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Gepubliceerd in: Mindfulness 4/2015

01-08-2015 | ORIGINAL PAPER

A Mindfulness-Based Program Improves Health in Caregivers of People with Autism Spectrum Disorder: a Pilot Study

Auteurs: Nicolás Ruiz-Robledillo, Patricia Sariñana-González, Josefa Pérez-Blasco, Esperanza González-Bono, Luis Moya-Albiol

Gepubliceerd in: Mindfulness | Uitgave 4/2015

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Abstract

Mindfulness-based interventions have demonstrated to be effective in reducing stress and health complaints in clinical populations. However, to our knowledge, biological health markers have not been used in studies of the effectiveness of mindfulness programs in caregivers of people with autism spectrum disorders (ASDs). This study aimed to assess the effects of a mindfulness intervention on mood disturbances and health complaints in this population compared with non-caregivers. The design of the study was quasi-experimental, with repeated measures. Self-reported health, cortisol awakening response (CAR), and afternoon cortisol levels before and after a mindfulness session were assessed at the beginning, middle, and end of the intervention. There was a significant reduction in mood disturbances and afternoon cortisol levels during the sessions in all participants, with the reductions being more pronounced in caregivers. Moreover, all participants showed fewer depressive and somatic symptoms at the end of the program, with an improvement in their self-perceived general health. Nevertheless, the CAR levels had not changed significantly after the program. Overall, these results indicate that mindfulness group therapy could be effective for reducing health complaints and reinforce the validity of these programs for caregivers.
Literatuur
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference Barnett, A. G., van de Pols, J. C., & Dobson, A. J. (2005). Regression to the mean: what it is and how to deal with it. International Journal of Epidemiology, 34(1), 215–220.PubMedCrossRef Barnett, A. G., van de Pols, J. C., & Dobson, A. J. (2005). Regression to the mean: what it is and how to deal with it. International Journal of Epidemiology, 34(1), 215–220.PubMedCrossRef
go back to reference Baron-Cohen, S., Hoekstra, R. A., Knickmeyer, R., & Wheelwright, S. (2006). The autism spectrum quotient (AQ)-adolescent version. Journal of Autism and Developmental Disorders, 36(3), 343–350.PubMedCrossRef Baron-Cohen, S., Hoekstra, R. A., Knickmeyer, R., & Wheelwright, S. (2006). The autism spectrum quotient (AQ)-adolescent version. Journal of Autism and Developmental Disorders, 36(3), 343–350.PubMedCrossRef
go back to reference Beck, A. T., & Steer, R. A. (1993). Beck depression inventory manual. San Antonio: The Psychological Corporation. Beck, A. T., & Steer, R. A. (1993). Beck depression inventory manual. San Antonio: The Psychological Corporation.
go back to reference Birnie, K., Garland, S. N., & Carlson, L. E. (2010). Psychological benefits for cancer patients and their partners participating in mindfulness-based stress reduction (MBSR). Psychooncology, 19(9), 1004–1009.PubMedCrossRef Birnie, K., Garland, S. N., & Carlson, L. E. (2010). Psychological benefits for cancer patients and their partners participating in mindfulness-based stress reduction (MBSR). Psychooncology, 19(9), 1004–1009.PubMedCrossRef
go back to reference Bränström, R., Kvillemo, P., & Akerstedt, T. (2013). Effects of mindfulness training on levels of cortisol in cancer patients. Psychosomatics, 54(2), 158–164.PubMedCrossRef Bränström, R., Kvillemo, P., & Akerstedt, T. (2013). Effects of mindfulness training on levels of cortisol in cancer patients. Psychosomatics, 54(2), 158–164.PubMedCrossRef
go back to reference 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.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.PubMedCrossRef
go back to reference Carlson, L. E., Speca, M., Faris, P., & Patel, K. D. (2007). One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior, and Immunity, 21(8), 1038–1049.PubMedCrossRef Carlson, L. E., Speca, M., Faris, P., & Patel, K. D. (2007). One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior, and Immunity, 21(8), 1038–1049.PubMedCrossRef
go back to reference Cash, M., & Whittingham, K. (2010). What facets of mindfulness contribute to psychological well-being and depressive, anxious, and stress-related symptomatology? Mindfulness, 1(1), 177–182.CrossRef Cash, M., & Whittingham, K. (2010). What facets of mindfulness contribute to psychological well-being and depressive, anxious, and stress-related symptomatology? Mindfulness, 1(1), 177–182.CrossRef
