Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften E-learning Web-tv Video Audio
Tips voor Mijn BSL
UITGEBREID ZOEKEN
Inloggen
Top
Mindfulness
Gepubliceerd in: Mindfulness 2/2016

20-10-2015 | ORIGINAL PAPER

The Body Scan and Mindful Breathing Among Veterans with PTSD: Type of Intervention Moderates the Relationship Between Changes in Mindfulness and Post-treatment Depression

Auteurs: Dana Dharmakaya Colgan, Michael Christopher, Paul Michael, Helané Wahbeh

Gepubliceerd in: Mindfulness | Uitgave 2/2016

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

Mindfulness-based stress reduction (MBSR) is a promising intervention for veterans with post-traumatic stress disorder (PTSD) and depression; however, a more detailed examination of the different elements of MBSR and various facets of mindfulness to determine what works best for whom is warranted. One hundred and two veterans with PTSD were randomly assigned to one of four arms: (a) body scan (BS; n = 27), (b) mindful breathing (MB; n = 25), (c) slow breathing (SB; n = 25), or (d) sitting quietly (SQ; n = 25). The purpose of this study was to (a) examine two separate components of MBSR (i.e., body scan and mindful breathing) among veterans with PTSD when compared to a nonmindfulness intervention (SB) and a control group (SQ), (b) assess if changes in specific mindfulness facets were predictive of post-treatment PTSD and depression for individuals who participated in a mindfulness intervention (BS vs. MB), and (c) investigate if type of mindfulness intervention received would moderate the relationship between pre- to post-treatment changes in mindfulness facets and post-treatment outcomes in PTSD and depression. Participants in the mindfulness groups experienced significant decreases in PTSD and depression symptom severity and increases in mindfulness, whereas the nonmindfulness groups did not. Among veterans who participated in a mindfulness group, change in the five facets of mindfulness accounted for 23 % of unique variance in the prediction of post-treatment depression scores. Simple slope analyses revealed that type of mindfulness intervention moderated the relationship among changes in facets of mindfulness and post-treatment depression.
vorige artikel Pilot Study of a Mindfulness-Based Group Intervention for Individuals with Parkinson’s Disease and Their Caregivers
volgende artikel Measuring Trait Mindfulness: How to Improve the Precision of the Mindful Attention Awareness Scale Using a Rasch Model
Literatuur
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed. Text rev.). Washington, DC: American Psychiatric Association Publishing.
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.CrossRefPubMed
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory. San Antonio: Psychological Corporation.
Bernstein, A., Tanay, G., & Vujanovic, A. A. (2011). Concurrent relations between mindful attention and awareness and psychopathology among trauma-exposed adults: preliminary evidence of transdiagnostic resilience. Journal of Cognitive Psychotherapy, 25(2), 99–113.CrossRef
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., & Devins, G. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241.
Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., & Keane, T. M. (1995). The development of a clinician‐administered PTSD scale. Journal of Traumatic Stress, 8(1), 75–90.CrossRefPubMed
Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., & Forneris, C. A. (1996). Psychometric properties of the PTSD Checklist (PCL). Behavior Research and Therapy, 34(8), 669–673.
Boden, M. T., Bernstein, A., Walser, R. D., Bui, L., Alvarez, J., & Bonn-Miller, M. O. (2012). Changes in facets of mindfulness and posttraumatic stress disorder treatment outcome. Psychiatry Research, 200(2), 609–613.CrossRef
Bohlmeijer, E., Peter, M., Fledderus, M., Veehof, M., & Baer, R. (2011). Psychometric properties of the Five Facet Mindfulness Questionnaire in depressed adults and development of a short form. Assessment, 1073191111408231.
Bormann, J. E., Oman, D., Walter, K. H., & Johnson, B. D. (2014). Mindful attention increases and mediates psychological outcomes following mantram repetition practice in veterans with posttraumatic stress disorder. Medical Care, 52, S13–S18.CrossRefPubMed
Cai, H., Xia, J., Xu, D., Gao, D., Yan, Y. (2006). A generic minimization random allocation and blinding system on web. Journal of Biomedicine Information, 39(6), 706–19.
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.CrossRefPubMed
Carmody, J., Baer, R. A., LB Lykins, E., & Olendzki, N. (2009). An empirical study of the mechanisms of mindfulness in a mindfulness‐based stress reduction program. Journal of Clinical Psychology, 65(6), 613–626.CrossRefPubMed
Cohen J. (1992). A power primer. Psychological Bulletin, 112(1), 155.
