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Gepubliceerd in:

01-04-2015

The association between mindfulness and emotional distress in adults with diabetes: Could mindfulness serve as a buffer? Results from Diabetes MILES: The Netherlands

Auteurs: Jenny van Son, Ivan Nyklíček, Giesje Nefs, Jane Speight, Victor J. Pop, François Pouwer

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2015

Abstract

People with diabetes have a higher risk of emotional distress (anxiety, depression) than non-diabetic or healthy controls. Therefore, identification of factors that can decrease emotional distress is relevant. The aim of the present study was to examine (1) the association between facets of mindfulness and emotional distress; and (2) whether mindfulness might moderate the association between potential adverse conditions (stressful life events and comorbidity) and emotional distress. Analyses were conducted using cross-sectional data (Management and Impact for Long-term Empowerment and Success—Netherlands): 666 participants with diabetes (type 1 or type 2) completed measures of mindfulness (Five Facet Mindfulness Questionnaire-Short Form; FFMQ-SF), depressive symptoms (Patient Health Questionnaire; PHQ-9), and anxiety symptoms (General Anxiety Disorder assessment; GAD-7). Hierarchical multiple regression analyses showed significant associations between mindfulness facets (acting with awareness, non-judging, and non-reacting) and symptoms of anxiety and depression (β = −0.20 to −0.33, all p < 0.001). These mindfulness facets appeared to have a moderating effect on the association between stressful life events and depression and anxiety (all p < 0.01). However, the association between co-morbidity and emotional distress was largely not moderated by mindfulness. In conclusion, mindfulness is negatively related to both depression and anxiety symptoms in people with diabetes and shows promise as a potentially protective characteristic against the influence of stressful events on emotional well-being.

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Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage Publications.

American Psychiatric Association. (1995). Diagnostic and Statistical Manual of Mental Disorder (DSM-IV-TR). 4th ed. Text Revision (DSM-IV-TR). Washington, DC: American Psychiatric Association.

Baer, R. A., Carmody, J., & Hunsinger, M. (2012). Weekly change in mindfulness and perceived stress in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 68, 755–765. doi: 10.1002/jclp.21865 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. doi: 10.1177/1073191105283504 CrossRefPubMed

Barnhofer, T., Duggan, D. S., & Griffith, J. W. (2011). Dispositional mindfulness moderates the relation between neuroticism and depressive symptoms. Personality and Individual Differences, 51, 958–962. doi: 10.1016/j.paid.2011.07.032 CrossRefPubMedCentralPubMed

Baumeister, H., Kriston, L., Bengel, J., & Harter, M. (2010). High agreement of self-report and physician-diagnosed somatic conditions yields limited bias in examining mental-physical comorbidity. Journal of Clinical Epidemiology, 63, 558–565. doi: 10.1016/j.jclinepi.2009.08.009 CrossRefPubMed

Bergomi, C., Strohle, G., Michalak, J., Funke, F., & Berking, M. (2013). Facing the dreaded: Does mindfulness facilitate coping with distressing experiences? A moderator analysis. Cognitive and Behavioral Therapy, 42, 21–30. doi: 10.1080/16506073.2012.713391 CrossRef

Bohlmeijer, E., ten Klooster, P. 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, 18, 308–320. doi: 10.1177/1073191111408231 CrossRefPubMed

Bränström, R., Duncan, L. G., & Moskowitz, J. T. (2011). The association between dispositional mindfulness, psychological well-being, and perceived health in a Swedish population-based sample. British Journal of Health Psychology, 16, 300–316. doi: 10.1348/135910710X501683 CrossRefPubMedCentralPubMed

Bränström, 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, 151–161. doi: 10.1007/s12160-010-9168-6 CrossRefPubMed

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, 822–848. CrossRefPubMed

Brown, K. W., Weinstein, N., & Creswell, J. D. (2012). Trait mindfulness modulates neuroendocrine and affective responses to social evaluative threat. Psychoneuroendocrinology, 37, 2037–2041. doi: 10.1016/j.psyneuen.2012.04.003 CrossRefPubMed

