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03-10-2016 | ORIGINAL PAPER

Mindfulness as a Mediator Between the Relational Style with Voices and Negative Affect

Auteurs: Salvador Perona-Garcelán, Juan F. Rodríguez-Testal, Cristina Senín-Calderón, Miguel Ruiz-Veguilla, Mark Hayward

Gepubliceerd in: Mindfulness | Uitgave 2/2017

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Abstract

Recent studies have established associations between relating to voices and distress. However, the potential influence of mindfulness on this relationship has received little attention. This study was designed to explore the extent to which associations between relating to voices and distress are mediated by mindfulness. A cross-sectional study was conducted to explore the associations between these variables. A sample of 62 patients with psychotic disorder were given the Voices and You Scale (VAY) to measure the relational style with the voices, the Mindfulness and Awareness Scale (MAAS) to measure the capability of mindfulness, and the Beck Anxiety Inventory (BAI) and Beck Depression Inventory-II (BDI-II) to measure anxiety and depression, respectively. The results showed a negative association between a dysfunctional style of relating to the voices and mindfulness. It was also found from simple mediation analysis that the mindfulness variable negatively mediated the dysfunctional relational style with voices and distress. Mindfulness is a variable that can mediate the effect of relating style upon voices and distress and should be a target of therapeutic intervention.
Literatuur
go back to reference Aleman, A., & Larøi, F. (2008). Hallucinations: the science of idiosyncratic perception. Washington: American Psychological Association.CrossRef Aleman, A., & Larøi, F. (2008). Hallucinations: the science of idiosyncratic perception. Washington: American Psychological Association.CrossRef
go back to reference Beck, A. T., & Steer, R. A. (1993). Beck Anxiety Inventory manual. San Antonio: Harcourt Brace and Company. Beck, A. T., & Steer, R. A. (1993). Beck Anxiety Inventory manual. San Antonio: Harcourt Brace and Company.
go back to reference Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio: Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio: Psychological Corporation.
go back to reference Birtchnell, J. (2002). Relating in psychotherapy: the application of a new theory. Hove: Brunner-Routledge. Birtchnell, J. (2002). Relating in psychotherapy: the application of a new theory. Hove: Brunner-Routledge.
go back to reference Brown, K., & Ryan, R. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality & Social Psychology, 84, 822–848.CrossRef Brown, K., & Ryan, R. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality & Social Psychology, 84, 822–848.CrossRef
go back to reference Chadwick, P. D. J., Barnbrook, E., & Newman-Taylor, K. (2007). Responding mindfully to distressing voices: links with meaning, affect and relationship with voice. Journal of the Norwegian Psychological Association, 44, 581–588. Chadwick, P. D. J., Barnbrook, E., & Newman-Taylor, K. (2007). Responding mindfully to distressing voices: links with meaning, affect and relationship with voice. Journal of the Norwegian Psychological Association, 44, 581–588.
go back to reference Escudero-Pérez, S., León-Palacios, M. G., Úbeda-Gómez, J., Barros-Albarrán, M. D., López-Jiménez, A. M., & Perona-Garcelán, S. (2016). Dissociation and mindfulness in patients with auditory verbal hallucinations. Journal of Trauma and Dissociation, 17(3), 294–306.CrossRefPubMed Escudero-Pérez, S., León-Palacios, M. G., Úbeda-Gómez, J., Barros-Albarrán, M. D., López-Jiménez, A. M., & Perona-Garcelán, S. (2016). Dissociation and mindfulness in patients with auditory verbal hallucinations. Journal of Trauma and Dissociation, 17(3), 294–306.CrossRefPubMed
go back to reference Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Press.