go back to reference De Andrés-García, S., Moya-Albiol, L., & González-Bono, E. (2012). Salivary cortisol and immunoglobulin A: responses to stress as predictors of health complaints reported by caregivers of offspring with autistic spectrum disorder. Hormones and Behavior, 62(4), 464–474.PubMedCrossRef De Andrés-García, S., Moya-Albiol, L., & González-Bono, E. (2012). Salivary cortisol and immunoglobulin A: responses to stress as predictors of health complaints reported by caregivers of offspring with autistic spectrum disorder. Hormones and Behavior, 62(4), 464–474.PubMedCrossRef
go back to reference De Andrés-García, S., Sariñana-González, P., Romero-Martínez, A., Moya-Albiol, L., & González-Bono, E. (2013). Cortisol responses to stress in caregivers of offspring with autism spectrum disorder is associated with care recipient characteristics. Stress, 16(5), 510–519.PubMedCrossRef De Andrés-García, S., Sariñana-González, P., Romero-Martínez, A., Moya-Albiol, L., & González-Bono, E. (2013). Cortisol responses to stress in caregivers of offspring with autism spectrum disorder is associated with care recipient characteristics. Stress, 16(5), 510–519.PubMedCrossRef
go back to reference Dickmeis, T. (2009). Glucocorticoids and the circadian clock. Journal of Endocrinology, 200(1), 3–22.PubMedCrossRef Dickmeis, T. (2009). Glucocorticoids and the circadian clock. Journal of Endocrinology, 200(1), 3–22.PubMedCrossRef
go back to reference Ferraioli, S. J., & Harris, S. L. (2012). Comparative effects of mindfulness and skills based parent training programs for parents of children with autism: feasibility and preliminary outcome data. Mindfulness, 4(2), 89–101.CrossRef Ferraioli, S. J., & Harris, S. L. (2012). Comparative effects of mindfulness and skills based parent training programs for parents of children with autism: feasibility and preliminary outcome data. Mindfulness, 4(2), 89–101.CrossRef
go back to reference Franco, C., Sola, M. M., & Justo, E. (2010). Reducción del malestar psicológico y de la sobrecarga en familiares cuidadores de enfermos de Alzheimer mediante la aplicación de un programa de entrenamiento en Mindfulness (conciencia plena). Revista Española de Geriatría y Gerontología, 45(5), 252–258.PubMedCrossRef Franco, C., Sola, M. M., & Justo, E. (2010). Reducción del malestar psicológico y de la sobrecarga en familiares cuidadores de enfermos de Alzheimer mediante la aplicación de un programa de entrenamiento en Mindfulness (conciencia plena). Revista Española de Geriatría y Gerontología, 45(5), 252–258.PubMedCrossRef
go back to reference Fuentes, I., Balaguer, I., Meliá, J., & García-Merita, M. (1995). Forma abreviada del Perfil de Estados de Ánimo (POMS). In E. Cantó n (Ed.), Libro de Actas del V Congreso Nacional de Psicologia de la Actividad Física y el Deporte. Valencia: Universitat de Valéncia. Fuentes, I., Balaguer, I., Meliá, J., & García-Merita, M. (1995). Forma abreviada del Perfil de Estados de Ánimo (POMS). In E. Cantó n (Ed.), Libro de Actas del V Congreso Nacional de Psicologia de la Actividad Física y el Deporte. Valencia: Universitat de Valéncia.
go back to reference Ghasemipour, Y., Robinson, J.A., & Ghorbani, N. (2013). Mindfulness and integrative self-knowledge: relationships with health-related variables. International Journal of Psychology. Ghasemipour, Y., Robinson, J.A., & Ghorbani, N. (2013). Mindfulness and integrative self-knowledge: relationships with health-related variables. International Journal of Psychology.
go back to reference Giluk, T. L. (2009). Mindfulness, big five personality, and affect: a meta-analysis. Personality and Individual Differences, 47(8), 805–811.CrossRef Giluk, T. L. (2009). Mindfulness, big five personality, and affect: a meta-analysis. Personality and Individual Differences, 47(8), 805–811.CrossRef
go back to reference Goldberg, D. P., & Hillier, V. (1979). A scaled version of the general health questionnaire. Psychological Medicine, 9(1), 139–145.PubMedCrossRef Goldberg, D. P., & Hillier, V. (1979). A scaled version of the general health questionnaire. Psychological Medicine, 9(1), 139–145.PubMedCrossRef
go back to reference Goodman, M. J., & Schorling, J. B. (2012). A mindfulness course decreases burnout and improves well-being among healthcare providers. International Journal of Psychiatry in Medicine, 43(2), 119–128.PubMedCrossRef Goodman, M. J., & Schorling, J. B. (2012). A mindfulness course decreases burnout and improves well-being among healthcare providers. International Journal of Psychiatry in Medicine, 43(2), 119–128.PubMedCrossRef
go back to reference Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559.CrossRef Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559.CrossRef
go back to reference Kabat-Zinn, J. (2005). Coming to our senses. London: Piatkus Books Ltd. Kabat-Zinn, J. (2005). Coming to our senses. London: Piatkus Books Ltd.
