A randomized controlled trial of a 14-day mindfulness ecological momentary intervention (MEMI) for generalized anxiety disorder.
Study Goal
The researchers aimed to assess the efficacy of a 14-day smartphone mindfulness ecological momentary intervention (MEMI) for reducing generalized anxiety disorder (GAD) severity and improving executive functioning compared to a self-monitoring placebo.
Results Summary
The MEMI group showed greater reductions in GAD severity and perseverative cognitions compared to the placebo group, with modest yet potentially meaningful effects on pathological worry, trait mindfulness, and executive functioning.
Population
Participants with generalized anxiety disorder (GAD).
Effective Dosage
Five prompts per day for 14 consecutive days.
Duration
14 days.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
14-day smartphone mindfulness ecological momentary intervention (MEMI) | decrease | GAD severity | Participants with GAD | - | produced greater pre-1-month follow-up reductions | #1 |
14-day smartphone mindfulness ecological momentary intervention (MEMI) | decrease | perseverative cognitions | Participants with GAD | - | produced greater pre-1-month follow-up reductions | #2 |
14-day smartphone mindfulness ecological momentary intervention (MEMI) | decrease | pathological worry | Participants with GAD | - | produced greater pre-1-month follow-up reductions | #3 |
14-day smartphone mindfulness ecological momentary intervention (MEMI) | decrease | trait mindfulness | Participants with GAD | - | produced greater pre-1-month follow-up reductions | #4 |
14-day smartphone mindfulness ecological momentary intervention (MEMI) | decrease | executive functioning (EF) | Participants with GAD | - | produced greater pre-1-month follow-up reductions | #5 |
unguided brief MEMI | decrease | pathological worry | - | modest yet potentially meaningful | beneficial effect | #6 |
unguided brief MEMI | increase | trait mindfulness | - | modest yet potentially meaningful | beneficial effect | #7 |
unguided brief MEMI | increase | executive functioning (EF) | - | modest yet potentially meaningful | beneficial effect | #8 |
BACKGROUND: Little is known about whether brief mindfulness ecological momentary interventions (MEMIs) yield clinically beneficial effects. This gap exists despite the rapid growth of smartphone mindfulness applications. Specifically, no prior brief MEMI has targeted generalized anxiety disorder (GAD). Moreover, although theories propose that MEMIs can boost executive functioning (EF), they have largely gone untested. Thus, this randomized controlled trial (RCT) aimed to address these gaps by assessing the efficacy of a 14-day smartphone MEMI (versus self-monitoring placebo [SMP]). METHOD: Participants with GAD were randomly assigned to either condition (68 MEMI and 42 SMP). MEMI participants exercised multiple core mindfulness strategies and were instructed to practice mindfulness continually. Comparatively, SMP participants were prompted to practice self-monitoring and were not taught any mindfulness strategies. All prompts occurred five times a day for 14 consecutive days. Participants completed self-reports and neuropsychological assessments at baseline, posttreatment, and 1-month follow-up (1MFU). Piecewise hierarchical linear modeling analyses were conducted. RESULTS: MEMI (versus SMP) produced greater pre-1MFU reductions in GAD severity and perseverative cognitions (between-group CONCLUSIONS: Preliminary findings suggest that the beneficial effect of an unguided brief MEMI to target pathological worry, trait mindfulness, and EF is modest yet potentially meaningful. Other theoretical and clinical implications were discussed.