Mindfulness最新文献

{"title":"Mindfulness-Based Interventions for People Experiencing Psychosis: A Randomized Feasibility Study","authors":"","doi":"10.1007/s12671-024-02326-5","DOIUrl":"https://doi.org/10.1007/s12671-024-02326-5","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Objectives</h3> <p>There is a rapidly growing body of research into mindfulness-based interventions (MBIs) for People Experiencing Psychosis. This study aimed to examine the feasibility of a novel, 6-week 1:1 MBI, as well as the feasibility of the assessment and analysis of between-session practice and metacognitive beliefs as predictors of Quality of Life (QoL) outcomes.</p> </span> <span> <h3>Method</h3> <p>A case series design was used. Eight participants were recruited, with seven completers. The primary outcome, QoL, was assessed up to four times per week, with additional outcomes taken weekly, pre-post, and pre-mid-post. Multilevel modelling was used to examine predictors.</p> </span> <span> <h3>Results</h3> <p>The methods and intervention were feasible. However, most participants preferred shorter, 30-min appointments with one mindfulness practice. Between-session practice varied significantly (0–220 min total), with three participants completing no between-session practice. Pre- to mid-intervention improvement in metacognitive beliefs was lost at post-intervention assessment. Non-significant trends of improvement were noted in most outcomes.</p> </span> <span> <h3>Conclusions</h3> <p>A full-scale trial is recommended to assess the intervention and predictors, with adjustment of intervention length and post-intervention assessment suggested. Future research should also further examine metacognitive processes and factors associated with between-session practice adherence for people experiencing psychosis accessing MBIs.</p> </span> <span> <h3>Preregistration</h3> <p>This study was not preregistered. However, detailed study and intervention protocols were created as part of the ethics application, which was followed throughout the study. These documents are available upon request.</p> </span>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"27 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140301541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Designing for Mindfulness and Global Public Health: Where Inner Awareness Meets the External Environment","authors":"Burçak Altay, Nicole Porter","doi":"10.1007/s12671-024-02330-9","DOIUrl":"https://doi.org/10.1007/s12671-024-02330-9","url":null,"abstract":"<p>In this paper, we offer a commentary on Oman’s article “Mindfulness for Global Public Health: Critical Analysis and Agenda” from the perspective of external environments, be they natural or built spaces. Utilizing the 14 domains of mindfulness and public health identified by Oman, we examine how spatio-environmental concerns are aligned, or have potential synergies with, these dimensions. We consider spatial and environmental qualities and relationships, for example, the presence of nature or a sense of safety, as supportive for public health and formal mindfulness practice, synthesizing a growing evidence base within environmental psychology and design literature. We highlight particular points of alignment, namely the impact of environments on mental health, stress, and attentional qualities. Potential synergies are evident where these domains seek to increase resilience and the sustainability of our planet, communities, and individuals, and through the increasing emphasis on designing places that offer inclusive access to, and direct involvement in, the creation of belief (spirituality) and culture-specific interventions. Although these domains offer the potential for greater holistic research and practice, more interdisciplinary research is needed to bridge gaps and bring this potential into the mainstream.</p>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"4 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140169037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing Workplace Stress in Adult Education Lecturers: The Efficacy of Mindfulness-Based Intervention","authors":"Chioma C. Osilike, Ezenwaji Chisom Ogochukwu, Ann Ebere Okechukwu","doi":"10.1007/s12671-023-02286-2","DOIUrl":"https://doi.org/10.1007/s12671-023-02286-2","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>Workplace stress is a significant mental health concern that affects teachers, with attendant consequences on students’ academic performance, and yet only little empirical research has been conducted on this area in sub-Saharan Africa. The study therefore assessed the efficacy of mindfulness intervention in addressing workplace stress among adult education lecturers in Nigeria.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Following a mixed-methods approach, pre-post-test and follow-up survey data, snowballing and purposive sampling techniques were used to recruit 365 lecturers for the survey (Phase 1) and 26 lecturers for the controlled experiment (Phase 2). The study variables were measured with psychometrically robust scales: Daily Stressor Scale and Five Facet Mindfulness Questionnaire Short Form (FFMQ-SF).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Overall, 248 (67.9%) male lecturers and 117 (32.1%) female lecturers participated in the study, with ages ranging from 34 to 65 years with an average age of 47.13 (<i>SD</i> = 8.54). We found 56.7% prevalence of workplace stress and mindfulness levels significantly and inversely correlated with workplace stress. Further, introducing or exposing lecturers to modified Mindfulness-Based Stress Reduction (mMBSR) significantly reduced workplace stress, whereas the control group showed no significant reduction in workplace stress.