Abstract
Psoriasis patients can experience a range of psychosocial difficulties, which can lead to issues with wellbeing, anxiety and depression. Mindfulness-based interventions have positive impacts on these outcomes; however, there is a need to identify the mechanisms of action of such interventions. This study attempts to do so by examining individual differences in psoriasis patients’ wellbeing, anxiety and depression using a clinically modified Buddhist psychological model (CBPM). Psoriasis patients (N = 285) and (N = 209) completed measures of each CBPM component at time 1 and 2. SEM analyses found that a direct and mediated effect of CBPM model was a good fit to the participant’s data. This study suggests that non-attachment, aversion, acceptance and self-compassion could have a direct effect on the wellbeing, anxiety and depression of psoriasis patients and an indirect effect through reduced worry and rumination. This study provided preliminary evidence for the CBPM as being a useful explanatory framework of psoriasis patients’ anxiety, depression and wellbeing.
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Akaike H. (1987). Factor analysis and AIC. In E. Parzen, K. Tanabe, & G. Kitagawa (Eds.), Selected papers of Hirotugu Akaike. Springer series in statistics (perspectives in statistics). New York: Springer. https://doi.org/10.1007/978-1-4612-1694-0_29.
Allen, M., Dietz, M., Blair, K. S., van Beek, M., Rees, G., Vestergaard-Poulsen, P., …, Roepstorff, A. (2012). Cognitive-affective neural plasticity following active controlled mindfulness intervention. The Journal of Neuroscience: The Official Journal of the Society for Neuroscience, 32, 15601–15610. https://doi.org/10.1523/jneurosci.2957-12.2012.
Alwin, D. F., & Jackson, D. J. (1981). Applications of simultaneous factor analysis to issues of factorial invariance. In D. Jackson & E. Borgatta (Eds.), Factor analysis and measurement in sociological research: A multi-dimensional perspective (pp. 249–279). Beverly Hills, CA: Sage.
Armstrong, A. W., Schupp, C., Wu, J., & Bebo, B. (2012). Quality of life and work productivity impairment among psoriasis patients: Findings from the National Psoriasis Foundation survey data 2003–2011. PLoS ONE, 7(12), e52935. https://doi.org/10.1371/journal.pone.0052935.
Augustin, M., & Radtke, M. A. (2014). Quality of life in psoriasis patients. Expert Review of Pharmacoeconomics & Outcomes Research, 14(4), 559–568. https://doi.org/10.1586/14737167.2014.914437.
Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report: The Kentucky inventory of mindfulness skills. Assessment, 11(3), 191–206. https://doi.org/10.1177/1073191104268029.
Baer, R., Smith, G., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. https://doi.org/10.1177/1073191105283504.
Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289–303. https://doi.org/10.1037/a0025754.
Barnes, S. M., & Lynn, S. J. (2010). Mindfulness skills and depressive symptoms: A longitudinal study. Imagination, Cognition and Personality, 30(1), 77–91. https://doi.org/10.2190/IC.30.1.e.
Batink, T., Peeters, F., Geschwind, N., van Os, J., & Wichers, M. (2013). How does MBCT for depression work? Studying cognitive and affective mediation pathways. PLoS ONE, 8(8), e72778. https://doi.org/10.1371/journal.pone.0072778.
Beck, A. T., & Steer, R. A. (1993). Beck anxiety inventory manual. San Antonio, TX: The Psychological Corporation.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory-II (Vol. 78(2), pp. 490–498). San Antonio, TX: Psychological Corporation.
Beevers, C. G., Wenzlaff, R. M., Hayes, A. M., & Scott, W. D. (1999). Depression and the ironic effects of thought suppression: Therapeutic strategies for improving mental control. Clinical Psychology: Science and Practice, 6, 133–148. https://doi.org/10.1093/clipsy.6.2.133.
Bentler, P. M., & Chou, C. P. (1987). Practical issues in structural modeling. Sociological Methods & Research, 16(1), 78–117. https://doi.org/10.1177/0049124187016001004.
Bhosle, M. J., Kulkarni, A., Feldman, S. R., & Balkrishnan, R. (2006). Quality of life in patients with psoriasis. Health and Quality of Life Outcomes, 4(1), 35. https://doi.org/10.1186/1477-7525-4-35.
