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Gepubliceerd in:

01-12-2011

Changes in spirituality partly explain health-related quality of life outcomes after Mindfulness-Based Stress Reduction

Auteurs: Jeffrey M. Greeson, Daniel M. Webber, Moria J. Smoski, Jeffrey G. Brantley, Andrew G. Ekblad, Edward C. Suarez, Ruth Quillian Wolever

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2011

Abstract

Mindfulness-Based Stress Reduction is a secular behavioral medicine program that has roots in meditative spiritual practices. Thus, spirituality may partly explain Mindfulness-Based Stress Reduction outcomes. Participants (N = 279; M (SD) age = 45(12); 75% women) completed an online survey before and after an 8-week Mindfulness-Based Stress Reduction program. Structural equation modeling was used to test the hypothesis that, following Mindfulness-Based Stress Reduction, the relationship between enhanced mindfulness and improved health-related quality of life is mediated by increased daily spiritual experiences. Changes in both spirituality and mindfulness were significantly related to improvement in mental health. Although the initial mediation hypothesis was not supported, an alternate model suggested that enhanced mindfulness partly mediated the association between increased daily spiritual experiences and improved mental health-related quality of life (indirect effect: β = 0.07, P = 0.017). Effects on physical health-related quality of life were not significant. Findings suggest a novel mechanism by which increased daily spiritual experiences following Mindfulness-Based Stress Reduction may partially explain improved mental health as a function of greater mindfulness.

vorige artikel The distinct roles of spirituality and religiosity in physical and mental health after collective trauma: a national longitudinal study of responses to the 9/11 attacks

volgende artikel Types of prayer and depressive symptoms among cancer patients: the mediating role of rumination and social support

When comparing Mindfulness-Based Stress Reduction program cycles with the longer survey format (year 1) versus the shorter format (year 2), one-way ANOVA revealed no significant differences in the number of participants that enrolled in the study (F = 2.53, P = .16), completed the baseline survey (F = .47, P = .52), or completed the endpoint survey (F = .21, P = .67). Likewise the availability of study compensation was not associated with a significant difference in the number of enrolled participants (F = 5.43, P = .06), baseline survey completers (F = 5.45, P = .06), or endpoint completers (F = 2.81, P = .15). Pearson’s Chi-Square and Fisher’s Exact Test indicated that demographic characteristics also remained consistent when study compensation was offered.

Astin, J. A. (1997). Stress reduction through mindfulness meditation. Effects on psychological symptomatology, sense of control, and spiritual experiences. Psychotherapy and Psychosomatics, 66, 97–106.PubMedCrossRef

Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology Science and Practice, 10, 125–143.CrossRef

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

Bohlmeijer, E., Prenger, R., Taal, E., & Cuijpers, P. (2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: A meta-analysis. Journal of Psychosomatic Research, 68, 539–544.PubMedCrossRef

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, 23–33.PubMedCrossRef

Carmody, J., Baer, R. A., Lykins, E. L. B., & Olendzki, N. (2009). An empirical study of the mechanisms of mindfulness in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 65, 613–626.PubMedCrossRef

Carmody, J., Reed, G., Kristeller, J., & Merriam, P. (2008). Mindfulness, spirituality, and health-related symptoms. Journal of Psychosomatic Research, 64, 393–403.PubMedCrossRef

Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: A review and meta-analysis. The Journal of Alternative and Complementary Medicine, 15, 593–600.PubMedCrossRef

Delsignore, A., & Schnyder, U. (2007). Control expectancies as predictors of psychotherapy outcome: A systematic review. British Journal of Clinical Psychology, 46, 467–483.PubMedCrossRef

Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J. P. (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, 177–190.CrossRef

Flickstein, M. (2001). Swallowing the River Ganges: A practice guide to the path of purification. Somerville, MA: Wisdom Publications.

Gallup, G., & Johnson, B. R. (2003). New index tracks spiritual state of the union. Gallup Poll News Service. Retrieved from http://www.gallup.com/poll/7657/New-Index-Tracks-Spiritual-State-Union.aspx.

