Shian-Ling Keng

Shian-Ling Keng
Monash University (Malaysia)

Ph.D. (Clinical Psychology)

About

78
Publications
65,001
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
3,471
Citations
Citations since 2017
61 Research Items
2708 Citations
20172018201920202021202220230100200300400500
20172018201920202021202220230100200300400500
20172018201920202021202220230100200300400500
20172018201920202021202220230100200300400500
Introduction
Assoc Prof Keng’s research interests broadly span three areas: a) efficacy and mechanisms of change of mindfulness-based interventions, b) emotion regulation, and c) assessment and cross-cultural presentations of psychopathology, particularly borderline personality disorder. She is also interested in researching the adaptation, implementation, and dissemination of empirically-supported interventions, particularly dialectical behavior therapy, in Southeast Asia.
Additional affiliations
July 2017 - January 2019
Yale-NUS College
Position
  • Professor
September 2012 - August 2013
Centre for Addiction and Mental Health
Position
  • Clinical Psychology Intern

Publications

Publications (78)
Article
This longitudinal study aimed to validate the biosocial theory of borderline personality disorder (BPD) by examining the transactional relationship between individual vulnerabilities and parental invalidation, and their links to BPD symptoms. We recruited a sample of 332 adolescents (mean age = 14.18 years; 58.3% female) residing in Singapore and a...
Article
Some public officials have expressed concern that policies mandating collective public health behaviors (e.g., national/regional "lockdown") may result in behavioral fatigue that ultimately renders such policies ineffective. Boredom, specifically, has been singled out as one potential risk factor for noncompliance. We examined whether there was emp...
Article
Full-text available
While dialectical behaviour therapy (DBT) has much empirical support for treating borderline personality disorder (BPD) and other conditions, little research has examined the dissemination of DBT in Southeast Asia. This study evaluated training outcomes following a 5‐day intensive DBT training programme in a group of psychologists in Singapore, who...
Article
Full-text available
Objectives Amidst the COVID-19 pandemic, healthcare workers (HCWs) may be at greater risk of suffering from psychological distress compared to the general population. This study aimed to investigate the effects of mindfulness practice as delivered using Headspace on psychological and cognitive outcomes among HCWs in Singapore. Methods A total of 8...
Article
Anxiety associated with the COVID-19 pandemic and home confinement has been associated with adverse health behaviors, such as unhealthy eating, smoking, and drinking. However, most studies have been limited by regional sampling, which precludes the examination of behavioral consequences associated with the pandemic at a global level. Further, few s...
Article
The COVID-19 pandemic has resulted in adverse psychological outcomes for many around the globe. Less is known however regarding dispositional traits that may protect against negative psychological outcomes. This study examined the prospective association between COVID-19 stressors and psychological symptoms, and whether self-compassion (referring t...
Article
Full-text available
The present paper examines longitudinally how subjective perceptions about COVID-19, one’s community, and the government predict adherence to public health measures to reduce the spread of the virus. Using an international survey ( N = 3040), we test how infection risk perception, trust in the governmental response and communications about COVID-19...
Article
Full-text available
Before vaccines for COVID-19 became available, a set of infection prevention behaviors constituted the primary means to mitigate the virus spread. Our study aimed to identify important predictors of this set of behaviors. Whereas social and health psychological theories suggest a limited set of predictors, machine learning analyses can identify cor...
Article
Full-text available
Anxiety associated with the COVID-19 pandemic and home confinement has been associated with adverse health behaviors, such as unhealthy eating, smoking, and drinking. However, most studies have been limited by regional sampling, which precludes the examination of behavioral consequences associated with the pandemic at a global level. Further, few s...
Article
Understanding the determinants of COVID-19 vaccine uptake is important to inform policy decisions and plan vaccination campaigns. The aims of this research were to: (1) explore the individual- and country-level determinants of intentions to be vaccinated against SARS-CoV-2, and (2) examine worldwide variation in vaccination intentions. This cross-s...
Article
Full-text available
Tightening social norms is thought to be adaptive for dealing with collective threat yet it may have negative consequences for increasing prejudice. The present research investigated the role of desire for cultural tightness, triggered by the COVID-19 pandemic, in increasing negative attitudes towards immigrants. We used participant-level data from...
Article
Childhood invalidation has been postulated to be implicated in the development of borderline personality disorder (BPD), according to the biosocial model. Despite its significance, most systematic reviews and meta-analyses have focused on examining the associations between extreme forms of invalidation, such as sexual abuse, and BPD. Nonetheless, i...
Article
Full-text available
Objectives This meta-analytic study examined average effect sizes across studies for the association between dispositional mindfulness and gratitude, dispositional mindfulness and emotional intelligence, and emotional intelligence and gratitude. The study also tested a model positing emotional intelligence as a path linking mindfulness and gratitud...
