Mindfulness

, Volume 6, Issue 3, pp 523–534 | Cite as

Mindful Emotion Regulation Predicts Recovery in Depressed Youth

  • Richard Chambers
  • Eleonora Gullone
  • Craig Hassed
  • Wendy Knight
  • Tracy Garvin
  • Nicholas Allen
ORIGINAL PAPER

Abstract

The incidence of major depression increases markedly during adolescence and early adulthood. There is therefore an increased need for effective emotion regulation (ER) capacities during this period. The present study explored the relative benefits of dispositional mindfulness compared to other commonly researched ER strategies, cognitive reappraisal, and expressive suppression, in a sample of youth with major depression presenting to a clinical service. Results demonstrated that mindfulness is distinct from these other ER strategies and is associated with lower cross-sectional levels of depression, anxiety, rumination and dysfunctional attitudes, and improved quality of life. Greater dispositional mindfulness also predicted greater recovery from these symptoms. It was concluded that a greater tendency to use mindfulness as an ER strategy is associated with positive mental health outcomes and better quality of life.

Keywords

Mindfulness Emotion regulation Youth Depression 

References

  1. Allen, N. B., & Sheeber, L. (2008a). Toward a developmental psychopathology. In N. B. Allen & L. Sheeber (Eds.), Adolescent emotional development and the emergence of depressive disorders. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
  2. Allen, N. B., & Sheeber, L. B. (2008b). The importance of affective development for the emergence of depressive disorders during adolescence. In N. Allen & L. Sheeber (Eds.), Adolescent emotional development and the emergence of depressive disorders. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
  3. Allen, N. B., Blashki, G., Chambers, R., Ciechomski, L., Gullone, E., Hassed, C., et al. (2006). Mindfulness-based psychotherapies: a review of conceptual foundations, empirical evidence and practical considerations. Australian and New Zealand Journal of Psychiatry, 40(4), 285–294.CrossRefPubMedGoogle Scholar
  4. Arrindell, W. A., Emmelkamp, P. M., Brilman, E., & Monsma, A. (1983). Psychometric evaluation of an inventory for assessment of parental rearing practices. A Dutch form of the EMBU. Acta Psychiatrica Scandinavia, 67(3), 163–177.CrossRefGoogle Scholar
  5. Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45.CrossRefPubMedGoogle Scholar
  6. Barnhofer, T., Duggan, D. S., & Griffith, J. W. (2011). Dispositional mindfulness moderates the relation between neuroticism and depressive symptoms. Personality and Individual Differences, 51(8), 958–962.CrossRefPubMedCentralPubMedGoogle Scholar
  7. Beck, A. (1972). Depression: causes and treatments. Philadelphia: University of Pennsylvania.Google Scholar
  8. Betts, J., Gullone, E., & Allen, J. S. (2009). Emotion regulation, temperament and parenting: predictors of adolescent depression risk status. British Journal of Developmental Psychology, 27(2), 473–485.CrossRefPubMedGoogle Scholar
  9. Biegel, G. M., Brown, K. W., Shapiro, S. L., & Schubert, C. M. (2009). Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: a randomized clinical trial. Journal of Consulting and Clinical Psychology, 77(5), 855–866.CrossRefPubMedGoogle Scholar
  10. Birmaher, B., Ryan, N. D., Williamson, D. E., Brent, D., Kaufman, J., Dahl, R., et al. (1996). Child and adolescent depression: a review of the past 10 years. Part 1. Journal of The American Academy of Child & Adolescent Psychiatry, 35, 1427–1439.CrossRefGoogle Scholar
