Facets of Mindfulness as Predictors of Emotional Distress Among Chinese Adults with Chronic Musculoskeletal Pain

Chen, Shuanghong; You, Beibei; Jackson, Todd

doi:10.1007/s12671-020-01548-7

Cited by 6 publications

(7 citation statements)

References 49 publications

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“…In a study on a CP sample in USA, Nonreactivity had a near zero correlation with depression (Jensen et al, 2018), which is somewhat similar to the current study. In another study on CP patients in China, in which a different version of FFMQ was used, Describing and Nonjudging had very small correlations with depression (Chen et al, 2021). However, there is some evidence that the relation between mindfulness and psychological outcomes in medical samples is stronger than community and student samples (Carpenter et al, 2019, Table 4).…”

Section: Discussionmentioning

confidence: 99%

The Relative Importance of Mindfulness Facets and Their Interactions: Relations to Psychological Symptoms in Chronic Pain

Azizi

Jandaghi

Firoozi

et al. 2021

Preprint

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Objectives: This study had three objectives: first, to investigate the relative importance of the five mindfulness facets to negative affect (NA) among patients with chronic musculoskeletal pain; second, to test the hypothesis that observing is associated with lower NA only if occurs in an accepting manner; and third, to investigate the relation between mindfulness and obsessive-compulsive symptoms (OCS). Methods: One hundred and nineteen patients with chronic musculoskeletal pain filled the Five-Facets Mindfulness Questionnaire (FFMQ), the Depression, Anxiety, Stress Scale (DASS), and the Obsessive-Compulsive Inventory-Revised (OCI-R). A latent variable was constructed to represent NA. Multiple regression analysis was conducted, and several indices of relative importance were calculated. Results: Except for Observing, all mindfulness facets had significant bivariate and unique relation with NA. Acting with Awareness was the most important predictor, followed by Nonjudging and Describing. The contribution of Nonreactivity was small. Regarding the second objective, the Observing x Nonjudging and Observing x Nonreactivity interactions were not significant. Finally, the five facets of mindfulness explained about one-half of the variance in obsession and one-fifth of the variance in compulsion. After excluding the shared variance between obsession and compulsion, mindfulness was only related to obsession. Conclusion: Except for Observing, all mindfulness facets seem to have unique contributions to psychological symptoms; among them, Acting with Awareness seems most important. Current evidence is inconsistent in supporting the dependency of the effect of observing on acceptance. Finally, regarding the relation between mindfulness and OCS, it seems that mindfulness is more related to obsession than compulsion.

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Section: Discussionmentioning

confidence: 99%

The Relative Importance of Mindfulness Facets and Their Interactions: Relations to Psychological Symptoms in Chronic Pain

Azizi

Jandaghi

Firoozi

et al. 2021

Preprint

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“…Participants rated the frequency of each symptom throughout the previous week from 0 (rarely or never [less than 1 day]) to 3 (most or always [5–7 days]). The CES-D has been shown to be reliable and valid in Chinese adults with chronic pain [ 23 ].…”

Section: Methodsmentioning

confidence: 99%

“…Preliminary findings also partially supported the utility of MAT among Chinese patients with chronic musculoskeletal pain. The “describing one’s experience” and “acting with awareness” components contributed an additional 5–21% to the prediction of depression, perceived stress, and pain catastrophizing after controlling for demographics and pain experience [ 23 ]. Again, it remains unclear whether mindfulness skills could be potential psychological mechanisms underlying MBSR effects on pain-related dysfunction in the Chinese context.…”

Section: Introductionmentioning

confidence: 99%

Promising Subjective and Objective Benefits of Modified Mindfulness-Based Stress Reduction Training for Chinese Adults with Chronic Pain: A Pilot Randomized Control Study

