Abstract
We aimed to evaluate the mindfulness trait, its relations to perceived stress, and whether they change as a result of outpatient psychiatric non-mindfulness treatment among 21 patients with psychiatric disorders. Perceived stress (Perceived Stress Scale, PSS) and mindfulness trait (Five Facet Mindfulness Questionnaire, FFMQ) questionnaires were administered to patients with psychiatric disorders on admission and following 6 weeks of treatment. The Clinical Global Impression Severity scale (CGI-S) was also assessed. Repeated measures were used to assess variables that related to changes in the PSS and FFMQ scores over time. On admission, the PSS score was inversely correlated with the FFMQ score, and it was higher among patients with current pain and a CGI-S score ≥ 5. The PSS score declined, and the “non-judge” domain of the five sub-scores of the FFMQ score increased after 6 weeks of treatment. An interaction between change in “non-judge” scores and the CGI-S score at baseline showed that scores improved among the severe (CGI-S ≥ 5) group only, achieving comparable scores after 6 weeks. Stress lowered following treatment but the mindfulness trait remained unchanged and probably needs specific intervention.
Similar content being viewed by others
Abbreviations
- PPS:
-
Perceived Stress Scale
- FFMQ:
-
Five Facet Mindfulness Questionnaire
- BPD:
-
Borderline Personality Disorders
- MMT:
-
Methadone Maintenance Treatment
- PTSD:
-
Posttraumatic Stress Disorder
- DSM:
-
Diagnostic and Statistical Manual
- CGI-S:
-
Clinical Global Impression - Severity scale
- MDD:
-
Major Depressive Disorder
- OCD:
-
Obsessive Compulsive Disorder.
References
Antonova, E., Amaratunga, K., Wright, B., Ettinger, U., & Kumari, V. (2016). Schizotypy and mindfulness: Magical thinking without suspiciousness characterizes mindfulness meditators. Schizophrenia Research: Cognition, 5, 1–6 Elsevier Inc.
Apóstolo, J. L. A., & Kolcaba, K. (2009). The effects of guided imagery on comfort, depression, anxiety, and stress of psychiatric inpatients with depressive disorders. Archives of Psychiatric Nursing, 23(6), 403–411 W.B. Saunders.
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(1), 27–45. https://doi.org/10.1177/1073191105283504.
Berk, M., Ng, F., Dodd, S., Callaly, T., Campbell, S., Bernardo, M., & Trauer, T. (2008). The validity of the CGI severity and improvement scales as measures of clinical effectiveness suitable for routine clinical use. Journal of Evaluation in Clinical Practice, 14(6), 979–983. John Wiley & Sons, Ltd. https://doi.org/10.1111/j.1365-2753.2007.00921.x.
Bernstein, A., Tanay, G., & Vujanovic, A. A. (2011). Concurrent relations between mindful attention and awareness and psychopathology among trauma-exposed adults: Preliminary evidence of transdiagnostic resilience. Journal of Cognitive Psychotherapy, 25(2), 99–113 Springer Publishing Company.
Brady, J. P. (1984). The American journal of psychiatry social skills training for psychiatric patients, II: Clinical Outcome Studies. Journal of Psychiatry, 141.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being.
Carmody, J., & Baer, R. A. (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.
Claman, A., Adelson, M., Sason, A., Barkay, G., & Peles, E. (2019). Low mindfulness trait associated with high perceived stress equally by methadone maintenance treatment patients and medical students. Heroin Addiction and Related Clinical Problems, 21(3), 37–45 Retrieved July 26, 2020, from https://www.heroinaddictionrelatedclinicalproblems.org/search-text.php.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385 Retrieved December 9, 2019, from http://www.jstor.org/stable/2136404?origin=crossref.
Didonna, F., Rossi, R., Ferrari, C., Iani, L., Pedrini, L., Rossi, N., Xodo, E., et al. (2019). Relations of mindfulness facets with psychological symptoms among individuals with a diagnosis of obsessive-compulsive disorder, major depressive disorder, or borderline personality disorder. Psychology and Psychotherapy: Theory, Research and Practice, 92(1), 112–130 Wiley-Blackwell.
Godfrin, K. A., & van Heeringen, C. (2010). The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes, mental health and quality of life: A randomized controlled study. Behaviour Research and Therapy, 48(8), 738–746.
Goldin, P. R., & Gross, J. J. (2010). Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 10(1), 83–91.
Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4(1), 33–47.
Michal, M., Beutel, M. E., Jordan, J., Zimmermann, M., Wolters, S., & Heidenreich, T. (2007). Depersonalization, mindfulness, and childhood trauma. The Journal of Nervous and Mental Disease, 195(8), 693–696 Retrieved December 9, 2019, from https://insights.ovid.com/crossref?an=00005053-200708000-00010.
Riboni, F. V., & Belzung, C. (2017). Stress and psychiatric disorders: From categorical to dimensional approaches. Current Opinion in Behavioral Sciences. Elsevier Ltd.
Salminen, J. K., Saarijärvi, S., Äärelä, E., Toikka, T., & Kauhanen, J. (1999). Prevalence of alexithymia and its association with sociodemographic variables in the general population of Finland. Journal of Psychosomatic Research, 46(1), 75–82 Elsevier Inc.
Wupperman, P., Neumann, C. S., & Axelrod, S. R. (2008). Do deficits in mindfulness underlie borderline personality features and core difficulties? Journal of Personality Disorders, 22(5), 466–482.
Funding
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Author information
Authors and Affiliations
Contributions
All authors contributed to the study conception and design. Preparation of material, and collection and analysis of data were performed by Fida Mugrabi, Lihi Rozner and Einat Peles. The first draft of the manuscript was written by Fida Mugrabi and all authors commented on subsequent versions of the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
All ethical standards for protecting human subjects have been followed in accordance with standards of the institution’s internal review board or committee for the protection of human subjects where the study was conducted and the Helsinki Declaration of 1975.
Conflict of Interest
The authors declare that they have no conflict of interest.
Additional information
The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Mugrabi, F., Rozner, L. & Peles, E. The mindfulness trait and high perceived stress changes during treatment in patients with psychiatric disorders. Curr Psychol 41, 5959–5966 (2022). https://doi.org/10.1007/s12144-020-01108-1
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12144-020-01108-1