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Psychological mechanisms driving stress resilience in mindfulness training: A randomized controlled trial.

Health psychology : official journal of the Division of Health Psychology, American Psychological Association
August 1, 2019
Brian Chin et al. (7 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether acceptance skills training is a necessary active ingredient in mindfulness interventions for stress reduction.

Results Summary

The study found that participants who received both monitoring and acceptance training (MA) showed increased nonjudgment and reduced stress compared to those who received only monitoring training (MO) or no treatment (NT). These results suggest that acceptance skills are critical for the stress-reduction benefits of mindfulness interventions.

Population

Stressed community adults

Effective Dosage

8-week Mindfulness-Based Stress Reduction (MBSR) intervention

Duration

8 weeks

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Monitor and Accept (MA) mindfulness training
increase
nonjudgment
stressed community adults
-
increased
#1
Monitor and Accept (MA) mindfulness training
decrease
stress ratings
stressed community adults
-
decreased
#2
Monitor and Accept (MA) mindfulness training
decrease
proportion of assessments that they reported experiencing feelings of stress in daily life
stressed community adults
-
decreased
#3
Abstract

OBJECTIVE: Mindfulness interventions have been shown to reduce stress; however, the mechanisms driving stress resilience effects are not known. Mindfulness interventions aim to teach individuals how to: (a) use attention to monitor present moment experiences; with (b) an attitude of acceptance and equanimity. A randomized controlled dismantling trial (RCT) was conducted to test the prediction that the removal of acceptance skills training would eliminate stress-reduction benefits of a mindfulness intervention. METHOD: This preregistered RCT randomly assigned stressed community adults to 1 of 3 conditions: (a) Monitor and Accept (MA) mindfulness training, a standard 8-week Mindfulness-Based Stress Reduction (MBSR) intervention that provided explicit instruction in developing both monitoring and acceptance skills; (b) Monitor Only (MO) mindfulness training, a well-matched 8-week MBSR intervention that taught monitoring skills only; or (c) No Treatment (NT) control. Stress and nonjudgment were measured using ecological momentary assessment (EMA) for 3 days at baseline and 3 days at postintervention. RESULTS: Consistent with predictions, MA participants increased in nonjudgment and decreased in both stress ratings and the proportion of assessments that they reported experiencing feelings of stress in daily life, relative to both MO and NT participants. CONCLUSIONS: This RCT provides one of the first experimental tests of the mechanisms linking mindfulness interventions with stress resilience. These findings suggest that acceptance skills training may be a necessary active ingredient and support the value of integrating acceptance skills training into stress-reduction interventions. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Medical Subject Headings (MeSH)
AdolescentAdultAgedFemaleHumansMaleMiddle AgedMindfulnessStress, PsychologicalYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations43
Citations/Year7.2
Relative Citation Ratio3.18
NIH Percentile86.2%
Research Impact Scores
APT Score0.75
Weight Score2.59
Normalized Score0.72
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