go back to reference Hayward, M., Denney, J., Vaughan, S., & Fowler, D. (2008). The voice and you: development and psychometric evaluation of a measure of relationships with voices. Clinical Psychology and Psychotherapy, 15, 45–52.CrossRefPubMed Hayward, M., Denney, J., Vaughan, S., & Fowler, D. (2008). The voice and you: development and psychometric evaluation of a measure of relationships with voices. Clinical Psychology and Psychotherapy, 15, 45–52.CrossRefPubMed
go back to reference Hayward, M., Overton, J., Dorey, T., & Denney, J. (2009). Relating therapy for people who hear voices: a case series. Clinical Psychology & Psychotherapy, 16, 216–227.CrossRef Hayward, M., Overton, J., Dorey, T., & Denney, J. (2009). Relating therapy for people who hear voices: a case series. Clinical Psychology & Psychotherapy, 16, 216–227.CrossRef
go back to reference Hayward, M., Berry, K., & Ashton, A. (2011). Applying interpersonal theories to the understanding of and therapy for auditory hallucinations: a review of the literature and directions for further research. Clinical Psychology Review, 31, 1313–1323.CrossRefPubMed Hayward, M., Berry, K., & Ashton, A. (2011). Applying interpersonal theories to the understanding of and therapy for auditory hallucinations: a review of the literature and directions for further research. Clinical Psychology Review, 31, 1313–1323.CrossRefPubMed
go back to reference Hayward, M., Berry, K., McCarthy-Jones, S., Strauss, C., & Thomas, N. (2013). Beyond the omnipotence of voices: further developing a relational approach to auditory hallucinations. Psychosis, 6, 242–252.CrossRef Hayward, M., Berry, K., McCarthy-Jones, S., Strauss, C., & Thomas, N. (2013). Beyond the omnipotence of voices: further developing a relational approach to auditory hallucinations. Psychosis, 6, 242–252.CrossRef
go back to reference Kabat-Zinn, J. (1994). Wherever you go there you are: mindfulness meditation in everyday life. New York: Hyperion. Kabat-Zinn, J. (1994). Wherever you go there you are: mindfulness meditation in everyday life. New York: Hyperion.
go back to reference Kay, S. R., Opler, L. A., & Lindenmayer, J. P. (1988). Reliability and validity of the positive and negative syndrome scale for schizophrenics. Psychiatry Research, 23, 99–110.CrossRefPubMed Kay, S. R., Opler, L. A., & Lindenmayer, J. P. (1988). Reliability and validity of the positive and negative syndrome scale for schizophrenics. Psychiatry Research, 23, 99–110.CrossRefPubMed
go back to reference Leff, J., Williams, G., Huckvale, M., Arbuthnot, M., & Leff, A. P. (2014). Avatar therapy for persecutory auditory hallucinations: what is it and how does it work? Psychosis, 6(2), 166–176.CrossRefPubMed Leff, J., Williams, G., Huckvale, M., Arbuthnot, M., & Leff, A. P. (2014). Avatar therapy for persecutory auditory hallucinations: what is it and how does it work? Psychosis, 6(2), 166–176.CrossRefPubMed
go back to reference León-Palacios, M. G., Úbeda-Gómez, J., Escudero-Pérez, S., Barros-Albarán, M. D., López-Jiménez, A. M., & Perona-Garcelán, S. (2015). Auditory verbal hallucinations: can beliefs about voices mediate the relationship patients establish with them and negative affect? Spanish Journal of Psychology, 18(e76), 1–8. León-Palacios, M. G., Úbeda-Gómez, J., Escudero-Pérez, S., Barros-Albarán, M. D., López-Jiménez, A. M., & Perona-Garcelán, S. (2015). Auditory verbal hallucinations: can beliefs about voices mediate the relationship patients establish with them and negative affect? Spanish Journal of Psychology, 18(e76), 1–8.
go back to reference Morris, E. M., Garety, P., & Peters, E. (2014). Psychological flexibility and nonjudgemental acceptance in voice hearers: relationships with omnipotence and distress. Australian New Zealand Journal of Psychiatry, 48, 1150–1162.CrossRefPubMed Morris, E. M., Garety, P., & Peters, E. (2014). Psychological flexibility and nonjudgemental acceptance in voice hearers: relationships with omnipotence and distress. Australian New Zealand Journal of Psychiatry, 48, 1150–1162.CrossRefPubMed
go back to reference Perona-Garcelán, S., Cuevas-Yust, C., García-Montes, J. M., Pérez-Álvarez, M., Ductor-Recuerda, M. J., Salas-Azcona, R., et al. (2008). Relationship between self-focussed attention and dissociation in patients with and without auditory hallucinations. Journal of Nervous and Mental Disease, 196, 190–197.CrossRefPubMed Perona-Garcelán, S., Cuevas-Yust, C., García-Montes, J. M., Pérez-Álvarez, M., Ductor-Recuerda, M. J., Salas-Azcona, R., et al. (2008). Relationship between self-focussed attention and dissociation in patients with and without auditory hallucinations. Journal of Nervous and Mental Disease, 196, 190–197.CrossRefPubMed