Article
During the initial phase of the COVID-19 pandemic, U.S. conservative politicians and the media downplayed the risk of both contracting COVID-19 and the effectiveness of recommended health behaviors. Health behavior theories suggest perceived vulnerability to a health threat and perceived effectiveness of recommended health-protective behaviors dete...
Article
Full-text available
Aim/background Even though dialectical behavior therapy (DBT) has received substantial empirical support in treating patients with borderline personality disorder (BPD), fewer studies have evaluated whether a brief DBT skills group may be effective in improving clinical outcomes in this population. Further, less is known regarding the feasibility a...
Article
Full-text available
The current research examined the role of values in guiding people’s responses to COVID-19. Results from an international study involving 115 countries (N = 61,490) suggest that health and economic threats of COVID-19 evoke different values, with implications for controlling and coping with the pandemic. Specifically, health threats evoked prioriti...
Article
This study examined the intergenerational transmission of parental invalidation and whether parental difficulties in emotion regulation mediated the association between past experiences of invalidation and current invalidating parenting practices. We also aimed to investigate whether gender might influence the transmission of parental invalidation....
Article
Full-text available
Objectives Whereas much research has demonstrated the effects of mindfulness-based interventions on emotional well-being, less work has examined the effects of mindfulness training on affect dynamics, referring to the dynamic processes through which affect fluctuates in daily life. The present study investigated the effects of a mindfulness-based s...
Article
12080 Background: The first five years post-treatment for breast cancer are a critical phase, when the survivors may face a multitude of physical and psychosocial problems. We aimed to develop an e-home based symptom management and mindfulness training program to support women with breast cancer in transition to survivorship and to determine its ef...
Article
Full-text available
This paper examines whether compliance with COVID-19 mitigation measures is motivated by wanting to save lives or save the economy (or both), and which implications this carries to fight the pandemic. National representative samples were collected from 24 countries (N = 25,435). The main predictors were (1) perceived risk to contract coronavirus, (...
Poster
This mixed-methods study investigated the effects of a five-day Dialectical Behavioral Therapy (DBT) training on therapists. 14 psychologists with various therapeutic orientations were recruited from a psychiatric hospital in Singapore, and self-selected into training and non-training groups. All participants completed measures of therapists’ stigm...
Article
Background: Borderline personality disorder (BPD) contributes to suicide‐related morbidity and mortality and requires more intensive psychotherapeutic resources due to its high mental health service usage. Accessibility to an evidence‐based treatment program is a cornerstone to support patients with BPD and part of broader suicide prevention effort...
Preprint
Full-text available
The Coronavirus is highly infectious and potentially deadly. In the absence of a cure or a vaccine, the infection prevention behaviors recommended by the World Health Organization constitute the only measure that is presently available to combat the pandemic. The unprecedented impact of this pandemic calls for swift identification of factors most i...
Preprint
Full-text available
In this work, we study how social contacts and feelings of solidarity shape experiences of loneliness during the COVID-19 lockdown in early 2020. We draw on cross-national data, collected across four time points between mid-March until early May 2020. We situate our work within the public debate on these issues and discuss to what extent the public...
Preprint
Full-text available
According to health behavior theories, perceived vulnerability to a health threat and perceived effectiveness of recommended health-protective behaviors determine motivation to follow these recommendations. Because the U.S. President Trump and U.S. conservative politicians downplayed the risk and seriousness of contracting COVID-19 and the effectiv...
Article
Full-text available
The PsyCorona collaboration is a research project to examine processes involved in the COVID-19 pandemic, such as behavior that curbs virus transmission, which may implicate social norms, cooperation, and self-regulation. The study also examines psychosocial consequences of physical distancing strategies and societal lockdown, such as frustration o...
Article
Full-text available
Mapping the Moods of COVID-19: Global Study Uses Data Visualization to Track Psychological Responses, Identify Targets for Intervention
Preprint
Full-text available
This paper examines whether compliance with COVID-19 mitigation measures is motivated by wanting to save lives or save the economy (or both), and which implications this carries to fight the pandemic. National representative samples were collected from 24 countries (N=25,435). The main predictors were (i) perceived risk to contract coronavirus, (ii...
Preprint
Full-text available
Previous studies suggested that public trust in government is vital for implementations of social policies that rely on public's behavioural responses. This study examined associations of trust in government regarding COVID-19 control with recommended health behaviours and prosocial behaviours. Data from an international survey with representative...
Article
Full-text available
An amendment to this paper has been published and can be accessed via the original article.
Article
Full-text available
Research has found that 24% of foreign domestic workers (FDWs) in Singapore have poor mental health (24%), with depressive symptoms being identified as the second most severe psychological symptoms [1]. The study assessed the acceptability and effectiveness of a 4-week cognitive behavioral therapy (CBT)-based paraprofessional training program for F...
