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The current study explores the potential buffering effect of trait mindfulness on the impact of racism on anxiety symptomology in an African-American sample. Fifty-seven participants completed a questionnaire packet containing measures of anxious arousal and stress (general anxiety) symptoms, trait mindfulness, and experience of racist events. Results indicated that trait mindfulness moderated the relationship between past-year frequency of racist events and anxious arousal. Specifically, the relationship between past-year frequency of racist events and anxious arousal was significantly positive at low levels of trait mindfulness and not significant at high levels of trait mindfulness. The clinical implications of these findings and future research directions are discussed.
Accessible and practical, this book provides a unified framework for integrating acceptance and mindfulness into cognitive-behavioral practice. The authors interweave elements of acceptance and commitment therapy, mindfulness-based cognitive therapy, mindfulness-based relapse prevention, and dialectical behavior therapy. They demonstrate how to conduct an assessment, develop a case formulation, and derive a flexible treatment plan for each patient. Vivid case examples and transcripts illustrate the entire process of therapy, showing how treatment can be tailored for different presenting problems and concerns. More than two dozen reproducible handouts and forms are included.
Is there a connection between being healthy and being more consciously present? Do meditation practices that emphasize nonjudging awareness promote movement toward greater levels of health, including improvements in anxiety and related disorders? Can one successfully assume a larger degree of responsibility for one’s own health by adopting a personal meditation practice? Is it possible to establish an effective and broadly replicable training program in mindfulness meditation that appeals to individuals of diverse social, medical, and spiritual backgroundswhoshare a common motivation to improve their personal health outcomes? Mindfulness-based stress reduction (MBSR) was born of such questions.
Baer (2003; this issue) has provided a thoughtful conceptual and empirical review of mindfulness‐based clinical interventions, emphasizing the need for further research. In this commentary we elaborate on some of the areas needing further study. The promising initial data suggest a need for basic experimental and treatment outcome research in order to determine active ingredients and mechanisms of action in mindfulness‐based interventions. In addition, questions remain regarding the optimal mode of delivery of this treatment, as well as how to integrate the non‐striving aspect of mindfulness into clinical intervention.
The authors present a powerful new alternative that can help you break free of anxiety by fundamentally changing how you relate to it
Despite encouraging preliminary findings regarding the efficacy of mindfulness and acceptance-based treatments for a range of psychological presentations, we have yet to elucidate mechanisms of action within these treatments. One mechanism through which mindfulness may reduce psychological symptoms and promote functioning is enhancing emotional responding and regulation. In this study, we used multimodal assessment to examine the effects of a brief mindfulness intervention in a laboratory setting on emotional experiences and regulation in response to distressing, positive, and affectively mixed film clips. Although there were no condition (mindfulness vs. control) effects on reports of emotional response or difficulties in regulation after the distressing film clip, participants in the mindfulness condition reported significantly greater positive affect in response to the positive film. Additionally, participants in the mindfulness condition reported more adaptive regulation (approaching significance, medium to large effect size) in response to the affectively mixed clip and significantly less negative affect immediately after this clip, although not after a recovery period. No significant differences emerged between conditions on physiological measures (skin conductance and heart rate) throughout the study. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
OBJECTIVE:To examine whether an empirically and theoretically derived treatment combining mindfulness- and acceptance-based strategies with behavioral approaches would improve outcomes in generalized anxiety disorder (GAD) over an empirically supported treatment.
METHOD:
This trial randomized 81 individuals (65.4% female, 80.2% identified as White, average age 32.92) diagnosed with GAD to receive 16 sessions of either an acceptance-based behavior therapy (ABBT) or applied relaxation (AR). Assessments at pretreatment, posttreatment, and 6-month follow-up included the following primary outcome measures: GAD clinician severity rating, Structured Interview Guide for the Hamilton Anxiety Rating Scale, Penn State Worry Questionnaire, Depression Anxiety Stress Scale, and the State-Trait Anxiety Inventory. Secondary outcomes included the Beck Depression Inventory-II, Quality of Life Inventory, and number of comorbid diagnoses.
RESULTS:
Mixed effect regression models showed significant, large effects for time for all primary outcome measures (ds = 1.27 to 1.61) but nonsignificant, small effects for condition and Condition × Time (ds = 0.002 to 0.20), indicating that clients in the 2 treatments improved comparably over treatment. For secondary outcomes, time was significant (ds = 0.74 to 1.38), but condition and Condition × Time effects were not (ds = 0.004 to 0.31). No significant differences emerged over follow-up (ds = 0.03 to 0.39), indicating maintenance of gains. Between 63.3 and 80.0% of clients in ABBT and 60.6 and 78.8% of clients in AR experienced clinically significant change across 5 calculations of change at posttreatment and follow-up.
CONCLUSION:
ABBT is a viable alternative for treating GAD. (PsycINFO Database Record (c) 2013 APA, all rights reserved).
A growing body of research suggests that mindfulness- and acceptance-based principles can increase efforts aimed at reducing human suffering and increasing quality of life. A critical step in the development and evaluation of these new approaches to treatment is to determine the acceptability and efficacy of these treatments for clients from nondominant cultural and/or marginalized backgrounds. This special series brings together the wisdom of clinicians and researchers who are currently engaged in clinical practice and treatment research with populations who are historically underrepresented in the treatment literature. As an introduction to the series, this paper presents a theoretical background and research context for the papers in the series, highlights the elements of mindfulness- and acceptance-based treatments that may be congruent with culturally responsive treatment, and briefly outlines the general principles of cultural competence and responsive treatment. Additionally, the results of a meta-analysis of mindfulness- and acceptance-based treatments with clients from nondominant cultural and/or marginalized backgrounds are presented. Our search yielded 32 studies totaling 2,198 clients. Results suggest small (Hedges' g = .38, 95% CI = .11 – .64) to large (Hedges' g = 1.32, 95% CI = .61 – 2.02) effect sizes for mindfulness- and acceptance-based treatments, which varied by study design.
A growing body of research suggests that mindfulness- and acceptance-based principles can increase efforts aimed at reducing human suffering and increasing quality of life. A critical step in the development and evaluation of these new approaches to treatment is to determine the acceptability and efficacy of these treatments for clients from nondominant cultural and/or marginalized backgrounds. This special series brings together the wisdom of clinicians and researchers who are currently engaged in clinical practice and treatment research with populations who are historically underrepresented in the treatment literature. As an introduction to the series, this paper presents a theoretical background and research context for the papers in the series, highlights the elements of mindfulness- and acceptance-based treatments that may be congruent with culturally responsive treatment, and briefly outlines the general principles of cultural competence and responsive treatment. Additionally, the results of a meta-analysis of mindfulness- and acceptance-based treatments with clients from nondominant cultural and/or marginalized backgrounds are presented. Our search yielded 32 studies totaling 2,198 clients. Results suggest small (Hedges' g = .38, 95% CI = .11 – .64) to large (Hedges' g = 1.32, 95% CI = .61 – 2.02) effect sizes for mindfulness- and acceptance-based treatments, which varied by study design.