go back to reference Perona-Garcelán, S., García-Montes, J. M., Ductor-Recuerda, M. J., Vallina-Fernández, O., Cuevas-Yust, C., Pérez-Álvarez, M., et al. (2012). Relationship of metacognition, absorption and depersonalization in patients with auditory hallucinations. British Journal of Clinical Psychology, 51, 100–118.CrossRefPubMed Perona-Garcelán, S., García-Montes, J. M., Ductor-Recuerda, M. J., Vallina-Fernández, O., Cuevas-Yust, C., Pérez-Álvarez, M., et al. (2012). Relationship of metacognition, absorption and depersonalization in patients with auditory hallucinations. British Journal of Clinical Psychology, 51, 100–118.CrossRefPubMed
go back to reference Perona-Garcelán, S., Carrascoso-López, F., García-Montes, J. M., Ductor-Recuerda, M. J., López-Jiménez, A. M., Vallina-Fernández, O., et al. (2014a). Relationship between childhood trauma, mindfulness, and dissociation in subjects with and without hallucination proneness. Journal of Trauma & Dissociation, 15, 35–51.CrossRef Perona-Garcelán, S., Carrascoso-López, F., García-Montes, J. M., Ductor-Recuerda, M. J., López-Jiménez, A. M., Vallina-Fernández, O., et al. (2014a). Relationship between childhood trauma, mindfulness, and dissociation in subjects with and without hallucination proneness. Journal of Trauma & Dissociation, 15, 35–51.CrossRef
go back to reference Perona-Garcelán, S., García-Montes, J. M., López-Jiménez, A. M., Rodríguez-Testal, J. F., Ruiz-Veguilla, M., Ductor-Recuerda, M. J., et al. (2014b). Relationship between self-focused attention and mindfulness in people with and without hallucination proneness. Spanish Journal of Psychology, 17(e20), 1–8. Perona-Garcelán, S., García-Montes, J. M., López-Jiménez, A. M., Rodríguez-Testal, J. F., Ruiz-Veguilla, M., Ductor-Recuerda, M. J., et al. (2014b). Relationship between self-focused attention and mindfulness in people with and without hallucination proneness. Spanish Journal of Psychology, 17(e20), 1–8.
go back to reference Perona-Garcelán, S., Úbeda-Gómez, J., León-Palacios, M. G., Barros-Albarrán, M. D., Escudero-Pérez, S., López-Jiménez, A. M., et al. (2016a). An exploration of the reliability and validity of the Spanish version of the “Voice and You” (VAY): a scale for measuring the relationship with voices. Clinical Psychology and Psychotherapy, 23, 183–188.CrossRefPubMed Perona-Garcelán, S., Úbeda-Gómez, J., León-Palacios, M. G., Barros-Albarrán, M. D., Escudero-Pérez, S., López-Jiménez, A. M., et al. (2016a). An exploration of the reliability and validity of the Spanish version of the “Voice and You” (VAY): a scale for measuring the relationship with voices. Clinical Psychology and Psychotherapy, 23, 183–188.CrossRefPubMed
go back to reference Perona-Garcelán, S., Úbeda-Gómez, J., León-Palacios, M. G., Escudero-Pérez, S., Barros-Albarrán, M. D., López-Jiménez, A. M., et al. (2016b). Relationship between public and private self-focused attention and auditory verbal hallucinations as an interpersonal process. Psychosis, 8(2), 118–129.CrossRef Perona-Garcelán, S., Úbeda-Gómez, J., León-Palacios, M. G., Escudero-Pérez, S., Barros-Albarrán, M. D., López-Jiménez, A. M., et al. (2016b). Relationship between public and private self-focused attention and auditory verbal hallucinations as an interpersonal process. Psychosis, 8(2), 118–129.CrossRef
go back to reference Preacher, K. J., & Hayes, A. (2008). A symptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.CrossRefPubMed Preacher, K. J., & Hayes, A. (2008). A symptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.CrossRefPubMed
go back to reference Sanz, J., & Navarro, M. E. (2003). Psychometric properties of a Spanish version of the Beck Anxiety Inventory (BAI) in university students. Ansiedad y Estrés, 9, 59–84. Sanz, J., & Navarro, M. E. (2003). Psychometric properties of a Spanish version of the Beck Anxiety Inventory (BAI) in university students. Ansiedad y Estrés, 9, 59–84.
go back to reference Sanz, J., Perdigón, A. L., & Vázquez, C. (2003). The Spanish adaptation of Beck’s Depression Inventory-II (BDI-II): 2. Psychometric properties in the general population. Clínica y Salud, 14, 249–280. Sanz, J., Perdigón, A. L., & Vázquez, C. (2003). The Spanish adaptation of Beck’s Depression Inventory-II (BDI-II): 2. Psychometric properties in the general population. Clínica y Salud, 14, 249–280.
