Relations of mindfulness facets with psychological symptoms among individuals with a diagnosis of obsessive–compulsive disorder, major depressive disorder, or borderline personality disorder

Didonna, Fabrizio; Rossi, Roberta; Ferrari, Clarissa; Iani, Luca; Pedrini, Laura; Rossi, Nicoletta; Xodo, Erica; Lanfredi, Mariangela

doi:10.1111/papt.12180

Cited by 24 publications

(28 citation statements)

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“…The first hypothesis was supported as treatment-seeking adults with clinically significant OCD symptoms reported significantly lower trait mindfulness and self-compassion than healthy controls (in line with findings from Crowe and McKay (2016), Didonna et al (2018) and Emerson et al (2017)) and treatment-seeking adults with clinically significant depression and/or anxiety symptoms. This provides initial support for the notion that adults with OCD may experience particular challenges with being mindful and selfcompassionate, even relative to people with other common mental health problems.…”

Section: Summary Of Resultssupporting

confidence: 61%

“…obsessive beliefs, are accounted for. Five further studies with clinical (Didonna et al 2018;Hawley et al 2017) and nonclinical samples (Crowe and McKay 2016;Emerson et al 2017;Solem et al 2015) found that OCD symptoms were negatively associated with (facets of) mindfulness and that adults with clinically significant OCD symptoms demonstrated lower trait mindfulness (facets) relative to healthy controls.…”

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confidence: 97%

“…Research examining the unique association of self-compassion with OCD is absent while evidence is equivocal about the unique association of mindfulness with OCD relative to other common mental health difficulties, particularly depression and anxiety disorders (Crowe and McKay 2016;Didonna et al 2018;Hawley et al 2017). The latter studies were conducted with relatively small samples of participants with a diagnosis, or clinically significant symptoms of, OCD (ranging from 42 in Crowe and McKay to 144 in Hawley et al), depression (from 17 in Crowe and McKay to 50 in Didonna et al) and/or anxiety (from 19 in .…”

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confidence: 99%

“…Therefore, analyses may have been under-powered to detect potentially small differences in mindfulness (facets) between OCD and depression and/or anxiety disorders, as the latter disorders are also associated with low mindfulness and self-compassion relative to healthy controls (e.g. Arch et al 2018;Didonna et al 2018;Nejati et al 2012;Roemer et al 2009). The correlational analyses did not control for depression severity (apart from Solem et al 2015) to establish the unique association of mindfulness and self-compassion with OCD.…”

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confidence: 99%

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The Association of Trait Mindfulness and Self-compassion with Obsessive-Compulsive Disorder Symptoms: Results from a Large Survey with Treatment-Seeking Adults

2019

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Little is known about the role of mindfulness and self-compassion in obsessive-compulsive disorder. This cross-sectional study examined associations of mindfulness and self-compassion with obsessive-compulsive disorder symptoms and with the obsessive beliefs and low distress tolerance thought to maintain them. Samples of treatment-seeking adults (N = 1871) and non-treatment-seeking adults (N = 540) completed mindfulness, self-compassion, obsessive-compulsive disorder, anxiety, depression, obsessive beliefs and distress tolerance questionnaires. Participants with clinically significant obsessivecompulsive disorder symptoms reported lower trait mindfulness and self-compassion compared to participants with clinically significant anxiety/depression and to non-clinical controls. Among the clinical sample, there were medium-large associations between mindfulness and self-compassion and obsessive-compulsive disorder symptoms, obsessive beliefs and distress tolerance. Mindfulness and self-compassion were unique predictors of obsessive-compulsive disorder symptoms, controlling for depression severity. Once effects of obsessive beliefs and distress tolerance were controlled, a small effect remained for mindfulness (facets) on obsessing symptoms and for self-compassion on washing and checking symptoms. Directions for future research and clinical implications are considered in conclusion. Keywords Obsessive-compulsive disorder • Mindfulness • Self-compassion • Obsessive beliefs • Distress tolerance Obsessive-compulsive disorder (OCD) is a debilitating mental health condition characterised by obsessions, i.e. persistent unwanted intrusive thoughts, images or urges that can cause significant distress, and compulsions, i.e. repetitive, ritualistic behaviours aimed at alleviating distress and/ or preventing negative outcomes (APA 2013). Obsessivecompulsive disorder is a heterogeneous disorder as obsessions can centre on contamination, harm, symmetry or taboo thoughts and compulsions include physical behaviours like Electronic supplementary material The online version of this article (

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Section: Summary Of Resultssupporting

confidence: 61%

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confidence: 97%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The Association of Trait Mindfulness and Self-compassion with Obsessive-Compulsive Disorder Symptoms: Results from a Large Survey with Treatment-Seeking Adults

