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Mindfulness meditation targets transdiagnostic symptoms implicated in stress-related disorders: Understanding relationships between changes in mindfulness, sleep quality, and physical symptoms

Mindfulness meditation targets transdiagnostic symptoms implicated in stress-related disorders: Understanding relationships between changes in mindfulness, sleep quality, and physical symptoms
Mindfulness meditation targets transdiagnostic symptoms implicated in stress-related disorders: Understanding relationships between changes in mindfulness, sleep quality, and physical symptoms

Mindfulness-Based Stress Reduction (MBSR) is an 8-week meditation program known to improve anxiety, depression, and psychological well-being. Other health-related effects, such as sleep quality, are less well established, as are the psychological processes associated with therapeutic change. This prospective, observational study (n=213) aimed to determine whether perseverative cognition, indicated by rumination and intrusive thoughts, and emotion regulation, measured by avoidance, thought suppression, emotion suppression, and cognitive reappraisal, partly accounted for the hypothesized relationship between changes in mindfulness and two health-related outcomes: sleep quality and stress-related physical symptoms. As expected, increased mindfulness following the MBSR program was directly correlated with decreased sleep disturbance (r=-0.21, p=0.004) and decreased stress-related physical symptoms (r=-0.38, p<0.001). Partial correlations revealed that pre-post changes in rumination, unwanted intrusive thoughts, thought suppression, experiential avoidance, emotion suppression, and cognitive reappraisal each uniquely accounted for up to 32% of the correlation between the change in mindfulness and change in sleep disturbance and up to 30% of the correlation between the change in mindfulness and change in stress-related physical symptoms. Results suggest that the stress-reducing effects of MBSR are due, in part, to improvements in perseverative cognition and emotion regulation, two "transdiagnostic" mental processes that cut across stress-related disorders.

1741-427X
Greeson, Jeffrey M.
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Zarrin, Haley
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Smoski, Moria J.
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Brantley, Jeffrey G.
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Lynch, Thomas R.
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Webber, Daniel M.
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Hall, Martica H.
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Suarez, Edward C.
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Wolever, Ruth Q.
b8cbf79f-768b-499c-a8f0-e624736fbf84
Greeson, Jeffrey M.
d1210422-0b28-40d1-bbec-7e0cdef2837f
Zarrin, Haley
f4b513f7-6c01-4786-b4a4-4fa3ddbe0fe1
Smoski, Moria J.
48abb01e-18fe-49c0-a40a-702d6733a160
Brantley, Jeffrey G.
f341480f-5337-4153-b40d-c50733713dc1
Lynch, Thomas R.
29e90123-0aef-46c8-b320-1617fb48bb20
Webber, Daniel M.
938cb671-596d-4141-bbdc-0bf2884e3e39
Hall, Martica H.
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Suarez, Edward C.
6f0abcc1-f9de-4268-bda8-bc173ee79a10
Wolever, Ruth Q.
b8cbf79f-768b-499c-a8f0-e624736fbf84

Greeson, Jeffrey M., Zarrin, Haley, Smoski, Moria J., Brantley, Jeffrey G., Lynch, Thomas R., Webber, Daniel M., Hall, Martica H., Suarez, Edward C. and Wolever, Ruth Q. (2018) Mindfulness meditation targets transdiagnostic symptoms implicated in stress-related disorders: Understanding relationships between changes in mindfulness, sleep quality, and physical symptoms. Evidence-based Complementary and Alternative Medicine, 2018, [4505191]. (doi:10.1155/2018/4505191).

Record type: Article

Abstract

Mindfulness-Based Stress Reduction (MBSR) is an 8-week meditation program known to improve anxiety, depression, and psychological well-being. Other health-related effects, such as sleep quality, are less well established, as are the psychological processes associated with therapeutic change. This prospective, observational study (n=213) aimed to determine whether perseverative cognition, indicated by rumination and intrusive thoughts, and emotion regulation, measured by avoidance, thought suppression, emotion suppression, and cognitive reappraisal, partly accounted for the hypothesized relationship between changes in mindfulness and two health-related outcomes: sleep quality and stress-related physical symptoms. As expected, increased mindfulness following the MBSR program was directly correlated with decreased sleep disturbance (r=-0.21, p=0.004) and decreased stress-related physical symptoms (r=-0.38, p<0.001). Partial correlations revealed that pre-post changes in rumination, unwanted intrusive thoughts, thought suppression, experiential avoidance, emotion suppression, and cognitive reappraisal each uniquely accounted for up to 32% of the correlation between the change in mindfulness and change in sleep disturbance and up to 30% of the correlation between the change in mindfulness and change in stress-related physical symptoms. Results suggest that the stress-reducing effects of MBSR are due, in part, to improvements in perseverative cognition and emotion regulation, two "transdiagnostic" mental processes that cut across stress-related disorders.

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Accepted/In Press date: 22 February 2018
e-pub ahead of print date: 13 May 2018
Published date: 2018

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Local EPrints ID: 421459
URI: http://eprints.soton.ac.uk/id/eprint/421459
ISSN: 1741-427X
PURE UUID: 97e66046-e353-4c12-a8fc-a345f409ce8a
ORCID for Thomas R. Lynch: ORCID iD orcid.org/0000-0003-1270-6097

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Date deposited: 13 Jun 2018 16:30
Last modified: 07 Oct 2020 01:55

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Contributors

Author: Jeffrey M. Greeson
Author: Haley Zarrin
Author: Moria J. Smoski
Author: Jeffrey G. Brantley
Author: Thomas R. Lynch ORCID iD
Author: Daniel M. Webber
Author: Martica H. Hall
Author: Edward C. Suarez
Author: Ruth Q. Wolever

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