Conrad, A., Müller, A., Doberenz, S., Kim, S., Meuret, A. E., Wollburg, E., & Roth, W. T. (2006). Psychophysiological effects of breathing instructions for stress management. Applied Psychophysiology and Biofeedback, 32(2), 89–98.CrossRef
Davidson, J. R. T., Stein, D. J., Shalev, A. Y., & Yehuda, R. (2004). Posttraumatic stress disorder: acquisition, recognition, course, and treatment. Journal of Neuropsychiatry & Clinical Neurosciences, 16(2), 135–147.CrossRef
Delizonna, L. L., Williams, R. P., & Langer, E. J. (2009). The effect of mindfulness on heart rate control. Journal of Adult Development, 16(2), 61–65.
Derosiers, A., Klemanksi, D., & Nolen-Hoeksema, S. (2013). Mapping mindfulness facets onto dimensions of anxiety and depression. Behavior Therapy, 44, 373–384.CrossRef
Dreeben, S., Mamber, M., & Salmon, P. (2013). The MBSR body scan in clinical practice. Mindfulness, 4, 394–401.CrossRef
Feldman, G., Greeson, J., & Senville, J. (2010). Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behaviour Research and Therapy, 48(10), 1002.CrossRefPubMedPubMedCentral
Follette, V., Palm, K. M., & Pearson, A. N. (2006). Mindfulness and trauma: implications for treatment. Journal of Rational-Emotive and Cognitive-Behavior therapy, 24(1), 45–61.CrossRef
Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351(1), 13–22.CrossRefPubMed
Hoge, C. W., Grossman, S. H., Auchterlonie, J. L., Riviere, L. A., Milliken, C. S., & Wilk, J. E. (2014). PTSD treatment for soldiers after combat deployment: low utilization of mental health care and reasons for dropout. Psychiatric Services.
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, 537–559. doi:10.​1177/​1745691611419671​.CrossRefPubMed
IBM Corp. (2013). IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp.
Institute of Medicine. (2010). Returning home from Iraq and Afghanistan: preliminary assessment of readjustment needs of veterans, service members, and their families. Washington, DC: National Academies.
Jacobson, N. S., & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12.
Jacobson, N. S., Roberts, L. J., Berns, S. B., & McGlinchey, J. B. (1999). Methods for defining and determining the clinical significance of treatment effects: description, application, and alternatives. Journal of Consulting and Clinical Psychology, 67(3), 300.
Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4(1), 33–47.CrossRefPubMed
Kabat-Zinn, J. (2002). Commentary on Majumdar et al.: Mindfulness meditation and health. Journal of Alternative and Complementary Medicine, 8(6), 731–735.CrossRef
Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8(2), 163–190.CrossRefPubMed
Kang, H., & Bullman, A. (2008). Risk of suicide among US Veterans after returning from the Iraq or Afghanistan war zones. JAMA, 300, 652–653.CrossRefPubMed
Kearney, D. J., McDermott, K., Malte, C., Martinez, M., & Simpson, T. L. (2013). Effects of participation in a mindfulness program for veterans with posttraumatic stress disorder: a randomized controlled pilot study. Journal of Clinical Psychology, 69(1), 14–27.CrossRefPubMed
Kimbrough, E., Magyari, T., Langenberg, P., Chesney, M., & Berman, B. (2010). Mindfulness intervention for child abuse survivors. Journal of Clinical Psychology, 66(1), 17–33.PubMed
Libby, D. J., Pilver, C. E., & Desai, R. (2014). Complementary and alternative medicine in VA specialized PTSD treatment programs. Psychiatric Services.
Marshall, A. D., Panuzio, J., & Taft, C. T. (2005). Intimate partner violence among military veterans and active duty servicemen. Clinical Psychology Review, 25, 862–876.CrossRefPubMed
McDevitt-Murphy, M. E., Murphy, J. G., Monahan, C. J., Flood, A. M., & Weathers, F. W. (2010). Unique patterns of substance misuse associated with PTSD, depression, and social phobia. Journal of Dual Diagnosis, 6(2), 94–110.CrossRefPubMedPubMedCentral
McDonald, S. D., & Calhoun, P. S. (2010). The diagnostic accuracy of the PTSD Checklist: a critical review. Clinical Psychology Review, 30(8), 976–987.CrossRefPubMed
Mehling, W., Gopisetty, V., Daubenmier, J., Price, C., Hecht, F., & Stewart, A. (2008). Body awareness: construct and self-report measures. Plus One, 4(5), 1–18.
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400–424.CrossRefPubMed
Owens, G. P., Walter, K. H., Chard, K. M., & Davis, P. A. (2012). Changes in mindfulness skills and treatment response among veterans in residential PTSD treatment. Psychological Trauma: Theory, Research, Practice, and Policy, 4(2), 221.CrossRef
Pocock, S. J. & Simon, R. (1975). Sequential treatment assignment with balancing for prognostic factors in the controlled clinical trial. Biometrics, 31, 103–115.
Possemato, K., Wade, M., Andersen, J., & Ouimette, P. (2010). The impact of PTSD, depression, and substance use disorders on disease burden and health care utilization among OEF/OIF veterans. Psychological Trauma: Theory, Research, Practice, and Policy, 2(3), 218.CrossRef
