Castilho, P. (2018). Rumination and valued living in women with chronic pain: how they relate to the link between mindfulness and depressive symptoms. Current Psychology, 1–9.

Chadwick, P., Taylor, K. N., & Abba, N. (2005). Mindfulness groups for people with psychosis. Behavioural and Cognitive Psychotherapy, 33(03), 351–359.CrossRef

Chan, K. K. S., & Mak, W. W. S. (2017). The content and process of self-stigma in people with mental illness. American Journal of Orthopsychiatry, 87(1), 34–43.CrossRefPubMed

Chan, K. K. S., Lee, C. W., & Mak, W. W. S. (2018a). Mindfulness model of stigma resistance among individuals with psychiatric disorders. Mindfulness, 9(5), 1433–1442.CrossRef

Chan, R. C., Mak, W. W., Chio, F. H., & Tong, A. C. (2018b). Flourishing with psychosis: a prospective examination on the interactions between clinical, functional, and personal recovery processes on well-being among individuals with schizophrenia spectrum disorders. Schizophrenia Bulletin, 44(4), 778–786.PubMedCrossRef

Chien, W. T., & Lee, I. Y. (2013). The mindfulness-based psychoeducation program for Chinese patients with schizophrenia. Psychiatric Services, 64(4), 376–379.PubMedCrossRef

Christie, A. M., Atkins, P. W., & Donald, J. N. (2017). The meaning and doing of mindfulness: the role of values in the link between mindfulness and well-being. Mindfulness, 8(2), 368–378.CrossRef

Corrigan, P. W., Watson, A. C., & Barr, L. (2006). The self–stigma of mental illness: implications for self–esteem and self–efficacy. Journal of Social and Clinical Psychology, 25(8), 875–884.CrossRef

Corrigan, P. W., Larson, J. E., & Ruesch, N. (2009). Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry, 8(2), 75–81.PubMedPubMedCentralCrossRef

Costa, J., Marôco, J., Pinto-Gouveia, J., Ferreira, C., & Castilho, P. (2016). Validation of the psychometric properties of the Self-Compassion Scale. Testing the factorial validity and factorial invariance of the measure among borderline personality disorder, anxiety disorder, eating disorder and general populations. Clinical Psychology & Psychotherapy, 23(5), 460–468.CrossRef

Dahl, J., Lundgren, T., Plumb, J., & Stewart, I. (2009). The art and science of valuing in psychotherapy: helping clients discover, explore, and commit to valued action using acceptance and commitment therapy. Oakland: New Harbinger Publications.

Davidson, L., Schmutte, T., Dinzeo, T., & Andres-Hyman, R. (2007). Remission and recovery in schizophrenia: practitioner and patient perspectives. Schizophrenia Bulletin, 34(1), 5–8.PubMedPubMedCentralCrossRef

Davis, L., & Kurzban, S. (2012). Mindfulness-based treatment for people with severe mental illness: a literature review. American Journal of Psychiatric Rehabilitation, 15(2), 202–232.CrossRef

Demarzo, M. M., Montero-Marin, J., Cuijpers, P., Zabaleta-del-Olmo, E., Mahtani, K. R., Vellinga, A., ... & García-Campayo, J. (2015). The efficacy of mindfulness-based interventions in primary care: a meta-analytic review. The Annals of Family Medicine, 13(6), 573-582.

Drapalski, A. L., Medoff, D., Unick, G. J., Velligan, D. I., Dixon, L. B., & Bellack, A. S. (2012). Assessing recovery of people with serious mental illness: development of a new scale. Psychiatric Services, 63, 48–53.PubMedCrossRef

Ecker, J., Cherner, R., Rae, J., & Czechowski, K. (2018). Sexual intimacy, mental illness, and homelessness. American Journal of Community Psychology, 61, 131–140.PubMedCrossRef

Gaudiano, B. A., Herbert, J. D., & Hayes, S. C. (2010). Is it the symptom or the relation to it? Investigating potential mediators of change in acceptance and commitment therapy for psychosis. Behavior Therapy, 41(4), 543–554.PubMedPubMedCentralCrossRef

Geiger, P. J., Boggero, I. A., Brake, C. A., Caldera, C. A., Combs, H. L., Peters, J. R., & Baer, R. A. (2016). Mindfulness-based interventions for older adults: a review of the effects on physical and emotional well-being. Mindfulness, 7(2), 296–307.PubMedCrossRef

Gilbert, P. (Ed.). (2005). Compassion: conceptualisations, research and use in psychotherapy. Routledge.

Hayes, S. C., Strosahl, K., & Wilson, K. (1999). Acceptance and commitment therapy: understanding and treating human suffering. Guilford Press.

Hayes, S. C., Luoma, J., Bond, F., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes, and outcomes. Behaviour Research and Therapy, 44, 1–25.PubMedCrossRef

Hayes, S. C., Levin, M. E., Plumb-Vilardaga, J., Villatte, J. L., & Pistorello, J. (2013). Acceptance and commitment therapy and contextual behavioral science: examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior Therapy, 44(2), 180–198.PubMedCrossRef

Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183.PubMedPubMedCentralCrossRef

Hou, J., Wong, S. Y. S., Lo, H. H. M., Mak, W. W. S., & Ma, H. S. W. (2014). Validation of a Chinese version of the Five Facet Mindfulness Questionnaire in Hong Kong and development of a short form. Assessment, 21(3), 363–371.PubMedCrossRef

Johnson, D. P., Penn, D. L., Fredrickson, B. L., Meyer, P. S., Kring, A. M., & Brantley, M. (2009). Loving-kindness meditation to enhance recovery from negative symptoms of schizophrenia. Journal of Clinical Psychology, 65(5), 499–509.PubMedCrossRef

Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte.

