Showing papers in "Mindfulness in 2021"

The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review

Abstract: Burnout and occupational stress are frequently experienced by healthcare professionals (HCPs). Mindfulness-based stress reduction (MBSR) has been found to improve the psychological health outcomes of HCPs. To date, systematic reviews and meta-analyses have primarily focused upon empirical investigations into the reduction of stress amongst HCPs using MBSR and are limited to empirical studies published before December 2019. This systematic review aimed to update the current evidence base and broaden our understanding of the effectiveness of MBSR on improving the psychological functioning of HCPs. Three electronic databases (Medline, Psych Info and Web of Science) were searched without time frame restrictions. Quantitative studies included randomised controlled trials, clinical controlled trials, pre-post designs and studies with up to a 12-month follow-up period. All studies included in the review employed a MBSR programme, standardised measures of psychological functioning and qualified HCPs as participants. Using PRISMA guidelines thirty studies were included in the review. The reviewed literature suggested that MBSR was effective in reducing HCPs experiences of anxiety, depression and stress. MBSR was also found to be effective in increasing HCP levels of mindfulness and self-compassion. However, MBSR did not appear as effective in reducing burnout or improving resilience amongst HCPs. Abbreviated MBSR programmes were found to be as effective as the traditional 8-week MBSR programmes. MBSR is an effective intervention which can help improve the psychological functioning of HCPs. Recommendations include improving the overall quality of the studies by employing more robust controlled designs with randomisation, increased sample sizes with heterogeneous samples, and making active comparisons between interventions used.

The Development and Validation of the State Self-Compassion Scale (Long- and Short Form)

Abstract: The purpose of this research was to create two state measures of self-compassion based on the Self-Compassion Scale (SCS): an 18-item State Self-Compassion Scale-Long form (SSCS-L) that could be used to measure the six components of self-compassion, and a six-item State Self-Compassion Scale-Short form (SSCS-S) that could be used as a measure of global state self-compassion. Study 1 (N = 588) used a community sample to select items for the SSCS-L and SSCS-S. Confirmatory Factor Analyses, Exploratory Structural Equation Modeling (ESEM), and bifactor modeling were used to analyze the factor structure of the SSCS-L and SSCS-S. Predictive validity was assessed by examining associations with positive and negative affect. Study 2 (N = 411) used a student sample to examine the psychometric properties of the SSCS-L and SSCS-S after a self-compassion mindstate induction (SCMI) to determine if its factor structure would remain unchanged after manipulation. Study 3 (N = 139) examined the psychometric properties of the SSCS-S alone. The SSCS-L had good psychometric properties and SSCS-S was also adequate. A bifactor-ESEM representation (with one global factor and six components) was supported for the SSCS-L, and a single factor was supported for the SSCS-S. Both scales were reliable. Psychometric properties were unchanged after the experimental manipulation of self-compassion. A total state self-compassion score and subscale scores were associated with positive and negative affect in the expected directions. The SSCS-L and SSCS-S appear to be valid measures of state self-compassion.

Parent Mindfulness, Parenting, and Child Psychopathology in China

Abstract: Considering the Western-Eastern cultural differences in parenting practices, as well as the relative paucity of research on the use of mindfulness-based programs by Chinese parents, we replicated a recently proposed Western model of mindfulness. The purpose of this study was to test the direct and indirect relations between parents’ dispositional mindfulness, mindful parenting, parenting practices, and child internalizing and externalizing behaviors. A total of 2237 Chinses parents (M = 38.46, SD = 4.43) of 6- to 12-year-old children participated in the current study. The results showed that parents’ dispositional mindfulness was indirectly associated with child internalizing and externalizing behaviors through mindful parenting and positive parenting practices, whereas this pathway was not significant through negative parenting practices. In addition, mothers and fathers demonstrated almost equal effects on direct and indirect pathways except that mothers showed stronger effects on the relationships between dispositional mindfulness and mindful parenting, as well as on the link between negative parenting practices and child externalizing behaviors. These findings contribute to a better understanding of the mechanisms underlying how mindfulness and parenting associated with child internalizing and externalizing behaviors, and have important implications for research on interventions aimed at promoting children’s psychological well-being.

Trends and Developments in Mindfulness Research over 55 Years: A Bibliometric Analysis of Publications Indexed in Web of Science

Abstract: This study aimed to identify historical developments, active research areas, and emerging trends within scientific literature on mindfulness published so far, using bibliometric methods. We also aimed to identify prominent journals, authors, organizations, and countries in the field of mindfulness. Articles or reviews which mention mindfulness in the title, abstract, or keywords were identified using the Web of Science. A descriptive summary of the literature was obtained from the Web of Science Analysis tool. Country collaboration, co-authorship, and keyword co-occurrence networks were visualized using VOSviewer. CiteSpace, which uses document co-citation analysis, was used to identify emerging trends and transient patterns in the literature. From 1966 to 2021, 16,581 publications on mindfulness were identified. There has been an exponential growth of publications since 2006. Almost half (47%) of the publications were in psychology and about one-fifth (20.8%) in psychiatry. The most prolific journal was Mindfulness (contributing 7% of all publications) and the most prolific author was Eric L. Garland. The vast majority of publications originated from Western countries but representation from Asian countries has increased. The most frequently co-occurring keywords were meditation, depression, stress, and anxiety. Co-citation analysis of the early period (1966–2015) revealed how scholarly work on spiritual themes has inspired early mindfulness research. Recent trends (2016–2021) revealed a rising interest in mechanisms and moderators, long-term meditation, neuroscientific studies, and smartphone/online delivery of interventions. This comprehensive bibliometric study summarized and visualized 55 years of mindfulness research, revealing pivotal points, active research areas, and emerging trends.

