Top

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

vorige artikel Connecting Mindfulness and Meaning in Life: Exp...

volgende artikel A Comparison of the Attentional Effects of Sing...

Tip

Swipe om te navigeren naar een ander artikel

18-10-2014 | ORIGINAL PAPER | Uitgave 5/2015

Mindfulness Skills, Anxiety Sensitivity, and Cognitive Reactivity in Patients with Posttraumatic Stress Disorder

Tijdschrift:: Mindfulness > Uitgave 5/2015

Auteurs:: Maartje Schoorl, Linda Van Mil-Klinkenberg, Willem Van Der Does

» Toegang tot de volledige tekst krijgen

Abstract

In trauma-exposed individuals, those with relatively high levels of mindfulness skills tend to have lower levels of symptoms. Mindfulness has also been associated with decreased anxiety sensitivity and cognitive reactivity, and vulnerability factors related to posttraumatic and depressive symptom severity. In this cross-sectional study, our aim was to further investigate the associations among mindfulness skills, anxiety sensitivity, cognitive reactivity, and symptom severity in patients with posttraumatic stress disorder (PTSD). Outpatients with PTSD (N = 101) filled out questionnaires. All facets of mindfulness correlated negatively with reactivity measures and with symptom severity, except for the facet observe. In hierarchical multiple regression analysis, describe, non-judgment, and non-reactivity predicted PTSD symptom severity above and beyond anxiety sensitivity and trauma exposure severity. Describe, act with awareness, and non-judgment also predicted depressive symptom severity above and beyond cognitive reactivity and number of experienced traumatic events. In conclusion, mindfulness skills were indeed uniquely related to symptom severity and cognitive reactivity measures. Our results furthermore support a five-facet model of mindfulness. In addition, the outcomes are a cross-cultural contribution to research on the relevance of mindfulness skills in the treatment of PTSD.

Log in om toegang te krijgen

Hier inloggen

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.

Meer informatie

American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (Revised 4th ed.) Washington, DC: Author.

Andrews, B., Brewin, C. R., Rose, S., & Kirk, M. (2000). Predicting PTSD symptoms in of victims of violent crime: the role of shame, anger and childhood abuse. Journal of Abnormal Psychology, 109, 69–73. CrossRefPubMed

Arch, J. J., & Craske, M. G. (2010). Laboratory stressors in clinically anxious and non-anxious individuals: the moderating role of mindfulness. Behaviour Research and Therapy, 48, 495–505. CrossRefPubMed

Arrindell, W. A., & Albersnagel, F. A. (1987). Anxiety sensitivity inventory. Groningen: International Diagnostic Systems.

Baer, R. A., & Smith, G. T. (2004). Assessment of mindfulness by self report: the Kentucky inventory of mindfulness skills. Assessment, 11, 191–206. CrossRefPubMed

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, 27–45. CrossRefPubMed

Batten, S. V., Orsillo, S. M., & Walser, R. D. (2006). Acceptance and mindfulness-based approaches to the treatment of posttraumatic stress disorder. In S. M. Orsillo & L. Roemer (Eds.), Acceptance- and mindfulness-based approaches to anxiety: conceptualization and treatment (pp. 241–269). New York: Springer.

Baum, C., Kuyken, W., Bohus, M., Heidenreich, T., Michalak, J., & Steil, R. (2009). The psychometric properties of the Kentucky inventory of mindfulness skills in clinical populations. Assessment, 17, 220–229. CrossRefPubMed

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory (2nd ed.). San Antonio: The Psychological Corporation.

Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & 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.N., Kaloupek, D.G., Klauminzer, G., Charney, D.S., & Keane, T.M. (1990). Clinician Administered PTSD Scale (CAPS). National Center for Posttraumatic Stress Disorder, Behavioral Science Division-Boston.

Brown, K. W., & Ryan, R. M. (2003). The benefit of being present: mindfulness ans its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.

