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Gepubliceerd in:

04-04-2022 | ORIGINAL PAPER

Panta Rhei: a Non-randomized Intervention Trial on the Effectiveness of Mindfulness-Self-compassion Weekend Retreats for People Bereaved by Suicide

Auteurs: Paolo Scocco, Maibrit Arbien, Stefano Totaro, Manuela Guadagnini, Massimo Nucci, SOPROXI Team

Gepubliceerd in: Mindfulness | Uitgave 5/2022

Abstract

Objectives

People bereaved by suicide represent a vulnerable population, but postvention still lacks evidence-based resources to support them. Mindfulness and self-compassion–based interventions have proven effective in countering depression, PTSD symptoms, and traumatic bereavement, and may also be beneficial in suicide postvention. To assess the effectiveness of Panta Rhei, a short, intensive, mindful self-compassion-based intervention for people bereaved by suicide, we evaluated baseline and follow-up levels of psychological distress, mindfulness, and self-compassion in participants and a control group.

Methods

The intervention was a non-randomized trial conducted with 147 people bereaved by suicide of whom 97 participated in a short 16-h intensive experiential intervention. Each of them completed the Self-Compassion Scale (SCS), Five-Facet Mindfulness Questionnaire (FFMQ), and Profiles of Mood States (POMS) 4–6 days prior to and after the intervention.

Results

Psychological distress significantly decreased in all areas evaluated by POMS. Participants also showed a significant increase in the FFMQ subscales Observe, Describe, Non-judge, and Non-react, in the SCS Self-Kindness subscale, and in overall Self-Compassion as inferred from significant group*time interaction effects. Sociodemographic, grief-related variables, SCS, and FFMQ at baseline did not correlate with changes in participants’ psychological distress.

Conclusions

Despite being limited by the lack of randomization for ethical reasons and the high prevalence of highly educated females in the control and intervention groups, this study illustrates the effectiveness of a short, intensive, mindful self-compassion-based intervention for a self-selected group of people bereaved by suicide.

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Allen, A. B., & Leary, M. R. (2010). Self-compassion, stress, and coping. Social and Personality Psychology Compass, 4(2), 107–118. https://doi.org/10.1111/j.1751-9004.2009.00246.xCrossRefPubMedPubMedCentral

Andriessen, K., Krysinska, K., Hill, N. T., Reifels, L., Robinson, J., Reavley, N., & Pirkis, J. (2019). Effectiveness of interventions for people bereaved through suicide: A systematic review of controlled studies of grief, psychosocial and suicide-related outcomes. BMC Psychiatry, 19(1), 49. https://doi.org/10.1186/s12888-019-2020-zCrossRefPubMedPubMedCentral

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. https://doi.org/10.1177/1073191105283504CrossRefPubMed

Banks, K., Newman, E., & Saleem, J. (2015). An overview of the research on mindfulness-based interventions for treating symptoms of posttraumatic stress disorder: A systematic review. Journal of Clinical Psychology, 71(10), 935–963. https://doi.org/10.1002/jclp.22200CrossRefPubMed

Barton, K., & Barton, M. K. (2015). R Package ‘MuMIn.’ Version, 1, 18.

Batten, S. V., Orsillo, S. M., & Walser, R. D. (2005). 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). Springer Science+Business Media. https://doi.org/10.1007/0-387-25989-9_10

Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: A Practical and Powerful Approach to Multiple Testing. Journal of the Royal Statistical Society. Series B (Methodological), 57(1), 289–300. http://www.jstor.org/stable/2346101

Birnbaum, L., & Birnbaum, A. (2004). In search of inner wisdom: Guided mindfulness meditation in the context of suicide. The Scientific World Journal, 4, 216–227. https://doi.org/10.1100/tsw.2004.17CrossRefPubMedPubMedCentral

Boelen, P. A., van den Bout, J., & van den Hout, M. A. (2010). A prospective examination of catastrophic misinterpretations and experiential avoidance in emotional distress following loss. Journal of Nervous and Mental Disease, 198(4), 252–257. https://doi.org/10.1097/NMD.0b013e3181d619e4CrossRefPubMed

