Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Mindfulness 4/2014

01-08-2014 | ORIGINAL PAPER

Mindfulness and Disgust in Colorectal Cancer Scenarios: Non-judging and Non-reacting Components Predict Avoidance When It Makes Sense

Auteurs: Lisa M. Reynolds, Nathan S. Consedine, Sarah A. McCambridge

Gepubliceerd in: Mindfulness | Uitgave 4/2014

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

Abstract

Mindfulness facilitates greater tolerance of unpleasant emotion and may thus promote better decision making in health settings where emotional avoidance is common. Disgust’s elicitors are common in colorectal cancer (CRC) contexts and, because disgust evolved to minimise contamination risk through avoidance and withdrawal, decision making when disgusted is important. The current report investigated whether specific components of dispositional mindfulness predict elicited disgust and avoidance behaviours in scenarios based around CRC screening and treatment. After completing trait mindfulness measures, 80 healthy volunteers were block randomised (by gender) to disgust or control conditions before completing tasks assessing immediate avoidance of a disgust elicitor (stoma bag) and anticipated avoidance of a hypothetical CRC drug with disgusting side effects. Checks confirmed the manipulation of disgust (F(1,78) = 5.65, p < .05, η p 2 = .07). As expected, those with greater non-judging mindfulness were less disgusted than people with lower mindfulness (F(1,74) = 4.70, p < .05, η p 2 = .06). When disgusted however, mindfulness predicted greater anticipated avoidance: those high in the non-react facet were more likely to anticipate avoidance of the disgusting drug (Wald = 4.76, df = 1, p < .05) odds ratio .24 (95 % CI 0.06–0.86), and immediately avoided touching the stoma bag (F(1,74) = 6.34, p < .05). In total, these findings suggest persons with low mindfulness may fail to attend to emotional experience when making decisions while those higher in non-react and non-judge components may use their disgust to inform both current and future behaviour. Mindfulness training may promote more integrated decision-making skills in CRC contexts where disgust is a factor.

Met onderstaand(e) abonnement(en) heeft u direct toegang:

BSL Psychologie Totaal

Met BSL Psychologie Totaal blijf je als professional steeds op de hoogte van de nieuwste ontwikkelingen binnen jouw vak. Met het online abonnement heb je toegang tot een groot aantal boeken, protocollen, vaktijdschriften en e-learnings op het gebied van psychologie en psychiatrie. Zo kun je op je gemak en wanneer het jou het beste uitkomt verdiepen in jouw vakgebied.