Cameron, I. M., Crawford, J. R., Lawton, K., & Reid, I. C. (2008). Psychometric comparison of PHQ-9 and HADS for measuring depression severity in primary care. The British Journal of General Practice, 58, 32–36. doi: 10.3399/bjgp08X263794 CrossRefPubMedCentralPubMed

de Groot, M., Anderson, R., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2001). Association of depression and diabetes complications: A meta-analysis. Psychosomatic Medicine, 63, 619–630. CrossRefPubMed

Egede, L. E. (2005). Effect of comorbid chronic diseases on prevalence and odds of depression in adults with diabetes. Psychosomatic Medicine, 67, 46–51. doi: 10.1097/01.psy.0000149260.82006.fb CrossRefPubMed

Feltman, R., Robinson, M. D., & Ode, S. (2009). Mindfulness as a moderator of neuroticism-outcome relations: A self-regulation perspective. Journal of Research in Personality, 43, 953–961. CrossRef

Fisher, L., Skaff, M. M., Mullan, J. T., Arean, P., Glasgow, R., & Masharani, U. (2008). A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with Type 2 diabetes. Diabetic Medicine, 25, 1096–1101. doi: 10.1111/j.1464-5491.2008.02533.x CrossRefPubMedCentralPubMed

Fjorback, L. O., Arendt, M., Ornbol, 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

Foley, E., Baillie, A., Huxter, M., Price, M., & Sinclair, E. (2010). Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 78, 72–79. doi: 10.1037/a0017566 CrossRefPubMed

Grigsby, A. B., Anderson, R. J., Freedland, K. E., Clouse, R. E., & Lustman, P. J. (2002). Prevalence of anxiety in adults with diabetes: A systematic review. Journal of Psychosomatic Research, 53, 1053–1060. CrossRefPubMed

Grossman, P. (2008). On measuring mindfulness in psychosomatic and psychological research. Journal of Psychosomatic Research, 64, 405–408. doi: 10.1016/j.jpsychores.2008.02.001 CrossRefPubMed

Hartmann, M., Kopf, S., Kircher, C., Faude-Lang, V., Djuric, Z., Augstein, F., et al. (2012). Sustained effects of a mindfulness-based stress reduction intervention in type 2 diabetic patients: Design and first results of a randomized controlled trial (the Heidelberger Diabetes and Stress-study). Diabetes Care, 35, 945–947. doi: 10.2337/dc11-1343 CrossRefPubMedCentralPubMed

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. doi: 10.1037/a0018555 CrossRefPubMedCentralPubMed

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, 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.

Koopmans, B., Pouwer, F., de Bie, R. A., Leusink, G. L., Denollet, J. K., & Pop, V. J. (2009). Associations between vascular co-morbidities and depression in insulin-naive diabetes patients: The DIAZOB Primary Care Diabetes study. Diabetologia, 52, 2056–2063. doi: 10.1007/s00125-009-1460-2 CrossRefPubMedCentralPubMed

Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613. CrossRefPubMedCentralPubMed

Löwe, B., Decker, O., Muller, S., Brahler, E., Schellberg, D., Herzog, W., et al. (2008). Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Medical Care, 46, 266–274. doi: 10.1097/MLR.0b013e318160d093 CrossRefPubMed

Lustman, P. J., Anderson, R. J., Freedland, K. E., de Groot, M., Carney, R. M., & Clouse, R. E. (2000). Depression and poor glycemic control: A meta-analytic review of the literature. Diabetes Care, 23, 934–942. CrossRefPubMed

Marshall, S. M., & Flyvbjerg, A. (2006). Prevention and early detection of vascular complications of diabetes. British Medical Journal, 333, 475–480. doi: 10.1136/bmj.38922.650521.80 CrossRefPubMedCentralPubMed

Nefs, G., Bot, M., Browne, J. L., Speight, J., & Pouwer, F. (2012). Diabetes MILES—The Netherlands: Rationale, design and sample characteristics of a national survey examining the psychosocial aspects of living with diabetes in Dutch adults. BMC Public Health, 12, 925. doi: 10.1186/1471-2458-12-925 CrossRefPubMedCentralPubMed

