Exploratory effects of structured mindfulness programs (MBCT and MBSR) on posttraumatic growth, alexithymia and type D personality
DOI:
https://doi.org/10.13129/2282-1619/mjcp-3570Keywords:
Mindfulness programs, Alexithymia, Type D personality, Posttraumatic growth, Dispositional mindfulness.Abstract
Background: Mindfulness practices might become an important intervention strategy, but also a prevention approach, with regular practice helping people to cope with adverse daily situations, adopting more conscious attitudes and behaviors, responding, instead of reacting. This exploratory study aimed to evaluate the effectiveness of two of the main structured mindfulness-based interventions (MBCT, Mindfulness-Based Cognitive Therapy program; and MBSR, Mindfulness-Based Stress Reduction program), applied to adults, to assess their impact on psychological variables.
Method: Participants completed self-report measures concerning posttraumatic growth, alexithymia, dispositional mindfulness, and type D personality, in an initial moment (before the program; n=126), in a second moment (at the end of the program; n=44), and in a third moment (four months after the end of the program; n=13), thus fulfilling a 6-month study protocol.
Results: The results showed a significant increase in the levels of positive psychological changes after a traumatic event, alexithymia, dispositional mindfulness, and type D personality, after participating in these programs and later, 4 months after the programs have ended, only for the MBCT group.
Conclusions: Despite some limitations inherent to this type of study, that future studies should consider, the results reinforce the value of conducting and comparing the efficacy of different mindfulness programs, in isolation, or complementing individual therapy.References
Anālayo, B. (2010). Sattipatthana-The direct path to realization. Cambridge, UK: Windhorse Publications.
Baer, R. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125-143. https://doi.org/10.1093/clipsy.bpg015
Baer, R., & Krietemeyer, J. (2006). Overview of mindfulness and acceptance-based treatment approaches. In R.A. Baer (Ed.), Mindfulness-based treatment approaches: Clinician’s guide to evidence base and applications (pp. 3-27). Amsterdam: Elsevier Academic Press. https://doi:10.1016/B978-012088519-0/50002-2
Bagby, M., Taylor, GJ, & Parker, J.D. (1994). The Twenty-item Toronto Alexithymia Scale-II. Convergent, discriminant, and concurrent validity. Psychosomatic Research, 38(1), 33-40. https://doi:10.1016/0022-3999(94)90006-x
Bloise, P., Andrade, M., Machado, H., & Andreoli, S. (2016). Increasing awareness and acceptance through mindfulness and somatic education movements. Advances in mind-body medicine, 30(4), 4-7.
Available at https://europepmc.org/article/med/27925606
Brown, K., & Ryan, R. (2004). Perils and promise in defining and measuring mindfulness: Observations from experience. Clinical Psychology: Science and Practice, 11, 242-248. https://doi:10.1093/clipsy.bph078
Cann, A., Calhoun, L. G., Tedeschi, R. G., Taku, K., Vishnevsky, T., Triplett, K. N., & Danhauer, S. C. (2010). A short form of the Posttraumatic Growth Inventory. Anxiety, Stress, and Coping, 23(2), 127–137. https://doi.org/10.1080/10615800903094273
Craparo, G., Gagliano, O., Costanzo, G., La Rosa, V. L., Gori, A., & Mendolicchio, L. (2020). Boredom, alexithymia, and desire thinking in eating disorders: a cross-sectional study. Mediterranean Journal of Clinical Psychology, 8(3). https://doi.org/10.6092/2282-1619/mjcp-2529
Cardaciotto, L., Herbert, JD, Forman, EM, Moitra, E., & Farrow, V. (2008). The assessment of present-moment awareness and acceptance: The Philadelphia Mindfulness Scale. Assessment, 15(2), 204–223. https://doi:10.1177/1073191107311467
