Barriers to Mindfulness: a Path Analytic Model Exploring the Role of Rumination and Worry in Predicting Psychological and Physical Engagement in an Online Mindfulness-Based Intervention

被引:51
作者
Banerjee, Moitree [1 ,2 ]
Cavanagh, Kate [1 ,2 ]
Strauss, Clara [1 ,3 ]
机构
[1] Univ Sussex, Sch Psychol, Pevensey Bldg, Falmer BN1 9QH, England
[2] Sussex Mindfulness Ctr, Worthing, England
[3] Sussex Partnership NHS Fdn Trust, Worthing, England
关键词
Engagement; Mindfulness; Perseverative thinking; Rumination; Worry; Self-help; Online; COGNITIVE THERAPY; MEDITATION PRACTICE; SELF-HELP; DEPRESSION; SYMPTOMS; ANXIETY; QUESTIONNAIRE; RELAPSE; WELL; METAANALYSIS;
D O I
10.1007/s12671-017-0837-4
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Little is known about the factors associated with engagement in mindfulness-based interventions (MBIs). Moreover, engagement in MBIs is usually defined in terms of class attendance ('physical engagement') only. However, in the psychotherapy literature, there is increasing emphasis on measuring participants' involvement with interventions ('psychological engagement'). This study tests a model that rumination and worry act as barriers to physical and psychological engagement in MBIs and that this in turn impedes learning mindfulness. One hundred and twenty-four participants were given access to a 2-week online mindfulness-based self-help (MBSH) intervention. Self-report measures of mindfulness, rumination, worry, positive beliefs about rumination, positive beliefs about worry and physical and psychological engagement were administered. A path analysis was used to test the linear relationships between the variables. Physical and psychological engagement were identified as two distinct constructs. Findings were that rumination and worry both predicted psychological disengagement in MBSH. Psychological engagement predicted change in the describe, act with awareness, non-judge and non-react facets of mindfulness while physical engagement only predicted changes in the non-react facet of mindfulness. Thus, rumination and worry may increase risk of psychological disengagement from MBSH which may in turn hinder cultivating mindfulness. Future suggestions for practice are discussed.
引用
收藏
页码:980 / 992
页数:13
相关论文
共 63 条
[1]  
[Anonymous], NATURE THEORY TREATM
[2]  
Arbuckle J.L., 2006, Amos (Version 7.0) [Computer Program
[3]   Impact of Metacognitive Acceptance on Body Dissatisfaction and Negative Affect: Engagement and Efficacy [J].
Atkinson, Melissa J. ;
Wade, Tracey D. .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2012, 80 (03) :416-425
[4]   Mindfulness training as a clinical intervention: A conceptual and empirical review [J].
Baer, RA .
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 2003, 10 (02) :125-143
[5]   Measuring Mindfulness: First Steps Towards the Development of a Comprehensive Mindfulness Scale [J].
Bergomi, Claudia ;
Tschacher, Wolfgang ;
Kupper, Zeno .
MINDFULNESS, 2013, 4 (01) :18-32
[6]   What do we really know about Mindfulness-Based Stress Reduction? [J].
Bishop, SR .
PSYCHOSOMATIC MEDICINE, 2002, 64 (01) :71-83
[7]   Psychometric Properties of the Five Facet Mindfulness Questionnaire in Depressed Adults and Development of a Short Form [J].
Bohlmeijer, Ernst ;
ten Klooster, Peter M. ;
Fledderus, Martine ;
Veehof, Martine ;
Baer, Ruth .
ASSESSMENT, 2011, 18 (03) :308-320
[8]   PRELIMINARY EXPLORATION OF WORRY - SOME CHARACTERISTICS AND PROCESSES [J].
BORKOVEC, TD ;
ROBINSON, E ;
PRUZINSKY, T ;
DEPREE, JA .
BEHAVIOUR RESEARCH AND THERAPY, 1983, 21 (01) :9-16
[9]  
Byrne B.M., 2010, Structured equation modeling with AMOS: Basic concepts, application, and programming, V2nd
[10]   Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program [J].
Carmody, James ;
Baer, Ruth A. .
JOURNAL OF BEHAVIORAL MEDICINE, 2008, 31 (01) :23-33