Parenting-focused mindfulness intervention reduces stress and improves parenting in highly-stressed mothers of adolescents.

Abstract: Parent stress has been associated with negative outcomes for youth and may be particularly high during adolescence Mindfulness interventions have the potential to reduce parent stress and to improve parenting behavior and parent-child relationship quality The present randomized controlled study examined effects of a parenting-focused mindfulness intervention, the Parenting Mindfully (PM) intervention, for highly stressed parents of adolescents Eighty three mothers of 12-17 year olds reporting high stress were randomly assigned to the PM intervention or to a minimal-intervention Parent Education (PE) control group At pre- and post-intervention, mothers reported on their mindfulness, stress, parenting stress, mindful parenting, and parent-adolescent relationship quality At pre- and post-intervention, mothers' observed parenting behaviors and reported negative emotional responses to a laboratory parent-adolescent interaction task (PAIT) were also collected Findings indicated that the PM intervention, compared to PE, increased mothers' mindfulness, reduced parenting stress in two domains, increased mindful parenting related to emotional awareness in parenting, and improved parent-adolescent relationship quality For mothers of girls (but not mothers of boys), the PM intervention also decreased negative parenting behavior and decreased negative emotional responses in PAIT Effects sizes were medium to large In sum, findings support parenting-focused mindfulness training as a viable intervention strategy for highly-stressed parents

Self-Compassion and Coping: a Meta-Analysis

Abstract: Self-compassion, a positive and caring attitude toward oneself, has been identified as an important correlate of coping in stressful situations. High self-compassion is related to higher use of adaptive and less maladaptive coping in demanding or painful situations. However, estimates of these relations in terms of specific adaptive and maladaptive coping strategies have remained inconclusive. Therefore, the present meta-analysis investigates the relation between self-compassion and different forms of adaptive and maladaptive coping. It also takes into account potential moderators such as age, gender, and regional background. A systematic literature search resulted in k = 136 samples with an overall sample size of N = 38,913. Random-effects models were used to integrate the z-transformed Pearson correlation coefficients. Analyses yielded a positive correlation between self-compassion and adaptive coping (r = .306) and a negative correlation between self-compassion and maladaptive coping (r = − .500). The association of self-compassion with emotional approach coping was positive (r = .340), as was the association with problem-focused coping (r = .205). Participants’ age appeared to be a significant moderator of the relation between self-compassion and coping. Self-compassion is important for understanding the mechanisms involved in coping with stress and demanding life events. The size and direction of correlations depend on the coping strategies considered, with protective effects of self-compassion with respect to maladaptive coping being the most pronounced. Further research should examine the relation between self-compassion and coping in more detail and focus on additional moderators. The registration identifier is CRD42018104926.

Feasibility of a Brief Online Mindfulness and Compassion-Based Intervention to Promote Mental Health Among University Students During the COVID-19 Pandemic.

Abstract: The COVID-19 pandemic constitutes a global mental health challenge that has disrupted the lives of millions of people, with a considerable effect on university students. The aim of this study was to assess the feasibility of a brief online Mindfulness and Compassion-based Intervention to promote mental health among first year university students during COVID-19 home confinement. Participants (n=66) were first-year psychology students from a university in Spain with no prior meditation experience. Intervention lasted for 16 days and was designed ad-hoc. Using a pre–post within-subjects design, feasibility was assessed in five domains (acceptability, satisfaction, implementation, practicality, and limited efficacy testing). Participants completed both baseline and post-intervention assessments of perceived stress, anxiety, and self-compassion. The intervention showed to be feasible in all domains evaluated. It was implemented as planned with constrained resources, and limited efficacy testing showed promising results. After the intervention, stress and anxiety levels decreased significantly (p<0.001, Hedges’s g=0.5146; p<0.001, Hedges’s g=0.6068, respectively) whereas self-compassion levels were augmented significantly (p<0.001, Hedges’s g=0.6968). Our findings suggest that a brief online mindfulness and compassion intervention may be a feasible way of promoting mental health among university students during COVID-19 lockdown. Further studies are required to address the limitations of the present study. We conclude that online interventions may constitute a promising pathway to buffer the mental health burden derived from the COVID-19 pandemic.