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>The conclusion was reached that mMBSR demonstrated its clinical importance and usefulness in mitigating workplace stress prevalent among lecturers. The study findings indicate the importance of enhancing lecturers' awareness for the need of positive coping and adjustment, as well as becoming more emotionaly and socialy adept to their duties.</p><h3 data-test=\"abstract-sub-heading\">Preregistration</h3><p>This study is not preregistered.</p>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"39 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140097340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mindfulness and Religiosity: Four Propositions to Advance a More Integrative Pedagogical Approach","authors":"Marcus A. Henning, Mataroria Lyndon, Lillian Ng, Frederick Sundram, Yan Chen, Craig S. Webster","doi":"10.1007/s12671-024-02325-6","DOIUrl":"https://doi.org/10.1007/s12671-024-02325-6","url":null,"abstract":"<p>In this commentary article, we critically discuss the need for greater understanding of intercultural and interreligious competence when teaching and applying the practice of mindfulness and contemplative meditation. We start by considering the predominant religious and belief systems that exist worldwide, how each system utilises meditation, and how this meditative practice can be linked to the experience of mindfulness. We then consider how mindfulness can be discussed when taught, through the cultivation of intercultural and interreligious competence. To create a clearer direction in the teaching of mindfulness within the context of interreligious competence, we present four propositions or considerations. We have also put forward a model that suggests mindfulness is a means to achieving greater understanding of self and, thus, more than a clinical tool for ameliorating observable malaise. Moreover, we assert that mindfulness and contemplative meditation practices lie on a continuum that provides the opportunity for self-realisation and optimal states of wellbeing. Our aim is to extend previous discussions on intercultural and interreligious competence as this relates to the practice of meditation. In addition, we continue the philosophical and pedagogical debate to enable teachers and students to optimise the full potential of meditation. In doing so, we create an expansive dialogue to enable teachers and students to engage in a richer and more accepting learning landscape.</p>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"21 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140097341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wisdom-Based Buddhist-Derived Meditation Practices for Prosocial Behaviour: A Systematic Review","authors":"Matthew Furnell, William Van Gordon, James Elander","doi":"10.1007/s12671-024-02323-8","DOIUrl":"https://doi.org/10.1007/s12671-024-02323-8","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>The objective of this evaluative systematic review was to analyse the impact of mindfulness-based interventions (MBIs) that incorporate Buddhist wisdom practices on prosocial behaviour, and provide insights into their underlying mechanism, potential benefits, and applications.</p><h3 data-test=\"abstract-sub-heading\">Method</h3><p>A systematic literature search was conducted using three electronic databases up until 1 December 2023. Data on the participants in the MBIs, the structure, and how Buddhist teachings were integrated were collected. The impact on prosocial behaviour was analysed, along with evaluating overall study quality and the validity of the measures used for assessing changes in prosocial behaviour.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Collectively, the 12 eligible studies (<i>n</i> = 2185) suggest that incorporating the Buddhist wisdom practices of contemplating interdependence, emptiness, and perspective-taking on self and others may enhance prosocial behaviour through various mechanisms, such as (i) developing a sense of interdependence and common humanity, (ii) fostering the altruistic desire to help others, and (iii) experiencing a state of oneness. However, concerns were raised about the overuse and reliability of self-report measures for accurately assessing prosocial behaviour, as well as in respect of discerning the effectiveness of different meditation practices that are integrated into MBIs.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Overall, the findings of this systematic literature review reinforce the perspective that wisdom-based meditation practices contribute to prosocial behaviour. However, to enhance the understanding of the underlying causes of prosocial behaviour, future studies should isolate the effects of different meditation practices incorporated within MBIs. Furthermore, it is strongly recommended that future studies assessing the impact of MBIs on prosocial behaviour employ a range of diverse measures, such as self-reported psychometric scales in combination with real-world morally relevant scenarios.</p><h3 data-test=\"abstract-sub-heading\">Preregistration</h3><p>PROSPERO: Registration No. CRD42023426411.