Bryant, R. A., & Guthrie, R. M. (2007). Maladaptive self-appraisals before trauma exposure predict posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 75(5), 812–815. CrossRefPubMed

Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008). The assessment of present-moment awareness and acceptance: the Philadelphia mindfulness scale. Assessment, 15(2), 204–223. doi: 10.1177/1073191107311467. CrossRefPubMed

Cash, M., & Wittingham, K. (2010). What facets of mindfulness contribute to psychological well-being and depressive, anxious, and stress-related symptomatology? Mindfulness, 1(3), 177–182.

Chiesa, A., & Serreti, A. (2011). Mindfulness-based cognitive therapy for psychiatric disorders: a systematic review and meta-analysis. Psychiatry Research, 187, 441–453. doi: 10.1016/j. psychres.2010.08.011. CrossRefPubMed

Davidson, J. R. T., & Foa, E. B. (Eds.). (1993). Posttraumatic stress disorder: DSM-IV and beyond. Washington: American Psychiatric Press.

Dekeyser, M., Raes, F., Leissen, M., Leysen, S., & Dewulf, D. (2008). Mindfulness and interpersonal behaviour: evaluation of the Dutch version of the Kentucky inventory of mindfulness skills (KIMS). Personality and Individual Differences, 44, 1235–1245. CrossRef

Fjorback, L. O., Arendt, M., Ørnbøl, E., Fink, P., & Walach, H. (2011). Mindfulness-based stress reduction and mindfulness-based cognitive therapy—a systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica, 124, 102–119. doi: 10.1111/j.1600-0447.2011.01704.x. CrossRefPubMed

Foa, E. B., Tolin, D. F., Ehlers, A., Clark, D. M., & Orsillo, S. M. (1999). The posttraumatic cognitions inventory (PTCI): development and validation. Psychological Assessment, 11, 303–314. CrossRef

Foa, E. B., Keane, T. M., & Friedman, M. J. (Eds.). (2004). Effective treatments for PTSD. New York: The Guilford Press.

Folette, V., Palm, K. M., & Rasmussen Hall, M. L. (2004). Mindfulness and trauma: implications for treatment. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 24(4), 315–336.

Friedman, M. J., Keane, T. M., & Resick, P. A. (2007). Handbook of PTSD, science and practice. New York: The Guilford 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. PubMedCentralCrossRefPubMed

Horowitz, M. J., Wilner, M., & Alvarez, W. (1979). Impact of event scale: a measure of subjective stress. Psychosomatic Medicine, 41, 209–218. CrossRefPubMed

Hovens, J. E., Bramsen, I., & Van Der Ploeg, H. M. (2000). Zelfinventarisatielijst posttraumatische stressstoornis (ZIL). Lisse: Swets Test Publishers. 2000.

Hovens, J. E., Bramsen, I., & Van Der Ploeg, H. M. (2002). Zelfinventarisatielijst voor de Posttraumatische Stressstoornis. Tijdschrift Klinische Psychologie, 32(3), 176–180.

Hovens, J. E., Luinge, B., & van Minnen, A. (2005). Het klinisch interview voor PTSS (KIP). Nijmegen: Cure & Care Publishers.

Imel, Z. E., Laska, K., Jakupcak, M., & Simpson, T. L. (2013). Meta-analysis of dropout in treatments for posttraumatic stress disorder. Journal of Consulting and Clinical Psychology. doi: 10.1037/a0031474. Advance online publication. PubMedCentral

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. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte.

Kearney, D. J., McDermott, K., Malte, C., Martinez, M., & Simpson, T. L. (2012). Association of participation in a mindfulness program with measures of PTSD, depression and quality of life in a veteran sample. Journal of Clinical Psychology, 68(1), 101–116. doi: 10.1002/jclp.20853. CrossRefPubMed

Kearney, D. J., Mc Dermott, 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. doi: 10.1002/jclp.21911. CrossRefPubMed

Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M., Paquin, K., & Hofmann, S. G. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33, 763–771. doi: 10.1016/j.cpr.2013.05.005. 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