Literatuur
go back to reference Alfonso, J. P., Caracuel, A., Delgado-Pastor, L. C., & Verdejo-García, A. (2011). Combined goal management training and mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers. Drug and alcohol dependence ,117(1), 78–81. doi: 10.​1016/​j.​drugalcdep.​2010.​12.​025. Alfonso, J. P., Caracuel, A., Delgado-Pastor, L. C., & Verdejo-García, A. (2011). Combined goal management training and mindfulness meditation improve executive functions and decision-making performance in abstinent polysubstance abusers. Drug and alcohol dependence ,117(1), 78–81. doi: 10.​1016/​j.​drugalcdep.​2010.​12.​025.
go back to reference Amir, M., & Ramati, A. (2002). Post-traumatic symptoms, emotional distress and quality of life in long-term survivors of breast cancer: a preliminary research. Journal of Anxiety Disorders, 16(2), 191–206. doi: 10.​1016/​S0887-6185(02)00095-6. CrossRef Amir, M., & Ramati, A. (2002). Post-traumatic symptoms, emotional distress and quality of life in long-term survivors of breast cancer: a preliminary research. Journal of Anxiety Disorders, 16(2), 191–206. doi: 10.​1016/​S0887-6185(02)00095-6. CrossRef
go back to reference Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., et al. (2008). Construct validity of the Five Facet Mindfulness Questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342. doi: 10.​1177/​1073191107313003​. PubMedCrossRef Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., et al. (2008). Construct validity of the Five Facet Mindfulness Questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342. doi: 10.​1177/​1073191107313003​. PubMedCrossRef
go back to reference Bechara, A. (2004). The role of emotion in decision-making: evidence from neurological patients with orbitofrontal damage. Brain and Cognition, 55(1), 30–40. PubMedCrossRef Bechara, A. (2004). The role of emotion in decision-making: evidence from neurological patients with orbitofrontal damage. Brain and Cognition, 55(1), 30–40. PubMedCrossRef
go back to reference Berghmans, C., Godard, R., Joly, J., Tarquinio, C., & Cuny, P. (2012). Effects of the Mindfulness Based Stress Reduction (MBSR) approach on psychic health (stress, anxiety, depression) and coping mode of diabetic patients: a controlled and randomized pilot study. Annales Médico-Psychologiques, 170(5), 312–317. doi: 10.​1016/​j.​amp.​2010.​08.​010. CrossRef Berghmans, C., Godard, R., Joly, J., Tarquinio, C., & Cuny, P. (2012). Effects of the Mindfulness Based Stress Reduction (MBSR) approach on psychic health (stress, anxiety, depression) and coping mode of diabetic patients: a controlled and randomized pilot study. Annales Médico-Psychologiques, 170(5), 312–317. doi: 10.​1016/​j.​amp.​2010.​08.​010. CrossRef
go back to reference Branstrom, R., Kvillemo, P., Brandberg, Y., & Moskowitz, J. T. (2010). Self-report mindfulness as a mediator of psychological well-being in a stress reduction intervention for cancer patients—a randomized study. Annals of Behavioral Medicine, 39(2), 151–161. doi: 10.​1007/​s12160-010-9168-6. PubMedCrossRef Branstrom, R., Kvillemo, P., Brandberg, Y., & Moskowitz, J. T. (2010). Self-report mindfulness as a mediator of psychological well-being in a stress reduction intervention for cancer patients—a randomized study. Annals of Behavioral Medicine, 39(2), 151–161. doi: 10.​1007/​s12160-010-9168-6. PubMedCrossRef
go back to reference Brouse, C. H., Basch, C. E., Wolf, R. L., & Shmukler, C. (2004). Barriers to colorectal cancer screening: an educational diagnosis. Journal of Cancer Education, 19(3), 170–173. PubMedCrossRef Brouse, C. H., Basch, C. E., Wolf, R. L., & Shmukler, C. (2004). Barriers to colorectal cancer screening: an educational diagnosis. Journal of Cancer Education, 19(3), 170–173. 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(4), 822. 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(4), 822. 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(3), 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(3), 177–182. CrossRef
go back to reference Chapman, G. B., & Coups, E. J. (2006). Emotions and preventive behavior: worry, regret, and influenza vaccination. Health Psychology, 25(1), 82–90. PubMedCrossRef Chapman, G. B., & Coups, E. J. (2006). Emotions and preventive behavior: worry, regret, and influenza vaccination. Health Psychology, 25(1), 82–90. PubMedCrossRef
go back to reference Cockburn, J., Paul, C., Tzelepis, F., McElduff, P., & Byles, J. (2003). Delay in seeking advice for symptoms that potentially indicate bowel cancer. American Journal of Health Behavior, 27(4), 401–407. PubMedCrossRef Cockburn, J., Paul, C., Tzelepis, F., McElduff, P., & Byles, J. (2003). Delay in seeking advice for symptoms that potentially indicate bowel cancer. American Journal of Health Behavior, 27(4), 401–407. PubMedCrossRef
