Assessing the Immediate Effects of Detached Mindfulness on Repetitive Negative Thinking and Affect in Daily Life: A Randomized Controlled Trial

IF 3.1 2区心理学 Q2 PSYCHIATRY

Mindfulness Pub Date : 2024-04-30 DOI:10.1007/s12671-024-02350-5

Teresa Bolzenkötter, Paul-Christian Bürkner, Ulrike Zetsche, Lars Schulze

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引用次数: 0

Abstract

Objectives

Repetitive negative thinking (RNT) is a problematic thinking style that is related to multiple mental disorders. Detached mindfulness is a technique of metacognitive therapy that aims to reduce RNT. Our study set out to investigate the immediate effects of detached mindfulness in daily life.

Methods

Participants with elevated trait RNT (n = 50) were prompted to engage in detached mindfulness exercises three times a day for 5 consecutive days. Immediate effects on RNT and affect were assessed 15 and 30 min after each exercise using experience sampling methodology. We compared the effects of this exercise phase to (1) a 5-day non-exercise baseline phase and (2) a different group of participants that engaged in an active control exercise (n = 50).

Results

Results of Bayesian multilevel models showed that, across groups, improvements in RNT, negative affect, and positive affect were stronger during the exercise phase than during the non-exercise baseline phase (RNT after 15 min: b = -0.26, 95% CI = [-0.38, -0.14]). However, the two exercise groups did not differ in these improvements (RNT after 15 min: b = 0.02, 95% CI = [-0.22, 0.27]). Thus, the detached mindfulness and the active control exercises resulted in similar effects on RNT and affect in daily life.

Conclusions

Results of this study imply that there was no additional benefit of having participants observe their thoughts detached and non-judgmentally, compared to excluding these assumed mechanisms of action as done for the active control group. We discuss possible reasons for the non-difference between the groups.

Preregistration

This study was preregistered at https://osf.io/rze64.

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评估分离式正念对日常生活中重复性负面思维和情绪的直接影响：随机对照试验

目的重复性消极思维（RNT）是一种有问题的思维方式，与多种精神障碍有关。分离正念是一种元认知疗法技术，旨在减少 RNT。我们的研究旨在调查离念在日常生活中的即时效果。方法促使特质RNT升高的参与者（n = 50）进行离念练习，每天三次，连续5天。每次练习后 15 分钟和 30 分钟，采用经验取样法评估对 RNT 和情感的即时影响。结果贝叶斯多层次模型的结果表明，在各组中，锻炼阶段对 RNT、消极情绪和积极情绪的改善强于非锻炼基线阶段（15 分钟后的 RNT：b = -0.26，95% CI = [-0.38，-0.14]）。然而，两个锻炼组在这些改善方面并无差异（15 分钟后的 RNT：b = 0.02，95% CI = [-0.22，0.27]）。结论：本研究的结果表明，与积极对照组排除这些假定的作用机制相比，让参与者以超脱和非评判的方式观察自己的想法并没有额外的益处。我们讨论了组间无差异的可能原因。预登记本研究已在 https://osf.io/rze64 上进行了预登记。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mindfulness Multiple-

CiteScore

6.10

自引率

19.40%

发文量

224

期刊介绍： Mindfulness seeks to advance research, clinical practice, and theory on mindfulness. It is interested in manuscripts from diverse viewpoints, including psychology, psychiatry, medicine, neurobiology, psychoneuroendocrinology, cognitive, behavioral, cultural, philosophy, spirituality, and wisdom traditions. Mindfulness encourages research submissions on the reliability and validity of assessment of mindfulness; clinical uses of mindfulness in psychological distress, psychiatric disorders, and medical conditions; alleviation of personal and societal suffering; the nature and foundations of mindfulness; mechanisms of action; and the use of mindfulness across cultures. The Journal also seeks to promote the use of mindfulness by publishing scholarly papers on the training of clinicians, institutional staff, teachers, parents, and industry personnel in mindful provision of services. Examples of topics include: Mindfulness-based psycho-educational interventions for children with learning, emotional, and behavioral disorders Treating depression and clinical symptoms in patients with chronic heart failure Yoga and mindfulness Cognitive-behavioral mindfulness group therapy interventions Mindfulnessness and emotional regulation difficulties in children Loving-kindness meditation to increase social connectedness Training for parents and children with ADHD Recovery from substance abuse Changing parents’ mindfulness Child management skills Treating childhood anxiety and depression