Mindful Parenting Training in a Clinical Versus Non-Clinical Setting: An Explorative Study

Abstract: Mindful parenting (MP) as a group-based training for parents of clinically referred children with psychopathology has shown to effectively reduce child and parent mental health problems. This study investigated the effects of MP as a “preventive” intervention for parents who experienced parental stress or problems in parenting (non-clinical setting) compared to MP as a “curative” intervention (clinical setting). Parents from a non-clinical setting (n = 98, 18% fathers) and a clinical setting (n = 87, 21% fathers) completed questionnaires about themselves, their partner relationship, and their child at waitlist (non-clinical setting only), pre-test, post-test, and 8-week follow-up. Before the intervention, the children of parents in the non-clinical setting, as expected, showed higher well-being and lower behavior problems, but parental stress levels, parental overreactivity, mindful parenting, partner relationship, and parental well-being were no different in the clinical and preventive group pre-intervention. No improvement was observed at waitlist, except for parental well-being, while improvement on parent and child functioning measures did occur after MP. No differences in MP effects in both settings were found in improved parental functioning (parental stress, overreactivity, mindful parenting, partner relationship, and well-being [small to medium effect size improvements]) and child functioning (well-being and behavior problems, small effect size improvements). Improvements in child functioning were associated with improved mindful parenting. Results suggest that MP training may be an effective intervention not only for families of children referred to mental health care because of child mental disorders but also for parents who experience parental stress or parenting problems as it is.

Self-Compassion and Current Close Interpersonal Relationships: a Scoping Literature Review

Abstract: In order to provide a broad overview of the body of peer-reviewed literature on self-compassion and close relationships, this scoping review describes how self-compassion relates to thoughts, feelings, and behaviors within the context of current personal relationships between family members, romantic partners, friends, or others referred to as “close.” Two reviewers independently screened peer-reviewed articles retrieved based on a defined search strategy within three online databases, extracted data from 72 articles that met inclusion criteria by consensus, and summarized findings thematically. With few exceptions, self-compassion is positively associated with secure attachment, adaptive parenting behaviors, healthy family, romantic and friendship functioning, and constructive conflict and transgression repair behavior. In families, evidence suggests that parent self-compassion is linked to supportive parenting behavior, which is in turn linked to higher levels of child self-compassion. Self-compassion is associated with a wide variety of close interpersonal relationship benefits. These associations may be complex and bidirectional, such that positive social relationships promote self-compassion, while self-compassion promotes relational and emotional well-being. For a deeper understanding of these nuances and to establish causality, future research should include heterogeneous samples, longitudinal designs, and observational and multi-informant methodologies, and consider attachment style and personality trait covariates. The potential implications for interventional research are discussed.

The Mediating Role of Parenting Stress in the Relationship Between Anxious and Depressive Symptomatology, Mothers’ Perception of Infant Temperament, and Mindful Parenting During the Postpartum Period

Abstract: To investigate whether mindful parenting differs according to maternal anxious and/or depressive symptomatology and mothers’ perception of infant temperament and to explore the potential mediating role of parenting stress in the relationship between anxious and depressive symptomatology, perception of infant temperament, and mindful parenting. The sample comprised 560 mothers (18–46 years) with a child 12 months old or younger, who completed the Hospital Anxiety and Depression Scale, the Parental Stress Scale and the Interpersonal Mindfulness in Parenting Scale—Infant version. Approximately 22.1% of the mothers presented clinically significant anxious and depressive symptomatology levels. Those mothers had significantly higher levels of parenting stress and lower levels of mindful parenting than mothers with normal levels of anxious and depressive symptomatology. Mothers who perceived their infant temperament as difficult had significantly higher levels of parenting stress and lower levels of mindful parenting than those who perceived their infant temperament as easier. A path model was tested through structural equation modeling. Parenting stress mediated the relationship between anxious and depressive symptomatology and mothers’ perception of infant temperament and mindful parenting. Parenting stress seems to be an important mechanism explaining the associations between maternal anxious and depressive symptomatology, the perception of infant temperament, and mindful parenting. During the postpartum period, it is important to identify mothers with anxious/depressive symptomatology, as they appear to contribute to parenting stress and to be related to parenting skills. Psychological interventions may focus on reducing that symptomatology and parenting stress and promoting mindful parenting skills.

Meditation, Mindfulness, and Attention: a Meta-analysis

Abstract: Despite being an ancient tradition, meditation has only become a popular inquiry of research over the past few decades. This resurgence can partially be attributed to the popularization of Eastern meditative practices, such as mindfulness, into Western culture. Though the mechanisms of meditation are not yet scientifically well-understood, systems of attention and executive control may play an important role. The present study aimed to examine potential attentional mechanisms of attention-based meditations across studies. This paper examines behavioral measures of attention across literature. Studies (K = 87) that assigned participants to or recruited participants who use techniques common in mindfulness practices (focused attention, open monitoring, or both) were meta-analyzed. Outcomes were coded according to attentional network (alerting, orienting, executive control) or facet of executive control (inhibition, shifting, updating). Meta-analytic results suggest that generalized attention (g = 0.171, 95% CI [0.119, 0.224]), its alerting (g = 0.158, 95% CI [0.059, 0.256]) and executive control (g = 0.203, 95% CI [0.143, 0.264]) networks, and the inhibition (g = 0.159, 95% CI [0.064, 0.253]) and updating (g = 0.256 [0.176, 0.337]) facets of executive control are improved by meditation. There was significant heterogeneity in attention, the alerting and executive control networks, and the inhibition facet. Studies that taught both FA and OM techniques did not show attentional improvements over those that taught the techniques in isolation. Meditation led to greater improvements in accuracy-based tasks than reaction time tasks. This meta-analysis suggests that attention is likely implicated in meditation, and meditation may improve some, but not all, attentional processes. Implications for understanding meditational mechanisms and moderator-related differences are discussed.