Bialosiewicz, S., Murphy, K., & Berry, T. (2013). Do our measures measure up? The critical role of measurement invariance. In An introduction to measurement invariance testing: Resource packet for participants. Retrieved June 1, 2018, from http://comm.eval.org/HigherLogic/System/DownloadDocumentFile.ashx?DocumentFileKey=63758fed-a490-43f2-8862-2de0217a08b8.
Bollen, K. A. (1989). Structural equations with latent variables. New York: Wiley.
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., …, Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42(4), 676–688. https://doi.org/10.1016/j.beth.2011.03.007.
Boomsma, A. (1982). The robustness of LISREL against small sample sizes in factor analysis models. In K. G. Joreskog & H. Wold (Eds.), Systems under indirect observation: Causality, structure, prediction (pp. 149–173). Amsterdam: North Holland.
Brennan, K. A., Clark, C. L., & Shaver, P. R. (1998). Self-report measurement of adult romantic attachment: An integrative overview. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 46–76). New York: Guilford Press.
Brown, K. W. (2015). Mindfulness training to enhance positive functioning. In K. W. Brown, J. D. Creswell, & R. M. Ryan (Eds.), Handbook of mindfulness: Theory, research, and practice (pp. 311–325). New York: Guilford Press.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822. https://doi.org/10.1037/0022-3514.84.4.822.
Brown, T. A., Antony, M. M., & Barlow, D. H. (1992). Psychometric properties of the Penn State Worry Questionnaire in a clinical anxiety disorders sample. Behaviour Research and Therapy, 30(1), 33–37. https://doi.org/10.1016/0005-7967(92)90093-V.
Buchheld, N., & Walach, H. (2002). Mindfulness in Vipassana meditation and psychotherapy—Development of a mindfulness questionnaire. Zeitschrift Fur Klinische Psychologie Psychiatrie und Psychotherapie, 50(2), 153–172.
Bundy, C., Pinder, B., Bucci, S., Reeves, D., Griffiths, C. E. M., & Tarrier, N. (2013). A novel, web-based, psychological intervention for people with psoriasis: The electronic Targeted Intervention for Psoriasis (eTIPs) study. British Journal of Dermatology, 169(2), 329–336. https://doi.org/10.1111/bjd.12350.
Byrne, B. M. (2012). Multivariate applications series. Structural equation modeling with Mplus: Basic concepts, applications, and programming. New York: Routledge/Taylor & Francis Group.
Cameron, I. M., Crawford, J. R., Lawton, K., & Reid, I. C. (2008). Psychometric comparison of PHQ-9 and HADS for measuring depression severity in primary care. British Journal of General Practice, 58(546), 32–36. https://doi.org/10.3399/bjgp08X263794.
Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008). The assessment of present-moment awareness and acceptance: The Philadelphia Mindfulness Scale. Assessment, 15(2), 204–223. https://doi.org/10.1177/1073191107311467.
Carmody, J., & Baer, R. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31(1), 23–33.
Chadwick, P., Hember, M., Symes, J., Peters, E., Kuipers, E., & Dagnan, D. (2008). Responding mindfully to unpleasant thoughts and images: Reliability and validity of the Southampton mindfulness questionnaire (SMQ). British Journal of Clinical Psychology, 47(4), 451–455. https://doi.org/10.1348/014466508X314891.
Chadwick, P., Taylor, K. N., & Abba, N. (2005). Mindfulness groups for people with psychosis. Behavioral and Cognitive Psychotherapy, 33(3), 351–359. https://doi.org/10.1017/S1352465805002158.
Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling, 14, 464–504. https://doi.org/10.1080/10705510701301834.
Chiesa, A. (2013). The difficulty of defining mindfulness: Current thought and critical issues. Mindfulness, 4(3), 255–268. https://doi.org/10.1007/s12671-012-0123-4.
Chiesa, A., Anselmi, R., & Serretti, A. (2014). Psychological mechanisms of mindfulness-based interventions: what do we know? Holistic Nursing Practice, 28(2), 124–148. https://doi.org/10.1097/HNP.0000000000000017.
Coffey, K. A., & Hartman, M. (2008). Mechanisms of action in the inverse relationship between mindfulness and psychological distress. Complementary Health Practice Review, 13(2), 79–91. https://doi.org/10.1177/1533210108316307.