go back to reference Soler, J., Tejedor, R., Feliu-Soler, A., Pascual, J. C., Cebolla, A., Soriano, J., et al. (2012). Psychometric proprieties of Spanish version of Mindful Attention Awareness Scale (MAAS). Actas Española de Psiquiatría, 40, 19–26. Soler, J., Tejedor, R., Feliu-Soler, A., Pascual, J. C., Cebolla, A., Soriano, J., et al. (2012). Psychometric proprieties of Spanish version of Mindful Attention Awareness Scale (MAAS). Actas Española de Psiquiatría, 40, 19–26.
go back to reference Sorrell, E., Hayward, M., & Meddings, S. (2010). Interpersonal processes and auditory hallucinations: a study of the association between relating to voices and distress in clinical and non-clinical hearers. Behavioural and Cognitive Psychotherapy, 38, 127–140.CrossRefPubMed Sorrell, E., Hayward, M., & Meddings, S. (2010). Interpersonal processes and auditory hallucinations: a study of the association between relating to voices and distress in clinical and non-clinical hearers. Behavioural and Cognitive Psychotherapy, 38, 127–140.CrossRefPubMed
go back to reference Strauss, C., Thomas, N., & Hayward, M. (2015). Can we respond mindfully to distressing voices? A systematic review of evidence for engagement, acceptability, effectiveness and mechanisms of change for mindfulness-based interventions for people distressed by hearing voices. Frontiers in Psychology, 6, 1154.CrossRefPubMedPubMedCentral Strauss, C., Thomas, N., & Hayward, M. (2015). Can we respond mindfully to distressing voices? A systematic review of evidence for engagement, acceptability, effectiveness and mechanisms of change for mindfulness-based interventions for people distressed by hearing voices. Frontiers in Psychology, 6, 1154.CrossRefPubMedPubMedCentral
go back to reference Tellegen, A., & Atkinson, G. (1974). Openness to absorbing and self-altering experiences (“absorption”), a trait related to hypnotic susceptibility. Journal of Abnormal Psychology, 83(3), 268–277.CrossRefPubMed Tellegen, A., & Atkinson, G. (1974). Openness to absorbing and self-altering experiences (“absorption”), a trait related to hypnotic susceptibility. Journal of Abnormal Psychology, 83(3), 268–277.CrossRefPubMed
go back to reference Úbeda-Gómez, J., León-Palacios, M. G., Escudero-Pérez, S., Barros-Albarrán, M. D., López-Jiménez, A. M., & Perona-Garcelán, S. (2015). Relationship between self-focused attention, mindfulness and distress in individuals with auditory verbal hallucinations. Cognitive Neuropsychiatry, 20, 482–488.CrossRefPubMed Úbeda-Gómez, J., León-Palacios, M. G., Escudero-Pérez, S., Barros-Albarrán, M. D., López-Jiménez, A. M., & Perona-Garcelán, S. (2015). Relationship between self-focused attention, mindfulness and distress in individuals with auditory verbal hallucinations. Cognitive Neuropsychiatry, 20, 482–488.CrossRefPubMed
go back to reference Vaughan, S., & Fowler, D. (2004). The distress experienced by voice hearers is associated with the perceived relationship between the voice hearer and the voice. British Journal of Clinical Psychology, 43, 143–153.CrossRefPubMed Vaughan, S., & Fowler, D. (2004). The distress experienced by voice hearers is associated with the perceived relationship between the voice hearer and the voice. British Journal of Clinical Psychology, 43, 143–153.CrossRefPubMed
go back to reference Waters, F., Allen, P., Aleman, A., Fernyhough, C., Woodward, T. S., Badcok, J. C., & Larøi, F. (2012). Auditory hallucinations in schizophrenia and nonschizophrenia populations: a review and integrated model of cognitive mechanisms. Schizophrenia Bulletin, 38(4), 683–693.CrossRefPubMedPubMedCentral Waters, F., Allen, P., Aleman, A., Fernyhough, C., Woodward, T. S., Badcok, J. C., & Larøi, F. (2012). Auditory hallucinations in schizophrenia and nonschizophrenia populations: a review and integrated model of cognitive mechanisms. Schizophrenia Bulletin, 38(4), 683–693.CrossRefPubMedPubMedCentral
go back to reference World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization. World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.
Metagegevens
Titel
Mindfulness as a Mediator Between the Relational Style with Voices and Negative Affect
Auteurs
Salvador Perona-Garcelán
Juan F. Rodríguez-Testal
Cristina Senín-Calderón
Miguel Ruiz-Veguilla
Mark Hayward
Publicatiedatum
03-10-2016
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 2/2017
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-016-0617-6