go back to reference Consedine, N. S., & Moscowitz, J. T. (2007). The role of discrete emotions in health outcomes: a critical review. Journal of Applied and Preventive Psychology, 12, 59–75. CrossRef Consedine, N. S., & Moscowitz, J. T. (2007). The role of discrete emotions in health outcomes: a critical review. Journal of Applied and Preventive Psychology, 12, 59–75. CrossRef
go back to reference Davey, G. C. L., & Bond, N. (2006). Using controlled comparisons in disgust psychopathology research: the case of disgust, hypochondriasis and health anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 37(1), 4–15. PubMedCrossRef Davey, G. C. L., & Bond, N. (2006). Using controlled comparisons in disgust psychopathology research: the case of disgust, hypochondriasis and health anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 37(1), 4–15. PubMedCrossRef
go back to reference Gayner, B., Esplen, M. J., DeRoche, P., Wong, J., Bishop, S., Kavanagh, L., et al. (2011). A randomized controlled trial of mindfulness-based stress reduction to manage affective symptoms and improve quality of life in gay men living with HIV. Journal of Behavioral Medicine, 1–14. doi: 10.​1007/​s10865-011-9350-8. Gayner, B., Esplen, M. J., DeRoche, P., Wong, J., Bishop, S., Kavanagh, L., et al. (2011). A randomized controlled trial of mindfulness-based stress reduction to manage affective symptoms and improve quality of life in gay men living with HIV. Journal of Behavioral Medicine, 1–14. doi: 10.​1007/​s10865-011-9350-8.
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 Goodwin, C. L., Forman, E. M., Herbert, J. D., Butryn, M. L., & Ledley, G. S. (2012). A pilot study examining the initial effectiveness of a brief acceptance-based behavior therapy for modifying diet and physical activity among cardiac patients. Behavior Modification, 36(2), 199–217. PubMedCrossRef Goodwin, C. L., Forman, E. M., Herbert, J. D., Butryn, M. L., & Ledley, G. S. (2012). A pilot study examining the initial effectiveness of a brief acceptance-based behavior therapy for modifying diet and physical activity among cardiac patients. Behavior Modification, 36(2), 199–217. PubMedCrossRef
go back to reference Haidt, J., McCauley, C., & Rozin, P. (1994). Individual differences in sensitivity to disgust: a scale sampling seven domains of disgust elicitors. Personality and Individual Differences, 16, 701–713. CrossRef Haidt, J., McCauley, C., & Rozin, P. (1994). Individual differences in sensitivity to disgust: a scale sampling seven domains of disgust elicitors. Personality and Individual Differences, 16, 701–713. CrossRef
go back to reference Hayes, S. C., & Strosahl, K. (2005). A practical guide to acceptance and commitment therapy: Springer, Berlin. Hayes, S. C., & Strosahl, K. (2005). A practical guide to acceptance and commitment therapy: Springer, Berlin.
go back to reference Izard, C. E., Libero, D. Z., Putnam, P., & Haynes, O. M. (1993). Stability of emotion experiences and their relations to traits of personality. Journal of Personality and Social Psychology May, 64(5), 847–860. CrossRef Izard, C. E., Libero, D. Z., Putnam, P., & Haynes, O. M. (1993). Stability of emotion experiences and their relations to traits of personality. Journal of Personality and Social Psychology May, 64(5), 847–860. CrossRef
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Delta. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Delta.
go back to reference Kelly, K. M., & Jones, W. H. (1997). Assessment of dispositional embarrassability. Anxiety, Stress and Coping, 10(4), 307–333. CrossRef Kelly, K. M., & Jones, W. H. (1997). Assessment of dispositional embarrassability. Anxiety, Stress and Coping, 10(4), 307–333. CrossRef
go back to reference Khankari, K., Eder, M., Osborn, C. Y., Makoul, G., Clayman, M., Skripkauskas, S., et al. (2007). Improving colorectal cancer screening among the medically underserved: a pilot study within a federally qualified health center. Journal of General Internal Medicine, 22(10), 1410–1414. PubMedCentralPubMedCrossRef Khankari, K., Eder, M., Osborn, C. Y., Makoul, G., Clayman, M., Skripkauskas, S., et al. (2007). Improving colorectal cancer screening among the medically underserved: a pilot study within a federally qualified health center. Journal of General Internal Medicine, 22(10), 1410–1414. PubMedCentralPubMedCrossRef
go back to reference Kondryn, H. J., Edmondson, C. L., Hill, J., & Eden, T. O. B. (2011). Treatment non-adherence in teenage and young adult patients with cancer. The Lancet Oncology, 12(1), 100–108. PubMedCrossRef Kondryn, H. J., Edmondson, C. L., Hill, J., & Eden, T. O. B. (2011). Treatment non-adherence in teenage and young adult patients with cancer. The Lancet Oncology, 12(1), 100–108. PubMedCrossRef