2019

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“…Another promising avenue of investigation is mindfulness, which can be viewed as a set of skills that incude: labelling internal experiences with words, noticing or attending to external or internal experiences (e.g., sensations, emotions, cognitions), attending to one’s activities of the moment, taking a nonevaluative stance toward thoughts and feelings, and allowing thoughts and feelings to come and go, without becoming absorbed in their content and without getting carried away by them [25]. Different diagnostic groups showed deficits in mindfulness skills [26] and previous research has underscored the need for addressing the role of emotion regulation in the link between mindfulness and well-being [27]. Furthermore, describing internal experiences with words and acting with awareness were important for PWB, especially for individuals with internalizing traits (e.g., augmented stress reactivity and negative affect directed inward) [28].…”

Section: Introductionmentioning

confidence: 99%

Psychological well-being and distress in patients with generalized anxiety disorder: The roles of positive and negative functioning

et al. 2019

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BackgroundWhether mindfulness and emotional intelligence may counteract psychological symptoms and whether brooding and worry may be linked to decreased psychological well-being (PWB) in individuals with generalized anxiety disorder (GAD) is still an issue.MethodsThe study used a cross-sectional design on a sample of 66 consecutive individuals with a diagnosis of GAD. Two hierarchical multiple regressions were conducted to determine whether PWB and anxiety symptoms were accounted for by mindfulness and emotional intelligence skills, brooding, and worry.ResultsWorry was negatively related to PWB and showed a tendency to be positively associated with anxiety symptoms after controlling for the other variables. Brooding was uniquely and positively related to anxiety symptoms. Different mindfulness (i.e., describing and nonjudging) and emotional intelligence (i.e., attention and repair) skills were particularly important for PWB. Repair was also negatively related to anxiety symptoms.ConclusionsRepair was the variable that played a key role in the association with both PWB and GAD symptoms. Worry was the second most important variable, although it approached significance in the relationship with anxiety symptoms. Brooding was more strongly positively associated with anxiety than worry. In sum, the results suggest that an integrated and balanced focus on both positive and negative functioning will be useful in future clinical psychology research to predict, understand, and treat anxiety as well as to examine the antecedents and characteristics of positivity in individuals with GAD and promote their PWB.

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Promoting well‐being in early adolescents through mindfulness: A cluster randomized controlled trial

Scafuto,

Ghiroldi,

Montecucco

et al. 2023

Journal of Adolescence

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ObjectivesThe Gaia program is a 12‐week mindfulness intervention based on cultivating body, emotional, and ecological self‐awareness, which has been shown to be effective in reducing children's and adolescents' internalizing problems at school. This paper presents the results of a cluster randomized controlled trial aimed at assessing the effectiveness of this program on improving psychological well‐being, subjective well‐being, and psychological distress in early adolescents.MethodsA sample of 195 early adolescent students (boys, n = 99; girls, n = 96) with a mean age of 11.49 years (standard deviation = 0.80) attending 12 middle school classes participated in the study. Seven Gaia instructors belonging to six schools led the program. Measures were administered at three time points, approximately every 3 months: 1 week before treatment, 1 week after treatment, and 3 months after treatment. We used a multilevel regression model to test whether treatment was effective in increasing psychological well‐being and subjective well‐being, and reducing psychological distress, as compared to a waiting‐list control group.ResultsThe results showed that the Gaia program improved psychological well‐being but not subjective well‐being and psychological distress. Specifically, the Gaia program was effective in increasing personal growth and purpose in life, the key eudaimonic components of psychological well‐being, in the experimental group whereas they decreased in the control group.ConclusionsFindings from this study provide preliminary evidence that the Gaia program for early adolescents may improve the core eudaimonic components of psychological well‐being from pretest to follow‐up that, conversely, decrease in the control group.

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Relations of mindfulness facets with psychological symptoms among individuals with a diagnosis of obsessive–compulsive disorder, major depressive disorder, or borderline personality disorder

Cited by 24 publications

References 73 publications

The Association of Trait Mindfulness and Self-compassion with Obsessive-Compulsive Disorder Symptoms: Results from a Large Survey with Treatment-Seeking Adults

The Association of Trait Mindfulness and Self-compassion with Obsessive-Compulsive Disorder Symptoms: Results from a Large Survey with Treatment-Seeking Adults

Psychological well-being and distress in patients with generalized anxiety disorder: The roles of positive and negative functioning

Promoting well‐being in early adolescents through mindfulness: A cluster randomized controlled trial

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