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Developing an observing attitude: an analysis of meditation diaries in an MBSR clinical trial.

Clinical psychology & psychotherapy
January 1, 2011
Catherine E Kerr et al. (3 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to investigate participants' qualitative descriptions of changes experienced during an 8-week MBSR program, focusing on the development of an observing self.

Results Summary

The study found that all participants described moments of distress during practice but, by the end, demonstrated improved affect, greater detail in descriptions, and the emergence of an observing self, regardless of the valence of their experiences.

Population

8 healthy individuals participating in an MBSR program as part of a larger RCT.

Effective Dosage

Not specified

Duration

8 weeks

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Mindfulness-based stress reduction (MBSR)
decrease
chronic pain-related distress
various conditions
-
demonstrated efficacy in reducing
#1
Mindfulness-based stress reduction (MBSR)
increase
quality of life
healthy individuals
-
demonstrated efficacy in improving
#2
Mindfulness-based stress reduction (MBSR)
increase
distress
all participants
-
described moments of distress related to practice
#3
Mindfulness-based stress reduction (MBSR)
increase
detail and clarity in descriptions
all participants who completed the training
-
demonstrated greater detail and clarity in their descriptions
#4
Mindfulness-based stress reduction (MBSR)
increase
affect
all participants who completed the training
-
demonstrated improved affect
#5
Mindfulness-based stress reduction (MBSR)
increase
observing self
all participants who completed the training
-
demonstrated the emergence of an observing self
#6
Mindfulness-based stress reduction (MBSR)
no change
emergence of an observing self
participants
-
was not related to the valence of participants' experiential descriptions
#7
Mindfulness-based stress reduction (MBSR)
increase
observing, witnessing attitude towards distress
participants whose diaries contained predominantly negative characterizations
-
were able to demonstrate an observing, witnessing attitude towards their own distress
#8
Abstract

Mindfulness-based stress reduction (MBSR) is an 8-week training that is designed to teach participants mindful awareness of the present moment. In randomized clinical trials (RCTs), MBSR has demonstrated efficacy in various conditions including reducing chronic pain-related distress and improving quality of life in healthy individuals. There have, however, been no qualitative studies investigating participants' descriptions of changes experienced over multiple time points during the course of the programme. This qualitative study of an MBSR cohort (N = 8 healthy individuals) in a larger RCT examined participants' daily diary descriptions of their home-practice experiences. The study used a two-part method, combining grounded theory with a close-ended coding approach. The grounded theory analysis revealed that during the trial, all participants, to varying degrees, described moments of distress related to practice; at the end of the course, all participants who completed the training demonstrated greater detail and clarity in their descriptions, improved affect, and the emergence of an observing self. The closed-ended coding schema, carried out to shed light on the development of an observing self, revealed that the emergence of an observing self was not related to the valence of participants' experiential descriptions: even participants whose diaries contained predominantly negative characterizations of their experience throughout the trial were able, by the end of the trial, to demonstrate an observing, witnessing attitude towards their own distress. Progress in MBSR may rely less on the valence of participants' experiences and more on the way participants describe and relate to their own inner experience.

Medical Subject Headings (MeSH)
Adaptation, PsychologicalAdultAttitudeCohort StudiesFemaleHealth BehaviorHumansMeditationPersonal SatisfactionQuality of LifeSelf ReportTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality65/10
Citation Metrics
Total Citations53
Citations/Year3.8
Relative Citation Ratio2.02
NIH Percentile74.9%
Research Impact Scores
APT Score0.75
Weight Score1.27
Normalized Score0.63
Related Supplements
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