Coffey, K. A., Hartman, M., & Fredrickson, B. L. (2010). Deconstructing mindfulness and constructing mental health: Understanding mindfulness and its mechanisms of action. Mindfulness, 1(4), 235–253. https://doi.org/10.1007/s12671-010-0033-2.
Crowley, S. L., & Fan, X. (1997). Structural equation modeling: Basic concepts and applications in personality assessment research. Journal of Personality Assessment, 68(3), 508–531. https://doi.org/10.1207/s15327752jpa6803_4.
D’Alton, P., Kinsella, L., Walsh, O., Sweeney, C., Timoney, I., Lynch, M., …, Kirby, B. (2019). Mindfulness-based interventions for psoriasis: A randomized controlled trial. Mindfulness, 10(2), 288–300. https://doi.org/10.1007/s12671-018-0973-5.
Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: An introductory report. Psychological Medicine, 13(3), 595–605. https://doi.org/10.1017/S0033291700048017.
Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75. https://doi.org/10.1207/s15327752jpa4901_13.
Ehring, T., Zetsche, U., Weidacker, K., Wahl, K., Schönfeld, S., & Ehlers, A. (2011). The Perseverative Thinking Questionnaire (PTQ): Validation of a content-independent measure of repetitive negative thinking. Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 225–232. https://doi.org/10.1016/j.jbtep.2010.12.003.
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2014). G* Power [software].
Feldman, C., & Kuyken, W. (2011). Compassion in the landscape of suffering. Contemporary Buddhism, 12(01), 143–155. https://doi.org/10.1080/14639947.2011.564831.
Fleming, P., Bai, J. W., Pratt, M., Sibbald, C., Lynde, C., & Gulliver, W. P. (2017). The prevalence of anxiety in patients with psoriasis: A systematic review of observational studies and clinical trials. Journal of the European Academy of Dermatology and Venereology, 31(5), 798–807. https://doi.org/10.1111/jdv.13891.
Fordham, B., Griffiths, C., & Bundy, C. (2015). A pilot study examining mindfulness-based cognitive therapy in psoriasis. Psychology, Health & Medicine, 20(1), 121–127.
Fortune, D. G., Main, C. J., O’Sullivan, T. M., & Griffiths, C. E. (1997). Assessing illness-related stress in psoriasis: The psychometric properties of the Psoriasis Life Stress Inventory. Journal of Psychosomatic Research, 42(5), 467–475. https://doi.org/10.1016/S0022-3999(97)00036-6.
Fortune, D. G., Richards, H. L., Kirby, B., McElhone, K., Main, C. J., & Griffiths, C. E. M. (2004). Successful treatment of psoriasis improves psoriasis-specific but not more general aspects of patients’ well-being. British Journal of Dermatology, 151(6), 1219–1226. https://doi.org/10.1111/j.1365-2133.2004.06222.x.
Fresco, D. M., Frankel, A. N., Mennin, D. S., Turk, C. L., & Heimberg, R. G. (2002). Distinct and overlapping features of rumination and worry: The relationship of cognitive production to negative affective states. Cognitive Therapy and Research, 26(2), 179–188. https://doi.org/10.1023/A:1014517718949.
Fresco, D. M., Moore, M. T., van Dulmen, M. H., Segal, Z. V., Ma, S. H., Teasdale, J. D., & Williams, J. M. G. (2007). Initial psychometric properties of the experiences questionnaire: Validation of a self-report measure of decentering. Behavior Therapy, 38(3), 234–246. https://doi.org/10.1016/j.beth.2006.08.003.
Furr, R. M. (2018). Psychometrics: An introduction (3rd ed.). Thousand Oaks, CA: SAGE Publications.
Goldberg, D. P., & Williams, P. (1988). A user’s guide to the General Health Questionnaire. Windsor UK: NFER-Nelson.
Golembiewski, R. T., Billingsley, K., & Yeager, S. (1976). Measuring change and persistence in human affairs: Types of change generated by OD designs. Journal of Applied Behavioral Science, 12, 133–157.
Grabovac, A., Lau, M., & Willett, B. (2011). Mechanisms of mindfulness: A Buddhist psychological model. Mindfulness, 2(3), 154–166. https://doi.org/10.1007/s12671-011-0054-5.
Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39, 281–291. https://doi.org/10.1017/S0048577201393198.