  11. Black, D. S., Milam, J., & Sussman, S. (2009). Sitting-meditation interventions among youth: A review of treatment efficacy. Pediatrics, originally published online Aug 24, 2009; DOI: 2010.1542/peds.2008-3434.Google Scholar
  12. Bond, F. W., & Bunce, D. (2000). Outcomes and mediators of change in emotion-focused and problem-focused worksite stress management interventions. Journal of Occupational Health Psychology, 5, 156–163.CrossRefPubMedGoogle Scholar
  13. Borkovec, T. D. (1994). The nature, functions and origins of worry. In: G. C. L. Davey & F. Tallis (Eds), Worrying Perspectives in Theory, Assessment and Treatment (pp. 5–34). New York: Wiley.Google Scholar
  14. Boschen, M. J., & Oei, T. P. S. (2006). Factor structure of the Mood and Anxiety Symptom Questionnaire does not generalize to an anxious/depressed sample. The Australian and New Zealand Journal of Psychiatry, 40(11–12), 1016–1024.CrossRefPubMedGoogle Scholar
  15. 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), 822–848.CrossRefPubMedGoogle Scholar
  16. Brown, K. W., West, A. M., Loverich, T. M., & Biegel, G. M. (2011). Assessing adolescent mindfulness: validation of an adapted Mindful Attention Awareness Scale in adolescent normative and psychiatric populations. Psychological Assessment, 23(4), 1023–1033.CrossRefPubMedGoogle Scholar
  17. Brown, K. W., Goodman, R. J., & Inzlicht, M. (2012). Dispositional mindfulness and the attenuation of neural responses to emotional stimuli. Social Cognitive and Affective Neuroscience, 22, 2692–2702. doi:10.1093/scan/nss004.Google Scholar
  18. Buckby, J. A., Yung, A. R., Cosgrave, E. M., & Killackey, E. J. (2007). Clinical utility of the Mood and Anxiety Symptom Questionnaire (MASQ) in a sample of young help-seekers. BMC Psychiatry, 7(Published online 2007 September 17. doi: 10.1186/1471-244X-7-50.).Google Scholar
  19. Burg, J. M., & Michalak, J. (2012). The healthy quality of mindful breathing: associations with rumination and depression. Cognitive Therapy and Research, 35(2), 179–185.CrossRefGoogle Scholar
  20. Burke, C. A. (2010). Mindfulness-based approaches with children and adolescents: a preliminary review of current research in an emergent field. Journal of Child and Family Studies, 19, 133–144.CrossRefGoogle Scholar
  21. Burwell, R. A., & Shirk, S. R. (2007). Subtypes of rumination in adolescence: associations between brooding, reflection, depressive symptoms, and coping. Journal of Clinical Child and Adolescent Psychology, 36(1), 56–65.CrossRefPubMedGoogle Scholar
  22. Butler, E. A., Egloff, B., Wilhelm, F. H., Smith, N. C., Erickson, E. A., & Gross, J. J. (2003). The social consequences of expressive suppression. Emotion, 3(1), 48–67.CrossRefPubMedGoogle Scholar
  23. Campos, J. J., & Sternberg, C. R. (1981). Perception, appraisal, and emotion: the onset of social referencing. In M. E. L. L. R. Sherrod (Ed.), Infant social cognition: empirical and theoretical considerations (pp. 273–314). Hillsdale: Lawrence Erlbaum Association.Google Scholar
  24. Carlson, L. E., Ursuliak, Z., Goodey, E., Angen, M., & Speca, M. (2001). The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month followup. Cancer Care, 9, 112–123.CrossRefGoogle Scholar
  25. Carlson, L. E., Speca, M., Patel, K. D., & Faris, P. (2007). One year pre–post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior, and Immunity, 21, 1038–1049.CrossRefPubMedGoogle Scholar
  26. Chambers, R. H., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: an integrative review. Clinical Psychology Review, 29(6), 560–572.CrossRefPubMedGoogle Scholar
  27. Coan, J. A., & Allen, J. J. B. (2004). EEG asymmetry as a moderator and mediator of emotion. Biological Psychology, 67, 7–49.CrossRefPubMedGoogle Scholar
