scholarly journals Mediators for Effect of Mindfulness in Promoting Marital Satisfaction: Modeling Structural Equations in an Experimental Study

Author(s):  
Fatemeh Forouzeh Yekta ◽  
Hamid Yaghoubi ◽  
Soheila Ghomian ◽  
Mohammad Gholami Fesharaki

Objective: The present study evaluated the model of mediating variables concerning effectiveness of mindfulness in improving women's marital satisfaction. Method: This study was quasi-experimental with pre-test, post-test and control groups. The statistical population included every married woman in Tehran in the year 1396 (2017). The research sample was composed of 60 married women with moderate marital satisfaction. They were chosen using the convenient sampling technique and were randomly assigned to control and experimental groups. The experimental group attended 8 sessions of Mindfulness-Based Stress Reduction (MBSR) and the control group was on a waiting list. Both groups answered the Five Facet Mindfulness Questionnaire (FFMQ), the Depression, Anxiety, and Stress Scale (DASS), Difficulties in Emotion Regulation Scale (DERS), Interpersonal Reactivity Inventory (IRI), Needs for Intimacy Questionnaire of Bagarozi, Positive and Negative Affect Scale (PANAS) and the Couple Satisfaction Index (CSI) before and at end of intervention. The data were analyzed by Structural Equation Modeling (SEM) using PLS-22 and SPSS-23. Results: In the initial hypothetical model, which included the direct effect of mindfulness on marital satisfaction and its indirect effects through psychological distress, emotion regulation, empathy, marital intimacy and positive emotion on marital satisfaction, coefficients of all model paths were significant at 95% level except direct path of mindfulness to marital satisfaction (t = 1.14), marital intimacy to marital satisfaction (t = 0.48) and positive affection to marital satisfaction (t = 1.75). After removing the non-significant paths, the model was tested again and the model fit index (GOF = 0.47) was a very good fit for the modified overall model. Conclusion: The results identified mindfulness-based stress reduction intervention was effective in enhancing marital satisfaction through reducing psychological distress and improving emotion regulation and empathy.

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mahboobeh Najafi Chaleshtori ◽  
Alireza Heidari ◽  
Parviz Asgari ◽  
Zahra Dasht Bozorgi ◽  
Fariba Hafezi

Background: The undesirable conditions resulting from addiction can be mitigated with timely diagnosis and effective interventions. Distress tolerance can be promoted in adolescents with a drug-dependent parent. Objectives: The present study aimed to investigate the effectiveness of mindfulness-based stress reduction (MBSR) therapy and emotion regulation training (ERT) on the distress tolerance of adolescent girls with a drug-dependent parent in Ahvaz, Iran. Methods: This clinical trial was performed on the experimental and control groups as the pretest-posttest design with follow-up. The statistical population included all the adolescent girl students with a drug-dependent parent in Ahvaz. The sample consisted of 45 adolescents with a drug-dependent parent selected by cluster sampling. The participants were randomly divided into two experimental groups of MBSR (eight 60-min sessions) and ERT (eight 45-min sessions) and a control group (n = 15 per group). All three groups were followed up after 45 days. The research instrument was the Distress Tolerance Scale (DTS), and data were analyzed using the analysis of covariance. Results: MBSR and ERT enhanced distress tolerance in adolescent girls with a drug-dependent parent (P < 0.001). The effects of the two interventions were not significantly different, and this result persisted in the follow-up stage. Conclusions: MBSR and ERT increased distress tolerance in adolescent girls with a drug-dependent parent. Therefore, these two interventions can be administered to enhance the mental health of adolescents.