Article
TPS12130 Background: The first five years post-treatment for breast cancer are a critical phase, when the survivors may face a multitude of problems, including persistent and/or late-emerging symptoms following the cancer and its treatment, psycho-social distress associated with the risk of cancer recurrence, chronic uncertainty and social disrupti...
Article
Much research has demonstrated the beneficial effects of mindfulness-based stress reduction (MBSR) on psychological and physical health, but it is not known whether MBSR may impact cellular aging in healthy populations. Further, little research has evaluated MBSR against an active control condition, which precludes strong conclusions regarding the...
Article
Objective: Telomeres are the caps at the end of chromosomes. Short telomeres are a biomarker for worsening health and early death. Design: The present study consolidated research on meditation and telomere length through a meta-analysis of results of studies examining the effect of meditation on telomere length by comparing the telomere length of m...
Article
Full-text available
Objectives Eating disorders are debilitating mental illnesses characterized by disturbances in eating behaviors and weight regulation. Risk factors associated with disordered eating behaviors include negative affect and body dissatisfaction. Whereas mindfulness-based interventions have been shown to be effective in treating selected eating disorder...
Article
Full-text available
Background: Whereas meditation training has been purported to support slower cellular aging, little work has explored the association among different facets of dispositional mindfulness, self-compassion, and cellular aging. The present study aimed to examine the relationship between leukocyte telomere length (LTL), an index of cellular aging, disp...
Article
Borderline personality disorder (BPD) is a psychological disorder characterized by dysregulation across multiple domains. While selected mindfulness-based interventions are effective in addressing symptoms of BPD, less is known regarding the effects of engaging in brief mindfulness practices on affective correlates of BPD. The present study investi...
Article
hildhood trauma has been identified as a strong risk factor for non-suicidal self-injury (NSSI; Gratz, 2006). Existing literature suggests that the degree of betrayal involved in a traumatic experience may have an impact on NSSI behaviors (Gómez & Freyd, 2013), but little work has examined the potential relationship between betrayal trauma and NSSI...
Article
Full-text available
Background Linehan (1993)‘s biosocial model posits that borderline personality disorder (BPD) symptoms develop as a result of a transactional relationship between pre-existing emotional vulnerability and an invalidating childhood environment. Little work, however, has investigated cultural factors that may influence the relationship between childho...
Article
Full-text available
Mindfulness has been theoretically and empirically associated with psychological health. One commonly investigated mechanism underlying the association between mindfulness and psychological health is adaptive coping. Despite research demonstrating the relationship between trait mindfulness and averaged use of adaptive (and maladaptive) coping strat...
Article
This study examined the construct validity of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD) in a consecutive sample of adult psychiatric patients (n = 128) and a separate sample of undergraduate students (n = 289) in Singapore. Participants were administered the MSI-BPD and other measures assessing related symptoms o...
Article
Full-text available
Purpose of review: This review discusses cultural trends, challenges, and approaches to assessment and treatment of personality traits and disorders. Specific focus include current developments in the Asian, Italian, Iranian, and Australian societies, as well as the process of acculturation, following moves between cultures with the impact on heal...
Article
Full-text available
Background Linehan’s biosocial theory posits that parental invalidation during childhood plays a role in the development of borderline personality disorder symptoms later in life. However, little research has examined components of the biosocial model in an Asian context, and variables that may influence the relationship between childhood invalidat...
Article
Borderline personality disorder (BPD) is characterized by an enduring pattern of instability across affective, behavioral, cognitive, and interpersonal domains. Individuals with BPD are known to be particularly vulnerable to experiences of social rejection, but little work has examined strategies that may moderate their reactivity to social rejecti...
Article
Full-text available
Research has shown that trait mindfulness is associated with greater emotion differentiation, particularly, differentiation of negative emotions. Little research however has examined mechanisms underlying this relationship. In this study, we tested two mediation pathways. Emotion regulation has been predicted to play a key mediating role, but the e...
Article
Borderline personality disorder (BPD) is a severe mental condition characterized by a range of cognitive and behavioral vulnerabilities, including chronic shame and deficits in social problem solving (SPS) abilities. Little research however, has examined strategies that may alleviate shame and SPS deficits among individuals with BPD traits. Using a...
Article
Full-text available
Background: In recent years, there have been significant advancements in understanding the etiology, assessment, and treatment of borderline personality disorder (BPD). However, the influence of culture has not been carefully considered. The present review is an attempt to identify cultural factors that may change the presentation, assessment, and...
Article
Full-text available
Much research has established a negative association between gender nonconformity and psychological health. Less is known however regarding factors that may attenuate the link between gender nonconformity and psychological health. The present study aimed to investigate the association between gender nonconformity and psychological health in a Singa...