Carmody, J., & Baer, R.A. (2009). How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. Journal of Clinical Psychology, 65(6), 627-638. https://doi:10.1002/jclp.20555
Crane, R.S., Brewer, J., Feldman, C., Kabat-Zinn, J., Santorelli, S., Williams, J.M.G., & Kuyken, W. (2017). What defines mindfulness-based programs? The warp and the weft. Psychological Medicine, 47(6), 990-999. https://doi:10.1017/s0033291716003317
Denollet, J. (2005). DS14: Standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosomatic Medicine, 67(1), 89-97. https://doi:10.1097/01.psy.0000149256.81953.49
Fissler, M., Winnebeck, E., Schroeter, T., Gummersbach, M., Huntenburg, J. M., Gaertner, M., & Barnhofer, T. (2016). An investigation of the effects of brief mindfulness training on self-reported interoceptive awareness, the ability to decenter, and their role in the reduction of depressive symptoms. Mindfulness, 7(5), 1170–1181. https://doi.org/10.1007/s12671-016-0559-z
Fumero, A., Peñate, W., Oyanadel, C., & Porter, B. (2020). The effectiveness of mindfulness-based interventions on anxiety disorders. a systematic meta-review. European Journal of Investigation in Health, Psychology and Education, 10(3), 704-719. http://doi:10.3390/ejihpe10030052
Gangemi, S., Ricciardi, L., Caputo, A., Giorgianni, C., Furci, F., Spatari, G., & Martino, G. (2021). Alexithymia in an unconventional sample of Forestry Officers: a clinical psychological study with surprising results. Mediterranean Journal of Clinical Psychology, 9(3). https://doi.org/10.13129/2282-1619/mjcp-3245
Garland, S., Carlson, L., Cook, S., Lansdell, L., & Speca, M. (2007). A non-randomized comparison of mindfulness-based stress reduction and healing arts programs for facilitating post-traumatic growth and spirituality in cancer outpatients. Supportive care in cancer, 15(8), 949-961. https://doi:10.1007/s00520-007-0280-5
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress education and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57, 35-43. https://doi:10.1016/S0022-3999(03)00573-7
Halladay, J.D., Dawdy, J.L., McNamara, I.F., Chen, A.J., Vitoroulis, I…Munn, C. (2019). Mindfulness for the mental health and well-being of post-secondary students: A systematic review and meta-analysis. Mindfulness, 10(3), 397-414. https://doi:10.1007/s12671-018-0979-z
Hayes, A. M. & Feldman, G. (2004). Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology: Science and practice, 11(3), 255-262. https://doi:10.1093/clipsy.bph080
Hedman-Lagerlöf, M., Hedman-Lagerlöf, E. & Öst¨, Lars-Göran (2018). The empirical support for mindfulness-based interventions for common psychiatric disorders: A systematic review and meta-analysis. Psychological Medicine, 48(13), 2116–2129. https://doi:10.1017/s0033291718000259
Heshmati, R., & Pellerone, M. (2018). Relationship of dispositional mindfulness, self-destruction and self-criticism in academic performance of boy students. Mediterranean Journal of Clinical Psychology, 6(3). https://doi.org/10.6092/2282-1619/2018.6.1716
Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4(1), 33-47. https://doi:10.1016/0163-8343(82)90026-3
Kabat-Zinn, J. (1990). Full catastrophe living: How to cope with stress, pain and illness using mindfulness meditation. New York: Bantam Dell.
Kabat-Zinn, J. (1994). Wherever you go, There you are. Mindfulness Meditation for Everyday Life. UK: Little, Brown Book Group.
Kabat-Zinn, J. (2003). Mindfulness-based stress reduction (MBSR). Constructivism in the Human Sciences, 8(2), 73-107.
Kabat-Zinn, J. (2013). Full catastrophe living, revised edition: How to cope with stress, pain and illness using mindfulness meditation. Hachette UK: Random House USA Inc.
Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., … Hofmann, S.G. (2013). Mindfulness based therapy: A comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763-771. https://doi:10.1016/j.cpr.2013.05.005
Kuyken, W. W., Warren, F.C., Taylor, R.S., Whalley, B., Crane, C., Bondolfi, G…Dalgleish, T. (2016). Efficacy of Mindfulness-Based Cognitive Therapy in prevention of depressive relapse: An individual patient data meta-analysis from randomized trials. JAMA Psychiatry, 73(6), 565-574. https://doi:10.1001/jamapsychiatry.2016.0076
Kriakous, S. A., Elliott, K. A., Lamers, C., & Owen, R. (2021). The effectiveness of mindfulness-based stress reduction on the psychological functioning of healthcare professionals: A systematic review. Mindfulness, 12(1), 1-28. https://doi.org/10.1007/s12671-020-01500-9
Lamela, D., Figueiredo, B., Bastos, A., & Martins, H. (2014). Psychometric properties of the Portuguese version of the Posttraumatic Growth Inventory Short Form among divorced adults. European Journal of Psychological Assessment, 30, 3-14. https://doi:10.1027/1015-5759/a000161
Lomas, T., Medina, J. C., Ivtzan, I., Rupprecht, S., & Eiroa-Orosa, F. J. (2018). A systematic review and meta-analysis of the impact of Mindfulness-Based interventions on the well-being of healthcare professionals. Mindfulness, 10(7), 1193-1216. https://doi:10.1007/s12671-018-1062-5
Marôco, J. (2018). Análise estatística com o SPSS Statistics (7ª ed.) [Statistical analysis with SPSS Statistics (7th ed.)]. Pêro Pinheiro: Report Number.
Marques, D.R., Allen Gomes, A. & Pereira, A.S. (2020). Mindfulness profiles in a sample of self-reported sleep disturbance individuals. Journal of Contextual Behavioral Science, 15, 219-224. https://doi.org/10.1016/j.jcbs.2020.01.008
Myles, L., & Merlo, E. (2022a). Incongruities between perceived control and desire for control: a mechanistic account of depression in adolescence. Psychiatria i Psychologia Kliniczna, 22(1), 40-44. https://doi.org/10.15557/PiPK.2022.0005
Myles, L., & Merlo, E. (2022b). Elucidating the cognitive mechanisms underpinning the therapeutic efficacy of behavioural activation. International Journal of Psychological Research, 15(1), 126-132. https://doi.org/10.21500/20112084.5400
Myles, L., Merlo, E., & Obele, A. (2021). Desire for control moderates the relationship between perceived control and depressive symptomology. Journal of Mind and Medical Sciences, 8(2), 229-305. https://doi.org/10.22543/7674.82.P299305
Myles, L., Connolly, J., & Stanulewicz, N. (2020). The mediating role of perceived control and desire for control in the relationship between personality and depression. Mediterranean Journal of Clinical Psychology, 8(3). https://doi.org/10.6092/2282-1619/mjcp-2589
Norman, H., Marzano, L., Coulson, M., & Oskis, A. (2019). Effects of mindfulness-based interventions on alexithymia: a systematic review. Evidence-Based Mental Health, 22(1), 36-43. https://doi.org/10.1136/ebmental-2018-300029
Nunnally, J. C. & Bernstein, I. H. (1994). Psychometric Theory (3rd ed.). New York: McGraw-Hill.
Nyklíček, I., van Beugen, S., & Denollet, J. (2013). Effects of mindfulness-based stress reduction on distressed (Type D) personality traits: a randomized controlled trial. Journal of Behavioral Medicine, 36(4), 361-370. https://doi:10.1007/s10865-012-9431-3
Ospina, M., Bond, T., Karkhaneh, M., Tjosvold, L., Vandermeer, B., Liang, Y., Bialy, L., Hooton, N., Buscemi, N., Dryden, D. M., & Klassen, T. P. (2007). Meditation practices for health: State of the research. Evidence report/Technology assessment, 155, 1-263.
