How Mindfulness Training Promotes Positive Emotions: Dismantling Acceptance Skills Training in Two Randomized Controlled Trials

被引:145
作者
Lindsay, Emily K. [1 ]
Chin, Brian [2 ]
Greco, Carol M. [3 ]
Young, Shinzen [4 ]
Brown, Kirk W. [5 ]
Wright, Aidan G. C. [1 ]
Smyth, Joshua M. [6 ]
Burkett, Deanna [7 ]
Creswell, J. David [2 ]
机构
[1] Univ Pittsburgh, Dept Psychol, 602 Old Engn Hall,3943 OHara St, Pittsburgh, PA 15213 USA
[2] Carnegie Mellon Univ, Dept Psychol, 342C Baker Hall,5000 Forbes Ave, Pittsburgh, PA 15213 USA
[3] Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA USA
[4] Univ Vermont, Dept Psychiat, Burlington, VT 05405 USA
[5] Virginia Commonwealth Univ, Dept Psychol, Box 2018, Richmond, VA 23284 USA
[6] Penn State Univ, Dept Biobehav Hlth, University Pk, PA 16802 USA
[7] Univ Pittsburgh, Med Ctr, Ctr Integrat Med, Pittsburgh, PA USA
基金
美国国家卫生研究院;
关键词
mindfulness; positive affect; acceptance; mechanisms; ambulatory assessment; BREAST-CANCER SURVIVORS; STRESS REDUCTION; SELF-REPORT; EXPERIENTIAL AVOIDANCE; LIFE SATISFACTION; COGNITIVE THERAPY; DISPOSITIONAL MINDFULNESS; PSYCHOLOGY INTERVENTIONS; PSYCHOMETRIC PROPERTIES; PROCESS MODEL;
D O I
10.1037/pspa0000134
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Mindfulness meditation interventions-which train skills in monitoring present-moment experiences with a lens of acceptance-have shown promise for increasing positive emotions. Using a theory-based approach, we hypothesized that learning acceptance skills in mindfulness interventions helps people notice more positive experiences in daily life, and tested whether removing acceptance training from mindfulness interventions would eliminate intervention-related boosts in positive affect. In 2 randomized controlled trials (RCTs) of stressed community adults, mindfulness skills were dismantled into 2 structurally equivalent interventions: (a) training in both monitoring and acceptance (Monitor + Accept) and (b) training in monitoring only (Monitor Only) without acceptance training. Study 1 tested 8-week group-based Monitor + Accept and Monitor Only interventions compared with a no treatment control group. Study 2 tested 2-week smartphone-based Monitor + Accept and Monitor Only interventions compared with an active control training. In both studies, end-of-day and momentary positive affect and negative affect were measured in daily life for 3 days pre-and post-intervention using ambulatory assessments. As predicted, across 2 RCTs, Monitor + Accept training increased positive affect compared with both Monitor Only and control groups. In Study 1, this effect was observed in end-of-day positive affect. In Study 2, this effect was found in both end-of-day and momentary positive affect outcomes. In contrast, all active interventions in Studies 1 and 2 decreased negative affect. These studies provide the first experimental evidence that developing an orientation of acceptance toward present-moment experiences is a central mechanism of mindfulness interventions for boosting positive emotions in daily life.
引用
收藏
页码:944 / 973
页数:30
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