Bolton, J. M., Au, W., Leslie, W. D., Martens, P. J., Enns, M. W., Roos, L. L., Katz, L. Y., Wilcox, H. C., Erlangsen, A., Château, D., Walld, R., Spiwak, R., Seguin, M., Shear, K., & Sareen, J. (2013). Parents bereaved by offspring suicide : A population-based longitudinal case-control study. JAMA Psychiatry, 70(2), 158–167. https://doi.org/10.1001/jamapsychiatry.2013.275CrossRefPubMed

Borders, A., Earleywine, M., & Jajodia, A. (2009). Could mindfulness decrease anger, hostility, and aggression by decreasing rumination? Aggressive Behavior, 36(1), 28–44. https://doi.org/10.1002/ab.20327CrossRef

Burnet, J. (1908). Early Greek Philosophy. A. & C. Black.

Butler, L. D., Blasey, C. M., Garlan, R. W., McCaslin, S. E., Azarow, J., Chen, X.-H., Desjardins, J. C., DiMiceli, S., Seagraves, D. A., Hastings, T. A., Kraemer, H. C., & Spiegel, D. (2005). Posttraumatic growth following the terrorist attacks of September 11, 2001: Cognitive, coping, and trauma symptom predictors in an internet convenience sample. Traumatology, 11(4), 247–267. https://doi.org/10.1177/153476560501100405CrossRef

Cacciatore, J. (2012). Selah: A mindfulness guide through grief. In R. A. Neimeyer (Ed.), Techniques of Grief Therapy (pp. 36–39). Routledge.

Cacciatore, J., & Flint, M. (2012). Attend: Toward a mindfulness-based bereavement care model. Death Studies, 36(1), 61–82. https://doi.org/10.1080/07481187.2011.591275CrossRefPubMed

Cadell, S., Hemsworth, D., Smit Quosai, T., Steele, R., Davies, E., Liben, S., Straatman, L., & Siden, H. (2014). Posttraumatic growth in parents caring for a child with a life-limiting illness: A structural equation model. American Journal of Orthopsychiatry, 84(2), 123–133. https://doi.org/10.1037/h0099384CrossRefPubMed

Chan, K. K. S., Lee, C. W., & Mak, W. W. (2018). Mindfulness model of stigma resistance among individuals with psychiatric disorders. Mindfulness, 9(5), 1433–1442. https://doi.org/10.1007/s12671-018-0887-2CrossRef

Chesin, M., Interian, A., Kline, A., Benjamin-Phillips, C., Latorre, M., & Stanley, B. (2016). Reviewing mindfulness-based interventions for suicidal behavior. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 20(4), 507–527. https://doi.org/10.1080/13811118.2016.1162244CrossRef

Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: A review and meta-analysis. Journal of Alternative and Complementary Medicine, 15(5), 593–600. https://doi.org/10.1089/acm.2008.0495CrossRefPubMed

Christopher, M. S., Neuser, N. J., Michael, P. G., & Baitmangalkar, A. (2012). Exploring the psychometric properties of the five-facet mindfulness questionnaire. Mindfulness, 3(2), 124–131. https://doi.org/10.1007/s12671-011-0086-xCrossRef

Cvinar, J. G. (2005). Do suicide survivors suffer social stigma: A review of the literature. Perspectives in Psychiatric Care, 41(1), 14–21. https://doi.org/10.1111/j.0031-5990.2005.00004.xCrossRefPubMed

Doka, K. J. (2008). Disenfranchised grief in historical and cultural perspective. In M. S. Stroebe, R. O. Hansson, H. Schut, & W. Stroebe (Eds.), Handbook of bereavement research and practice: Advances in theory and intervention (pp. 223–240). American Psychological Association. https://doi.org/10.1037/14498-011

Erlangsen, A., & Pitman, A. (2017). Effects of suicide bereavement on mental and physical health. In K. Andriessen, K. Krysinska, & O. T. Grad (Eds.), Postvention in action: The international handbook of suicide bereavement support (pp. 17–26). Hogrefe Publishing.

Evans, S., Ferrando, S., Carr, C., & Haglin, D. (2010). Mindfulness-based stress reduction (MBSR) and distress in a community-based sample. Clinical Psychology & Psychotherapy, 18(6), 553–558. https://doi.org/10.1002/cpp.727CrossRef

Farb, N. A., Anderson, A. K., Mayberg, H., Bean, J., McKeon, D., & Segal, Z. V. (2010). Minding one’s emotions: Mindfulness training alters the neural expression of sadness. Emotion (Washington, D.C.), 10(1), 25–33. https://doi.org/10.1037/a0017151

Farnè, M., Sebellico, A., Gnugnoli, D., & Corallo, A. (1991). POMS: Profile of Mood States. Giunti Organizzazioni Speciali.

