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Changes in Ruminative Thinking Mediate the Clinical Benefits of Mindfulness: Preliminary Findings

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Abstract

We investigated whether the clinical benefits of mindfulness training are mediated by a reduction in maladaptive rumination and an increase in adaptive rumination. Participants in eight-session mindfulness training were assessed before and after treatment, while waiting-list controls were assessed at similar times. For the mindfulness training, a treatment manual was derived from the mindfulness-based cognitive therapy procedure and adapted to account for the consequences of stress, anxiety, and depression rather than just depression. Replicating previous findings, results indicate that mindfulness training, as compared to the waiting-list condition, reduces general psychopathology. It was also found that mindfulness training reduces maladaptive rumination and increases adaptive rumination. Mediational analyses further suggest that clinical benefits of mindfulness required changes in ruminative mode of processing. Results are discussed in terms of Teasdale et al.’s assumption that mindfulness training is effective because it reduces maladaptive rumination.

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References

  • Aldao, A., & Nolem-Hoeksema, S. (2010). Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behaviour Research and Therapy (in press).

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

    Google Scholar 

  • Barnard, P., Watkins, E., Mackintosh, B. & Nimmo-Smith, I. (2007). Getting stuck in a mental rut: Some process and experiential attributes. Paper presented at the 35th congress of the British Association for Behavioural and Cognitive Psychotherapies, Brighton, England.

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Article  PubMed  Google Scholar 

  • Bishop, R. S., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 10, 125–143.

    Google Scholar 

  • Blunch, N. (2008). Introduction to structural equation modeling using SPSS and AMOS. London: Sage Publications Ltd.

    Google Scholar 

  • Derogatis, L. R. (1977). SCL-90-R. Administration, scoring and procedures. Manual for the revised version and other instruments of the psychopathology rating series. Baltimore: School of Medicine, John Hopkins University.

    Google Scholar 

  • Dudley, R. Kuyken, W., & Padesky, C. A. (2010). Disorder specific and transdiagnostic case conceptualization. Clinical Psychology Review (in press).

  • Gibbs, B. R., & Rude, S. S. (2004). Overgeneral autobiographical memory as depression vulnerability. Cognitive Therapy and Research, 28, 511–526.

    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 

  • Heeren, A., Van Broeck, N., & Philippot, P. (2009). The effects of mindfulness on executive processes and autobiographical memory specificity. Behaviour Research and Therapy, 47, 403–409.

    Article  PubMed  Google Scholar 

  • 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, 33–47.

    Article  PubMed  Google Scholar 

  • Kingston, T., Dooley, B., Bates, A., Lawlor, E., & Malone, K. (2007). Mindfulness-based cognitive therapy for residual depressive symptoms. Psychology and Psychotherapy-Theory, Research and Practice, 80, 193–203.

    Article  Google Scholar 

  • MacDonald, R. P., & Ho, M. R. (2002). Principles and practice in reporting structural equation analyses. Psychological Methods, 7, 64–82.

    Article  Google Scholar 

  • MacLeod, C., Koster, E. H. W., & Fox, E. (2009). Whither cognitive bias modification research? Commentary on the special section articles. Journal of Abnormal Psychology, 118, 89–99.

    Article  PubMed  Google Scholar 

  • Mansell, W., Harvey, A., Watkins, E., & Shafran, R. (2009). Conceptual foundations of the transdiagnostic approach to CBT. Journal of Cognitive Psychotherapy: An International Quarterly, 23, 6–19.

    Article  Google Scholar 

  • Neumann, A., & Philippot, P. (2007). Specifying what makes a personal memory unique enhances emotion regulation. Emotion, 7, 566–578.

    Article  PubMed  Google Scholar 

  • Philippot, P., Baeyens, C., & Douilliez, C. (2006). Specifying emotional information: modulation of emotional intensity via executive processes. Emotion, 6, 560–571.

    Article  PubMed  Google Scholar 

  • Philippot, P., Neumann, A., & Vrielynck, N. (2007). Emotion information processing and affect regulation: Specificity matters! In M. Vandekerkhove et al. (Eds.), Regulating emotions: Social necessity and biological inheritance (pp. 189–209). London/New York: Blackwell Publisher.

    Google Scholar 

  • Philippot, P., Watkins, E., Barnard, P., Raes, F., & Hermans, D. (2009). A short French version of the Cambridge Exeter Ruminative Thinking Scale. Manuscript in preparation.

  • Ramel, W., Goldin, P. R., Carmona, P. E., & McQuaid, J. R. (2004). The effects of mindfulness mediation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28, 433–455.

    Article  Google Scholar 

  • Schaefer, A., Collette, F., Philippot, P., Van der Linden, M., Laureys, S., Delfiore, G., et al. (2003). Neural correlates of hot and cold emotions: A multilevel approach to the functional anatomy of emotion. Neuroimage, 18, 938–949.

    Article  PubMed  Google Scholar 

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

    Google Scholar 

  • Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 139, 267–274.

    Google Scholar 

  • Sobel, M. E. (1982). Asymptotic intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology (pp. 290–312). San Francisco: Jossey-Bass.

    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 and Therapy, 33, 25–39.

    Article  PubMed  Google Scholar 

  • van Minnen, A., Wessel, I., Verhaak, C., & Smeenk, J. (2005). The relationship between autobiographical memory specificity and depressed mood following a stressful life event: A prospective study. The British Journal of Clinical Psychology, 44, 405–415.

    Article  PubMed  Google Scholar 

  • Watkins, E. R. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134, 163–206.

    Article  PubMed  Google Scholar 

  • Watkins, E., Moberly, N. J., & Moulds, M. L. (2008). Processing mode causally influences emotional reactivity: distinct effect of abstract versus conrete construal on emotional response. Emotion, 8, 364–378.

    Article  PubMed  Google Scholar 

  • Watkins, E. R., Baeyens, B. C., & Read, R. (2009). Concreteness training reduces dysphoria: proof-of-principle for repeated cognitive bias modification in depression. Journal of Abnormal Psychology, 118, 55–64.

    Article  PubMed  Google Scholar 

  • Williams, J. M. G., Teasdale, J. D., Segal, Z. V., & Soulsby, J. (2000). Mindfulness-based cognitive therapy reduces overgeneral autobiographical memory in formerly depressed patients. Journal of Abnormal Psychology, 109, 150–155.

    Article  PubMed  Google Scholar 

  • Williams, K. A., Kolar, M. M., Reger, B. E., & Pearson, J. C. (2001). Evaluation of a wellness-based mindfulness stress reduction intervention: A controlled trial. American Journal of Health Promotion, 15, 422–432.

    PubMed  Google Scholar 

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Acknowledgements

This work was supported by a grant from the Belgian National Fund for Scientific Research, awarded to first author (1.1.315.09.F) and by a Joined Research Grant (ARC 06/11-337) from the Belgian French Community, awarded to second author. Data collection has been made possible by the UCL Psychology Department Consulting Center (CPS). The authors also appreciated the helpful comments of Nathalie Vrielynck, Betty Chang, and Ronald Rapee on earlier drafts of this paper.

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Correspondence to Alexandre Heeren.

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Heeren, A., Philippot, P. Changes in Ruminative Thinking Mediate the Clinical Benefits of Mindfulness: Preliminary Findings. Mindfulness 2, 8–13 (2011). https://doi.org/10.1007/s12671-010-0037-y

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  • DOI: https://doi.org/10.1007/s12671-010-0037-y

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