Mindfulness- and Acceptance-Based Interventions in the Treatment of Anxiety Disorders

Vøllestad, Jon

doi:10.1007/978-3-319-22255-4_6

Cited by 8 publications

(28 citation statements)

References 161 publications

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“…Individuals with SAD often experience emotion regulation difficulties (Goldin et al., ). The formal mindfulness practices in the MBSR programme, where participants focus their attention in concrete physical sensations, may help patients with anxiety disorders to “turn toward” their internal experience and counteract experiential avoidance (Vøllestad, ).…”

Section: Discussionmentioning

confidence: 99%

“…The aim of the course is to teach participants about psychological processes that exacerbate or alleviate human suffering, and how they can relate to their experiences in more flexible and adaptive ways that improve well‐being. Researchers have hypothesised that mindfulness training may increase capacities for attentional regulation, emotional regulation and self‐compassion that may reduce specific maladaptive processes such as attentional biases, emotional reactivity and destructive self‐criticism in SAD (Norton et al., ; Vøllestad, ).…”

Section: Introductionmentioning

confidence: 99%

“…() reported that 12‐week MBSR and 12‐week CBGT yielded similar improvements in SAD symptoms. Reviews indicate that MABIs may represent an effective treatment for SAD, although not all individuals benefit from these treatments (Norton et al., ; Vøllestad, ). It is therefore important to investigate how individuals with SAD experience and respond to the MBSR programme, to understand how and why this intervention may lead to therapeutic change.…”

Section: Introductionmentioning

confidence: 99%

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Facing social fears: How do improved participants experience change in mindfulness‐based stress reduction for social anxiety disorder?

Hjeltnes

Moltu

Schanche

et al. 2018

Couns and Psychother Res

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Background Clinical trials indicate that mindfulness‐based stress reduction (MBSR) may be effective for social anxiety disorder (SAD), but little is known about how young adults with SAD experience this intervention. Aim The purpose of this study was to explore how improved participants experience the process of change in MBSR for SAD. Method We used a two‐staged mixed methods design to identify participants with reliable and clinically significant improvement on primary outcome measures after an eight‐week MBSR programme (n = 11), and analyse qualitative interviews to explore how they experienced their own process of change. The interviews were analysed using a hermeneutic‐phenomenological thematic analysis. Results Thematic analysis revealed five main themes: (1) Using awareness of the body to sense that you are actually here right now, (2) Establishing a space that enables you to see negative thoughts for what they are, (3) Allowing fear and shyness through sustained awareness of physical sensations, (4) Transforming an experience of being inferior with kindness and self‐acceptance, and (5) Discovering new ways of engaging with other people. Conclusions Participants described increased awareness and acceptance of sensations, thoughts and feelings, as well as greater self‐acceptance and improved interpersonal relationships during the MBSR programme. Future studies are needed to understand how and why individuals change in mindfulness‐based interventions for SAD.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Facing social fears: How do improved participants experience change in mindfulness‐based stress reduction for social anxiety disorder?

Hjeltnes

Moltu

Schanche

et al. 2018

Couns and Psychother Res

View full text Add to dashboard Cite

show abstract

“…Furthermore, five randomized clinical trials (RCTs) have evaluated mindfulness and acceptance‐based group interventions for adult patients with social anxiety disorder (Goldin, Morrison, Jazaieri, Brozovich, Heimberg & Gross, ; Jazaieri et al ., ; Kocovski, Fleming, Hawley, Huta & Antony, ; Koszycki, Benger, Shlik & Bradwejn, ; Piet et al ., ). Existing studies indicate that 8‐week mindfulness‐based interventions such as MBSR and MBCT may significantly reduce SAD symptomatology, although the effect sizes are lower compared to 12‐week cognitive‐behavioral group treatments (CBGT) (Norton et al ., ; Vøllestad, ). However, two RCTs have reported that a 12‐week MBSR program or 12‐week mindfulness and acceptance‐based group therapy (MAGT) were as effective as 12‐week CBGT (Goldin et al ., ; Kocovski et al ., ).…”

Section: Introductionmentioning

confidence: 99%

An open trial of mindfulness‐based stress reduction for young adults with social anxiety disorder