  28. Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences, 3.Google Scholar
  29. Cowdrey, F. A., & Park, R. J. (2012). The role of experiential avoidance, rumination and mindfulness in eating disorders. Eating Behaviors, 13(2), 100–105.CrossRefPubMedGoogle Scholar
  30. Davey, C. G., Yucel, M., & Allen, N. B. (2008). The emergence of depression in adolescence: development of the prefrontal cortex and the representation of reward. Neuroscience and Biobehavioural Reviews, 32(1), 1–19.CrossRefGoogle Scholar
  31. Devins, G. M., Orme, C. M., Costello, C. G., Binik, Y. M., Frizzell, B., Stam, H. J., et al. (1988). Measuring depressive symptoms in illness populations: psychometric properties of the Center for Epidemiologic Studies Depression (CES-D). Psychology and Health, 2, 139–156.CrossRefGoogle Scholar
  32. Eaton, W. W., Muntaner, C., Smith, C., Tien, A., & Ybarra, M. (2004). Center for Epidemiologic Studies Depression Scale: review and revision (CESD and CESD-R). In M. E. Maurish (Ed.), The use of psychological testing for treatment planning and outcomes assessment (3rd ed., pp. 363–377). NJ: Lawrence Erlbaum.Google Scholar
  33. Faries, D., Herrera, J., Rayamajhi, J., DeBrota, D., Demitrack, M., & Potter, W. Z. (2000). The responsiveness of the Hamilton Depression Rating Scale. Journal of Psychiatric Research, 34, 3–10.CrossRefPubMedGoogle Scholar
  34. Germer, C. K., Siegel, R. D., & Fulton, P. R. (2005). Mindfulness and psychotherapy. Guilford Publication.Google Scholar
  35. Gross, J. J. (1998a). Antecedent- and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74(1), 224–237.CrossRefPubMedGoogle Scholar
  36. Gross, J. J. (1998b). The emerging field of emotion regulation: an integrative review. Review of General Psychology, 2, 271–299.CrossRefGoogle Scholar
  37. Gross, J. J. (2001). Emotion regulation in adulthood: timing is everything. Current Directions in Psychological Science, 10, 214–219.CrossRefGoogle Scholar
  38. Gross, J. J. (2002). Emotion regulation: affective, cognitive, and social consequences. Psychophysiology, 39(3), 281–291.CrossRefPubMedGoogle Scholar
  39. Gross, J. J. (Ed.). (2007). The handbook of emotion regulation. New York: Guilford Press.Google Scholar
  40. Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362.CrossRefPubMedGoogle Scholar
  41. Gross, J. J., & Levenson, R. W. (1993). Emotional suppression: physiology, self-report, and expressive behaviour. Journal of Personality and Social Psychology, 64, 970–986.CrossRefPubMedGoogle Scholar
  42. Gross, J. J., & Levenson, R. W. (1997). Hiding feelings: the acute effects of inhibiting negative and positive emotion. Journal of Abnormal Psychology, 106(1), 95–103.CrossRefPubMedGoogle Scholar
  43. Gross, J. J., & Munoz, R. F. (1995). Emotion regulation and mental health. Clinical Psychology: Science and Practice, 2, 151–164.Google Scholar
  44. Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23, 56–62.CrossRefPubMedCentralPubMedGoogle Scholar
  45. Harris, C. R. (2001). Cardiovascular responses of embarrassment and effects of emotional suppression in a social setting. Journal of Personality and Social Psychology, 81(5), 886–897.CrossRefPubMedGoogle Scholar
  46. Hayes, S. C. (2003). Mindfulness: method and process. Clinical Psychology: Science and Practice, 10(2), 161–165.Google Scholar
  47. Hayes, S. C., & Wilson, K. G. (1994). Acceptance and commitment therapy: altering the verbal support for experiential avoidance. The Behavior Analyst, 17, 289–303.PubMedCentralPubMedGoogle Scholar
  48. Hayes, S. C., Follette, V. M., & Linehan, M. M. (Eds.). (2004). Mindfulness and acceptance: expanding the cognitive-behavioural tradition. New York: Guilford Press.Google Scholar