Gross, J. J., & Muñoz, R. F. (1995). Emotion regulation and mental health. Clinical Psychology: Science and Practice, 2(2), 151–164. https://doi.org/10.1111/j.1468-2850.1995.tb00036.x.
Grossman, P. (2011). Defining mindfulness by how poorly I think I pay attention during everyday awareness and other intractable problems for psychology’s (re) invention of mindfulness: Comment on Brown (2011). Psychological Assessment. https://doi.org/10.1037/a0022713.
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43. https://doi.org/10.1016/S0022-3999(03)00573-7.
Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. https://doi.org/10.1016/j.cpr.2015.01.006.
Hayes, A. M., & Feldman, G. (2004). Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology: Science and Practice, 11, 255–262. https://doi.org/10.1093/clipsy.bph080.
Hayes, J., & Koo, J. (2010). Psoriasis: Depression, anxiety, smoking, and drinking habits. Dermatology Therapy, 23(2), 174–180. https://doi.org/10.1111/j.1529-8019.2010.01312.x.
Henderson, M., & Page, L. (2007). Appraising the evidence: What is selection bias? Evidence-Based Mental Health, 10(3), 67. https://doi.org/10.1136/ebmh.10.3.67.
Hoaglin, D., Iglewicz, B., & Tukey, J. (1986). Performance of some resistant rules for outlier labeling. Journal of American Statistical Association, 81, 991–999.
Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427–440. https://doi.org/10.1007/s10608-012-9476-1.
Hofmann, S. G., Sawyer, A. T., & Fang, A. (2010). The empirical status of the “new wave” of cognitive behavioral therapy. Psychiatric Clinics, 33(3), 701–710. https://doi.org/10.1016/j.psc.2010.04.006.
Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559. https://doi.org/10.1177/1745691611419671.
Hooper, D., Coughlan, J., & Mullen, M. (2008). Structural equation modelling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6(1), 53–60.
Howells, L., Chisholm, A., Cotterill, S., Chinoy, H., Warren, R. B., & Bundy, C. (2018). Impact of disease severity, illness beliefs, and coping strategies on outcomes in psoriatic arthritis. Arthritis Care & Research, 70(2), 295–302. https://doi.org/10.1002/acr.23330.
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118.
Irish Skin Foundation. (2015). The burden of psoriasis epidemiology, quality of life, co-morbidities and treatment goals. Galway, Ireland: Novartis & J.E. Cairnes School of Business and Economics.
Jöreskog, K. G. (1971). Statistical analysis of sets of congeneric tests. Psychometrika, 36(2), 109–133. https://doi.org/10.1007/BF02291393.
Joreskog, K., & Sorbom, D. (2009). LISREL (version 9.3). Chicago: Scientific Software Inc.
Judd, C. M., & Kenny, D. A. (1981). Process analysis: Estimating mediation in treatment evaluations. Evaluation Review, 5(5), 602–619. https://doi.org/10.1177/0193841X8100500502.
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress pain and illness. New York: Delacorte.
Kabat-Zinn, J., Wheeler, E., Light, T., Skillings, A., Scharf, M. J., Cropley, T. G., …, Bernhard, J. D. (1998). Influence of a mindfulness meditation-based stress reduction intervention on rates of skin clearing in patients with moderate to severe psoriasis undergoing photo therapy (UVB) and photochemotherapy (PUVA). Psychosomatic Medicine, 60(5), 625–632.
Kazdin, A. E. (2007). Mediators and mechanisms of change in psychotherapy research. Annual Review of Clinical Psychology, 3, 1–27. https://doi.org/10.1146/annurev.clinpsy.3.022806.091432.
Kelly-Sell, M., & Gudjonsson, J. E. (2017). Overview of psoriasis. In J. Wu, S. Feldman, & M. Lebwohl (Eds.), Therapy for severe psoriasis (pp. 1–16). Philadelphia: Elsevier.
Kimball, A. B., Guerin, A., Tsaneva, M., Yu, A. P., Wu, E. Q., Gupta, S. R., …, Mulani, P. M. (2011). Economic burden of comorbidities in patients with psoriasis is substantial. Journal of the European Academy of Dermatology and Venereology, 25(2), 157–163. https://doi.org/10.1111/j.1468-3083.2010.03730.x.