King, A. P., Erickson, T. M., Giardino, N. D., Favorite, T., Rauch, S. A. M., Robinson, E., Kulkarni, M., & Liberzon, I. (2012). A pilot study of group mindfulness-based cognitive therapy (MBCT) for combat veterans with posttraumatic stress disorder (PTSD). Depression and Anxiety, 30, 638–645. doi: 10.1002/da.22104. CrossRef

Koren, D., Arnon, I., & Klein, E. (1999). Acute stress response and posttraumatic stress disorder in traffic accident victims: a one-year prospective, follow-up study. American Journal of Psychiatry, 156, 367–373. PubMed

Kruijt, A. W., Antypa, N., Booij, L., de Jong, P. J., Glashouwer, K., Penninx, B. W. J. H., & Van der Does, W. (2013). Cognitive reactivity, implicit associations and the incidence of depression: a two-year prospective study. PLoS One, 8(7), 1–6. CrossRef

Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., Evans, A., Radford, S., Teasdale, J. D., & Dalgliesh, T. (2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48, 1105–1112. doi: 10.1016/j.brat.2010.08.003. CrossRefPubMed

Lau, M. A., Segal, Z. V., & Williams, J. M. G. (2004). Teasdale’s differential activation hypothesis: implications for mechanisms of depressive relapse and suicidal behaviour. Behaviour Research and Therapy, 42, 1001–1017. CrossRefPubMed

Lieberman, M. D., Eisenberger, N. I., Crockett, M. J., Tom, S. M., Pfeifer, J. H., & Way, B. M. (2007). Putting feelings into words: affect labeling disrupts amygdale activity to affective stimuli. Psychological Science, 18, 421–442. CrossRefPubMed

Marshall, G. N., Miles, J. N. M., & Stewart, S. H. (2010). Anxiety sensitivity and PTSD symptom severity are reciprocally related: evidence from a longitudinal study of physical trauma survivors. Journal of Abnormal Psychology, 119(1), 143–150. PubMedCentralCrossRefPubMed

McKee, L., Zvolensky, M. J., Solomon, S. E., Bernstein, A., & Leen-Feldner, E. (2007). Cognitive Behaviour Therapy, 36(2), 91–101. CrossRefPubMed

Mor, N., & Winqust, J. (2002). Self-focused attention and negative affect: a meta-analysis. Psychological Bulletin, 128, 638–662.

Naragon-Gainey, K. (2010). Meta-analysis of the relations of anxiety sensitivity to the depressive and anxiety disorders. Psychological Bulletin, 136(1), 128–150. CrossRefPubMed

Owens, G. P., & Chard, K. M. (2006). PTSD severity and cognitive reactions to trauma among a college sample: an explanatory study. Journal of Aggression, Maltreatment & Trauma, 13, 23–36. doi: 10.1300/J146v13n02_02. CrossRef

Piet, J., & Hougaard, E. (2011). The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clinical Psychology Review, 31, 1032–1040. CrossRefPubMed

Power, M. J., & Fyvie, C. (2013). The role of emotion in PTSD: two preliminary studies. Behavioural and Cognitive Psychotherapy, 41(2), 162–172. CrossRefPubMed

Raes, F., Dewulf, D., van Heeringen, C., & Williams, J. M. G. (2009). Mindfulness and reduced cognitive reactivity to sad mood: evidence from a correlational study and a non-randomized waiting list controlled study. Behaviour Research and Therapy, 47, 623–627. CrossRefPubMed

Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behaviour Research and Therapy, 24(1), 1–8. CrossRefPubMed

Schottenbauer, M. A., Glass, C. R., Arnkhoff, D. B., Tendick, V., & Hafter Gray, S. (2008). Nonresponse and drop out rates in outcome studies in PTSD: review and methodological considerations. Psychiatry, 71(2), 134–168. CrossRefPubMed

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: The Guilford Press.

Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Janays, J., Weiller, E., Hergueta, T., Baker, R., & Dunbar, G. C. (1998). The MINI international neuropsychiatric interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59, 22–33. PubMed

Sullivan Kalill, K., Treanor, M., & Roemer, L. (2014). The importance of non-reactivity to posttraumatic stress symptoms: a case for mindfulness. Mindfulness, 5, 314–321. doi: 10.1007/s12671-012-0182-6. CrossRef

Tanay, G., Lotan, G., & Bernstein, A. (2012). Salutary proximal processes and distal mood and anxiety vulnerability outcomes of mindfulness training: a pilot preventive intervention. Behavior Therapy, 43, 492–505. CrossRefPubMed

Thompson, B. L., & Waltz, J. (2010). Mindfulness and experiential avoidance as predictors of posttraumatic stress disorder avoidance symptom severity. Journal of Anxiety Disorders, 24, 409–415. CrossRefPubMed

Tull, M. T., Barrett, H. M., McMillan, E. S., & Roemer, L. (2007). A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behavior Therapy, 38, 303–313. CrossRefPubMed

Van Der Does, A. J. W. (2002a). Handleiding van de Nederlandse bewerking van de BDI-II. [Manual of the Dutch version of the BDI-II]. San Antonio: The Psychological Corporation.

Van Der Does, A. J. W. (2002b). Cognitive reactivity to sad mood: structure and validity of a new measure. Behaviour Therapy and Research, 40, 105–120. CrossRef

Van Minnen, A., & Hagenaars, H. (2002). Fear activation and habituation patterns as early process predictors of response to prolonged exposure treatment in PTSD. Journal of Traumatic Stress, 15, 359–367. CrossRefPubMed

Vujanovic, A. A., Zvolensky, M. J., Bernstein, A., Feldner, M. T., & McLeish, A. C. (2007). A test of the interactive effects of anxiety sensitivity and mindfulness in the prediction of anxious arousal, agoraphobic cognitions, and body vigilance. Behaviour Research and Therapy, 45, 1393–1400. 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, 297–303. PubMedCentralCrossRefPubMed

Wahbeh, H., Lu, M., & Oken, B. (2011). Mindful awareness and non-judging in relation to posttraumatic stress disorder symptoms. Mindfulness, 2, 219–227. PubMedCentralCrossRefPubMed

Walser, R. D., & Westrup, D. (2007). Acceptance and commitment therapy for the treatment of post-traumatic stress disorder: a practitioner’s guide to using mindfulness and acceptance strategies. Oakland: New Harbinger.

Williams, J. M. G., Van der Does, A. J. W., Barnhofer, T., Crane, C., & Segal, Z. V. (2008). Cognitive reactivity, suicidal ideation and future fluency: investigating a differential activation theory of suicidality. Cognitive Therapy and Research, 32, 83–104. CrossRef

Titel: Mindfulness Skills, Anxiety Sensitivity, and Cognitive Reactivity in Patients with Posttraumatic Stress Disorder
Auteurs:: Maartje Schoorl
Linda Van Mil-Klinkenberg
Willem Van Der Does
Publicatiedatum: 18-10-2014
DOI: https://doi.org/10.1007/s12671-014-0346-7
Uitgeverij: Springer US
Tijdschrift: Mindfulness
Uitgave 5/2015
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Tip

Swipe om te navigeren naar een ander artikel

Mindfulness Skills, Anxiety Sensitivity, and Cognitive Reactivity in Patients with Posttraumatic Stress Disorder

Abstract

Log in om toegang te krijgen

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

BSL Psychologie Totaal

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Tip

Swipe om te navigeren naar een ander artikel

Abstract

Log in om toegang te krijgen

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

BSL Psychologie Totaal

Andere artikelen Uitgave 5/2015

The Head and the Heart: Effects of Understanding and Experiencing Lovingkindness on Attitudes Toward the Self and Others

MBCT for Patients with Respiratory Conditions Who Experience Anxiety and Depression: A Qualitative Study

Mindfulness, Work Climate, and Psychological Need Satisfaction in Employee Well-being

Sustained Attention and Motivation in Zen Meditators and Non-meditators

Some Reflections on Being Good, on not Being Good and on Just Being

Clinical Psychology Trainees’ Experiences of Mindfulness: an Interpretive Phenomenological Analysis