Peterson, R. A. (1994). A meta-analysis of cronbach's coefficient alpha. Journal of Consumer Research, 21(2), 381–391. https://doi:10.2307/2489828
Pintaudi, B., Di Vieste, G., Nicolucci, A., Bruno, A., Genovese, G., Muscatello, M. R. A., ... & Di Benedetto, A. (2021). The impact of clinical and psychological characteristics on alexithymia in type 1 diabetes. Mediterranean Journal of Clinical Psychology, 9(2). https://doi.org/10.13129/2282-1619/mjcp-2584
Paulson, S., Davidson, R., Jha, A., & Kabat‐Zinn, J. (2013). Becoming conscious: the science of mindfulness. Annals of the New York Academy of Sciences, 1303(1), 87-104. https://doi.org/10.1111/nyas.12203
Rocha, A. R. (2015). Escala da personalidade tipo D: Validação para a população portuguesa [Type D personality scale: Validation for the Portuguese population]. Unpublished Master's thesis.
Available in: http://hdl.handle.net/10437/6814.
Roemer, L., & Orsillo, S.M. (2010). Mindfulness-and Acceptance-Based Behavioral Therapies in Practice. New York: The Guilford Press.
Querstret, D., Morison, L., Dickinson, S., Cropley, M., & John, M. (2020). Mindfulness-based stress reduction and mindfulness-based cognitive therapy for psychological health and well-being in nonclinical samples: A systematic review and meta-analysis. International Journal of Stress Management, 27(4), 394–411. https://doi.org/10.1037/str0000165
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.
Siegel, R., Germer, C., & Olendzki, A. (2009). Mindfulness: What is it? Where did it come from? In F. Didonna (Ed.) Clinical Handbook of Mindfulness (pp. 17–35). Springer: New York. https://doi:10.1007/978-0-387-09593-6_2
Teasdale, J. D., Segal, Z. V., & Williams, M. G. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness training) help? Behaviour Research and Therapy, 33, 25.39. https://doi:10.1016/0005-7967(94)e0011-7
Teixeira, R. J., & Pereira, M. (2013). Growth and the cancer caregiving experience: Psychometric properties of the Portuguese Posttraumatic Growth Inventory. Families, Systems, & Health, 31(4), 382-395. https://doi.org/10.1037/a0032004
Teixeira, R. J., Ferreira, G., & Pereira, M. G. (2017). Portuguese validation of the Cognitive and Affective Mindfulness Scale-revised and the Philadelphia Mindfulness Scale. Mindfulness & Compassion, 2(1), 3-8. https://doi:10.1016/j.mincom.2017.03.001
Teixeira, R.J., & Pereira, M. G. (2009). Promoção da saúde na doença oncológica: Intervenção de redução do stress baseada no mindfulness [Health promotion in oncological disease: the Mindfulness-based stress reduction intervention]. Psychologica, 50, 253-275. https://doi:10.14195/1647-8606_50_13
Teixeira, R.J., & Pereira, M.G (2015). Examining mindfulness and its relation to self-differentiation and alexithymia. Mindfulness 6(1), 79-87. https://doi.org/10.1007/s12671-013-0233-7
Veríssimo, R. (2001). Versão Portuguesa da Escala de Alexitimia de Toronto de 20-itens: I. Adaptação linguistica, validação semântica, e estudo de fiabilidade [Portuguese version of the 20-item Toronto Alexithymia Scale: I. Language adaptation, semantic validation, and reliability study]. Acta Médica Portuguesa, 14(5-6), 529-536. https://pubmed.ncbi.nlm.nih.gov/11878167
Viding, G., Osika, W., Theorell, T., Kowalski, J., Hallqvist, J., & Bojner , H. (2015). The Culture palette: a randomized intervention study for women with burnout symptoms in Sweden. British Journal of Medical Practitioners, 8(2), 5-12.
Available in https://www.bjmp.org/content/culture-palette-randomized-intervention-study-women-burnout-symptoms-sweden
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