Effects of Length of Mindfulness Practice on Mindfulness, Depression, Anxiety, and Stress: a Randomized Controlled Experiment

Abstract: Mindfulness-based programs (MBPs) vary in length of mindfulness practices included. It might be expected that longer practice leads to greater benefits in terms of increased mindfulness and decreased psychological distress. However, the evidence for such dose–response effects is mixed and generally does not support such strong causal conclusions given its correlational nature. Therefore, the current study sought to clarify which length of mindfulness practice led to greater benefits using an experimental design. Participants (N = 71; 71.8% female), who were healthy adults with limited prior mindfulness practice experience, were randomized to either (i) four longer (20-min) mindfulness practices, (ii) four shorter (5-min) mindfulness practices, or (iii) an audiobook control group. All sessions were held in-person over a 2-week period, each group listened to the same total length of material each session, and participants refrained from formal mindfulness practice outside of sessions. Both longer and shorter practice significantly improved trait mindfulness, depression, anxiety, and stress compared with controls. Unexpectedly, shorter practice had a significantly greater effect on trait mindfulness (d = 2.17; p < .001) and stress (d = − 1.18; p < .01) than longer practice, with a trend in the same direction for depression and anxiety. Mediation analysis findings were mixed. Even a relatively small amount of mindfulness practice can be beneficial and shorter practices may initially be more helpful for novice practitioners in MBPs with minimal teacher contact. Further research is needed to examine such dose–response effects when teacher involvement is greater and over the longer term. ClinicalTrials.gov pre-registration identifier: NCT03797599

Network Analysis of Mindfulness Facets, Affect, Compassion, and Distress

Abstract: Mindfulness, positive affect, and compassion may protect against psychological distress but there is lack of understanding about the ways in which these factors are linked to mental health. Network analysis is a statistical method used to investigate complex associations among constructs in a single network and is particularly suitable for this purpose. The aim of this study was to explore how mindfulness facets, affect, and compassion were linked to psychological distress using network analysis. The sample (n = 400) included equal numbers from general and student populations who completed measures of five mindfulness facets, compassion, positive and negative affect, depression, anxiety, and stress. Network analysis was used to explore the direct associations between these variables. Compassion was directly related to positive affect, which in turn was strongly and inversely related to depression and positively related to the observing and describing facets of mindfulness. The non-judgment facet of mindfulness was strongly and inversely related to negative affect, anxiety, and depression, while non-reactivity and acting with awareness were inversely associated with stress and anxiety, respectively. Strong associations were found between all distress variables. The present network analysis highlights the strong link between compassion and positive affect and suggests that observing and describing the world through the lens of compassion may enhance resilience to depression. Taking a non-judging and non-reacting stance toward internal experience while acting with awareness may protect against psychological distress. Applicability of these findings can be examined in experimental studies aiming to prevent distress and enhance psychological well-being.

Mindful Parenting in Secondary Child Mental Health: Key Parenting Predictors of Treatment Effects

Abstract: Emerging evidence supports the positive effects of mindful parenting as a clinical intervention in the context of child psychopathology; however, previous studies have not considered the specific parenting predictors of improvements in child outcomes. Parents accessing a child and youth secondary mental health care center participated in an 8-week mindful parenting training (n = 89). The effects of the mindful parenting training were assessed on parent-reported child’s psychopathology, parents’ own psychopathology, mindfulness, and parenting factors from pre- to post-intervention, 8-week and 1-year follow-up. Multi-level analyses indicated immediate and delayed improvements in most child and parent outcomes. Changes in experiential avoidance in parenting partially predicted improvements in child internalizing problems. In combination with mindful parenting, experiential avoidance in parenting fully accounted for improvements in child attention problems. Changes in parental over-reactivity fully accounted for improvements in child externalizing problems. The mindful parenting training successfully improved the targeted (mindful) parenting factors, which in turn predicted improvements across different child outcomes.

Frequency of Self-reported Unpleasant Events and Harm in a Mindfulness-Based Program in Two General Population Samples.

Abstract: Evidence-based mindfulness programs have well-established benefits, but the potential for harmful effects is understudied. We explored the frequency and severity of unpleasant experiences and harm in two nonclinical samples participating in an adaptation of mindfulness-based cognitive therapy (MBCT) for the general population. Study 1 included 84 schoolteachers; study 2 included 74 university students. Both studies were uncontrolled. Participants completed self-report questionnaires about psychological symptoms before and after the 8-week mindfulness course. After the course, they responded to a survey designed for this study that included Likert ratings and free-text questions about unpleasant experiences and harm. All data were collected online. In both samples, about two-thirds of participants reported unpleasant experiences associated with mindfulness practice during the course. Most participants (85–92%) rated these experiences as not at all or somewhat upsetting; some indicated that difficult experiences led to important learning or were beneficial in some way. The proportion of participants reporting harm from the mindfulness course ranged from 3 to 7%. The proportion showing reliable deterioration on symptom questionnaires ranged from 2 to 7%. Those reporting harm and those showing reliable deterioration on questionnaires were largely separate subgroups; only one participant fell in both. Findings highlight the need for mindfulness teachers to manage expectations about benefits and difficulties that may occur in mindfulness-based programs and to work skilfully with participants experiencing difficulties. Experiences of harm may not be captured by symptom questionnaires and should be explicitly assessed in other ways.