2021 ◽  
Vol 12 ◽  
Author(s):  
Maya Sanilevici ◽  
Omer Reuveni ◽  
Shahar Lev-Ari ◽  
Yulia Golland ◽  
Nava Levit-Binnun

The COVID-19 pandemic imposed extreme living conditions of social distancing, which triggered negative mental health problems and created challenges in seeking mental health support. Mindfulness-based interventions (MBIs) have been found to enhance wellbeing and mental health by reducing stress and anxiety and improving emotion regulation. Preliminary evidence suggests that online, synchronous MBIs may produce beneficial effects similar to face-to-face programs. However, the effectiveness of such online-MBIs to support mental health in highly stressful times, such as a global pandemic, requires further study. To this end, we investigated the effect of an online 8-week Mindfulness-Based Stress Reduction (MBSR) program on aspects of mental health during the first wave of the COVID-19 pandemic. Participants (N=92) who expressed interest in discounted online-MBSR programs were recruited for the study. The division into experimental and control groups was based on actual enrollment to the courses. Those who enrolled in a program were assigned to the experimental condition and those who decided not to enroll served as controls. Participants were assessed pre-intervention, post-intervention, and 1-month post-intervention for levels of mindfulness, perceived stress, anxiety, emotion regulation, and intolerance of uncertainty. Differences between the groups were tested using the general linear mixed effects model (GLMM) and Individual Growth Curve Models (IGCM) in intent to treat analysis. The findings indicated that, relative to the control group, MBSR improved mindfulness abilities (p &lt;0.001), decreased anxiety (p &lt;0.001), and stress (p &lt;0.001) and increased emotion regulation (p &lt;0.001). These effects were found to persist 1 month after the end of the program, despite the increased governmental public-health restrictions due to COVID-19 at that time. The ability to tolerate uncertainty, a central characteristic of the pandemic, was not found to be affected by the program. A mediation analysis revealed that the effect of the intervention on mental health improvement was partially mediated by the improvement in emotion regulation. Overall, the findings provide positive evidence for the feasibility of an online-MBSR program to support the mental health of individuals from the general population through the mediation of emotion regulation in challenging times, such as a global pandemic.


2017 ◽  
Vol 41 (S1) ◽  
pp. S409-S409 ◽  
Author(s):  
E. Alisaleh ◽  
S. Ghahari

ObjectiveThe main objective of the present study is to investigate effectiveness of mindfulness-based stress reduction in anxiety and depression in patients with multiple sclerosis.MethodsThis study is in kind of semi-experimental research in form of pretest–posttest pattern with control group. Statistical population of the study consists of all patients with multiple sclerosis referred to Iran MS Association by 2016. Sampling method in this study is available sampling and based on having inclusion criteria. Among depressed and anxiety patients 30 individuals were selected randomly and were classified in two groups with 15 people in each group. Experimental group was under mindfulness-based training on stress reduction for 8 sessions. Control group was also in waiting list. All patients in experimental and control groups fulfilled depression and anxiety inventories before and after intervention. Obtained data was analyzed using MANCOVA and in SPSS22 software.FindingObtained results show that there is significant difference between the two groups in terms of anxiety and depression after intervention (P < 0.001).ConclusionMindfulness-based stress reduction can help reduction of symptoms of anxiety and depression in patients with MS.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hamideh Adelian ◽  
Sedigheh Khodabandeh Shahraki ◽  
Sakineh Miri ◽  
Jamileh Farokhzadian

Abstract Background Female sex workers and addicted women are among the vulnerable groups who impose high costs on the health system of every society. They are prone to psychological problems such as anxiety, stress, and reduced resilience due to their lifestyles. Since mindfulness-based stress reduction (MBSR) has been applied frequently by many psychotherapists to treat stress and anxiety, the present study investigated the effectiveness of MBSR on resilience of the vulnerable women. Methods The statistical population of this quasi-experimental study consisted of all eligible women who referred to the drop-in centers in Kerman in the southeast of Iran. Followed by random sampling, 63 vulnerable women were randomly assigned into the intervention (n = 30) and control (n = 33) groups. The MBSR intervention was conducted for the intervention group in eight 90-min sessions. Demographic information questionnaire and Connor-Davidson resilience scale were administered to collect data prior to and one month after the MBSR intervention. Results The pre-test resilience score was not significantly different between the intervention (53.40 ± 10.49) and the control (54.5 ± 9.27) groups (t = 0.43, p = 0.66). However, the posttest resilience score in the intervention group (60.66 ± 6.71) was significantly higher than the control group (53.88 ± 7.54) (t = 3.58, P = 0.001). Moreover, a comparison between the pretest and posttest scores revealed a significant decrease in resilience scores of the control group (t = 2.81, p = 0.009). Conclusion Since MBSR intervention increased resilience of the vulnerable women in the intervention group, researchers, managers, counselors, community health nurses, and psychiatric nurses are suggested to implement related interventions to promote the health of women, especially vulnerable ones.