Chen,

Gao,

Shi

et al. 2023

Pain Ther

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Introduction Mindfulness-based stress reduction (MBSR) has demonstrated its effectiveness in reducing pain-related stress in adults with chronic pain. However, the implementation of MBSR needs modifications across cultures. This pilot study reports the findings of a randomized controlled trial that investigated the effects of a culturally adaptive MBSR program on self-report and neuroimaging outcomes for chronic pain adults in China. Methods Sixty-seven participants were randomly assigned to the treatment group ( n = 40) or the treatment-as-usual group ( n = 27) group at a ratio of 1.5:1. Participants completed self-report measures of pain severity, pain interference, depression, perceived stress, pain catastrophizing, mindfulness, and resilience at baseline assessment (T1), post-treatment (T2), and 3-month follow-up (T3) assessments. Functional magnetic resonance imaging (fMRI) scanning was also performed at T1 and T3 assessments. Results For the intention-to-treat sample, the results of the mixed-effect model indicated that Group × Time interaction was significant for pain catastrophizing only ( F (2, 130) = 3.51, p = 0.033). Compared with the control group, those in the MBSR group reported greater reductions in pain catastrophizing at T2 ( d = − 0.60), though this effect was not maintained at T3 ( d = − 0.05). Additionally, the results of completer analyses found significant Group × Time interactions for pain interference ( F (2, 88) = 4.40, p = 0.015) and perceived stress ( F (2, 88) = 3.13, p = 0.048), but not for other measures. Finally, both groups exhibited decreased regional homogeneity (ReHo) in the frontal lobe, while increased ReHo in the cerebellum anterior lobe was unique to the MBSR group. Conclusions The present findings suggest that the minor modified MBSR program improves certain pain-related outcomes for Chinese adults with chronic pain. Future studies with larger samples of Chinese chronic pain patients are needed to detect the small-to-moderate benefit of MBSR on fMRI and/or other objective methods. Supplementary Information The online version contains supplementary material available at 10.1007/s40122-023-00551-9.

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“…In a study on a CP sample in USA, Nonreactivity had a near-zero correlation with depression (Jensen et al, 2018), which is somewhat similar to the current study. In another study on CP patients in China, in which a different version of FFMQ was used, Describing and Nonjudging had very small correlations with depression (Chen et al, 2021). However, there is some evidence that the relation between mindfulness and psychological outcomes in medical samples is stronger than community and student samples (Carpenter et al, 2019, Table 4).…”

Section: The Bivariate Relationsmentioning

confidence: 99%

The Relative Importance of Mindfulness Facets and Their Interactions: Relations to Psychological Symptoms in Chronic Pain

et al. 2022

View full text Add to dashboard Cite

Objectives: This study had three objectives: first, to investigate the relative importance of the five mindfulness facets to negative affect (NA) among patients with chronic musculoskeletal pain; second, to test the hypothesis that observing is associated with lower NA only if occurs in an accepting manner; and third, to investigate the relation between mindfulness and obsessive-compulsive symptoms (OCS).Methods: One hundred and nineteen patients with chronic musculoskeletal pain filled the Five-Facets Mindfulness Questionnaire (FFMQ), the Depression, Anxiety, Stress Scale (DASS), and the Obsessivecompulsive Inventory-Revised (OCI-R). A latent variable was constructed to represent NA. Multiple regression analysis was conducted, and several indices of relative importance were calculated.Results: Except for Observing, all mindfulness facets had significant bivariate and unique relation with NA. Acting with Awareness was the most important predictor, followed by Nonjudging and Describing.The contribution of Nonreactivity was small. Regarding the second objective, the Observing × Nonjudging and Observing × Nonreactivity interactions were not significant. Finally, the five facets of mindfulness explained about one-half of the variance in obsession and one-fifth of the variance in compulsion. After excluding the shared variance between obsession and compulsion, mindfulness was only related to obsession.

show abstract

Facets of Mindfulness as Predictors of Emotional Distress Among Chinese Adults with Chronic Musculoskeletal Pain

Cited by 6 publications

References 49 publications

The Relative Importance of Mindfulness Facets and Their Interactions: Relations to Psychological Symptoms in Chronic Pain

The Relative Importance of Mindfulness Facets and Their Interactions: Relations to Psychological Symptoms in Chronic Pain

Promising Subjective and Objective Benefits of Modified Mindfulness-Based Stress Reduction Training for Chinese Adults with Chronic Pain: A Pilot Randomized Control Study

The Relative Importance of Mindfulness Facets and Their Interactions: Relations to Psychological Symptoms in Chronic Pain

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