  49. Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research and Therapy, 44, 1–25.CrossRefPubMedGoogle Scholar
  50. Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. Journal of consulting and Clinical Psychology, 64(6), 1152.Google Scholar
  51. Hill, C. L. M., & Updegraff, J. A. (2012). Mindfulness and its relationship to emotional regulation. Emotion, 12(1), 81–90.CrossRefPubMedGoogle Scholar
  52. Hofmann, S. G., Heering, S., Sawyer, A. T., & Asnaani, A. (2009). How to handle anxiety: the effects of reappraisal, acceptance, and suppression strategies on anxious arousal. Behaviour Research and Therapy, 47(5), 389–394.CrossRefPubMedCentralPubMedGoogle Scholar
  53. John, O. P., & Gross, J. J. (2004). Healthy and unhealthy emotion regulation: personality processes, individual differences, and lifespan development. Journal of Personality, 72, 1301–1334.CrossRefPubMedGoogle Scholar
  54. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte.Google Scholar
  55. Keating, D. (2004). Cognitive and brain development. In R. M. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology (pp. 45–48). New York: Wiley.Google Scholar
  56. Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical psychology review, 31(6), 1041–1056.Google Scholar
  57. Kesek, A., Zelazo, P. D., & Lewis, M. D. (2008). The development of executive cognitive function and emotion regulation in adolescence. In N. Allen & L. Sheeber (Eds.), Adolescent emotional development and the emergence of depressive disorders. Cambridge: Cambridge University Press.Google Scholar
  58. Kessler, R. C., McGonagle, K. A., Swartz, M., Blazer, D. G., Nelson, C. B., & Talbott, J. A. (1995). Sex and depression in the national comorbidity survey I: Lifetime prevalence, chronicity and recurrence. Year Book of Psychiatry & Applied Mental Health, 193(7), 132.Google Scholar
  59. Kingston, T., Dooley, B., Bates, A., Lawlor, E., & Malone, K. (2007). Mindfulness-based cognitive therapy for residual depressive symptoms. Psychology and Psychotherapy, 80, 193–203.CrossRefPubMedGoogle Scholar
  60. Kuyken, W., Crane, R., & Dalgleish, T. (2012). Does mindfulness based cognitive therapy prevent relapse of depression?. BMJ: British Medical Journal, 345:e7194.Google Scholar
  61. Lappalainen, R., Lehtonen, T., Skarp, E., Taubert, E., Ojanen, M., & Hayes, S. C. (2007). The impact of CBT and ACT models using psychology trainee therapists: a preliminary controlled effectiveness trial. Behavior Modification, 31, 488–511.CrossRefPubMedGoogle Scholar
  62. Larson, R. W., & Asmussen, L. (1991). Anger, worry, and hurt in early adolescence: an enlarging world of negative emotions. In M. E. Colten & S. Gore (Eds.), Adolescent stress: causes and consequences (pp. 21–41). New York: Adline de Gruyter.Google Scholar
  63. Larson, R. W., & Sheeber, L. B. (2008). The daily emotional experience of adolescents: are adolescents more emotional, why, and how is that related to depression? In N. Allen & L. Sheeber (Eds.), Adolescent emotional development and the emergence of depressive disorders. Cambridge: Cambridge University Press.Google Scholar
  64. Lewinsohn, P. M., Joiner, T. E., & Rohde, P. (2001). Evaluation of cognitive diathesis-stress models in predicting major depressive disorder in adolescents. Journal of Abnormal Psychology, 110(2), 203–215.CrossRefPubMedGoogle Scholar
  65. Lykins, E. L. B., & Baer, R. A. (2009). Psychological functioning in a sample of long-term practitioners of mindfulness meditation. Journal of Cognitive Psychotherapy: An International Quarterly, 23(3), 226–241.CrossRefGoogle Scholar