go back to reference 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.PubMedCentralPubMedCrossRef 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.PubMedCentralPubMedCrossRef
go back to reference Kirkham, M. A. (1993). Two-year follow-up of skills training with mothers of children with disabilities. American Journal of Mental Retardation, 97(5), 509–520.PubMed Kirkham, M. A. (1993). Two-year follow-up of skills training with mothers of children with disabilities. American Journal of Mental Retardation, 97(5), 509–520.PubMed
go back to reference Klainin-Yobas, P., Cho, M. A., & Creedy, D. (2012). Efficacy of mindfulness-based interventions on depressive symptoms among people with mental disorders: a meta-analysis. International Journal of Nursing Studies, 49(1), 109–121.PubMedCrossRef Klainin-Yobas, P., Cho, M. A., & Creedy, D. (2012). Efficacy of mindfulness-based interventions on depressive symptoms among people with mental disorders: a meta-analysis. International Journal of Nursing Studies, 49(1), 109–121.PubMedCrossRef
go back to reference Lengacher, C. A., Kip, K. E., Barta, M. K., Post-White, J., Jacobsen, P., Groer, M., et al. (2012). A pilot study evaluating the effect of mindfulness-based stress reduction on psychological status, physical status, salivary cortisol, and interleukin-6 among advanced-stage cancer patients and their caregivers. Journal of Holistic Nursing, 30(7), 170–185.PubMedCrossRef Lengacher, C. A., Kip, K. E., Barta, M. K., Post-White, J., Jacobsen, P., Groer, M., et al. (2012). A pilot study evaluating the effect of mindfulness-based stress reduction on psychological status, physical status, salivary cortisol, and interleukin-6 among advanced-stage cancer patients and their caregivers. Journal of Holistic Nursing, 30(7), 170–185.PubMedCrossRef
go back to reference Ludlow, A., Skelly, C., & Rohleder, P. (2012). Challenges faced by parents of children diagnosed with autism spectrum disorder. Journal of Health Psychology, 17(5), 702–711.PubMedCrossRef Ludlow, A., Skelly, C., & Rohleder, P. (2012). Challenges faced by parents of children diagnosed with autism spectrum disorder. Journal of Health Psychology, 17(5), 702–711.PubMedCrossRef
go back to reference Lykins, E. L. B., & Baer, R. A. (2009). Psychological functioning in a sample of long-term practitioners of mindfulness meditation. Journal of Cognitive Psychotherapy, 23(3), 226–241.CrossRef Lykins, E. L. B., & Baer, R. A. (2009). Psychological functioning in a sample of long-term practitioners of mindfulness meditation. Journal of Cognitive Psychotherapy, 23(3), 226–241.CrossRef
go back to reference Matousek, R., Dobkin, P. L., & Pruessner, J. (2010). Cortisol as a marker for improvement in mindfulness-based stress reduction. Complementary Therapies in Clinical Practice, 16(1), 13–19.PubMedCrossRef Matousek, R., Dobkin, P. L., & Pruessner, J. (2010). Cortisol as a marker for improvement in mindfulness-based stress reduction. Complementary Therapies in Clinical Practice, 16(1), 13–19.PubMedCrossRef
go back to reference Merkes, M. (2010). Mindfulness-based stress reduction for people with chronic diseases. Australian Journal of Primary Health, 16(3), 200–210.PubMedCrossRef Merkes, M. (2010). Mindfulness-based stress reduction for people with chronic diseases. Australian Journal of Primary Health, 16(3), 200–210.PubMedCrossRef
go back to reference Miguel-Tobal, J. J., Casado, M. I., Cano-Vindel, A., & Spielberger, C. D. (2001). Inventario de Expresion de Ira Estado-Rasgo: STAXI-2. Madrid: TEA Ediciones. Miguel-Tobal, J. J., Casado, M. I., Cano-Vindel, A., & Spielberger, C. D. (2001). Inventario de Expresion de Ira Estado-Rasgo: STAXI-2. Madrid: TEA Ediciones.
