Supplemental Material for Does Practice Quality Mediate the Relationship Between Practice Time and Outcome in Mindfulness-Based Stress Reduction?

Interventions based on mindfulness meditation are increasingly common and evidence exists supporting their use. However, questions remain regarding treatment mechanisms accounting for beneficial effects. The current study examined one candidate mechanism – mindfulness practice quality – as a mediator of the link between practice time and outcome within mindfulness-based stress reduction (MBSR). Participants (n=96) completed measures of mindfulness and psychological symptoms at baseline and post-treatment. A weekly questionnaire assessed practice time and quality over the eight weeks of MBSR. Multilevel models accounted for nesting within participants, MBSR groups, and instructors. Results generally supported the reliability and validity of a weekly single-item practice quality measure. Greater practice time was associated with improved practice quality (r=.48). Increases in practice quality predicted improvements in self-report mindfulness and psychological symptoms (bs=.35, .30, and -.19, ps<.05,), but not behavioral mindfulness (b=-.02, p=.879). In multilevel mediation models, improved practice quality mediated the link between practice time and changes in self-report mindfulness, suggesting improved practice quality functions as a mechanism linking practice time and outcome in MBSR. Future research evaluating practice quality in clinical samples, in tandem with intensive sampling paradigms (e.g., experience sampling) and objective (behavioral, physiological) outcomes may be warranted.

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Exploring the mediating role of integrative self‐knowledge in the relationship between mindfulness and well‐being in the context of a mindfulness‐based stress reduction program

International Journal of Psychology ◽

10.1002/ijop.12705 ◽

2020 ◽

Author(s):

Maryam Abbasi ◽

Nima Ghorbani ◽

Amir Hossein Imani ◽

Sahar Tahbaz Hoseinzadeh

Keyword(s):

Stress Reduction ◽

Well Being ◽

Mediating Role ◽

Reduction Program ◽

Self Knowledge ◽

Mindfulness Based Stress Reduction ◽

The Relationship

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Smartphone Monitoring of Participants’ Engagement With Home Practice During Mindfulness-Based Stress Reduction: Observational Study

JMIR Mental Health ◽

10.2196/14467 ◽

2020 ◽

Vol 7 (1) ◽

pp. e14467

Author(s):

Christine E Parsons ◽

Maria A Madsen ◽

Kasper Løvborg Jensen ◽

Simon Kæseler ◽

Lone Overby Fjorback ◽

...

Keyword(s):

Stress Reduction ◽

Daily Practice ◽

Smartphone App ◽

Home Practice ◽

Participant Engagement ◽

Training Courses ◽

Mindfulness Based Stress Reduction ◽

Reported Data ◽

Practice Time ◽

Regular Practice

Background Standardized mindfulness training courses involve significant at-home assignments of meditation practice. Participants’ self-reported completion of these assignments has been correlated with treatment outcomes, but self-reported data are often incomplete and potentially biased. In addition, mindfulness teachers typically suggest that participants set aside a regular practice time, preferably in the morning, but the extent to which participants do this has not been empirically examined. Objective This study aimed to analyze patterns of participant engagement with home practice in a mindfulness-based stress reduction course. Methods We used a novel smartphone app to provide 25 participants with access to their daily practice assignments during the 8-week course. We analyzed data collected through our smartphone app to determine usage and listening patterns and performed analyses of the regularity and frequency of participant behavior. Results We found that participants listened to a median of 3 of the 6 practice sessions per week, and they did not typically set aside a regular daily practice time. Across weekdays, participants practiced most frequently in the morning, but there was considerable variation in participants’ practice start times. On weekends, the peak practice time was in the evening. Conclusions We suggest that it is feasible to integrate a smartphone-monitoring approach into existing mindfulness interventions. High-frequency smartphone monitoring can provide insights into how and when participants complete their homework, information that is important in supporting treatment engagement.