2021 ◽  
Author(s):  
Hamideh Adelian ◽  
Sedigheh Khodabandeh Shahraki ◽  
Sakineh Miri ◽  
Jamileh Farokhzadian

Abstract Background: Vulnerable women such as female sex workers and addicted women are among vulnerable groups affecting the social and mental health of societies. They are prone to psychological problems such as anxiety, stress and reduced resilience due to their lifestyles. Mindfulness-based stress reduction (MBSR) is among interventions that many psychotherapists use to treat stress and anxiety. This study aimed to investigate the effectiveness of MBSR on resilience of the vulnerable women. Methods: The statistical population of this quasi-experimental study consisted of all eligible women referred to the drop-in centers in Kerman in the southeast of Iran. Sixty-three vulnerable women were randomly assigned into two groups of intervention (n=30) and control (n=33). The MBSR intervention was conducted for the intervention group in eight 90-minute sessions. Demographic characteristics questionnaire, and Connor-Davidson resilience scale were used to collect data before and one month after the MBSR intervention.Results: The results showed that the pre-test score of resilience was not significantly different between the intervention (53.40 ± 10.49) and the control (54.5 ± 9.27) groups (t=0.43, p=0.66). The posttest score of resilience in the intervention group (60.66 ± 6.71) was significantly higher than that of the control group (53.88 ± 7.54) (t = 3.58, P = 0.001). Moreover, a comparison of the pretest and posttest scores revealed a significant decrease in resilience of the control group (t=2.81, p=0.009).Conclusion: Since MBSR intervention increased resilience of the vulnerable women, researchers, managers, counselors, community health nurses and psychiatric nurses are suggested to consider such interventions to promote the health of women, especially vulnerable ones.


Author(s):  
Mojgan Moghareh Abed ◽  
Maryam Azadi ◽  
Maryam Dehghan ◽  
Javad Ardeshirpey

Objective: Diabetes is a common chronic disorder in which there is a high risk of physical complications and psychological problems such as hypoglycemia and inability to express emotions. Psychological interventions can be effective in this regard. The aim of this study was to investigate the effectiveness of mindfulness-based stress reduction (MBSR) training on emotional expressiveness and fear of hypoglycemia (FOH) in patients with type 2 diabetes visiting Yazd Diabetes Center. Materials and Methods: This study was a quasi-experimental study with a pretest and posttest design. The statistical population was all patients with type 2 diabetes visiting Yazd Diabetes Center in 2020. Forty men and women were selected using purposeful sampling and were randomly allocated to case and control groups. The case group received 8 sessions of MBSR training, 2 hours each and the control group received no interventions. Emotional Expressiveness Questionnaire (EEQ) and the Hypoglycemia Fear Survey (HFS) were used to collect data. Results: Results of ANCOVA showed that MBSR training significantly increases emotional expressiveness and its components (P-value< 0.0001) and decreases the fear of hypoglycemia (P-value< 0.0001) in patients with type 2 diabetes (P-value< 0.035). Conclusion: Based on the results of the study, MBSR training could improve emotional expressiveness, prevent hypoglycemia and reduce the fear of it.


2021 ◽  
Author(s):  
Maya Sanilevici ◽  
Omer Reuveni ◽  
Shahar Lev-Ari ◽  
Yulia Golland ◽  
Nava Levit-Binnun