Feigelman, W., Cerel, J., McIntosh, J. L., Brent, D., & Gutin, N. (2018). Suicide exposures and bereavement among American adults: Evidence from the 2016 General Social Survey. Journal of Affective Disorders, 227, 1–6. https://doi.org/10.1016/j.jad.2017.09.056CrossRefPubMed

Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99(1), 20–35. https://doi.org/10.1037/0033-2909.99.1.20CrossRefPubMed

Forkmann, T., Wichers, M., Geschwind, N., Peeters, F., van Os, J., Mainz, V., & Collip, D. (2014). Effects of mindfulness-based cognitive therapy on self-reported suicidal ideation: Results from a randomised controlled trial in patients with residual depressive symptoms. Comprehensive Psychiatry, 55(8), 1883–1890. https://doi.org/10.1016/j.comppsych.2014.08.043CrossRefPubMed

Germer, C. K. (2009). The mindful path to self-compassion: Freeing yourself from destructive thoughts and emotions. Guilford Press.

Germer, C. K., & Neff, K. D. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology, 69(8), 856–867. https://doi.org/10.1002/jclp.22021CrossRefPubMed

Giovannini, C., Giromini, L., Bonalume, L., Tagini, A., Lang, M., & Amadei, G. (2014). The Italian five facet mindfulness questionnaire: A contribution to its validity and reliability. Journal of Psychopathology and Behavioral Assessment, 36(6), 415–423. https://doi.org/10.1007/s10862-013-9403-0CrossRef

Goldsmith, R. E., Gerhart, J. I., Chesney, S. A., Burns, J. W., Kleinman, B., & Hood, M. M. (2014). Mindfulness-based stress reduction for posttraumatic stress symptoms: Building acceptance and decreasing shame. Journal of Evidence-Based Complementary & Alternative Medicine, 19(4), 227–234. https://doi.org/10.1177/2156587214533703CrossRef

Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits. A Meta-Analysis. Journal of Psychosomatic Research, 57(1), 35–43. https://doi.org/10.1016/S0022-3999(03)00573-7CrossRefPubMed

Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64(6), 1152–1168. https://doi.org/10.1037/0022-006X.64.6.1152CrossRefPubMed

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(2), 169–183. https://doi.org/10.1037/a0018555CrossRefPubMedPubMedCentral

Jordan, J. R., & McIntosh, J. L. (2011). Suicide bereavement: Why study survivors of suicide loss?, in: J. R. Jordan, J.R, McIntosh, J.L. (Eds.), Grief after suicide. Routledge, New York, pp. 33–48. https://doi.org/10.4324/9780203886045

Jordan, J. R., & McMenamy, J. (2004). Interventions for suicide survivors: A review of the literature. Suicide & Life-Threatening Behavior, 34(4), 337–349. https://doi.org/10.1521/suli.34.4.337.53742CrossRef

Kabat-Zinn, J. (1990). Full catastrophe living: The program of the stress reduction clinic at the University of Massachusetts Medical Center. Delta.

King, A. P., Erickson, T. M., Giardino, N. D., Favorite, T., Rauch, S. A., Robinson, E., Kulkarni, M., & Liberzon, I. (2013). A pilot study of group mindfulness-based cognitive therapy (MBCT) for combat veterans with posttraumatic stress disorder (PTSD). Depression and Anxiety, 30(7), 638–645. https://doi.org/10.1002/da.22104CrossRefPubMedPubMedCentral

Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., Barrett, B., Byng, R., Evans, A., Mullan, E., & Teasdale, J. D. (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology, 76(6), 966–978. https://doi.org/10.1037/a0013786CrossRefPubMed

Kuznetsova, A., Brockhoff, P.B., & Christensen, R. (2017). lmerTest Package: Tests in linear mixed effects models. Journal of Statistical Software, 82, 1–26. https://doi.org/10.18637/jss.v082.i13