</p>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"70 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140043861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mindfulness Intervention with African-American Caregivers at a Head Start Program: An Acceptability and Feasibility Study","authors":"Erin T. Mathis, Jay Hawkins, Dominique Charlot-Swilley, Travis Spencer, Kaira Jewel Lingo, Dave Trachtenberg, Satyani K. L. McPherson, Celene E. Domitrovich, Amanda Shapiro, J. Corey Williams, Matthew G. Biel","doi":"10.1007/s12671-024-02320-x","DOIUrl":"https://doi.org/10.1007/s12671-024-02320-x","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>Caregiver psychological distress is a critical determinant of child developmental outcomes and increased risk for child psychopathology. An emerging literature on mindfulness-based interventions for caregivers has demonstrated the potential to enhance caregiver coping abilities. However, scant literature exists on the feasibility and acceptability of mindfulness interventions in African-American communities. The goal of the current study was to assess the feasibility and acceptability of a mindfulness-based group intervention for African-American caregivers of young children attending a Head Start Center. We also examined pre- and post-intervention measures related to caregiver mental health to assess the promise of this intervention for generating meaningful clinical outcomes.</p><h3 data-test=\"abstract-sub-heading\">Method</h3><p>We conducted a mixed method, single-arm implementation study combining semi-structured focus groups, participant exit interviews, and quantitative measures related to mental health symptoms, parenting, and mindfulness.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Our findings support the feasibility and acceptability of using mindfulness with predominantly African-American caregivers of young children attending a Head Start early learning program. Study participants cited a range of benefits in interviews including improvements in mindfulness, and psychological distress. Significant pre- to post-improvements in piloted measures were identified including sleep disturbances, anxiety, depression, trauma symptoms, and negative and positive affect.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>These results provide preliminary support for the use of a mindfulness-based approach for African-American families, though more research is needed to determine the effectiveness.</p>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"31 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140043854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-Utility of Attachment-Based Compassion Therapy (ABCT) and Mindfulness-Based Stress Reduction (MBSR) in the Management of Depressive, Anxious, and Adjustment Disorders in Mental Health Settings: Economic Evaluation Alongside a Randomized Controlled Trial","authors":"Francesco D’Amico, Jaime Navarrete, Jesús Montero-Marín, Eugenia Cardeñosa-Valera, Mayte Navarro-Gil, Adrián Pérez-Aranda, Yolanda López-del-Hoyo, Carlos Collado-Navarro, Javier García-Campayo, Juan V. Luciano","doi":"10.1007/s12671-024-02319-4","DOIUrl":"https://doi.org/10.1007/s12671-024-02319-4","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>The main objective of this paper was to examine the cost-utility of attachment-based compassion therapy (ABCT) compared to Mindfulness-Based Stress Reduction (MBSR) and treatment-as-usual (TAU) on patients with depressive and/or anxious disorder, or adjustment disorder with depressive and/or anxious symptomatology in terms of effects on quality-adjusted life years (QALYs) as well as healthcare costs from a public healthcare system perspective.</p><h3 data-test=\"abstract-sub-heading\">Method</h3><p>A 6-month randomized controlled trial was conducted. Ninety Spanish patients with mental disorders (depressive, anxious, or adjustment disorders) received 8 weekly group sessions of TAU + ABCT, TAU + MBSR, or TAU alone. Data collection took place at pre- and 6-month follow-up. Cost-utility of the two treatment groups (ABCT vs MBSR vs TAU) was compared by examining treatment outcomes in terms of QALYs (obtained with the EQ-5D-3L) and healthcare costs (data about service use obtained with the Client Service Receipt Inventory).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Both MBSR and ABCT were more efficient than TAU alone, although the results did not reach statistical significance. Compared to ABCT, MBSR produced an increase both in terms of costs (€53.69, 95% CI [− 571.27 to 513.14]) and effects (0.004 QALYs, 95% CI [− 0.031 to 0.049]); ICUR = €13,422.50/QALY). Both interventions significantly reduced the number of visits to general practice compared to TAU.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>This study has contributed to the evidence base of mindfulness- and compassion-based programs and provided promising information about the cost-utility of MBSR for patients with emotional disorders. However, the small sample size and short follow-up period limit the generalizability of the findings.</p><h3 data-test=\"abstract-sub-heading\">Preregistration</h3><p>Clinicaltrials.gov; NCT03425487.</p>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"72 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140035939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Backdraft in Self-Compassion: An Overlooked Yet Vital Research Focus","authors":"","doi":"10.1007/s12671-024-02324-7","DOIUrl":"https://doi.org/10.1007/s12671-024-02324-7","url":null,"abstract":"<h3>Abstract</h3> <p>Self-compassion involves treating oneself with the same kindness, understanding, and forgiveness that one would typically offer a friend in times of suffering or adversity. While self-compassion has shown consistent benefits in research and therapy, including psychological and physical health benefits, some individuals practicing it may initially encounter adverse reactions known as “backdraft.” Backdraft has been theorized to be an inevitable part of healing and recovery from past hurts and trauma. However, empirical studies specifically examining backdraft experiences in the context of self-compassion are lacking. This commentary argues that integrating broader literature outside of self-compassion is crucial for advancing our understanding of the causes of backdraft and identifying practices to alleviate it. Specifically, ideas drawn from traditional Buddhist practices and phenomena conceptually similar to backdraft, such as fear of self-compassion from compassion-focused therapy and adverse effects of meditation practices used in mindfulness-based interventions, should be considered. This commentary concludes that there is an urgent need to establish a clear definition of backdraft. This may promote empirical investigations of the backdraft experiences arising from self-compassion interventions. Only through empirical research can we better understand this backdraft phenomenon, with the ultimate goal of reducing short- and long-term harm and improving the efficacy of self-compassion programs.