Mindfulness as Attention Training: Meta-Analyses on the Links Between Attention Performance and Mindfulness Interventions, Long-Term Meditation Practice, and Trait Mindfulness

Abstract: To examine whether mindfulness training is associated with changes in objective attention performance. Three meta-analyses were conducted: (a) a meta-analysis comparing the effects of mindfulness interventions with those of control treatments (109 effect sizes from 40 studies); (b) a meta-analysis comparing attention performance of long-term meditators with that of meditation-naive participants (59 effect sizes from 18 studies); and (c) a meta-analysis comparing correlations between trait mindfulness and attention (197 effect sizes from 28 studies). Average effect sizes were significant (Hedges’ g = 0.29 for intervention studies, 0.32 for long-term meditation practice; r between trait mindfulness and attention = 0.12). All three analyses found significant effects on inhibition/executive control. Two out of the three analyses showed significant effects on updating and sustained attention. Shifting yielded significant effects only for interventions. Effects were larger for accuracy than for speed. Within intervention studies, focused attention led to significant effects, but inclusion of a yoga component decreased effects significantly. Number of sessions was positively related to attention performance. In long-term meditators, type of meditation practiced did not significantly moderate the effect size. Within trait mindfulness studies, only unidimensional measures and measures of acting with awareness yielded an average correlation that was significantly different from zero. Mindfulness training as an intervention and a long-term practice is indeed associated with reliable changes in objective attention performance. The finding that this is also true for trait mindfulness suggests that mindfulness is a key mechanism.

A Meta-Analysis of the Relation Between Self-Compassion and Self-Efficacy

Abstract: Self-compassion may play a role in protecting one’s self-efficacy in the face of failures. While research suggests a positive association between self-compassion and self-efficacy, the current study represents the first meta-analytic analysis of this association. Potential moderators including age, publication type, and sample type were also explored. Random-effects models were used to estimate the average effect size (ES) for the associations between self-compassion total score and self-efficacy and between self-compassion subscales and self-efficacy across 60 studies providing a total of 109 effect sizes. Results showed a positive association between self-compassion total score and self-efficacy (r = .35), positive associations between self-compassion positive subscales and self-efficacy, and negative associations between self-compassion negative subscales and self-efficacy. Results also revealed that the associations between self-compassion subscales and self-efficacy were larger in non-students than in students, and in published studies versus unpublished studies. Clinical interventions that cultivate self-compassion may be conducive to one’s sense of self-efficacy.

Mindful Parenting, Parenting Cognitions, and Parent-Youth Communication: Bidirectional Linkages and Mediational Processes.

Abstract: Mindful parenting and parenting cognitions likely have important linkages to each other and to parent-child communication, but these linkages have not been tested. In this article, we test the bidirectional linkages between mindful parenting and parenting cognitions (sense of competence, parent-centered attributions) and the underlying mediational processes that link them to parent-child communication (parental solicitation and youth disclosure). Longitudinal, autoregressive cross-lagged models were run within a longitudinal sample of rural and suburban early adolescents and their mothers (n = 421; mean adolescent age = 12.14, 46% male, 73% white). Significant bidirectional linkages were found between mindful parenting and parenting cognitions across Time 1 and Time 2. Greater mindful parenting at Time 1 was associated with more positive parenting cognitions (e.g., greater perceptions of parental competence and fewer negative parent-centered attributions or self-blame) at Time 2. More positive parenting cognitions at Time 1 were also associated with greater levels of mindful parenting at Time 2. Mindful parenting at Time 2 mediated the association between parenting cognitions (both parent-centered attributions and sense of competence) at Time 1 and parental solicitation at Time 3. Mindful parenting and parenting cognitions influence each other over time. Parenting cognitions can affect parental solicitation via increases in mindful parenting. The discussion focuses on potential underlying processes.

Mindful With Your Toddler Group Training: Feasibility, Acceptability, and Effects on Subjective and Objective Measures

Abstract: This study examined the effectiveness of Mindful with your toddler, a 9-week mindful parenting group training for mother–toddler dyads experiencing (co-)regulation difficulties. Eighteen clinically referred mothers and toddlers (18–48 months) with (co-)regulation problems participated in groups, each comprising three to six dyads. At waitlist, pretest, and post-test, mothers completed questionnaires on parenting (overreactivity, parental stress, sense of incompetence), psychopathology (internalizing and externalizing), partner relationship, mindful parenting (listening with full attention, compassion for child, non-judgmental acceptance of parental functioning), mindfulness (acting with awareness, non-judging of inner experience, non-reactivity), self-compassion, and child outcomes (psychopathology and dysregulation) and mother–toddler freeplay observations were conducted, and coded for maternal sensitivity and acceptance. Questionnaires were completed again at 2-month and 8-month follow-up. No significant differences occurred between waitlist and pretest, except for a deterioration in listening with full attention and an improvement in compassion for child. Between pretest and post-test, observed maternal sensitivity and acceptance improved (medium effect sizes). Child psychopathology, maternal listening with full attention, acting with awareness, non-reactivity, and self-compassion also improved (medium effect sizes). Effects were stable or further improved during follow-up (medium/large effect sizes). Improvement in child dysregulation, maternal internalizing psychopathology, maternal stress, sense of parental incompetence, non-judgmental acceptance of parental functioning, and non-judging of inner experience was only seen at 2- and 8-month follow-up (medium/large effect sizes). No changes in maternal externalizing psychopathology, overreactivity, compassion for child, and partner relationship occurred. Mindful with your toddler is a promising intervention for mothers with toddlers with (co-)regulation problems.