go back to reference Langer, E. J. (1989). Mindfulness. Cambridge: Da Capo. Langer, E. J. (1989). Mindfulness. Cambridge: Da Capo.
go back to reference Leshner, G., Bolls, P., & Thomas, E. (2009). Scare ’em or disgust ’em: the effects of graphic health promotion messages. Health Communication, 24, 447–458. PubMedCrossRef Leshner, G., Bolls, P., & Thomas, E. (2009). Scare ’em or disgust ’em: the effects of graphic health promotion messages. Health Communication, 24, 447–458. PubMedCrossRef
go back to reference McKee, L., Zvolensky, M. J., Solomon, S. E., Bernstein, A., & Leen-Feldner, E. (2007). Emotional-vulnerability and mindfulness: a preliminary test of associations among negative affectivity, anxiety sensitivity, and mindfulness skills [article]. Cognitive Behaviour Therapy, 36(2), 91–101. doi: 10.​1080/​1650607060111931​4. PubMedCrossRef McKee, L., Zvolensky, M. J., Solomon, S. E., Bernstein, A., & Leen-Feldner, E. (2007). Emotional-vulnerability and mindfulness: a preliminary test of associations among negative affectivity, anxiety sensitivity, and mindfulness skills [article]. Cognitive Behaviour Therapy, 36(2), 91–101. doi: 10.​1080/​1650607060111931​4. PubMedCrossRef
go back to reference Murphy, C., & MacKillop, J. (2012). Living in the here and now: interrelationships between impulsivity, mindfulness, and alcohol misuse. Psychopharmacology, 1–10. Murphy, C., & MacKillop, J. (2012). Living in the here and now: interrelationships between impulsivity, mindfulness, and alcohol misuse. Psychopharmacology, 1–10.
go back to reference Naqvi, N., Shiv, B., & Bechara, A. (2006). The role of emotion in decision making a cognitive neuroscience perspective. Current Directions in Psychological Science, 15(5), 260–264. CrossRef Naqvi, N., Shiv, B., & Bechara, A. (2006). The role of emotion in decision making a cognitive neuroscience perspective. Current Directions in Psychological Science, 15(5), 260–264. CrossRef
go back to reference Nemeroff, C. B., & Rozin, P. (1994). The contagion concept in adult thinking in the United States: transmission of germs and of interpersonal influence. Ethos, 22, 158–186. CrossRef Nemeroff, C. B., & Rozin, P. (1994). The contagion concept in adult thinking in the United States: transmission of germs and of interpersonal influence. Ethos, 22, 158–186. CrossRef
go back to reference O’Connell, J. B., Maggard, M. A., & Ko, C. Y. (2004). Colon cancer survival rates with the new American Joint Committee on Cancer sixth edition staging. Journal of the National Cancer Institute, 96(19), 1420–1425. PubMedCrossRef O’Connell, J. B., Maggard, M. A., & Ko, C. Y. (2004). Colon cancer survival rates with the new American Joint Committee on Cancer sixth edition staging. Journal of the National Cancer Institute, 96(19), 1420–1425. PubMedCrossRef
go back to reference Olatunji, B. O., Haidt, J., McKay, D., & David, B. (2008). Core, animal reminder, and contamination disgust: three kinds of disgust with distinct personality, behavioral, physiological, and clinical correlates. Journal of Research in Personality, 42(5), 1243–1259. doi: 10.​1016/​j.​jrp.​2008.​03.​009. CrossRef Olatunji, B. O., Haidt, J., McKay, D., & David, B. (2008). Core, animal reminder, and contamination disgust: three kinds of disgust with distinct personality, behavioral, physiological, and clinical correlates. Journal of Research in Personality, 42(5), 1243–1259. doi: 10.​1016/​j.​jrp.​2008.​03.​009. CrossRef
go back to reference Ostafin, B. D., & Marlatt, G. A. (2008). Surfing the urge: experiential acceptance moderates the relation between automatic alcohol motivation and hazardous drinking [article]. Journal of Social and Clinical Psychology, 27(4), 404–418. CrossRef Ostafin, B. D., & Marlatt, G. A. (2008). Surfing the urge: experiential acceptance moderates the relation between automatic alcohol motivation and hazardous drinking [article]. Journal of Social and Clinical Psychology, 27(4), 404–418. CrossRef
go back to reference Park, J. H., Faulkner, J., & Schaller, M. (2003). Evolved disease-avoidance processes and contemporary anti-social behavior: prejudicial attitudes and avoidance of people with physical disabilities. Journal of Nonverbal Behavior, 27(2), 65–87. CrossRef Park, J. H., Faulkner, J., & Schaller, M. (2003). Evolved disease-avoidance processes and contemporary anti-social behavior: prejudicial attitudes and avoidance of people with physical disabilities. Journal of Nonverbal Behavior, 27(2), 65–87. CrossRef
go back to reference Raman, L., & Gelman, S. A. (2008). Do children endorse psychosocial factors in the transmission of illness and disgust? Developmental Psychology, 44(3), 801–813. PubMedCrossRef Raman, L., & Gelman, S. A. (2008). Do children endorse psychosocial factors in the transmission of illness and disgust? Developmental Psychology, 44(3), 801–813. PubMedCrossRef