go back to reference Minor, H. G., Carlson, L. E., Mackenzie, M. J., Zernicke, K., & Jones, L. (2006). Evaluation of a mindfulness-based stress reduction (MBSR) program for caregivers of children with chronic conditions. Social Work in Health Care, 43(1), 91–109.PubMedCrossRef Minor, H. G., Carlson, L. E., Mackenzie, M. J., Zernicke, K., & Jones, L. (2006). Evaluation of a mindfulness-based stress reduction (MBSR) program for caregivers of children with chronic conditions. Social Work in Health Care, 43(1), 91–109.PubMedCrossRef
go back to reference Nixon, C. D., & Singer, G. H. (1993). Group cognitive behavioral treatment for excessive parental self-blame and guilt. American Journal of Mental Retardation, 97(6), 665–672.PubMed Nixon, C. D., & Singer, G. H. (1993). Group cognitive behavioral treatment for excessive parental self-blame and guilt. American Journal of Mental Retardation, 97(6), 665–672.PubMed
go back to reference Oken, B. S., Fonareva, I., Haas, M., Wahbeh, H., Lane, J. B., Zajdel, D., et al. (2010). Pilot controlled trial of mindfulness meditation and education for dementia caregivers. Journal of Alternative and Complementary Medicine, 16(10), 1031–1038.PubMedCentralCrossRef Oken, B. S., Fonareva, I., Haas, M., Wahbeh, H., Lane, J. B., Zajdel, D., et al. (2010). Pilot controlled trial of mindfulness meditation and education for dementia caregivers. Journal of Alternative and Complementary Medicine, 16(10), 1031–1038.PubMedCentralCrossRef
go back to reference Pérez-Blasco, J., Viguer, P., & Rodriguez, M. F. (2013). Effects of a mindfulness-based intervention on psychological distress, well-being and maternal self-efficacy in breastfeeding mothers: results of a pilot study. Archives of Women’s Mental Health, 16(3), 227–236.PubMedCrossRef Pérez-Blasco, J., Viguer, P., & Rodriguez, M. F. (2013). Effects of a mindfulness-based intervention on psychological distress, well-being and maternal self-efficacy in breastfeeding mothers: results of a pilot study. Archives of Women’s Mental Health, 16(3), 227–236.PubMedCrossRef
go back to reference Phelps, K. W., Hodgson, J. L., McCammon, S. L., & Lamson, A. L. (2009). Caring for an individual with autism disorder: a qualitative analysis. Journal of Intellectual and Developmental Disability, 34(1), 27–35.PubMedCrossRef Phelps, K. W., Hodgson, J. L., McCammon, S. L., & Lamson, A. L. (2009). Caring for an individual with autism disorder: a qualitative analysis. Journal of Intellectual and Developmental Disability, 34(1), 27–35.PubMedCrossRef
go back to reference Pruessner, J. C., Kirschbaum, C., Meinlschmid, G., & Hellhammer, D. H. (2003). Two formulas for the computation of the area under the curve represent measures of total hormone concentration versus time-dependent change. Psychoneuroendocrinology, 28(7), 916–931.PubMedCrossRef Pruessner, J. C., Kirschbaum, C., Meinlschmid, G., & Hellhammer, D. H. (2003). Two formulas for the computation of the area under the curve represent measures of total hormone concentration versus time-dependent change. Psychoneuroendocrinology, 28(7), 916–931.PubMedCrossRef
go back to reference Ruiz-Robledillo, N., & Moya-Albiol, L. (2013). Self-reported health and cortisol awakening response in parents of people with Asperger syndrome: the role of trait anger and anxiety, coping and burden. Psychology and Health, 28(11), 1246–1264.PubMedCrossRef Ruiz-Robledillo, N., & Moya-Albiol, L. (2013). Self-reported health and cortisol awakening response in parents of people with Asperger syndrome: the role of trait anger and anxiety, coping and burden. Psychology and Health, 28(11), 1246–1264.PubMedCrossRef
go back to reference Ruiz-Robledillo, N., González-Bono, E., & Moya-Albiol, L. (2014). Lack of institutional support entails disruptions in cortisol awakening response in caregivers of people with high-functioning autism. Journal of Health Psychology. Ruiz-Robledillo, N., González-Bono, E., & Moya-Albiol, L. (2014). Lack of institutional support entails disruptions in cortisol awakening response in caregivers of people with high-functioning autism. Journal of Health Psychology.
go back to reference Sandín, B., & Chorot, P. (1995). Escala de Síntomas Somáticos-Revisada (ESS-R). Madrid: Universidad Nacional de Educación a Distancia (UNED). Sandín, B., & Chorot, P. (1995). Escala de Síntomas Somáticos-Revisada (ESS-R). Madrid: Universidad Nacional de Educación a Distancia (UNED).