A component analysis of the Mindfulness-Based Positive Behavior Support (MBPBS) Program for mindful parenting by mothers of children with Autism Spectrum Disorder

Abstract: Mindfulness-Based Positive Behavior Support (MBPBS) has been shown to be effective in reducing stress and burnout in parents and professional caregivers of children and adolescents with intellectual and developmental disabilities (IDD) and autism spectrum disorder (ASD). The aim of this study was to assess the comparative effects of the mindfulness (MB) and positive behavior support (PBS) components against the MBPBS program for mindful parenting. The study utilized a three-arm randomized controlled trial design, with a 10-week pre-treatment control condition, 30 weeks of intervention, and 3 years of post-intervention follow-up. Mothers of children with ASD were randomly assigned to the MB, PBS, and MBPBS conditions and provided 3 days of training specific to each condition. The effects of these programs were assessed on the mothers (i.e., training attendance, meditation time, perceived psychological stress) and spillover effects were assessed on their children with ASD (i.e., aggression, disruptive behavior, compliance with mothers’ requests). Mothers in the MBPBS condition reported greater reductions in perceived psychological stress, followed by those in the MB condition, and with no significant changes reported by those in the PBS condition. Reduction in the children’s aggression and disruptive behavior followed a similar pattern, with most to least significant reductions being in MBPBS, MB, and PBS condition, respectively. Significant increases in compliance (i.e., responsiveness to mothers’ requests) were largest in the MBPBS condition, followed by MB, and then PBS. Changes across all variables for both mothers and their children were maintained for 3 years post-intervention. After time and training type were controlled for, meditation time was a significant predictor in reducing aggressive and disruptive behaviors, and in enhancing compliance of the children with mothers’ requests. Positive outcomes for mothers and their children with ASD were significantly greater in the MBPBS condition, followed by the MB condition, and least in the PBS condition. MBPBS appears to be an effective mindful parenting program on the assessed variables.

The Relationship Between Physical Activity and Self-Compassion: a Systematic Review and Meta-analysis

Abstract: According to the mental health service recommendations from WHO, self-care is the basis for tackling psychological concerns. Although self-esteem has been a symbolic self-driven psychological factor that could generate significant positive well-being and associated with physical activity (PA), self-esteem’s negative effects have been criticized by the advocation of self-compassion (SC). Therefore, with both PA and SC have been found to be effective in achieving positive psychological health, they are expected to show a relationship to cope with people’s mental health problems. To fully study the relationship, a concrete systematic review and meta-analysis were conducted to review the relationship between PA and SC. The meta-analysis outcome was obtained by the pooled correlation coefficient using the random effects model, and meta-regression with mixed-effect models were used to determine the moderate effects. A total of 25 studies, with n = 5622 samples, were included. Ten studies examined the association between PA and SC; five studies examined the association between PA regulation and SC; and six RCT studies and four single group repeated measure studies examined the effect of PA on SC. The random effects model demonstrated a significant effect size on the overall relationship between PA and SC (r = 0.26), with significant heterogeneity. Subgroup analysis showed the significant effect sizes on four types of relationship, with r = 0.19, r = 0.273 and r = 0.34, r = 0.273, respectively. All potential sources of heterogeneity, including age, gender, study design and risk of bias, showed no moderating effect on the relationship. The relationship between PA and SC was significant while investigating the effect of non-mind-and-body interventions and constructing a mechanism of PA and SC can be done as future implications.

What Do Meditators Do When They Meditate? Proposing a Novel Basis for Future Meditation Research

Abstract: Meditation is an umbrella term for a vast range of contemplative practices. Former proposals have struggled to do justice to this variety. To our knowledge, there is to date no comprehensive overview of meditation techniques spanning all major traditions. The present studies aimed at providing such a comprehensive list of meditation techniques. In a qualitative study, we compiled a collection of 309 meditation techniques through a literature search and interviews with 20 expert meditators. Then, we reduced this collection to 50 basic meditation techniques. In a second, quantitative study, 635 experienced meditators from a wide range of meditative backgrounds indicated how much experience they had with each of these 50 meditation techniques. Meditators’ responses indicated that our choice of techniques had been adequate and only two techniques had to be added. Our additional statistical and cluster analyses illustrated preferences for specific techniques across and within diverse traditions as well as sets of techniques commonly practiced together. Body-centered techniques stood out in being of exceptional importance to all meditators. In conclusion, we found an amazing variety of meditation techniques, which considerably surpasses previous collections. Our selection of basic meditation techniques might be of value for future scientific investigations and we encourage researchers to use this set.

The Role of Self-compassion, Concern for Others, and Basic Psychological Needs in the Reduction of Caregiving Burnout.