  66. Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40.CrossRefPubMedGoogle Scholar
  67. Mauss, I. B., Cook, C. L., Cheng, J. Y., & Gross, J. J. (2007). Individual differences in cognitive reappraisal: experiential and physiological responses to an anger provocation. International Journal of Psychophysiology, 66(2), 116–124.CrossRefPubMedGoogle Scholar
  68. McMillan, J., & Jones, F. L. (2000). The ANU3_2 scale: a revised occupational status scale for Australia. Journal of Sociology, 36(1), 64–80.CrossRefGoogle Scholar
  69. Mennin, D. S., Heimberg, R. G., Turk, C. L., & Fresco, D. M. (2002). Applying an emotion regulation framework to integrative approaches to generalized anxiety disorder. Clinical Psychology: Science and Practice, 9, 85–90.Google Scholar
  70. Nelson, E. E., Liebenluft, E., McClure, E. B., & Pine, D. S. (2005a). The social re-orientation of adolescence: a neuroscience perspective on the process and its relation to psychopathology. Psychological Medicine, 35(2), 163–174.CrossRefPubMedGoogle Scholar
  71. Nelson, L. D., Stern, S. L., & Cicchetti, D. V. (2005b). The Dysfunctional Attitude Scale: how well can it measure depressive thinking? Journal of Psychopathology and Behavioral Assessment, 14(3), 217–223.CrossRefGoogle Scholar
  72. Nolen-Hoeksema, S. (1998). The other end of the continuum: The costs of rumination. Psychological Inquiry, 9(3), 216–219.Google Scholar
  73. Nolen-Hoeksema, S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology, 109, 504–511.CrossRefPubMedGoogle Scholar
  74. Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and post-traumatic stress symptoms after a natural disaster: the 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115–121.CrossRefPubMedGoogle Scholar
  75. Ochsner, K. N., & Gross, J. J. (2004). Thinking makes it so: a social cognitive neuroscience approach to emotion regulation. In R. F. Baumeister & K. D. Vohs (Eds.), Handbook of self-regulation: research, theory, and applications (pp. 229–255). New York: Guilford Press.Google Scholar
  76. Ochsner, K. N., & Gross, J. J. (2007). The neural architecture of emotion regulation. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 87–109). New York: Guilford Press.Google Scholar
  77. Phillips, K. F. V., & Power, M. J. (2007). A new self-report measure of emotion regulation in adolescents: The Regulation of Emotions Questionnaire. Clinical Psychology and Psychotherapy, 14, 145–156.CrossRefGoogle Scholar
  78. Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRefGoogle Scholar
  79. Ramel, W., Goldin, P. R., Carmona, P. E., & McQuaid, J. R. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28, 433–455.CrossRefGoogle Scholar
  80. Richards, J. M., & Gross, J. J. (2000). Emotion regulation and memory: the cognitive costs of keeping one’s cool. Journal of Personality and Social Psychology, 79(3), 410–424.CrossRefPubMedGoogle Scholar
  81. Rottenberg, J., & Gross, J. J. (2007). Emotion and emotion regulation: a map for psychotherapy researchers. Clinical Psychology: Science and Practice, 14, 323–328.Google Scholar
  82. Seeley, J. R., & Lewinsohn, P. M. (2008). Epidemiology of mood disorders during adolescence: implications for lifetime risk. In N. Allen & L. Sheeber (Eds.), Adolescent emotional development and the emergence of depressive disorders. Cambridge: Cambridge University Press.Google Scholar
  83. Segal, Z. V., Gemar, M. C., & Williams, S. (1999). Differential cognitive response to a mood challenge following successful cognitive therapy or pharmacotherapy for unipolar depression. Journal of Abnormal Psychology, 108, 3–10.CrossRefPubMedGoogle Scholar