Nouwen, A., Winkley, K., Twisk, J., Lloyd, C. E., Peyrot, M., Ismail, K., et al. (2010). Type 2 diabetes mellitus as a risk factor for the onset of depression: A systematic review and meta-analysis. Diabetologia, 53, 2480–2486. doi: 10.1007/s00125-010-1874-x CrossRefPubMedCentralPubMed

Nyklíček, I. (2011). Mindfulness, emotion regulation, and well-being. In I. Nyklíček, A. Vingerhoets, & M. Zeelenberg (Eds.), Emotion regulation and well-being (pp. 101–118). New York: Springer. CrossRef

Nyklíček, I., Dijksman, S. C., Lenders, P. J., Fonteijn, W. A., & Koolen, J. J. (2014). A brief mindfulness based intervention for increase in emotional well-being and quality of life in percutaneous coronary intervention (PCI) patients: The MindfulHeart randomized controlled trial. Journal of Behavioral Medicine, 37, 135–144. doi: 10.1007/s10865-012-9475-4 CrossRefPubMed

Nyklíček, I., & Kuijpers, K. F. (2008). Effects of mindfulness-based stress reduction intervention on psychological well-being and quality of life: Is increased mindfulness indeed the mechanism? Annals of Behavioral Medicine, 35, 331–340. doi: 10.1007/s12160-008-9030-2 CrossRefPubMedCentralPubMed

Pouwer, F., Beekman, A. T., Nijpels, G., Dekker, J. M., Snoek, F. J., Kostense, P. J., et al. (2003). Rates and risks for co-morbid depression in patients with Type 2 diabetes mellitus: Results from a community-based study. Diabetologia, 46, 892–898. doi: 10.1007/s00125-003-1124-6 CrossRefPubMed

Pouwer, F., Geelhoed-Duijvestijn, P. H., Tack, C. J., Bazelmans, E., Beekman, A. J., Heine, R. J., et al. (2010). Prevalence of comorbid depression is high in out-patients with Type 1 or Type 2 diabetes mellitus. Results from three out-patient clinics in the Netherlands. Diabetic Medicine, 27, 217–224. doi: 10.1111/j.1464-5491.2009.02903.x CrossRefPubMed

Sauer, S., Walach, H., Schmidt, S., Hinterberger, T., Lynch, S., Büssing, A., et al. (2013). Assessment of mindfulness: Review on state of the art. Mindfulness, 4, 3–17. CrossRef

Schram, M. T., Baan, C. A., & Pouwer, F. (2009). Depression and quality of life in patients with diabetes: A systematic review from the European depression in diabetes (EDID) research consortium. Current Diabetes Reviews, 5, 112–121. CrossRefPubMedCentralPubMed

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: Guilford Press.

Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373–386. doi: 10.1002/jclp.20237 CrossRefPubMed

Spitzer, R. L., Kroenke, K., Williams, J. B., & Lowe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166, 1092–1097. doi: 10.1001/archinte.166.10.1092. CrossRefPubMed

van Son, J., Nyklíček, I., Pop, V. J., Blonk, M. C., Erdtsieck, R. J., Spooren, P. F., et al. (2013). The effects of a mindfulness-based intervention on emotional distress, quality of life, and HbA(1c) in outpatients with diabetes (DiaMind): A randomized controlled trial. Diabetes Care, 36, 823–830. doi: 10.2337/dc12-1477 CrossRefPubMedCentralPubMed

Vøllestad, J., Sivertsen, B., & Nielsen, G. H. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: Evaluation in a randomized controlled trial. Behaviour Reseacrh and Therapy, 49, 281–288. doi: 10.1016/j.brat.2011.01.007 CrossRef

Titel: The association between mindfulness and emotional distress in adults with diabetes: Could mindfulness serve as a buffer? Results from Diabetes MILES: The Netherlands
Auteurs: Jenny van Son
Ivan Nyklíček
Giesje Nefs
Jane Speight
Victor J. Pop
François Pouwer
Publicatiedatum: 01-04-2015
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-014-9592-3

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