Mindfulness Based Cognitive Therapy

DOI: 10.1002/9781118001851 In book: Acceptance and Mindfulness in Cognitive Behavior Therapy, Edition: 1st, Chapter: Mindfulness Based Cognitive Therapy, Publisher: Wiley, Editors: J. D. Herbert, E. Forman, pp.57-82
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Available from: David M Fresco, Aug 12, 2015
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    ABSTRACT: Self-compassion, mindfulness, and psychological inflexibility, constructs associated with mindfulness-based interventions, have demonstrated associations with multiple aspects of psychological health. However, a very limited body of research has analyzed the relative predictive strength among mindfulness-related constructs. Regression analyses were performed to determine the common and unique variance in psychological health predicted by these constructs and to compare their relative predictive strength in a nonclinical sample of 147 undergraduate students at a Mid-Atlantic university. Consistent with previous research, self-compassion demonstrated a stronger ability than single-factor mindfulness to predict variance in psychological health. However, results were mixed when a multifaceted measure of mindfulness was considered. Self-compassion predicted greater variance than multifaceted mindfulness when prediction was based on one total score, but not when individual subscales were analyzed. Psychological inflexibility predicted greater variance than did self-compassion for negative indicators of psychological health. Results suggest that self-compassion and psychological inflexibility may demonstrate greater associations with psychological health than single scores of mindfulness and that important predictive power is lost, particularly from the nonreactivity facet, when multifaceted mindfulness is consolidated into a single score.
    Mindfulness 08/2014; 5(4). DOI:10.1007/s12671-013-0195-9
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    ABSTRACT: Background This research investigated the differential ability of three components of low mindfulness to uniquely predict symptoms of generalized anxiety disorder (GAD) and depression, while controlling for psychological inflexibility, a construct conceptually related to low mindfulness. Also examined was the meditational role of several mindfulness facets in the relationship between psychological inflexibility and symptoms of each disorder. Methods Using a clinical sample (n=153) containing mostly patients with GAD or depression diagnoses, we conducted hierarchical multiple regression analyses and mediation analyses to determine unique relationships. Results Whereas deficits in adopting a non-reactive perspective exhibited incremental validity beyond psychological inflexibility in predicting symptoms of GAD, deficits in acting with awareness did so in predicting symptoms of depression. Results of mediation analyses corroborated this pattern, as the relationships psychological inflexibility exhibited with symptoms of GAD and of depression were mediated by non-reactivity and acting with awareness, respectively. Limitations The cross-sectional design of this study precludes causal interpretations of the mediation models. Conclusion Findings corroborate the following conclusions: (i) the lack of present oriented awareness experienced by individuals with symptoms of depression is not completely accounted for by psychological inflexibility nor by symptoms of GAD; (ii) the reactive approach to automatic thoughts adopted by those with symptoms of GAD is not completely accounted for by psychological inflexibility nor by symptoms of depression. These conclusions suggest that it would be profitable for mindfulness-based therapies to concentrate on these specific mindfulness deficits to ameliorate the severity of GAD and depression.
    Journal of Affective Disorders 09/2014; 166:41–47. DOI:10.1016/j.jad.2014.04.062 · 3.71 Impact Factor
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    ABSTRACT: This study assesses the facet structure and psychometric properties of the Five Facet Mindfulness Questionnaire (FFMQ) with a heterogeneous clinical sample of individuals with mood and anxiety disorders. Various factor models of the FFMQ were submitted to confirmatory factor analyses (CFA). A four factor hierarchical solution, consisting of an overall mindfulness construct subsuming at least four factors, was adopted. Both internal consistency and convergent and discriminant validity were assessed. Along with demonstrating good internal consistency, the facets of the FFMQ were appropriately associated with other psychological constructs. Many mindfulness facets exhibited inverse relationships with emotion dysregulation, emotional avoidance, and psychological distress. The observe facet appeared to assume a role antagonistic to overall mindfulness within a clinical sample, as it exhibited a positive relationship with anxious arousal and no relationship with two other mindfulness facets. Findings support the notion of mindfulness as a multifaceted construct, the structure of which alters in the context of psychopathology.
    Journal of Psychopathology and Behavioral Assessment 12/2014; 36(4). DOI:10.1007/s10862-014-9429-y · 1.55 Impact Factor
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