Kimball, A. B., Jacobson, C., Weiss, S., Vreeland, M. G., & Wu, Y. (2005). The psychosocial burden of psoriasis. American Journal of Clinical Dermatology, 6(6), 383–392. https://doi.org/10.2165/00128071-200506060-00005.
Kline, R. B. (2005). Methodology in the social sciences. Principles and practice of structural equation modeling (2nd ed.). New York: Guilford Press.
Krieger, T., Altenstein, D., Baettig, I., Doerig, N., & Holtforth, M. G. (2013). Self-compassion in depression: Associations with depressive symptoms, rumination, and avoidance in depressed outpatients. Behavior Therapy, 44(3), 501–513. https://doi.org/10.1016/j.beth.2013.04.004.
Kurd, S. K., Troxel, A. B., Crits-Christoph, P., & Gelfand, J. M. (2010). The risk of depression, anxiety and suicidality in patients with psoriasis: A population-based cohort study. Archives of Dermatology, 146(8), 891–895. https://doi.org/10.1001/archdermatol.2010.186.
Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., …, Dalgleish, T. (2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48(11), 1105–1112. https://doi.org/10.1016/j.brat.2010.08.003.
Lazarus, R. S., & Folkman, S. (1984). Coping and adaptation. In W. D. Gentry (Ed.), The handbook of behavioral medicine (pp. 282–325). NewYork: Guilford.
Lewis, G., & Wessley, S. (1990). Comparison of the general health questionnaire and the hospital anxiety and depression scale. British Journal of Psychiatry, 157, 860–864.
Lloyd, T., & Hastings, R. P. (2008). Psychological variables as correlates of adjustment in mothers of children with intellectual disabilities: Cross-sectional and longitudinal relationships. Journal of Intellectual Disability Research, 52(1), 37–48. https://doi.org/10.1111/j.1365-2788.2007.00974.x.
Ludwig, D. S., & Kabat-Zinn, J. (2008). Mindfulness in medicine. JAMA, 300(11), 1350–1352. https://doi.org/10.1001/jama.300.11.1350.
MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552. https://doi.org/10.1016/j.cpr.2012.06.003.
Maddock, A., Hevey, D., D’Alton, P., & Kirby, B. (2019). A randomized trial of mindfulness-based cognitive therapy with psoriasis patients. Mindfulness, 10(12), 2606–2619. https://doi.org/10.1007/s12671-019-01242-3.
Malaeb, Z. A., Summers, J. K., & Pugesek, B. H. (2000). Using structural equation modeling to investigate relationships among ecological variables. Environmental and Ecological Statistics, 7(1), 93–111. https://doi.org/10.1023/A:1009662930292.
Mathieu, J. E., & Taylor, S. R. (2006). Clarifying conditions and decision points for mediational type inferences in organizational behavior. Journal of Organizational Behavior, 27(8), 1031–1056. https://doi.org/10.1002/job.406.
McIntosh, W. D., & Martin, L. L. (1992). The cybernetics of happiness: the relation between goal attainment, rumination, and affect. In M. S. Clark (Ed.), Review of personality and social psychology (Vol. 14, pp. 222–246). Newbury Park: Sage Publications.
Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28(6), 487–495. https://doi.org/10.1016/0005-7967(90)90135-6.
Montgomery, K., Norman, P., Messenger, A. G., & Thompson, A. R. (2016). The importance of mindfulness in psychosocial distress and quality of life in dermatology patients. British Journal of Dermatology, 175(5), 930–936. https://doi.org/10.1111/bjd.14719.
Moon, H. S., Mizara, A., & McBride, S. R. (2013). Psoriasis and psycho-dermatology. Dermatology and Therapy, 3(2), 117–130. https://doi.org/10.1007/s13555-013-0031-0.
Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860309027.
Neff, K. D., & Dahm, K. A. (2015). Self-compassion: What it is, what it does, and how it relates to mindfulness. In M. Robinson, B. Meier, & B. Ostafin (Eds.), Mindfulness and self-regulation. New York: Springer. https://doi.org/10.1007/978-1-4939-2263-5_10.
Neff, K. D., Kirkpatrick, K., & Rude, S. S. (2007). Self-compassion and its link to adaptive psychological functioning. Journal of Research in Personality, 41, 139–154. https://doi.org/10.1016/j.jrp.2006.03.004.