Leary, M. R., Tate, E. B., Adams, C. E., Batts Allen, A., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of Personality and Social Psychology, 92(5), 887–904. https://doi.org/10.1037/0022-3514.92.5.887CrossRefPubMed

Maccallum, F., Sawday, S., Rinck, M., & Bryant, R. A. (2015). The push and pull of grief: Approach and avoidance in bereavement. Journal of Behavior Therapy and Experimental Psychiatry, 48, 105–109. https://doi.org/10.1016/j.jbtep.2015.02.010CrossRefPubMed

McNair D. M., Lorr M., & Droppleman L. F. (1971). Manual for the Profile of Mood States (1^st ed.) Educational and Industrial Testing Service.

Nakagawa, S., Johnson, P., & Schielzeth, H. (2017). The coefficient of determination R² and intra-class correlation coefficient from generalized linear mixed-effects models revisited and expanded. Journal of the Royal Society, Interface, 14(134), 20170213. https://doi.org/10.1098/rsif.2017.0213CrossRefPubMedPubMedCentral

Nam, I. (2016). Suicide bereavement and complicated grief: Experiential avoidance as a mediating mechanism. Journal of Loss and Trauma, 21(4), 325–334. https://doi.org/10.1080/15325024.2015.1067099CrossRef

Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860309027CrossRef

Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28–44. https://doi.org/10.1002/jclp.21923CrossRefPubMed

Neff, K. D., Kirkpatrick, K., & Rude, S. S. (2007). Self-compassion and its link to adaptive psychological functioning. Journal of Research in Personality, 41(1), 139–154. https://doi.org/10.1016/j.jrp.2006.03.004CrossRef

Neimeyer, R. A., & Cacciatore, J. (2016). Toward a developmental theory of grief. In R. A. Neimeyer (Ed.), Techniques of Grief Therapy (pp. 27–37). Routledge.

Neimeyer, R. A., & Young-Eisendrath, P. (2015). Assessing a Buddhist treatment for bereavement and loss: The mustard seed project. Death Studies, 39(1–5), 263–273. https://doi.org/10.1080/07481187.2014.937973CrossRefPubMed

North, R. J., Holahan, C. J., Carlson, C. L., & Pahl, S. A. (2014). From failure to flourishing: The roles of acceptance and goal reengagement. Journal of Adult Development, 21(4), 239–250. https://doi.org/10.1007/s10804-014-9195-9CrossRef

Orzech, K. M., Shapiro, S. L., Brown, K. W., & McKay, M. (2009). Intensive mindfulness training-related changes in cognitive and emotional experience. The Journal of Positive Psychology, 4(3), 212–222. https://doi.org/10.1080/17439760902819394CrossRef

Ostaseski, F. (2006). Saper accompagnare, aiutare gli altri e se stessi ad affrontare la morte (Know how to accompany, help others and yourself to confront death). Mondadori.

Petrocchi, N., Ottaviani, C., & Couyoumdjian, A. (2014). Dimensionality of self-compassion: Translation and construct validation ft he self-compassion scale in an Italian sample. Journal of Mental Health (abingdon, England), 23(2), 72–77. https://doi.org/10.3109/09638237.2013.841869CrossRef

Podsakoff, P. M., MacKenzie, S. B., & Podsakoff, N. P. (2012). Sources of method bias in social science research and recommendations on how to control it. Annual Review of Psychology, 63, 539–569. https://doi.org/10.1146/annurev-psych-120710-100452CrossRefPubMed

Rando, T. A. (1993). Grief and mourning: Accommodating to loss. In H. Wass & R. A. Neimeyer (Eds.), Dying: Facing the facts (pp. 211–241). Taylor&Francis.

Rusticus, S. A., & Lovato, C. Y. (2014). Impact of sample size and variability on the power and type I error rates of equivalence tests: A simulation study. Practical Assessment, Research, and Evaluation, 19(11), 1–10. https://doi.org/10.7275/4s9m-4e81CrossRef

Sauer, S., Walach, H., Schmidt, S., Hinterberger, T., Lynch, S., Büssing, A., & Kohls, N. (2013). Assessment of mindfulness: Review on state of the art. Mindfulness, 4(1), 3–17. https://doi.org/10.1007/s12671-012-0122-5CrossRef

