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11-07-2020 | ORIGINAL PAPER | Uitgave 9/2020 Open Access

Mindfulness 9/2020

Introspective Interest and Insight in the Context of Mindfulness-Based Stress Reduction: a Randomized Trial

Tijdschrift:
Mindfulness > Uitgave 9/2020
Auteurs:
Ivan Nyklíček, Renée Zonneveld, Johan Denollet
Belangrijke opmerkingen
Unfortunately, author Johan Denollet deceased towards the end of the manuscript process.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

Objective

Introspective interest and insight have long been argued to be important factors in psychotherapy. However, empirical studies are scarce and their results equivocal. Therefore, in the present study, the potential moderating and mediating roles of introspective interest and insight were examined in the context of mindfulness-based stress reduction (MBSR).

Methods

In a randomized controlled trial, 72 MBSR participants were compared with 71 waitlist control participants. Their mean age was 46.1 years (SD = 10.3), 31.5% were male and all were white. Pre-to-post changes in mood, perceived stress, quality of life, mindfulness skills, and introspective interest and insight were compared between the groups and the moderating and mediating effects of introspective interest and insight were examined, adjusting for effects of mindfulness skills.

Results

Introspective interest nor insight moderated the effects of MBSR. However, increase in insight, but not interest, significantly mediated favorable effects of MBSR on all outcome variables, over and above changes in mindfulness skills: perceived stress (B = − 1.43, 95% CI − 2.63 to − 0.54), negative affect (B = − 0.11, 95% CI − 0.23 to − 0.00), positive affect (B = 0.12, 95% CI 0.03–0.23) and psychological quality of life (B = 0.16, 95% CI 0.02–0.34).

Conclusions

Increase in introspective insight may form a potentially important mechanism of the effectiveness of mindfulness-based interventions, and possibly also other psychological interventions.

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