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.PubMedPubMedCentralCrossRef

Keng, S. L., Smoski, M. J., Robins, C. J., Ekblad, A. G., & Brantley, J. G. (2012). Mechanisms of change in mindfulness-based stress reduction: self-compassion and mindfulness as mediators of intervention outcomes. Journal of Cognitive Psychotherapy, 26(3), 270–280.CrossRef

Khoury, B., Lecomte, T., Gaudiano, B. A., & Paquin, K. (2013). Mindfulness interventions for psychosis: A meta-analysis. Schizophrenia Research, 150(1), 176–184.PubMedCrossRef

Laithwaite, H., O’Hanlon, M., Collins, P., Doyle, P., Abraham, L., Porter, S., & Gumley, A. (2009). Recovery after psychosis (RAP): a compassion focused programme for individuals residing in high security settings. Behavioural and Cognitive Psychotherapy, 37(5), 511–526.PubMedCrossRef

Li, A. C. M. (2014). The commitment and behavior change process of acceptance and commitment therapy as mental health promotion training for college students in Hong Kong. Unpublished undergraduate thesis. The Chinese University of Hong Kong.

López, A., Sanderman, R., Smink, A., Zhang, Y., van Sonderen, E., Ranchor, A., & Schroevers, M. J. (2015). A reconsideration of the Self-Compassion Scale’s total score: self-compassion versus self-criticism. PloS One, 10(7), e0132940.PubMedPubMedCentralCrossRef

López-Navarro, E., Del Canto, C., Belber, M., Mayol, A., Fernández-Alonso, O., Lluis, J., ... & Chadwick, P. (2015). Mindfulness improves psychological quality of life in community-based patients with severe mental health problems: a pilot randomized clinical trial. Schizophrenia Research, 168(1-2), 530-536.

Mak, W. W. S., & Cheung, R. Y. M. (2010). Self-stigma among concealable minorities in Hong Kong: conceptualization and unified measurement. American Journal of Orthopsychiatry, 80(2), 267–281.CrossRefPubMed

Michelson, S. E., Lee, J. K., Orsillo, S. M., & Roemer, L. (2011). The role of values-consistent behavior in generalized anxiety disorder. Depression and Anxiety, 28(5), 358–366.PubMedPubMedCentralCrossRef

Muris, P., & Petrocchi, N. (2017). Protection or vulnerability? A meta-analysis of the relations between the positive and negative components of self-compassion and psychopathology. Clinical Psychology & Psychotherapy, 24(2), 373–383.CrossRef

Neff, K. D. (2003). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–102.CrossRef

Neff, K. D., Rude, S. S., & Kirkpatrick, K. L. (2007) An examination of self-compassion in relation to positive psychological functioning and personality traits. Journal of Research in Personality, 41(4), 908–916.

Östman, M. (2014). Low satisfaction with sex life among people with severe mental illness living in a community. Psychiatry Research, 216, 340–345.PubMedCrossRef

Phillips, W. J., & Ferguson, S. J. (2013). Self-compassion: A resource for positive aging. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 68(4), 529–539.

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.PubMedCrossRef

Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self-compassion scale. Clinical Psychology & Psychotherapy, 18(3), 250–255.CrossRef

Schiff, A. C. (2004). Recovery and mental illness: analysis and personal reflections. Psychiatric Rehabilitation Journal, 27(3), 212–218.PubMedCrossRef

Shapiro, S., Astin, J., Bishop, S., & Cordova, M. (2005). Mindfulness-based stress reduction and health care professionals: results from a randomized controlled trial. International Journal of Stress Management, 12, 164–176.CrossRef

Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373–386.CrossRefPubMed

Tse, S., Cheung, E., Kan, A., Ng, R., & Yau, S. (2012). Recovery in Hong Kong: service user participation in mental health services. International Review of Psychiatry, 24(1), 40–47.PubMedCrossRef

Virgili, M. (2015). Mindfulness-based interventions reduce psychological distress in working adults: a meta-analysis of intervention studies. Mindfulness, 6(2), 326–337.CrossRef

Wilson, K. G., Sandoz, E. K., Kitchens, J., & Roberts, M. E. (2010). The Valued Living Questionnaire: defining and measuring valued action within a behavioral framework. The Psychological Record, 60, 249–272.CrossRef

Wong, I. W., & Mak, W. W. (2008). Sexuality among Chinese mental health consumers in halfway houses of Hong Kong. Psychiatric Services, 59(7), 803–807.PubMedCrossRef

Yang, X., & Mak, W. W. (2017). The differential moderating roles of self-compassion and mindfulness in self-stigma and well-being among people living with mental illness or HIV. Mindfulness, 8(3), 595–602.CrossRef

Yip, S. Y., Mak, W. W., Chio, F. H., & Law, R. W. (2017). The mediating role of self-compassion between mindfulness and compassion fatigue among therapists in Hong Kong. Mindfulness, 8(2), 460–470.CrossRef

Zhang, C. Q., Chung, P. K., Si, G., & Liu, J. D. (2014). Psychometric properties of the Acceptance and Action Questionnaire–II for Chinese college students and elite Chinese athletes. Measurement and Evaluation in Counseling and Development, 47(4), 256–270.CrossRef

Titel: From Mindfulness to Personal Recovery: the Mediating Roles of Self-Warmth, Psychological Flexibility, and Valued Living
Auteurs: Winnie W. S. Mak
Floria H. N. Chio
Kathie S. C. Chong
Rita W. Law
Publicatiedatum: 08-01-2021
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 4/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-020-01568-3

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