UNSTRUCTURED The COVID-19 pandemic imposed extreme living conditions of social distancing and stay-at-home orders, which not only triggered negative mental health problems, but also created challenges in seeking mental health support. Consequently, many support services and programs were forced to rapidly shift into online platforms. Mindfulness-based programs have been found to enhance wellbeing and mental health, by reducing stress and anxiety and improving emotion regulation. Preliminary evidence suggests that online, synchronous mindfulness-based programs may produce beneficial effects similar to face-to-face programs. However, the effectiveness of such online mindfulness programs to support mental health in extremely stressful times such as a global pandemic requires more study. To test the effect of an online 8-week mindfulness-based program (Mindfulness-Based Stress Reduction, MBSR) on anxiety and stress levels, and on emotion regulation and tolerance of uncertainty abilities during the first wave of the COVID-19 pandemic. Individuals/Participants (N=92) who expressed interest in discounted online-MBSR programs were recruited to the study. Division into experimental and control groups was based on actual enrollment to the courses. Those who decided to enroll to one of the programs were assigned to the experimental condition and those who decided not to enroll served as controls. Participants were assessed pre-intervention (T1), post-intervention (T2) and one-month post-intervention (T3) for levels of mindfulness, perceived stress, anxiety, emotion regulation and intolerance of uncertainty. The study was conducted in April 2020, at the peak of the first wave of COVID-19 in Israel and ended in July at the beginning of the second wave. The findings indicate that relative to the control group, MBSR improved mindfulness abilities (p=.004), decreased anxiety (p=.021) and stress (p<.001) and increased emotion regulation (p<.001). These effects persisted even a month after the end of the program, although governmental public-health restrictions due to COVID-19 were worsened at that time. Ability to tolerate uncertainty, a central characteristic of the pandemic, was not significantly affected by the program. The interventions effect on mental health improvement was partially mediated by the improvement in emotion regulation (β = 0.24, CI = [0.054, 0.373]) Overall, our findings provide positive evidence for the feasibility of an online-MBSR program to support mental health of individuals from the general population through the mediation of emotion regulation, in challenging times such as a global pandemic.


2010 ◽  
Vol 13 (2) ◽  
pp. 897-905 ◽  
Author(s):  
Andrés Martín-Asuero ◽  
Gloria García-Banda

This semi-experimental study examines how Mindfulness facilitates a distress reduction in a group of health professionals. The sample comprises 29 professionals seeking stress reduction who undertook an 8 weeks psico-educative intervention, involving 28 hours of class, based on a program called Mindfulness-based Stress Reduction or MBSR. Results show a 35% reduction of distress, from percentile 75 to 45, combined with a 30% reduction in rumination and a 20% decrease in negative affect. These benefits lasted during the 3 months of the follow up period. The correlation analysis indicates that the decrease in distress is significantly related to the other two variables. These results confirm the effectiveness of MBSR to decrease distress and its applicability in training programs for health professionals.


Author(s):  
Manzar Amirkhani ◽  
Shohreh Ghorbanshiroudi ◽  
Mohammadreza Zarbakhsh Bahri ◽  
Seyed Ahmad Seyed Alinaghei

Background: HIV patients are exposed to many psychological problems, including psychological inflexibility. It seems that psychological interventions can be effective to improve the psychological state of these patients. Therefore, in this study, we aimed to compare the effectiveness of interventions with 2 methods of Compassion-Focused Therapy (CFT) and Mindfulness-Based Stress Reduction (MBSR) program on psychological flexibility of HIV patients in Imam Khomeini Hospital. Methods: The present study was a descriptive-analytical study that was performed as an intervention in the period from May to January in 2020 on 54 HIV patients referred to Voluntary Counseling and Testing (VCT) center of Imam Khomeini Hospital Complex. The samples of the study mode were selected by available sampling and randomly divided in 3 groups of 18 people based on CFT, MBSR session and the control group. Each treatment was presented to 2 experimental groups for 10 sessions per week and the control group was placed on a waiting lists. Patients' psychological flexibility was assessed by the Acceptance and Action Questionnaire- II "AAQ-II" in 3 stages: pre-test, post-test and follow-up. SPSS 23 software and analysis of covariance, bonferoni test and one-way analysis of variance were used to analyze the data. Results: The results showed that CFT and MBSR were effective on increasing psychological flexibility of HIV patients (p < 0.01). Comparison of the effectiveness of the 2 therapies showed that CFT caused a further increase on increasing psychological flexibility (p < 0.01). Changes in follow-up 3 months after treatment also remained stable (p < 0.01). Conclusion: Findings of the study show that the use of therapies in this study can be effective in planning psychological interventions to promote and improve mental health in HIV patients.


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