Sauer-Zavala, S. E., Walsh, E. C., Eisenlohr-Moul, T. A., & Lykins, E. L. (2013). Comparing mindfulness-based intervention strategies: differential effects of sitting meditation, body scan, and mindful yoga. Mindfulness, 4(4), 383–388.CrossRef
Sayadaw, M. (1994). The progress of insight: a treatise on satipatthana meditation. Buddhist Publication Society.
Seal, K. H., Metzler, T. J., Gima, K. S., Bertenthal, D., Maguen, S., & Marmar, C. R. (2009). Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002–2008. American Journal of Public Health, 99(9), 1651.CrossRefPubMedPubMedCentral
Seal, K. H., Maguen, S., Cohen, B., Gima, K. S., Metzler, T. J., Ren, L., & Marmar, C. R. (2010). VA mental health services utilization in Iraq and Afghanistan veterans in the first year of receiving new mental health diagnoses. Journal of Traumatic Stress, 23(1), 5–16.PubMed
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. Guilford.
Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386.CrossRefPubMed
Sharp, J. (2004). The prevalence of post-traumatic stress disorder in chronic pain patients. Current Pain and Headache Reports, 8, 111–1115.CrossRefPubMed
Shiner, B. (2011). Health services use in the Department of Veterans Affairs among returning Iraq War and Afghan War veterans with PTSD. PTSD Research Quarterly, 22(2), 1–10.
Stecker, T., Shiner, B., Watts, B. V., Jones, M., & Conner, K. R. (2013). Treatment-seeking barriers for veterans of the Iraq and Afghanistan conflicts who screen positive for PTSD. Psychiatric Services, 64(3), 280–283.CrossRefPubMed
Stevanovic, A., Franciskovic, T., Klaric, M., & Rebic, J. (2012). P-981-Secondary traumatic stress in wives of war veterans with PTSD. European Psychiatry, 27(1).
Sullivan-Kalill, K. S., Treanor, M., & Roemer, L. (2013). The importance of non-reactivity to posttraumatic stress symptoms: a case for mindfulness. Mindfulness, 1–8.
Tanielian, T. J. L. (Ed.). (2008). Invisible wounds of war: psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica, CA: RAND Corporation.
Thompson, B. L., & Waltz, J. (2010). Mindfulness and experiential avoidance as predictors of posttraumatic stress disorder avoidance symptom severity. Journal of Anxiety Disorders, 24(4), 409–415.CrossRefPubMed
Thompson, R. W., Arnkoff, D. B., & Glass, C. R. (2011). Conceptualizing mindfulness and acceptance as components of psychological resilience to trauma. Trauma, Violence & Abuse, 12(4), 220–235.CrossRef
Treanor, M. (2011). The potential impact of mindfulness on exposure and extinction learning in anxiety disorders. Clinical Psychology Review, 31(4), 617–625.CrossRefPubMed
Vujanovic, A. A., Youngwirth, N. E., Johnson, K. A., & Zvolensky, M. J. (2009). Mindfulness-based acceptance and posttraumatic stress symptoms among trauma-exposed adults without axis I psychopathology. Journal of Anxiety Disorders, 23(2), 297–303.CrossRefPubMedPubMedCentral
Vujanovic, A. A., Bonn-Miller, M. O., Bernstein, A., McKee, L. G., & Zvolensky, M. J. (2010). Incremental validity of mindfulness skills in relation to emotional dysregulation among a young adult community sample. Cognitive Behaviour Therapy, 39(3), 203–213.CrossRefPubMedPubMedCentral
Vujanovic, A. A., Niles, B., Pietrefesa, A., Schmertz, S. K., & Potter, C. M. (2011). Mindfulness in the treatment of posttraumatic stress disorder among military veterans. Professional Psychology: Research and Practice, 42(1), 24–31. doi:10.​1037/​a0022272.CrossRef
Wahbeh, H., Lu, M., & Oken, B. (2011). Mindful awareness and non-judging in relation to posttraumatic stress disorder symptoms. Mindfulness, 2(4), 219–227.CrossRefPubMedPubMedCentral
Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A., & Keane, T. M. (1993). The PTSD Checklist (PCL): reliability, validity, and diagnostic utility. In: Annual convention of the International Society for Traumatic Stress Studies. San Antonio: International Society for Traumatic Stress Studies.
Metagegevens
Titel
The Body Scan and Mindful Breathing Among Veterans with PTSD: Type of Intervention Moderates the Relationship Between Changes in Mindfulness and Post-treatment Depression
Auteurs
Dana Dharmakaya Colgan
Michael Christopher
Paul Michael
Helané Wahbeh
Publicatiedatum
20-10-2015
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 2/2016
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-015-0453-0

Andere artikelen Uitgave 2/2016

Mindfulness 2/2016 Naar de uitgave

ORTHOGONAL ROTATION IN CONSCIOUSNESS

Dukkha Magnets

ORIGINAL PAPER

Perfectionism and Mindfulness: Effectiveness of a Bibliotherapy Intervention

ORIGINAL PAPER

Effects of Mindfulness Training on Cognition and Well-Being in Healthy Older Adults

ORTHOGONAL ROTATION IN CONSCIOUSNESS

Dharma

ORIGINAL PAPER

Mindful Attention Reduces Linguistic Intergroup Bias

ORIGINAL PAPER

Making Friends with Yourself: A Mixed Methods Pilot Study of a Mindful Self-Compassion Program for Adolescents