</p>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"25 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140017275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Online Brief Mindfulness-Based Intervention for Subacute Pain After Total Hip or Knee Replacement: A Pilot Randomized Controlled Trial","authors":"","doi":"10.1007/s12671-024-02329-2","DOIUrl":"https://doi.org/10.1007/s12671-024-02329-2","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Objectives</h3> <p>Recent brief mindfulness-based interventions (MBI) provided before surgery have shown promising results in improving clinical outcomes in patients undergoing total joint arthroplasty (TJA). However, they have not been delivered in the subacute phase after surgery to target patients at risk for chronic postsurgical pain (CPSP). The use of technologies allowing remote and online delivery can help increase the accessibility of these interventions.</p> </span> <span> <h3>Method</h3> <p>We conducted a single site, two-arm pilot randomized controlled trial to evaluate the feasibility, acceptability, and preliminary effects of online Mini More (i.e., a condensed, 4-week mindfulness-based program) promoting pain self-management during the subacute postoperative phase. We randomized 36 patients into two groups (Mini MORE, <em>n =</em> 18 and Pain Coping Education, <em>n =</em> 18). Postoperative outcomes were: pain intensity, pain interference, analgesic medication use, pain catastrophizing, pain acceptance and mindfulness.</p> </span> <span> <h3>Results</h3> <p>Results indicated that Mini MORE was highly feasible and well received. Further, results indicated that pain intensity (<em>d =</em> 1.47, <em>p &lt;</em> 0.001) as well as pain interference levels (<em>d =</em> 1.04, <em>p =</em> 0.005) and medication use (Cliff’s Delta=-0.56, <em>p</em> = 0.02) were significantly different between groups after treatment. Statistically significant group by time interactions were found for both pain intensity (<em>p</em> &lt; 0.001) and pain interference (<em>p =</em> 0.003), and a trend toward a decrease in pain medication use (<em>p =</em> 0.05) was observed in favor of the Mini MORE group. No statistically significant differences were found between groups for pain acceptance (<em>d =</em> -0.58), pain catastrophizing (<em>d =</em> 0.01) and mindfulness (<em>d =</em> -0.23).</p> </span> <span> <h3>Conclusions</h3> <p>Our results suggest Mini MORE is a feasible and acceptable brief, online MBI potentially capable of decreasing pain intensity and pain interference in the subacute period after TJA, thus Mini MORE may be a promising tool for preventing CPSP.</p> </span> <span> <h3>Preregistration</h3> <p>NCT04848428</p> </span>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"18 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140017441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Digital Mindfulness-Based Interventions for Repetitive Negative Thinking: A Systematic Review and Bibliometric Analysis","authors":"","doi":"10.1007/s12671-024-02321-w","DOIUrl":"https://doi.org/10.1007/s12671-024-02321-w","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Objectives</h3> <p>With the development of new digital technologies, the dissemination of digital mindfulness-based interventions (MBIs) has spread notably in recent years. However, questions remain about their empirical validity and their effectiveness and limitations in addressing clinically relevant mechanisms. We sought to examine the efficacy of self-administered digital MBIs for the treatment of repetitive negative thinking (RNT).</p> </span> <span> <h3>Method</h3> <p>Studies were identified from electronic databases of Web of Science (WoS), Scopus, PubMed, and ProQuest. Three reviewers independently scanned articles for inclusion and data extraction. Additional mindfulness and RNT research indicators were obtained through descriptive data visualization techniques using bibliometric analysis.</p> </span> <span> <h3>Results</h3> <p>Eleven RCTs and two pilot RCTs were included with a total of 4509 participants. At post-treatment, ten studies reported statistically significant improvements in the condition of the MBIs in measures of RNT compared to control with effect sizes ranging from small to large (<em>d</em> = 0.18;0.77), and three studies found no evidence of significant effects associated with digital MBIs. However, the poor quality of some of the findings given the risk of bias assessment means that these results should be interpreted with discretion.</p> </span> <span> <h3>Conclusions</h3> <p>Digital MBIs could be considered a promising alternative to decrease RNT and increase mindfulness skills compared to other active and passive control conditions. However, more studies with higher methodological quality, better-balanced samples, longer follow-ups, and a more rigorous evaluation of their possible adverse effects are required.</p> </span> <span> <h3>Preregistration</h3> <p>This study was retrospectively registered on PROSPERO (Ref No: CRD42023389700).</p> </span>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"51 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140003613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}