AccuMed International, Inc.

Grohs, Dawn H.; Gombrich, Peter P.; Domanik, Richard

doi:10.1159/000333581

Cited by 11 publications

(1 citation statement)

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“…Although MBCT does not neatly delineate FA and OM style practices, its sequencing of practices across sessions is consistent with certain approaches to Buddhist meditation in which a practitioner entrains in FA before engaging with OM style practices [5]. However, looking broadly across Buddhist traditions, it is possible to find support for exclusively FA paths of contemplative development, for FA leading to OM style practice, for exclusively OM style practices, and for approaches that integrate FA and OM [16,52,67]. In the context of the clinical psychology of MBPs, the optimal combination, balance and sequencing of these two practices should be explored through further empirical research.…”

Section: Plos Onementioning

confidence: 99%

The contributions of focused attention and open monitoring in mindfulness-based cognitive therapy for affective disturbances: A 3-armed randomized dismantling trial

et al. 2021

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Objective Mindfulness-based cognitive therapy (MBCT) includes a combination of focused attention (FA) and open monitoring (OM) meditation practices. The aim of this study was to assess both short- and long-term between- and within-group differences in affective disturbance among FA, OM and their combination (MBCT) in the context of a randomized controlled trial. Method One hundred and four participants with mild to severe depression and anxiety were randomized into one of three 8-week interventions: MBCT (n = 32), FA (n = 36) and OM (n = 36). Outcome measures included the Inventory of Depressive Symptomatology (IDS), and the Depression Anxiety Stress Scales (DASS). Mixed effects regression models were used to assess differential treatment effects during treatment, post-treatment (8 weeks) and long-term (20 weeks). The Reliable Change Index (RCI) was used to translate statistical findings into clinically meaningful improvements or deteriorations. Results All treatments demonstrated medium to large improvements (ds = 0.42–1.65) for almost all outcomes. While all treatments were largely comparable in their effects at post-treatment (week 8), the treatments showed meaningful differences in rapidity of response and pattern of deteriorations. FA showed the fastest rate of improvement and the fewest deteriorations on stress, anxiety and depression during treatment, but a loss of treatment-related gains and lasting deteriorations in depression at week 20. OM showed the slowest rate of improvement and lost treatment-related gains for anxiety, resulting in higher anxiety in OM at week 20 than MBCT (d = 0.40) and FA (d = 0.36), though these differences did not reach statistical significance after correcting for multiple comparisons (p’s = .06). MBCT and OM showed deteriorations in stress, anxiety and depression at multiple timepoints during treatment, with lasting deteriorations in stress and depression. MBCT showed the most favorable pattern for long-term treatment of depression. Conclusions FA, OM and MBCT show different patterns of response for different dimensions of affective disturbance. Trial registration This trial is registered at (v NCT01831362); www.clinicaltrials.gov.

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Section: Plos Onementioning

confidence: 99%