Gandhi, S. K., Warren Salmon, J., Zhao, S. Z., Lambert, B. L., Gore, P. R., & Conrad, K. (2001). Psychometric evaluation of the 12-item short-form health survey (SF-12) in osteoarthritis and rheumatoid arthritis clinical trials. Clinical Therapeutics, 23, 1080–1098.PubMedCrossRef

Garland, S. N., Carlson, L. E., Cook, S., Lansdell, L., & Speca, M. (2007). A non-randomized comparison of mindfulness-based stress reduction and healing arts programs for facilitating post-traumatic growth and spirituality in cancer outpatients. Supportive Care in Cancer, 15, 949–961.PubMedCrossRef

Goldstein, J., & Kornfield, J. (1987). Seeking the heart of wisdom: The path of insight meditation. Boston, MA: Shambhala Publications, Inc.

Greeson, J. M. (2009). Mindfulness research update: 2008. Complementary Health Practice Review, 14, 10–18.PubMed

Grossman, P. (2008). On measuring mindfulness in psychosomatic and psychological research. Journal of Psychosomatic Research, 64, 405–408.PubMedCrossRef

Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57, 35–43.PubMedCrossRef

Harrington, A. (1999). The placebo effect: An interdisciplinary exploration. Cambridge, MA: Harvard University Press.

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, 169–183.PubMedCrossRef

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

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

Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York, NY: Hyperion Books.

Kabat-Zinn, J. (1999). Indra’s net at work: The mainstreaming of dharma practice in society. In G. Watson, S. Batchelor, & G. Claxton (Eds.), The psychology of awakening: Buddhism, science, and our day-to-day lives (pp. 225–249). London: Rider.

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156.CrossRef

Kline, R. B. (2004). Principles and practice of structural equation modeling (2nd ed.). New York, NY: The Guilford Press.

Koenig, H. G. (2008). Concerns about measuring “spirituality” in research. The Journal of Nervous and Mental Disease, 196, 349–355.PubMedCrossRef

Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. New York, NY: Oxford University Press, Inc.CrossRef

Kornfield, J. (1993). A path with heart: A guide through the perils and promises of spiritual life. New York, NY: Bantam.

Kristeller, J. L. (2007). Mindfulness meditation. In P. M. Lehrer, R. L. Woolfolk, W. E. Sime, & D. H. Barlow (Eds.), Principles and practice of stress management (3rd ed., pp. 393–427). New York, NY: The Guilford Press.

Kristeller, J. (2010). Spiritual engagement as a mechanism of change in mindfulness- and acceptance-based therapies. In R. A. Baer (Ed.), Assessing mindfulness & acceptance processes in clients: Illuminating the theory & practice of change (pp. 155–184). Oakland, CA: New Harbinger Publications, Inc.

Kristeller, J. L., & Johnson, T. (2005). Cultivating loving kindness: A two-stage model of the effects of meditation on empathy, compassion, and altruism. Zygon®, 40, 391–408.CrossRef

Maddux, J. E., Norton, L. W., & Stoltenberg, C. D. (1986). Self-efficacy expectancy, outcome expectancy, and outcome value: Relative effects on behavioral intentions. Journal of Personality and Social Psychology, 51, 783–789.CrossRef

McCauley, J., Tarpley, M. J., Haaz, S., & Bartlett, S. J. (2007). Daily spiritual experiences of older adults with and without arthritis and the relationship to health outcomes. Arthritis Care & Research, 59, 122–128.CrossRef

Nyklíček, I., & Kuijpers, K. F. (2008). Effects of mindfulness-based stress reduction intervention on psychological well-being and quality of life: Is increased mindfulness indeed the mechanism? Annals of Behavioral Medicine, 35, 331–340.PubMedCrossRef

Park, C. L. (2007). Religiousness/spirituality and health: A meaning systems perspective. Journal of Behavioral Medicine, 30, 319–328.PubMedCrossRef

