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Letting Go: Mindfulness and Negative Automatic Thinking

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Cognitive theorists describe mindfulness as a form of attention-awareness in which thoughts can be observed in non-judging, de-centered, and non-attached ways. However, empirical research has not examined associations between mindfulness and responses to negative automatic thoughts, such as the ability to let go of negative cognition. In the first study reported in this article, measures of dispositional mindfulness were negatively correlated with negative thought frequency and perceptions of the ability to let go of negative thoughts in an unselected student sample. In the second study reported, these associations were replicated in a treatment-seeking student sample, where participation in a mindfulness meditation-based clinical intervention was shown to be associated with decreases in both frequency and perceptions of difficulty in letting-go of negative automatic thoughts. Theoretical and clinical implications are discussed.

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  1. Standardized instructions available by request from the corresponding author.

  2. It should be noted that the validity of Meditation Breath Attention Scores rests considerably on participants’ candid reporting of the extent to which they were attending to their breath during the meditation session. Specifically, there is no obvious means of confirming the veracity of participants’ reports. This said, however, in this study there was no evidence of demand characteristics biasing the report of high Meditation Breath Attention Scores since participants were not aware of the average level of performance expected for this task, were not aware of the level of other participants’ performance, and their scores did not demonstrate a ceiling effect but rather appeared to be normally distributed around a mean of 2.36 out of five.

  3. Session outlines available by request from the corresponding author.

  4. Common overlapping thought themes that participants volunteered in this study, as illustrated by actual examples given by participants, included: performance-evaluation (e.g., “I can’t do anything right”), pessimism (e.g., “Nothing will ever work out”), self-criticism (e.g., “People think I’m boring”), loneliness and/or negative social appraisals (e.g., “No one likes me”), family-related (e.g., “I’m going to disappoint/fail my parents”), and physical appearance (e.g., “I’m unattractive”).

  5. It may have been advantageous to include the MBAS as a measure of treatment outcome, although in the absence of data bearing on the temporal reliability of this task it was difficult to justify for the present treatment outcome study, particularly in the absence of a control group. Demand characteristics to report improved mindful attention on this measure may also be high if MMCI instructors administer this outcome measure themselves, and future researchers are advised to have external research personnel administer this task if it is to be used as a treatment outcome measure.


  • Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the depression anxiety stress scales in clinical groups and a community sample. Psychological Assessment, 10, 176–181.

    Article  Google Scholar 

  • Astin, J. A. (1997). Stress reduction through mindfulness meditation: Effects on psychological symptomatology, sense of control, and spiritual experiences. Psychotherapy & Psychosomatics, 66, 97–106.

    Article  CAS  Google Scholar 

  • Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.

    Article  Google Scholar 

  • Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report: The Kentucky inventory of mindfulness skills. Assessment, 11, 191–206.

    Article  PubMed  Google Scholar 

  • Bishop, S. R. (2002). What do we really know about mindfulness-based stress reduction? Psychosomatic Medicine, 64, 71–84.

    PubMed  Google Scholar 

  • Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science & Practice, 11, 230–241.

    Article  Google Scholar 

  • Breslin, F. C., Zack, M., & McMain, S. (2002). An information-processing analysis of mindfulness: Implications for relapse prevention in the treatment of substance abuse. Clinical Psychology: Science & Practice, 9, 275–299.

    Article  Google Scholar 

  • Broderick, P. C. (2005). Mindfulness and coping with dysphoric mood: Contrasts with rumination and distraction. Cognitive Therapy & Research, 29, 501–510.

    Article  Google Scholar 

  • Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality & Social Psychology, 84, 822–848.

    Article  Google Scholar 

  • Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997). Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behaviour Research & Therapy, 35, 79–89.

    Article  CAS  Google Scholar 

  • Clara, I. P., Cox, B. J., & Enns, M. W. (2001). Confirmatory factor analysis of the depression-anxiety-stress scales in depressed and anxious patients. Journal of Psychopathology & Behavioral Assessment, 23, 61–67.

    Article  Google Scholar 

  • Craske, M. G., & Hazlett-Stevens, H. (2002). Facilitating symptom reduction and behavior change in GAD: The issue of control. Clinical Psychology: Science & Practice, 9, 69–75.

    Article  Google Scholar 

  • Dimidjian, S., & Linehan, M. M. (2003). Defining an agenda for future research on the clinical application of mindfulness practice. Clinical Psychology: Science & Practice, 10, 166–171.

    Article  Google Scholar 

  • Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57, 35–43.

    Article  PubMed  Google Scholar 

  • Hayes, S. C., & Wilson, K. G. (2003). Mindfulness: Method and process. Clinical Psychology: Science & Practice, 10, 161–165.

    Article  Google Scholar 

  • Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an automatic thoughts questionnaire. Cognitive Therapy and Research, 4, 383–395.

    Article  Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrope living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell.

    Google Scholar 

  • Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science & Practice, 10, 144–156.

    Article  Google Scholar 

  • Kabat-Zinn, J. (2005). Coming to our senses: Healing ourselves and the world through mindfulness. New York, NY: Hyperion.

    Google Scholar 

  • Kabat-Zinn, J., Massion, A. O., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., Lenderking, W. R., & Santorelli, S. F. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry, 149, 936–943.

    PubMed  CAS  Google Scholar 

  • Lovibond, S. H., & Lovibond, P. F. (1995a). Manual for the depression anxiety stress scales (2nd ed.). Sydney Australia: The Psychology Foundation of Australia.

    Google Scholar 

  • Lovibond, P. F., & Lovibond, S. H. (1995b). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335–343.

    Article  PubMed  CAS  Google Scholar 

  • Mathews, A., & MacLeod, C. (2005). Cognitive vulnerability to emotional disorders. Annual Review of Clinical Psychology, 1, 167–195.

    Article  PubMed  Google Scholar 

  • 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 & Research, 28, 433–455.

    Article  Google Scholar 

  • Roemer, L., & Orsillo, S. M. (2003). Mindfulness: A promising intervention strategy in need of further study. Clinical Psychology: Science & Practice, 10, 172–178.

    Article  Google Scholar 

  • Segal, Z. V., Williams, M., & Teasdale, J. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.

    Google Scholar 

  • Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M., Williams, S., & Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Consulting & Clinical Psychology, 70, 275–287.

    Article  Google Scholar 

  • Teasdale, J. D., Segal, Z. V., & Williams, J. M. G. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behaviour Research & Therapy, 1, 25–39.

    Article  Google Scholar 

  • Teasdale, J. D., Segal, Z. V., & Williams, J. M. G. (2003). Mindfulness training and problem formulation. Clinical Psychology: Science & Practice, 10, 157–160.

    Article  Google Scholar 

  • Wallace, A. G., & Shapiro, S. L. (2006). Mental balance and well-being: Building bridges between Buddhism and western psychology. American Psychologist, 61, 690–701.

    Article  PubMed  Google Scholar 

  • Wells, A. (2002). GAD, metacognition, and mindfulness: An information processing analysis. Clinical Psychology: Science & Practice, 9, 95–100.

    Article  Google Scholar 

  • Woody, S. R., Taylor, S., McLean, P. D., & Koch, W. J. (1998). Cognitive specificity in panic and depression: Implications for comorbidity. Cognitive Therapy & Research, 22, 427–443.

    Article  Google Scholar 

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Correspondence to David J. A. Dozois.

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Frewen, P.A., Evans, E.M., Maraj, N. et al. Letting Go: Mindfulness and Negative Automatic Thinking. Cogn Ther Res 32, 758–774 (2008).

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