Abstract
Undergraduate and graduate students show elevated levels of stress and could thus benefit from mindfulness interventions, but the best way to teach mindfulness has not been established. The present study compared a stress management program that used formal meditations and informal practice (Mindful Stress Management; MSM) to one that used brief mindfulness exercises and informal practice (Mindful Stress Management-Informal; MSM-I), and a wait-list control. MSM participants exhibited significant within-group changes on all measures, and when compared to the wait-list control, greater levels of mindfulness, decentering, and self-compassion, as well as lower stress. Students in MSM-I had significant within-group changes on a subset of measures, and greater mindfulness and self-compassion compared to the wait-list. MSM participants showed more improvement in self-compassion, psychological inflexibility, and stress than did those in MSM-I. Mediational analyses found increases in one facet of mindfulness and self-compassion, and decreases in worry mediated reductions in stress for MSM participants, while no mediator reached significance for MSM-I. Finally, no significant relation between amount of formal meditation and informal practice and reductions in psychological distress or increases in mindfulness was found. Results suggest that a program with formal meditations and informal practice may be a more promising intervention for university student stress than one with brief mindfulness exercises and informal practice.
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References
American College Health Association. (2004). American College Health Association-National College Health Assessment (ACHA-NCHA) spring 2004 reference group data report (abridged). Journal of American College Health, 54, 201–211.
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.
Bieling, P. J., Hawley, L. L., Bloch, R. T., Corcoran, K. M., Levitan, R. D., Young, L. T., & Segal, Z. V. (2012). Treatment-specific changes in decentering following mindfulness-based cognitive therapy versus antidepressant medication or placebo for prevention of depressive relapse. Journal of Consulting and Clinical Psychology, 80, 365–372.
Birnie, K., Speca, M., & Carlson, L. E. (2010). Exploring self-compassion and empathy in the context of mindfulness-based stress reduction (MBSR). Journal of the International Society for the Investigation of Stress, 26, 359–371.
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., & Devins, G. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241.
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, 676–688.
Britz, J., & Pappas, E. (2010). Sources and outlets of stress among university students: Correlations between stress and unhealthy habits. Undergraduate Research Journal for the Human Sciences, 9. Retrieved from http://www.kon.org/urc/v9/britz.html.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: the role of mindfulness in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.
Brown, T. A., Antony, M. M., & Barlow, D. H. (1992). Psychometric properties of the Penn State Worry Questionnaire in a clinical anxiety disorder sample. Behaviour Research and Therapy, 30, 33–37.
Carlson, L. E., Speca, M., Patel, K. D., & Goodey, E. (2003). Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosomatic Medicine, 65, 571–581.
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, 23–33.
Cavanagh, K., Strauss, C., Cicconi, F., Griffiths, N., Wyper, A., & Jones, F. (2013). A randomised controlled trial of a brief online mindfulness-based intervention. Behaviour Research and Therapy, 51, 573–576.
Chang, V. Y., Palesh, O., Caldwell, R., Glasgow, N., Abramson, M., Luskin, F., & Koopman, C. (2004). The effects of a mindfulness-based stress reduction program on stress, mindfulness self-efficacy, and positive states of mind. Stress and Health, 20, 141–147.
Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. The Journal of Alternative and Complementary Medicine, 15, 593–600.
Devilly, G. J., & Borkovec, T. D. (2000). Psychometric properties of the Credibility/Expectancy Questionnaire. Journal of Behavior Therapy and Experimental Psychiatry, 31, 73–86.
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75.
Fledderus, M., Bohlmeijer, E. T., Pieterse, M. E., & Schreurs, K. M. G. (2012). Acceptance and commitment therapy as guided self-help for psychological distress and positive mental health: a randomized controlled trial. Psychological Medicine, 42, 485–495.
Fordyce, M. (1988). A review of research on the happiness measures: a sixty second index of happiness and mental health. Social Indicators Research, 20, 355–381.
Forman, E. M., Herbert, J. D., Moitra, E., Yeomans, P. D., & Geller, P. A. (2007). A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior Modification, 31, 772–799.
Fresco, D. M., Moore, M. T., van Dulmen, M. H. M., 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, 234–246.
Gaudiano, B. A., Herbert, J. D., & Hayes, S. C. (2010). Is it the symptom or the relation to it? Investigating potential mediators of change in acceptance and commitment therapy for psychosis. Behavior Therapy, 41, 543–554.
Gershefski, J. J., Arnkoff, D. B., Glass, C. R., & Elkin, I. (1996). Clients’ perceptions of treatment for depression: I. helpful aspects. Psychotherapy Research, 6, 233–247.
Hawley, L. L., Schwartz, D., Bieling, P. J., Irving, J., Corcoran, K., Farb, N. A. S., & Segal, Z. V. (2014). Mindfulness practice, rumination, and clinical outcome in mindfulness-based treatment. Cognitive Therapy and Research, 38, 1–9.