go back to reference Reynolds, L. M., Consedine, N. S., Pizarro, D. A., & Bissett, I. P. (2013). Disgust and behavioral avoidance in colorectal cancer screening and treatment: a systematic review and research agenda. Cancer Nursing, 36(2), 122–130. doi: 10.​1097/​NCC.​0b013e31826a4b1b​ Reynolds, L. M., Consedine, N. S., Pizarro, D. A., & Bissett, I. P. (2013). Disgust and behavioral avoidance in colorectal cancer screening and treatment: a systematic review and research agenda. Cancer Nursing, 36(2), 122–130. doi: 10.​1097/​NCC.​0b013e31826a4b1b​
go back to reference Schneider, R. J., Hough, L. M., & Dunnette, M. D. (1996). Broadsided by broad traits: how to sink science in five dimensions or less. Journal of Organizational Behavior, 17(6), 639–655. CrossRef Schneider, R. J., Hough, L. M., & Dunnette, M. D. (1996). Broadsided by broad traits: how to sink science in five dimensions or less. Journal of Organizational Behavior, 17(6), 639–655. CrossRef
go back to reference Simmonds, P. (2000). Palliative chemotherapy for advanced colorectal cancer: systematic review and meta-analysis. BMJ: British Medical Journal, 321(7260), 531. PubMedCrossRef Simmonds, P. (2000). Palliative chemotherapy for advanced colorectal cancer: systematic review and meta-analysis. BMJ: British Medical Journal, 321(7260), 531. PubMedCrossRef
go back to reference Smith, G. T., Fischer, S., & Fister, S. M. (2003). Incremental validity principles in test construction. Psychological Assessment, 15(4), 467–477. PubMedCrossRef Smith, G. T., Fischer, S., & Fister, S. M. (2003). Incremental validity principles in test construction. Psychological Assessment, 15(4), 467–477. PubMedCrossRef
go back to reference Sussner, K. M., Thompson, H. S., Jandorf, L., Edwards, T. A., Forman, A., Brown, K., et al. (2009). The influence of acculturation and breast cancer-specific distress on perceived barriers to genetic testing for breast cancer among women of African descent. Psycho-Oncology, 18(9), 945–955. PubMedCentralPubMedCrossRef Sussner, K. M., Thompson, H. S., Jandorf, L., Edwards, T. A., Forman, A., Brown, K., et al. (2009). The influence of acculturation and breast cancer-specific distress on perceived barriers to genetic testing for breast cancer among women of African descent. Psycho-Oncology, 18(9), 945–955. PubMedCentralPubMedCrossRef
go back to reference Tabar, L., Gad, A., Holmberg, L. H., & Ljungquist, U. (1985). Reduction in mortality from breast cancer after mass screening with mammogaphy: randomised trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare. Lancet, 325(8433), 829–832. doi: 10.​1016/​s0140-6736(85)92204-4. CrossRef Tabar, L., Gad, A., Holmberg, L. H., & Ljungquist, U. (1985). Reduction in mortality from breast cancer after mass screening with mammogaphy: randomised trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare. Lancet, 325(8433), 829–832. doi: 10.​1016/​s0140-6736(85)92204-4. CrossRef
go back to reference 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. PubMedCrossRef 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. PubMedCrossRef
go back to reference Van Dam, N. T., Earleywine, M., & Danoff-Burg, S. (2009). Differential item function across meditators and non-meditators on the Five Facet Mindfulness Questionnaire. Personality and Individual Differences, 47(5), 516–521. CrossRef Van Dam, N. T., Earleywine, M., & Danoff-Burg, S. (2009). Differential item function across meditators and non-meditators on the Five Facet Mindfulness Questionnaire. Personality and Individual Differences, 47(5), 516–521. CrossRef
go back to reference van Overveld, M., de Jong, P., Peters, M. L., & Schouten, E. (2011). The Disgust Scale-R: a valid and reliable index to investigate separate disgust domains? Personality and Individual Differences, 51(3), 325–330. CrossRef van Overveld, M., de Jong, P., Peters, M. L., & Schouten, E. (2011). The Disgust Scale-R: a valid and reliable index to investigate separate disgust domains? Personality and Individual Differences, 51(3), 325–330. CrossRef
go back to reference Williams, V., Ciarrochi, J., & Deane, F. P. (2010). On being mindful, emotionally aware, and more resilient: longitudinal pilot study of police recruits. Australian Psychologist, 45(4), 274–282. CrossRef Williams, V., Ciarrochi, J., & Deane, F. P. (2010). On being mindful, emotionally aware, and more resilient: longitudinal pilot study of police recruits. Australian Psychologist, 45(4), 274–282. CrossRef
Metagegevens
Titel
Mindfulness and Disgust in Colorectal Cancer Scenarios: Non-judging and Non-reacting Components Predict Avoidance When It Makes Sense
Auteurs
Lisa M. Reynolds
Nathan S. Consedine
Sarah A. McCambridge
Publicatiedatum
01-08-2014
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 4/2014
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-013-0200-3