go back to reference Seisdedos, N. (1982). STAI: Inventario de Ansiedad Estado-Rasgo [State-Trait Anxiety Inventory]. Madrid: TEA Ediciones. Seisdedos, N. (1982). STAI: Inventario de Ansiedad Estado-Rasgo [State-Trait Anxiety Inventory]. Madrid: TEA Ediciones.
go back to reference Shapiro, S. L., Carlson, L. E., & Astin, J. A. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373–386.PubMedCrossRef Shapiro, S. L., Carlson, L. E., & Astin, J. A. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373–386.PubMedCrossRef
go back to reference Singer, G., Ethridge, B., & Aldana, S. (2007). Primary and secondary effects of parenting and stress management interventions for parents of children with developmental disabilities: a meta-analysis. Mental Retardation and Developmental Disabilities Research Reviews, 13(4), 357–369.PubMedCrossRef Singer, G., Ethridge, B., & Aldana, S. (2007). Primary and secondary effects of parenting and stress management interventions for parents of children with developmental disabilities: a meta-analysis. Mental Retardation and Developmental Disabilities Research Reviews, 13(4), 357–369.PubMedCrossRef
go back to reference Singh, N. N., Lancioni, E., Winton, A. S. W., Fisher, B. C., Wahler, R. G., McAleavey, K., et al. (2006). Mindful parenting decreases aggression, noncompliance, and self-injury in children with autism. Journal of Emotional and Behavioral Disorders, 14(3), 169–177.CrossRef Singh, N. N., Lancioni, E., Winton, A. S. W., Fisher, B. C., Wahler, R. G., McAleavey, K., et al. (2006). Mindful parenting decreases aggression, noncompliance, and self-injury in children with autism. Journal of Emotional and Behavioral Disorders, 14(3), 169–177.CrossRef
go back to reference Singh, N. N., Lancioni, E., Winton, A. S. W., Singh, J., Curtis, W. J., Wahler, R. G., et al. (2007). Mindful parenting decreases aggression and increases social behavior in children with developmental disabilities. Behavior Modification, 31(6), 749–771.PubMedCrossRef Singh, N. N., Lancioni, E., Winton, A. S. W., Singh, J., Curtis, W. J., Wahler, R. G., et al. (2007). Mindful parenting decreases aggression and increases social behavior in children with developmental disabilities. Behavior Modification, 31(6), 749–771.PubMedCrossRef
go back to reference Smith, L. E., Hong, J., Seltzer, M. M., Greenberg, J. S., Almeida, D. M., & Bishop, S. L. (2010). Daily experiences among mothers of adolescents and adults with autism spectrum disorder. Journal of Autism and Developmental Disabilities, 40(2), 167–178.CrossRef Smith, L. E., Hong, J., Seltzer, M. M., Greenberg, J. S., Almeida, D. M., & Bishop, S. L. (2010). Daily experiences among mothers of adolescents and adults with autism spectrum disorder. Journal of Autism and Developmental Disabilities, 40(2), 167–178.CrossRef
go back to reference Spielberger, C.D., Gorusch, R.L., Lushene, R., Vagg, P.R., & Jacobs, G.A. (1983). Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press. Spielberger, C.D., Gorusch, R.L., Lushene, R., Vagg, P.R., & Jacobs, G.A. (1983). Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press.
go back to reference Whitebird, R., Kreitzer, M., Crain, A. L., Lewis, B. A., Hanson, L. H., & Enstad, C. J. (2012). Mindfulness-based stress reduction for family caregivers: a randomized controlled trial. The Gerontologist, 53(4), 676–686.PubMedCentralPubMedCrossRef Whitebird, R., Kreitzer, M., Crain, A. L., Lewis, B. A., Hanson, L. H., & Enstad, C. J. (2012). Mindfulness-based stress reduction for family caregivers: a randomized controlled trial. The Gerontologist, 53(4), 676–686.PubMedCentralPubMedCrossRef
go back to reference Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist, 20, 649–654.PubMedCrossRef Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist, 20, 649–654.PubMedCrossRef
Metagegevens
Titel
A Mindfulness-Based Program Improves Health in Caregivers of People with Autism Spectrum Disorder: a Pilot Study
Auteurs
Nicolás Ruiz-Robledillo
Patricia Sariñana-González
Josefa Pérez-Blasco
Esperanza González-Bono
Luis Moya-Albiol
Publicatiedatum
01-08-2015
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 4/2015
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-014-0316-0

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