  84. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press.Google Scholar
  85. Silk, J. S., Steinberg, L., & Morris, A. S. (2003). Adolescents’ emotion regulation in daily life: links to depressive symptoms and problem behaviour. Child development, 74(6), 1869–1880.CrossRefPubMedGoogle Scholar
  86. Skinner, T. C., Roberton, T., Allison, G. T., Dunlop, S., & Bucks, R. S. (2010). Experiential avoidance, mindfulness and depression in spinal cord injuries: a preliminary study. Australian Journal of Rehabilitation Counselling, 16(1), 27–35.CrossRefGoogle Scholar
  87. Spasojevic, J., & Alloy, L. B. (2001). Rumination as a common mechanism relating depressive risk factors to depression. Emotion, 1, 25–37.CrossRefPubMedGoogle Scholar
  88. Speca, M., Carlson, L. E., Goodey, E., & Angen, M. (2000). A randomised, waitlist controlled clinical trail: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 62, 613–622.CrossRefPubMedGoogle Scholar
  89. Strauman, J. (2002). Self-regulation and depression. Self and Identity, 1(2), 151–158.CrossRefGoogle Scholar
  90. Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615–623.CrossRefPubMedGoogle Scholar
  91. The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28, 551–558.CrossRefGoogle Scholar
  92. Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: a psychometric analysis. Cognitive Therapy and Research, 27(3), 247–259.CrossRefGoogle Scholar
  93. Watson, D., & Clark, L. A. (1991). The Mood and Anxiety Symptoms Questionnaire. University of Iowa, Department of Psychology. Iowa City.Google Scholar
  94. Watson, D., Clark, L., Weber, K., Assenheimer, J., Strauss, M., & McCormick, R. (1995). Testing a tripartite model: II. Exploring the symptom structure of anxiety and depression in student, adult, and patient samples. Journal of Abnormal Psychology, 104, 15–25.CrossRefPubMedGoogle Scholar
  95. Wegner, D. M. (1994). Ironic processes of mental control. Psychological Review, 101(1), 34.Google Scholar
  96. Weissman, A., & Beck, A. (1978). Development and validation of the Dysfunctional Attitudes Scale: a preliminary investigation. Paper presented at the annual meeting of the American Educational research Association. Toronto: Canada.Google Scholar
  97. Whelton, W. J. (2004). Emotional processes in psychotherapy: evidence across therapeutic modalities. Clinical Psychology and Psychotherapy, 11, 58–71.CrossRefGoogle Scholar
  98. Zettle, R. D., & Hayes, S. C. (1986). Dysfunctional control by client verbal behavior: the context of reason giving. The Analysis of Verbal Behavior, 4, 30–38.PubMedCentralPubMedGoogle Scholar
  99. Zettle, R. D., & Rains, J. C. (1989). Group cognitive and contextual therapies in treatment of depression. Journal of Clinical Psychology, 45, 438–445.CrossRefGoogle Scholar
  100. Zvolensky, M. J., Solomon, S. E., McLeish, A. C., Cassidy, D., Bernstein, A., & Bowman, C. J. (2006). Incremental validity of mindfulness-based attention in relation to concurrent prediction of anxiety and depressive symptomatology and perceptions of health. Cognitive and Behaviour Therapy, 35, 148–158.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Richard Chambers
    • 2
  • Eleonora Gullone
    • 2
  • Craig Hassed
    • 3
  • Wendy Knight
    • 4
  • Tracy Garvin
    • 4
  • Nicholas Allen
    • 1
  1. 1.Melbourne School of Psychological SciencesUniversity of MelbourneMelbourneAustralia
  2. 2.School of Psychology, Psychiatry, and Psychological MedicineMonash UniversityMelbourneAustralia
  3. 3.Department of General PracticeMonash UniversityMelbourneAustralia
  4. 4.Orygen Youth HealthParkvilleAustralia

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