Abstract: Compassion is the beneficial response of an individual to the sufferings and difficulties of others. Self-compassion refers to feelings of concern an individual feel towards oneself. Both may serve as potential buffers in a hospital setting where caregivers attending to patients in critical condition experience emotional distress, which may lead to burnout. However, the unique contribution of compassion, both to self and others, to the decrease of burnout is unclear. In the present study, we recruited 109 professional caregivers working in a hospital’s intensive care and rehabilitative units. We explored a theoretically driven mediation model in which the relationship between compassion for self and others and burnout is mediated by different basic psychological needs, detailed in the self-determination theory. Results indicated that self-compassion and concern for others were associated with reduced levels of burnout. Each of these buffers against burnout was mediated by a unique psychological need, thereby supporting a three-layered model of (a) compassion and self-compassion, (b) basic psychological needs, and (c) burnout. Our study highlights compassion and self-compassion as potential resilience factors against the challenge of burnout in healthcare. It points to promising avenues for preemptive clinical interventions.

Self-Compassion and Anxiety and Depression in Chronic Physical Illness Populations: a Systematic Review

Abstract: Anxiety and depression are common in chronic physical illness populations. Self-compassion, the motivation and the capacity to alleviate one’s own suffering, is associated with reduced anxiety and depression in mental health populations. This review aimed to collate available research showing links between self-compassion and anxiety and depression in chronic physical illness populations. This study is a systematic review of English language studies investigating univariate and multivariate correlates of anxiety and depression by self-compassion constructs in adult chronic physical illness populations. Twenty papers, reporting data from 16 unique studies, were included. Half sampled cancer patients. Self-compassion scores consistently showed moderate to large inverse associations with anxiety and depression over both univariate (r = −.37 to −.53 and r = −.38 to −.66, respectively) and multivariate analyses (β =.01 to β = −.55 and β = −.17 to β = −.59, respectively). Worry and depressive brooding, and shame, mediated relationships between self-compassion and anxiety and depression. Although findings suggest that self-compassion processes may have a role in alleviating anxiety and depression in chronic physical illness populations, methodological limitations limit confidence in this proposition. Prospective studies that identify theoretically plausible mediators and moderators are required before the development or modification of therapeutic interventions.

A Brief Online Mindfulness-Based Group Intervention for Psychological Distress Among Chinese Residents During COVID-19: a Pilot Randomized Controlled Trial.

Abstract: The coronavirus (COVID-19) global pandemic has increased psychological distress among the general population. The objective of this study is to evaluate a mindfulness-based intervention for psychological distress among Chinese residents during COVID-19. This study used a switching replications design to test the feasibility and efficacy of a brief online mindfulness-based intervention for Chinese residents’ psychological distress. Fifty-one residents in the Hubei province were randomly allocated to two groups (experimental group and waitlist control group) with three waves of measurement at time 1, time 2, and time 3 for changes in mindfulness and psychological distress. In addition to significant within-group improvements over time for both groups, OLS linear regression with full information likelihood estimation revealed statistically significant between-group treatment effects across outcome domains, including mindfulness awareness, b = 2.84, p < 0.001, g = 6.92, psychological distress, b = −21.33, p < 0.001, g = 6.62, somatic symptoms, b = −6.22, p < 0.001, g = 4.42, depressive symptoms, b = −7.16, p < 0.001, g = 5.07, and anxiety symptoms, b = −8.09, p < 0.001, g = 6.84. Results suggest that a brief online mindfulness-based intervention can be a feasible and promising intervention for improving mindfulness and decreasing psychological distress among Chinese residents staying at home during the COVID-19 outbreak. The study used a small convenience sample which led to a concern of external generalizability and with limited evaluation of long-term change.

Can Self-compassion Promote Gratitude and Prosocial Behavior in Adolescents? A 3-Year Longitudinal Study from China

Abstract: Self-compassion refers to a positive and healthy self-attitude in times of distress and life difficulties. Abundant research has shown that self-compassion robustly contributes to adolescents’ psychological well-being. Recent research has begun to discuss the interpersonal and social benefits of self-compassion. This study examined whether and how self-compassion would be longitudinally associated with two significant other-oriented constructs: gratitude and prosocial behavior. Using a three-wave longitudinal design, a large sample of Chinese adolescents (Time 3, N = 1026; Mage = 14.41, SDage = 0.59) was measured annually at three time points. We employed both a cross-lagged panel model (CLPM) and a random intercepts cross-lagged panel model (RI-CLPM) to investigate the longitudinal associations between self-compassion, gratitude, and prosocial behavior at both between-person and within-person levels. Both the CLPM and RI-CLPM suggested that self-compassion positively predicted gratitude and prosocial behavior over time. The CLPM indicated that gratitude and prosocial behavior were bidirectionally related to each other at the between-person level, while the RI-CLPM did not find a significant longitudinal association between them at the within-person level. Also at the between-person level, the CLPM further suggested that gratitude mediated the longitudinal relation between self-compassion and prosocial behavior, while prosocial behavior mediated the relationship between self-compassion and gratitude. This study enriches understanding of the adaptive functions of self-compassion for adolescents’ social development. Self-compassion is not selfish but rather enhances feelings of gratitude toward other people and promotes the development of prosocial behavior.