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The Psychological Effect of Internet-Based Mindfulness-Based Stress Reduction on the Survivors of Breast Cancer During the COVID-19

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.738579 ◽

2021 ◽

Vol 12 ◽

Author(s):

Chuanyuan Kang ◽

Shufang Sun ◽

Zhuangqing Yang ◽

Xinxin Fan ◽

Jing Yuan ◽

...

Keyword(s):

Breast Cancer ◽

Stress Reduction ◽

Psychological Symptoms ◽

Daily Practice ◽

Anxiety Reduction ◽

Post Intervention ◽

Registration Number ◽

Mindfulness Based Stress Reduction ◽

Group 2 ◽

Practice Time

Objective: To examine the efficacy and the role of engagement of an internet-based Mindfulness-based Stress Reduction (iMBSR) for survivors of breast cancer (BC) during the COVID-19 period from January to March in 2020 in China.Methods: 48 survivors of BC were divided into the absentees group and the iMBSR groups according to their attending to the standardized, group-based, 8-week iMBSR. Based on practice time, survivors of BC in the iMBSR were categorized into three subgroups: group 1 (<30 min/day), group 2 (30–60 min/day), and group 3 (>60 min/day). In addition, participants were classified as partial attendees (<4 sessions) and completers (more than 4 sessions) of the iMBSR groups. All participants were evaluated for symptoms of depression, anxiety and insomnia at baseline, mid-intervention, and post-intervention.Results: After an 8-week iMBSR practice, at mid-intervention and post-intervention, participants in iMBSR group had significant improvement in scores and reduction rates of depression, anxiety, and insomnia compared to absentees. Scores of depression and insomnia, reduction rates of depression at post-intervention, scores of anxiety, reduction rates of anxiety and insomnia at mid-intervention and post-intervention, had significant differences among subgroups of practice time. Daily practice time was positively related to reduction rates of depression, anxiety and insomnia at post-intervention in the iMBSR group.Conclusion: Internet-based MBSR showed efficacy in reducing psychological symptoms among survivors of BC. For survivors of BC, iMBSR practice has a potential dose–response efficacy, with a threshold of >30 min daily practice for most optimal symptoms reduction.Trial Registration: Registration number is [ChiCTR2100044309].

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Achtsamkeitsbasierte kognitive Therapie

Zeitschrift für Klinische Psychologie und Psychotherapie ◽

10.1026/1616-3443/a000280 ◽

2014 ◽

Vol 43 (4) ◽

pp. 233-240 ◽

Cited By ~ 1

Author(s):

Thomas Heidenreich ◽

Christoph Grober ◽

Johannes Michalak

Keyword(s):

Cognitive Therapy ◽

Stress Reduction ◽

Kognitive Therapie ◽

Mindfulness Based Stress Reduction ◽

Praktische Umsetzung

Unter den im Zentrum dieses Sonderhefts stehenden Neuentwicklungen nehmen achtsamkeitsbasierte Verfahren eine bedeutsame Rolle ein: Während die „Achtsamkeitsbasierte Stressreduktion” (mindfulness-based stress reduction, MBSR) bereits in der zweiten Hälfte der 1970er Jahre entwickelt wurde ( Kabat-Zinn, 1990 ), erlangte insbesondere die von Segal, Williams und Teasdale (2002) speziell für die Rückfallprävention bei rezidivierender depressiver Störung entwickelte „Achtsamkeitsbasierte Kognitive Therapie” (mindfulness-based cognitive therapy, MBCT) eine zunehmende Bedeutung im Bereich kognitiv-behavioraler Ansätze. Der vorliegende Beitrag geht zunächst auf den historischen und theoretischen Hintergrund der Achtsamkeitsbasierten Kognitiven Therapie ein. Im Anschluss daran wird die praktische Umsetzung des Gruppenkonzepts vorgestellt und der Stand der Forschung anhand aktueller Metaanalysen referiert. Der Beitrag schließt mit einer kritischen Diskussion einer allzu verkürzten Anwendung von Achtsamkeit in der klinischen Praxis.

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