Neff, K. D., & Pommier, E. (2013). The relationship between self-compassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self and Identity, 12(2), 160–176. https://doi.org/10.1080/15298868.2011.649546.
Neff, K. D., & Vonk, R. (2009). Self-compassion versus global self-esteem: Two different ways of relating to oneself. Journal of Personality, 77, 23–50. https://doi.org/10.1111/j.1467-6494.2008.00537.x.
O’Doherty, V., Carr, A., McGrann, A., O’Neill, J. O., Dinan, S., Graham, I., & Maher, V. (2015). A controlled evaluation of mindfulness-based cognitive therapy for patients with coronary heart disease and depression. Mindfulness, 6(3), 405–416. https://doi.org/10.1007/s12671-013-0272-0.
Odou, N., & Brinker, J. (2014). Exploring the relationship between rumination, self-compassion, and mood. Self and Identity, 13(4), 449–459. https://doi.org/10.1080/15298868.2013.840332.
Ottenbreit, N. D., & Dobson, K. S. (2004). Avoidance and depression: The construction of the cognitive-behavioral avoidance scale. Behaviour Research and Therapy, 42, 293–313. https://doi.org/10.1016/S0005-7967(03)00140-2.
Reddy, P., Philpot, B., Ford, D., & Dunbar, J. A. (2010). Identification of depression in diabetes: The efficacy of PHQ-9 and HADS-D. British Journal of General Practice, 60(575), e239–e245. https://doi.org/10.3399/bjgp10X502128.
Richards, H. L., Fortune, D. G., Griffiths, C. E., & Main, C. J. (2001). The contribution of perceptions of stigmatisation to disability in patients with psoriasis. Journal of Psychosomatic Research, 50(1), 11–15. https://doi.org/10.1016/S0022-3999(00)00210-5.
Rieder, E., & Tausk, F. (2012). Psoriasis, a model of dermatologic psychosomatic disease: psychiatric implications and treatments. International Journal of Dermatology, 51(1), 12–26. https://doi.org/10.1111/j.1365-4632.2011.05071.x.
Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069–1081. https://doi.org/10.1037/0022-3514.57.6.1069.
Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69(4), 719. https://doi.org/10.1037/0022-3514.69.4.719.
Sahdra, B. K., Shaver, P. R., & Brown, K. W. (2010). A scale to measure nonattachment: A Buddhist complement to Western research on attachment and adaptive functioning. Journal of Personality Assessment, 92(2), 116–127. https://doi.org/10.1080/00223890903425960.
Salovey, P., Rothman, A. J., Detweiler, J. B., & Steward, W. T. (2000). Emotional states and physical health. American Psychologist, 55, 110–121. https://doi.org/10.1037/0003-066X.55.1.110.
Schafer, J. L., & Graham, J. W. (2002). Missing data: our view of the state of the art. Psychological Methods, 7(2), 147. https://doi.org/10.1037//1082-989X.7.2.147.
Schmitt, J., & Ford, D. E. (2007). Understanding the relationship between objective disease severity, psoriatic symptoms, illness-related stress, health-related quality of life and depressive symptoms in patients with psoriasis - a structural equations modeling approach. General Hospital Psychiatry, 29(2), 134–140. https://doi.org/10.1016/j.genhosppsych.2006.12.004.
Schumacker, R. E., & Lomax, R. G. (2016). A beginners guide to structural equation modeling (4th ed.). New York: Routledge.
Segerstrom, S. C., Stanton, A. L., Alden, L. E., & Shortridge, B. E. (2003). Multidimensional structure for repetitive thought: What’s on your mind and how, and how much? Journal of Personality and Social Psychology, 85(5), 909–921. https://doi.org/10.1037/0022-3514.85.5.909.
Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
Svendsen, J. L., Kvernenes, K. V., Wiker, A. S., & Dundas, I. (2017). Mechanisms of mindfulness: Rumination and self-compassion. Nordic Psychology, 69(2), 71–82. https://doi.org/10.1080/19012276.2016.1171730.
Trapnell, P. D., & Campbell, J. D. (1999). Private self-consciousness and the five factor model of personality: distinguishing rumination from reflection. Journal of Personality and Social Psychology, 76(2), 284. https://doi.org/10.1037/0022-3514.76.2.284.