Phelan, J. P. (2010). Mindfulness as presence. Mindfulness, 1, 131–134.CrossRef

Plews-Ogan, M., Owens, J. E., Goodman, M., Wolfe, P., & Schorling, J. (2005). Brief report: A pilot study evaluating mindfulness-based stress reduction and massage for the management of chronic pain. Journal of General Internal Medicine, 20, 1136–1138.PubMedCrossRef

Reibel, D. K., Greeson, J. M., Brainard, G. C., & Rosenzweig, S. (2001). Mindfulness-based stress reduction and health-related quality of life in a heterogeneous patient population. General Hospital Psychiatry, 23, 183–192.PubMedCrossRef

Rosenthal, R. (1991). Meta-analytic procedures for social research. Thousand Oaks, CA: Sage Publications, Inc.

Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., & Beasley, D. (2010). Mindfulness-based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice. Journal of Psychosomatic Research, 68, 29–36.PubMedCrossRef

Roth, B., & Robbins, D. (2004). Mindfulness-based stress reduction and health-related quality of life: Findings from a bilingual inner-city patient population. Psychosomatic Medicine, 66, 113–123.PubMedCrossRef

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York, NY: The Guilford Press.

Shapiro, S. L., Oman, D., Thoresen, C. E., Plante, T. G., & Flinders, T. (2008). Cultivating mindfulness: Effects on well-being. Journal of Clinical Psychology, 64, 840–862.PubMedCrossRef

Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21, 581–599.PubMedCrossRef

Singh, N. N. (2010). Mindfulness: A finger pointing to the moon. Mindfulness, 1, 1–3.CrossRef

Southwick, S. M., Vythilingam, M., & Charney, D. S. (2005). The psychobiology of depression and resilience to stress: Implications for prevention and treatment. Annual Review of Clinical Psychology, 1, 255–291.PubMedCrossRef

Stewart-Williams, S., & Podd, J. (2004). The placebo effect: Dissolving the expectancy versus conditioning debate. Psychological Bulletin, 130, 324–340.PubMedCrossRef

Underwood, L. G. (2006). Ordinary spiritual experience: Qualitative research, interpretive guidelines, and population distribution for the daily spiritual experience scale. Archive for the Psychology of Religion, 28, 181–218.

Underwood, L. G., & Teresi, J. A. (2002). The daily spiritual experience scale: Development, theoretical description, reliability, exploratory factor analysis, and preliminary construct validity using health-related data. Annals of Behavioral Medicine, 24, 22–33.PubMedCrossRef

Vettese, L. C., Toneatto, T., Stea, J. N., Nguyen, L., & Wang, J. J. (2009). Do mindfulness meditation participants do their homework? And does it make a difference? A review of the empirical evidence. Journal of Cognitive Psychotherapy, 23, 198–225.CrossRef

Wachholtz, A. B., Pearce, M. J., & Koenig, H. (2007). Exploring the relationship between spirituality, coping, and pain. Journal of Behavioral Medicine, 30, 311–318.PubMedCrossRef

Wallace, B. A., & Shapiro, S. L. (2006). Mental balance and well-being. Building bridges between Buddhism and Western psychology. American Psychologist, 61, 690–701.PubMedCrossRef

Walsh, R., & Shapiro, S. L. (2006). The meeting of meditative disciplines and western psychology: A mutually enriching dialogue. American Psychologist, 61, 227–239.PubMedCrossRef

Ware, J. E., Kosinski, M., & Keller, S. D. (1998). SF-12: How to score the SF-12 physical and mental health summary scales. Lincoln, RI: QualityMetric Inc.

Wigfield, A. (1994). Expectancy-value theory of achievement motivation: A developmental perspective. Educational Psychology Review, 6, 49–78.CrossRef

Titel: Changes in spirituality partly explain health-related quality of life outcomes after Mindfulness-Based Stress Reduction
Auteurs: Jeffrey M. Greeson
Daniel M. Webber
Moria J. Smoski
Jeffrey G. Brantley
Andrew G. Ekblad
Edward C. Suarez
Ruth Quillian Wolever
Publicatiedatum: 01-12-2011
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 6/2011
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-011-9332-x

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