Schmidt, S. D., Blank, T. O., Bellizzi, K. M., & Park, C. L. (2012). The relationship of coping strategies, social support, and attachment style with posttraumatic growth in cancer survivors. Journal of Health Psychology, 17(7), 1033–1040. https://doi.org/10.1177/1359105311429203CrossRefPubMed

Scocco, P., Idotta, C., Totaro, S., & Preti, A. (2021). Addressing psychological distress in people bereaved through suicide: From care to cure. Psychiatry Research, 300, 113869. https://doi.org/10.1016/j.psychres.2021.113869CrossRefPubMed

Scocco, P., Frasson, A., Costacurta, A., & Pavan, L. (2006). SOPRoxi: A research-intervention project for suicide survivors. Crisis, 27(1), 39–41. https://doi.org/10.1027/0227-5910.27.1.39CrossRefPubMed

Scocco, P., Preti, A., Totaro, S., Ferrari, A., & Toffol, E. (2017). Stigma and psychological distress in suicide survivors. Journal of Psychosomatic Research, 94, 39–46. https://doi.org/10.1016/j.jpsychores.2016.12.016CrossRefPubMed

Scocco, P., Zerbinati, L., Preti, A., Ferrari, A., & Totaro, S. (2019). Mindfulness-based weekend retreats for people bereaved by suicide (Panta Rhei): A pilot feasibility study. Psychology and Psychotherapy, 92(1), 39–56. https://doi.org/10.1111/papt.12175CrossRefPubMed

Segal, Z., Williams, J. M., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. Guildford Press.

Shear, M. K. (2010). Exploring the role of experiential avoidance from the perspective of attachment theory and the dual process model. Omega: Journal of Death and Dying, 61(4), 357–369. https://doi.org/10.2190/OM.61.4.f

Sveen, C. A., & Walby, F. A. (2008). Suicide survivors’ mental health and grief reactions: A systematic review of controlled studies. Suicide & Life-Threatening Behavior, 38(1), 13–29. https://doi.org/10.1521/suli.2008.38.1.13CrossRef

Thieleman, K., Cacciatore, J., & Hill, P. W. (2014). Traumatic bereavement and mindfulness: A preliminary study of mental health outcomes using the ATTEND model. Clinical Social Work Journal, 42(3), 260–268. https://doi.org/10.1007/s10615-014-0491-4CrossRef

Thompson, B. E. (2012). Mindfulness training. In: R. A. Neimeyer (Ed.), Techniques of grief therapy: Creative practices for counseling the bereaved. Routledge.

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. https://doi.org/10.1177/1524838011416375CrossRef

van der Houwen, K., Stroebe, M., Schut, H., Stroebe, W., & van den Bout, J. (2010). Mediating processes in bereavement: the role of rumination, threatening grief interpretations, and deliberate grief avoidance. Social science & medicine (1982), 71(9), 1669–1676. https://doi.org/10.1016/j.socscimed.2010.06.047

Walser, R. D., & Hayes, S. C. (2006). Acceptance and commitment therapy in the treatment of posttraumatic stress disorder: Theoretical and applied issues. In V. M. Follette & J. I. Ruzek (Eds.), Cognitive-behavioral therapies for trauma (2^nd ed., pp. 146–172). The Guilford Press.

Wetherell J. L. (2012). Complicated grief therapy as a new treatment approach. Dialogues in clinical neuroscience, 14(2), 159–166. https://doi.org/10.31887/DCNS.2012.14.2/jwetherell

World Health Organization (2014). Preventing suicide: A global imperative. WHO Press.

Zessin, U., Dickhäuser, O., & Garbade, S. (2015). The relationship between self-compassion and well-being: A meta-analysis. Applied Psychology. Health and Well-Being, 7(3), 340–364. https://doi.org/10.1111/aphw.12051CrossRefPubMed

Znoj, H. (2006). Bereavement and posttraumatic growth. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 176–196). Psychology Press.

Titel: Panta Rhei: a Non-randomized Intervention Trial on the Effectiveness of Mindfulness-Self-compassion Weekend Retreats for People Bereaved by Suicide
Auteurs: Paolo Scocco
Maibrit Arbien
Stefano Totaro
Manuela Guadagnini
Massimo Nucci
SOPROXI Team
Publicatiedatum: 04-04-2022
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 5/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-022-01880-0

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