The Role of Religion for Mindfulness-Based Interventions: Implications for Dissemination and Implementation

Abstract: Mindfulness-based interventions are increasingly recognized for their efficacy in clinical settings. Because of the historical and social associations of mindfulness-based interventions with spirituality and religion, individual differences in religiosity are likely to play a role in how people perceive these interventions and may ultimately impact the acceptability and implementation of mindfulness-based techniques. Mindfulness-based interventions’ religious associations are often left unspecified, but when they are stated, they are typically represented as either (1) secular and neutral to religious concerns or as (2) religiously influenced. Dichotomously presenting MBIs as either religious or secular can undermine the delivery of these interventions, as can failing to address religion or spirituality altogether. We present theory and research that explicates the likely ways in which religion influences the acceptability of mindfulness-based interventions and provide recommendations for researchers and interventionists that enable them to respond to religious concerns about mindfulness-based interventions.

The Effectiveness of a Teacher-Delivered Mindfulness-Based Curriculum on Adolescent Social-Emotional and Executive Functioning

Abstract: The purpose of this study was to assess the effectiveness of a manualized mindfulness-based program for adolescents, Learning to Breathe (L2B), on indicators of adolescent social-emotional well-being, mental health, substance use, and executive function. Participants included 251 high school students attending an urban school district who were randomly assigned to required health education classes that offered L2B or the business-as-usual health curriculum. No direct effects on self-report measures were found. Students exposed to L2B demonstrated significant improvements on executive functioning measures related to susceptibility to cognitive interference and working memory. Subsequent tests of moderation revealed beneficial program effects within the treatment group were dependent on rates of practice, and those that used L2B strategies regularly showed small-to-moderate improvements on indices of emotional awareness, emotional clarity, impulse control, social connectedness, mind-wandering, substance use, perceived stress, and self-compassion relative to controls. This study provides mixed support regarding the potential effectiveness of a universal mindfulness program for high school students. The absence of direct effects on self-report measures implies that simply exposing adolescents to a mindfulness curriculum within the context of typical instruction, in the absence of supports for implementation, is unlikely to impact youth socio-emotional well-being or behavior. However, changes in EF favoring the intervention group suggest that possible benefits on tasks related to susceptibility, cognitive interference, and selective attention are possible. Tests of moderation revealed dosage effects, and students who adopt mindfulness practices can indeed benefit on multiple fronts.

Investigating Psychometric Properties of the Self-Compassion Scale Using Rasch Methodology

Abstract: The 26-item Self-Compassion Scale (SCS) and its short 12-item version (SCS-SF) were reported to have acceptable psychometric properties, and both scales are widely used to assess self-compassion in individuals. However, recent investigations were inconsistent regarding factor structure of the SCS, and psychometric properties of the scale were not tested for consistency with principles of fundamental measurement using appropriate methodology such as Rasch analysis. A partial credit Rasch model was used to evaluate psychometric properties of the SCS and SCS-SF with the sample of 743 respondents randomly divided into two equal subsamples (A and B) to replicate the results for the purpose of robustness. Initially, there were no misfitting items but the local dependency between various items affected Rasch model fit. This issue was resolved by combining locally dependent items into four super-items resulting in the best fit to the Rasch model of both SCS and SCS-SF, with evidence of unidimensionality and an excellent sample targeting. Although both scale versions had strong reliability satisfactory for individual and group assessment, the original SCS demonstrated superior psychometric properties reflected by higher reliability indicated by Person Separation Index (PSI) of 0.90 compared to the SCS-SF (PSI = 0.85). These analyses were replicated with the sample B for both scale versions, resulting in equally good fit. This permitted generating ordinal-to-interval conversion tables based on Rasch model estimates. The current study supported the reliability and internal validity of both the SCS and SCS-SF. Accuracy of these assessment instruments can be further improved by using the ordinal-to-interval conversion tables published here.

The Longitudinal Influence of Caregiver Dispositional Mindful Attention on Mindful Parenting, Parenting Practices, and Youth Psychopathology

Abstract: Although much research examining youth psychopathology from an ecological family systems theoretical framework has highlighted negative or pathological parental characteristics, it is important to identify and explore beneficial parent characteristics, such as mindful attention and awareness, that may be related to youth mental health. Dispositional mindfulness has been related, in cross-sectional research, to higher levels of mindful parenting, which impacts positive and negative parenting and, in turn, offspring internalizing and externalizing symptoms. The current study expands this work by examining associations among caregiver dispositional mindful attention, mindful parenting, parenting behaviors, and youth psychopathology in a short-term longitudinal model and by testing potential moderators. A sample of 564 parents (60% mothers) of children between the ages of 3 and 17 reported on their dispositional mindful attention, mindful parenting, positive and negative parenting practices, and their youth’s internalizing and externalizing symptoms at 4 time points over a 12-month period. The structural equation model indicated that higher levels of baseline caregiver dispositional mindful attention were related to higher levels of mindful parenting at 4 months. Higher levels of mindful parenting were associated with higher levels of positive parenting and lower levels of negative parenting practices at 8 months. Finally, lower levels of negative parenting practices were related to lower levels of internalizing and externalizing symptoms at 12 months. Moderator analyses suggested that all prospective associations in the model were equivalent for mothers and fathers, boys and girls, and children and adolescents. Findings shed light on the importance of considering caregiver dispositional mindful attention as it relates to parenting behaviors and youth mental health.