Hjeltnes

Molde

Schanche

et al. 2016

Scandinavian J Psychology

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The present study investigated mindfulness-based stress reduction (MBSR) for young adults with a social anxiety disorder (SAD) in an open trial. Fifty-three young adults in a higher education setting underwent a standard eight-week MBSR program. Eight participants (15%) did not complete the program. Participants reported significant reductions in SAD symptoms and global psychological distress, as well as increases in mindfulness, self-compassion, and self-esteem. Using intention-to-treat (ITT) analyses, effect sizes ranged from large to moderate for SAD symptoms (Cohen's d = 0.80) and global psychological distress (d = 0.61). Completer analyses yielded large effect sizes for SAD symptoms (d = 0.96) and global psychological distress (d = 0.81). The largest effect sizes were found for self-compassion (d = 1.49) and mindfulness (d = 1.35). Two thirds of the participants who were in the clinical range at pretreatment reported either clinically significant change (37%) or reliable improvement (31%) on SAD symptoms after completing the MBSR program, and almost two thirds reported either clinically significant change (37%) or reliable improvement (26%) on global psychological distress. MBSR may be a beneficial intervention for young adults in higher education with SAD, and there is a need for more research on mindfulness and acceptance-based interventions for SAD.

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“…Based on metaanalytical findings, a mindfulness-based intervention (MBI) known as mindfulness-based cognitive therapy (MBCT) is advocated by the UK's National Institute for Health and Care Excellence (NICE) and the American Psychiatric Association (APA) for the treatment of recurrent depression in adults (APA 2010;NICE 2009). Similarly, a growing evidence base exists for the use of MBIs in treating each of the other key symptoms of FMS including anxiety (Vøllestad 2015), chronic pain (Chiesa and Serretti 2011;Cramer et al 2012), sleep disturbance (Britton et al 2012), fatigue (Rimes and Wingrove 2013) and cognitive dysfunction (Stange et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Meditation Awareness Training for Individuals with Fibromyalgia Syndrome: an Interpretative Phenomenological Analysis of Participants’ Experiences

2015

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Fibromyalgia syndrome (FMS) is a complex and poorly understood psychosomatic pain disorder. The illness has been the subject of controversy, both in terms of the alleged lack of interest and capability of the medical community to understand and support patients with FMS, and the burden that such individuals place upon economic and healthcare resources. Due to the lack of convincing data for the effectiveness of extant pharmacological and non-pharmacological FMS treatments, a recent direction in FMS research has been the empirical investigation of mindfulness and other meditation-based approaches. The present qualitative study explored whether following participation in a mindfulnessbased intervention, patients with FMS report experiencing changes in (i) how they experience and relate to their illness and (ii) their attitudes towards societal participation, work and unemployment. Ten individuals with FMS were randomly selected from the intervention arm of a randomised controlled trial (RCT) evaluating the effectiveness of a mindfulnessbased intervention known as Meditation Awareness Training (MAT) for the treatment of FMS. Transcripts of semistructured interviews were analysed using Interpretative Phenomenological Analysis, a robust and rigorous qualitative methodology for analysing subjective experiences. Five super-ordinate themes emerged from the dataset: (i) reservations about participating, (ii) improvements in psychosomatic well-being, (iii) spiritual growth, (iv) awareness of impermanence and (v) increased sense of citizenship. MAT was experienced as both an acceptable and accessible intervention by individuals with FMS, and participants reported experiencing improvements in psychosocial functioning as well as an increased sense of societal responsibility. MAT appears to have utility for treating FMS and for changing the attitudes of some individuals with FMS towards community engagement and societal contribution.

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Mindfulness- and Acceptance-Based Interventions in the Treatment of Anxiety Disorders

Cited by 8 publications

References 161 publications

Facing social fears: How do improved participants experience change in mindfulness‐based stress reduction for social anxiety disorder?

Facing social fears: How do improved participants experience change in mindfulness‐based stress reduction for social anxiety disorder?

An open trial of mindfulness‐based stress reduction for young adults with social anxiety disorder

Meditation Awareness Training for Individuals with Fibromyalgia Syndrome: an Interpretative Phenomenological Analysis of Participants’ Experiences

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