Poster
In: European Psychiatry. The Journal of the European Psychiatric Association. Abstracts of the 25th European Congress of Psychiatry (p. 630). Florence, Italy.
Poster
Introduction Approximately one in every five Singaporean households employs Foreign Domestic Workers (FDWs) (Humanitarian Organization for Migration Economics [Home], 2015). Mental health problems, especially depression, are prevalent among FDWs in Singapore (HOME, 2015). Yet, there is a lack of empirically-supported interventions to address their...
Conference Paper
Full-text available
Foreign domestic workers (FDWs) in Singapore are at particular risk for developing mental health problems, whereby Filipino FDWs are deemed to be especially vulnerable towards developing them. Among the identified specific risk factors for developing mental health problems amongst FDWs are homesickness, a lack of social support, communication-relat...
Chapter
Full-text available
Mindfulness has garnered a significant amount of attention as a treatment strategy across a number of different modalities and settings. However, mindfulness as a tool to engage individuals in treatment has received considerably less attention. Author Shian-Ling Keng provides a review of the current literature pertaining to mindfulness in treatment...
Article
The present study investigated the relative effects of mindfulness, reappraisal and suppression in reducing sadness, and the extent to which implementation of these strategies affects cognitive resources in a laboratory context. A total of 171 Singaporean undergraduate participants were randomly assigned to receive brief training in mindfulness, re...
Article
Key practitioner message: Functional Analytic Therapy (FAP) therapist training protocol was effective in improving empathy and FAP skills among Singaporean therapist trainees. These improvements were maintained at 2-month follow-up. The training was found to be acceptable in the Singaporean context, although several adaptations were suggested to i...
Article
Mindfulness-based interventions have been shown to be effective in alleviating depressive symptoms. While much work has examined the effects of mindfulness training on subjective symptoms and experiences, and less is known regarding whether mindfulness training may alter relatively uncontrollable cognitive processes associated with depressed mood,...
Article
Little research has examined ways in which mindfulness is associated with affect dynamics, referring to patterns of affect fluctuations in daily life. Using ecological momentary assessment (EMA), the present study examined the associations between trait mindfulness and several types of affect dynamics, namely affect variability, affect inertia, aff...
Article
Full-text available
The present study examined the relative effects of mindful acceptance and reappraisal on metacognitive attitudes and beliefs in relation to rumination and negative experiences. A small but growing literature has compared the effects of these strategies on immediate emotional experience but little work has examined the broader, metacognitive impact...
Article
Medical students often experience heightened psychological distress that may undermine their training experience. This study evaluated the effects of a 4-week mindfulness-based intervention program on psychological health among medical students and whether the effects were mediated by changes in mindfulness. The study also examined whether trait mi...
Article
Full-text available
It has been widely reported that medical students face considerable stress in medical school. In Malaysia, a brief (four-session, 2 h per week) group Mindfulness-based Cognitive Therapy (b-GMBCT/Mindful-Gym) was developed to help medical students cope with stress. The aim of this study was to evaluate the feasibility and effectiveness of the progra...
Article
Full-text available
Pursuing undergraduate medical training can be very stressful and academically challenging experience. A 5-week mindfulness-based stress management (MBSM/Mindful-Gym) program was developed to help medical students cope with stress. The aim of this study was to evaluate the effectiveness of the intervention in reducing stress among students in a med...
Article
Full-text available
Mood disorders are characterized by impaired emotion regulation abilities, reflected in alterations in frontolimbic brain functioning during regulation. However, little is known about differences in brain function when comparing regulatory strategies. Reappraisal and emotional acceptance are effective in downregulating negative affect, and are comp...
Article
Full-text available
Medical students in Malaysia face enormous amount of stress that can compromise their medical training. A brief group Mindfulness-based Cognitive Therapy (b-MBCT)/Mindful-Gym) programme has been developed to help medical students cope more effectively with stress. The intervention was found to be effective for reducing stress and increasing subject...
Article
Full-text available
Research has demonstrated support for the efficacy of mindfulness-based stress reduction (MBSR) in alleviating psychological distress and symptoms. Less is known, however, about the mechanisms through which MBSR achieves its outcomes. This study examined mindfulness and self-compassion as potential mediators of MBSR's effects on several processes a...
Article
Mindfulness-based stress reduction (MBSR) has been found to reduce psychological distress and improve psychological adjustment in medical, psychiatric, and nonclinical samples. We examined its effects on several processes, attitudes, and behavior patterns related to emotion regulation. Fifty-six adults were randomly assigned to MBSR or to a waiting...
Article
Within the past few decades, there has been a surge of interest in the investigation of mindfulness as a psychological construct and as a form of clinical intervention. This article reviews the empirical literature on the effects of mindfulness on psychological health. We begin with a discussion of the construct of mindfulness, differences between...
Conference Paper
Full-text available