Unrau, Y. A., & Grinnell, R. M. (Eds.). (2011). Social work research and evaluation: Foundations of evidence-based practice. Oxford: Oxford University Press.
Van Dam, N. T., Sheppard, S. C., Forsyth, J. P., & Earleywine, M. (2011). Self-compassion is a better predictor than mindfulness of symptom severity and quality of life in mixed anxiety and depression. Journal of Anxiety Disorders, 25(1), 123–130. https://doi.org/10.1016/j.janxdis.2010.08.011.
Van Der Velden, A. M., Kuyken, W., Wattar, U., Crane, C., Pallesen, K. J., Dahlgaard, J., …, & Piet, J. (2015). A systematic review of mechanisms of change in mindfulness-based cognitive therapy in the treatment of recurrent major depressive disorder. Clinical Psychology Review, 37, 26–39. https://doi.org/10.1016/j.cpr.2015.02.001.
Vøllestad, J., Sivertsen, B., & Høstmark-Nielsen, G. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: Evaluation in a randomized controlled trial. Behaviour Research and Therapy, 49(4), 281–288. https://doi.org/10.1016/j.brat.2011.01.007.
Wahl, A., Moum, T., Hanestad, B. R., & Wiklund, I. (1999). The relationship between demographic and clinical variables, and quality of life aspects in patients with psoriasis. Quality of Life Research, 8(4), 319–326. https://doi.org/10.1023/A:1008935921866.
Weinstein, N., Brown, K. W., & Ryan, R. M. (2009). A multi-method examination of the effects of mindfulness on stress attribution, coping, and emotional well-being. Journal of Research in Personality, 43(3), 374–385. https://doi.org/10.1016/j.jrp.2008.12.008.
Wenzlaff, R. M., & Luxton, D. D. (2003). The role of thought suppression in depressive rumination. Cognitive Therapy and Research, 27(3), 293–308. https://doi.org/10.1023/A:1023966400540.
Werner, K. H., Jazaieri, H., Goldin, P. R., Ziv, M., Heimberg, R. G., & Gross, J. J. (2012). Self-compassion and social anxiety disorder. Anxiety Stress and Coping, 25(5), 543–558. https://doi.org/10.1080/10615806.2011.608842.
Wolf, E. J., Harrington, K. M., Clark, S. L., & Miller, M. W. (2013). Sample size requirements for structural equation models: An evaluation of power, bias, and solution propriety. Educational and Psychological Measurement, 76(6), 913–934. https://doi.org/10.1177/0013164413495237.
World Health Organization. (2016). Global report on psoriasis. Geneva: World Health Organization.
World Medical Association. (2013). Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053.
Wu, A. D., & Zumbo, B. D. (2008). Understanding and using mediators and moderators. Social Indicators Research, 87(3), 367. https://doi.org/10.1007/s11205-007-9143-1.
Zachariae, R., Øster, H., Bjerring, P., & Kragballe, K. (1996). Effects of psychologic intervention on psoriasis: A preliminary report. Journal of the American Academy of Dermatology, 34(6), 1008–1015. https://doi.org/10.1016/S0190-9622(96)90280-7.
Zercher, F., Schmidt, P., Cieciuch, J., & Davidov, E. (2015). The comparability of the universalism value over time and across countries in the European Social Survey: Exact vs. approximate measurement invariance. Frontiers in Psychology, 6, 733. https://doi.org/10.3389/fpsyg.2015.00733.
Zessin, U., Dickhäuser, O., & Garbade, S. (2015). The relationship between self-compassion and wellbeing: A meta-analysis. Applied Psychology: Health and Well-Being, 7(3), 340–364. https://doi.org/10.1111/aphw.12051.
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x.
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This research was funded by the Irish Health Research Board SPHeRE/2013/1.
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Alan Maddock, David Hevey, Paul D'Alton, and Brian Kirby declare that they have no conflict of interest.
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Maddock, A., Hevey, D., D’Alton, P. et al. Examining Individual Differences in Wellbeing, Anxiety and Depression in Psoriasis Using a Clinically Modified Buddhist Psychological Model. J Clin Psychol Med Settings 27, 842–858 (2020). https://doi.org/10.1007/s10880-019-09686-4
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DOI: https://doi.org/10.1007/s10880-019-09686-4