Mindfulness facets as differential mediators of short and long-term effects of Mindfulness-Based Cognitive Therapy in diabetes outpatients: Findings from the DiaMind randomized trial
| Autor: | Victor J M Pop, Ivan Nyklíček, Sharon Haenen, Jenny Van Son, François Pouwer |
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| Přispěvatelé: | Medical and Clinical Psychology |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 050103 clinical psychology Mindfulness Psychotherapist medicine.medical_treatment Psychological intervention law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) Surveys and Questionnaires medicine Journal Article Ambulatory Care Humans 0501 psychology and cognitive sciences Mindfulness-based cognitive therapy Aged 05 social sciences Middle Aged 030227 psychiatry Psychiatry and Mental health Clinical Psychology Affect Mood Diabetes Mellitus Type 1 Treatment Outcome Diabetes Mellitus Type 2 Cognitive therapy Anxiety Female medicine.symptom Psychology Stress Psychological Clinical psychology Follow-Up Studies |
| Zdroj: | Journal of Psychosomatic Research, 85, 44-50. PERGAMON-ELSEVIER SCIENCE LTD Haenen, S, Nyklíček, I, VAN Son, J, Pop, V J M & Pouwer, F 2016, ' Mindfulness facets as differential mediators of short and long-term effects of Mindfulness-Based Cognitive Therapy in diabetes outpatients : Findings from the DiaMind randomized trial ', Journal of Psychosomatic Research, vol. 85, pp. 44-50 . https://doi.org/10.1016/j.jpsychores.2016.04.006 |
| ISSN: | 1879-1360 0022-3999 |
| DOI: | 10.1016/j.jpsychores.2016.04.006 |
| Popis: | BackgroundThere is increasing evidence that mindfulness-based interventions reduce psychological distress in various medical populations. However, it has hardly been studied if these effects are mediated by an increase in mindfulness. The aim of this study was to examine mediating effects of various mindfulness facets on effects of a Mindfulness Based Cognitive Therapy (MBCT) on perceived stress and mood.MethodsOutpatients with diabetes types 1 and 2 and low levels of emotional wellbeing were randomized into a group receiving MBCT (n = 70) or a waiting-list control group (n = 69). Primary outcomes were mood and perceived stress. Before, after and at follow-up (6 months post intervention) relevant questionnaires were completed.ResultsMediation analysis using bootstrap resampling indicated that increases in total mindfulness and the facets observing and nonreactivity mediated the effects of the intervention on depressed and angry mood, anxiety (only observing), and perceived stress (only nonreactivity) from pre- to post-intervention. In contrast, from post-intervention to follow-up, besides total mindfulness the facets of acting with awareness and nonjudging mediated the effects on depressed, anxious, and angry mood, while only nonjudging mediated the effects on perceived stress.DiscussionThe findings indicate that increases in levels of mindfulness mediate the effects of the Mindfulness-Based Cognitive Therapy in patients with diabetes. It is notable that different facets may be important for immediate change versus long-term outcome. These findings might be relevant for post-intervention care.Keywords: Diabetes, Mediators, Mindfulness, Psychological distress, Randomized trial |
| Databáze: | OpenAIRE |
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