Changes in the daily life experience of patients with obsessive-compulsive disorder following mindfulness-based cognitive therapy: Looking beyond symptom reduction using ecological momentary assessment

Landmann, Sarah; Cludius, Barbara; Tuschen‐Caffier, Brunna; Moritz, Steffen; Külz, Anne Katrin

doi:10.1016/j.psychres.2020.112842

Cited by 15 publications

(14 citation statements)

References 66 publications

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“…Secondly, we were unable to carry out an optimal account of results maintenance since only 6 studies reported follow-up data. Nonetheless, results obtained in analyzed studies seem to support theoretic proposals drawn by different authors such as Landmann et al (2020) ), or Rupp et al (2019) ) who indicate that psychological intervention based on mindfulness may be a valid option in patients who do not respond adequately to more traditional psychological treatments.…”

Section: Discussionsupporting

confidence: 74%

“… Rosa-Alcázar, Sánchez-Meca, Gómez-Conesa, and Marín-Martínez (2008) observed the importance of the therapist, since the therapist-guided exposure therapies were better than self-exposure therapies. Key et al (2017) , Külz et al (2019) and Landmann, Cludius, Tuschen-Caffier, Moritz, and Külz (2020) used participants who had previously received behavioral therapy based on exposure and response prevention, maintaining residual symptoms in the former and with refractory patients in the latter, in other words patients resistant to treatment. Thus, we can report that mindfulness treatment is effective in reducing obsessive-compulsive symptoms following treatment.…”

Section: Discussionmentioning

confidence: 99%

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Mindfulness-based psychotherapy in patients with obsessive-compulsive disorder: A meta-analytical Study

Marín

Alcázar

Quiles

2022

International Journal of Clinical and Health Psychology

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Mindfulness-based psychotherapy in patients with obsessive-compulsive disorder: A meta-analytical Study

Marín

Alcázar

Quiles

2022

International Journal of Clinical and Health Psychology

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“…The advantages of EMA include potentially enhancing the description of within-person processes and dynamics due to overcoming retrospective biases, more frequent measurements, greater ecological validity, and increased accuracy (24). In clinical psychological research, EMA has been recently used to track a variety of patients' experiences such as perceived stress (25), symptom-related distress (26), mood and anxiety symptomatology (27), and more. Furthermore, pre-treatment fluctuations in positive and negative affect collected via EMA have been shown to predict early treatment response (28) and the prediction of patients' dropout probability has been improved using network analysis based on EMA (29).…”

Section: Introductionmentioning

confidence: 99%

The Use of Digitally Assessed Stress Levels to Model Change Processes in CBT - A Feasibility Study on Seven Case Examples

et al. 2021

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In psychotherapy research, the measurement of treatment processes and outcome are predominantly based on self-reports. However, given new technological developments, other potential sources can be considered to improve measurements. In a feasibility study, we examined whether Ecological Momentary Assessments (EMA) using digital phenotyping (stress level) can be a valuable tool to investigate change processes during cognitive behavioral therapy (CBT). Seven outpatients undergoing psychological treatment were assessed using EMA. Continuous stress levels (heart rate variability) were assessed via fitness trackers (Garmin) every 3 min over a 2-week time period (6,720 measurements per patient). Time-varying change point autoregressive (TVCP-AR) models were employed to detect both gradual and abrupt changes in stress levels. Results for seven case examples indicate differential patterns of change processes in stress. More precisely, inertia of stress level changed gradually over time in one of the participants, whereas the other participants showed both gradual and abrupt changes. This feasibility study demonstrates that intensive longitudinal assessments enriched by digitally assessed stress levels have the potential to investigate intra- and interindividual differences in treatment change processes and their relations to treatment outcome. Further, implementation issues and implications for future research and developments using digital phenotyping are discussed.

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“…Several recent studies have used ES to measure different aspects of mindfulness in the moment, although few studies have used ES to measure awareness (Goldberg et al, 2020; Landmann et al, 2020; Moore et al, 2016; Rupp et al, 2020). A recent ES study tested three facets of mindfulness (from the FFMQ) as predictors of positive and negative affect, finding that present moment experience and nonjudgmental acceptance , but not acting with awareness , predicted positive and negative affect (Blanke et al, 2018).…”

mentioning

confidence: 99%

Awareness, affect, and craving during smoking cessation: An experience sampling study.

Sala¹,

Roos²,

Brewer³

et al. 2021

Health Psychology

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Objective: Mindfulness has received attention in smoking cessation research, yet the mechanisms by which mindfulness may promote smoking cessation are not well understood. Mindfulness training may help individuals increase awareness and respond skillfully to processes that contribute to smoking, such as affective states and craving. This study used experience sampling (ES) to test how awareness was related to craving, positive and negative affect and smoking, in the moment, among smokers in treatment for smoking cessation. Method: Participants (N = 228) were part of a clinical trial evaluating Craving to Quit, a smartphone app for mindfulness training for smoking cessation, compared to an app delivering only ES. All participants were asked to complete 22 days of ES, with up to 6 ES surveys per day, measuring awareness, craving, positive and negative affect and smoking. Data were analyzed using multilevel linear modeling. Results: Both at the within and between-person level, higher awareness was associated with higher positive affect, lower craving and lower negative affect. Lower within-person craving was associated with lower smoking. Withinperson awareness, positive and negative affect were not significantly associated with smoking. At the between-person level, higher awareness and higher positive affect, and lower negative affect and lower craving were associated with lower smoking. Conclusions: Awareness of current experience was related to key psychological variables linked to behavior change in smoking cessation, namely positive and negative affect and craving, among smokers trying to quit. Future studies should test whether learning to increase awareness, such as through mindfulness training, may benefit smokers in treatment.

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Changes in the daily life experience of patients with obsessive-compulsive disorder following mindfulness-based cognitive therapy: Looking beyond symptom reduction using ecological momentary assessment

Cited by 15 publications

References 66 publications

Mindfulness-based psychotherapy in patients with obsessive-compulsive disorder: A meta-analytical Study

Mindfulness-based psychotherapy in patients with obsessive-compulsive disorder: A meta-analytical Study

The Use of Digitally Assessed Stress Levels to Model Change Processes in CBT - A Feasibility Study on Seven Case Examples

Awareness, affect, and craving during smoking cessation: An experience sampling study.

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