Hayes, S. C., & Shenk, C. (2004). Operationalizing mindfulness without unnecessary attachments. Clinical Psychology: Science and Practice, 11, 249–254.
Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: an experiential approach to behavior change. New York: Guilford Press.
Henry, J. D., & Crawford, J. R. (2005). The short form version of the Depression Anxiety Stress Scales (DASS-21): construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44, 227–239.
Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169–183.
Hong, P. Y. (2004). Dialectic behavior therapy for borderline personality disorder: a component analysis of DBT skills training group (Doctoral dissertation, University of Kansas). Dissertation Abstracts International, 64, 4039.
Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., & Schwartz, G. E. R. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33, 11–21.
Jha, A. P., Stanley, E. A., Kiyonaga, A., Wong, L., & Gelfand, L. (2010). Examining the protective effects of mindfulness training on working memory capacity and affective experience. Emotion, 10, 54–64.
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.
Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Dell.
Kaufman, K. A., Glass, C. R., & Arnkoff, D. B. (2009). Evaluation of mindful sport performance enhancement (MSPE): a new approach to promote flow in athletes. Journal of Clinical Sport Psychology, 3, 334–356.
Klatt, M. D., Buckworth, J., & Malarkey, W. B. (2009). Effects of low-dose mindfulness-based stress reduction (MBSR-ld) on working adults. Health Education and Behavior, 36, 601–614.
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, 1105–1112.
Levy, J. A., Glass, C. R., Arnkoff, D. B., Gershefski, J. J., & Elkin, I. (1996). Clients’ perceptions of treatment for depression: II. problematic or hindering aspects. Psychotherapy Research, 6, 249–262.
Linehan, M. M. (1993). Skills training manual for treating borderline personality disorder. New York: Guilford Press.
Luminet, O. (2004). Measurement of depressive rumination and associated constructs. In C. Papageorgiou & A. Wells (Eds.), Depressive rumination. Nature, theory, and treatment (pp. 187–215). Chichester: Wiley.
MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004). Confidence limits for the indirect effect: distribution of the product and resampling methods. Multivariate Behavioral Research, 39, 99–128.
Mazzucchelli, T. G., Rees, C. S., & Kane, R. T. (2009). Group behavioural activation and mindfulness therapy for the well-being of non-clinical adults: a preliminary open trial. The Cognitive Behaviour Therapist, 2, 256–271.
Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487–495.
Miller, J. J., Fletcher, K., & Kabat-Zinn, J. (1995). Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry, 17, 192–200.
Morton, J., Snowdon, S., Gopold, M., & Guymer, E. (2012). Acceptance and commitment therapy group treatment for symptoms of borderline personality disorder: a public sector pilot study. Cognitive and Behavioral Practice, 19, 527–544.
Neff, K. D. (2003). Development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250.
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115–121.
Nyklíček, I., & Kuijpers, K. F. (2008). Effects of mindfulness-based stress reduction intervention on psychological well-being and quality of life: is increased mindfulness indeed the mechanism? Annals of Behavioral Medicine, 35, 331–340.
Pavot, W., Diener, E., Colvin, C. R., & Sandvik, E. (1991). Further validation of the Satisfaction with Life Scale: evidence for the cross-method convergence of well-being measures. Journal of Personality Assessment, 57, 149–161.
Perich, T., Manicavasagar, V., Mitchell, P. B., & Ball, J. R. (2013). The association between meditation practice and treatment outcome in mindfulness-based cognitive therapy for bipolar disorder. Behaviour Research and Therapy, 51, 338–343.
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediational models. Behavior Research Methods, Instruments, & Computers, 36, 717–731.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.
Roemer, L., & Orsillo, S. M. (2007). An open trial of an acceptance-based behavior therapy for generalized anxiety disorder. Behavior Therapy, 38, 72–85.
Ross, S. E., Niebling, B. C., & Heckert, T. M. (1999). Sources of stress among college students. College Student Journal, 33, 312–317.
Schneiderman, N., Ironson, G., & Siegel, S. D. (2005). Stress and health: psychological, behavioral, and biological determinants. Annual Review of Clinical Psychology, 1, 607–628.
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.
Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21, 581–599.
Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: results from a randomized trial. International Journal of Stress Management, 12, 164–176.
Shapiro, S. L., Oman, D., Thoresen, C. E., Plante, T. G., & Flinders, T. (2008). Cultivating mindfulness: effects on well-being. Journal of Clinical Psychology, 64, 840–862.
Shapiro, S. L., Brown, K. W., Thoresen, C. E., & Plante, T. G. (2011). The moderation of mindfulness-based stress reduction effects by trait mindfulness: results from a randomized controlled trial. Journal of Clinical Psychology, 67, 267–277.
Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychological Methods, 7, 422–445.
Stafford-Brown, J., & Pakenham, K. I. (2012). The effectiveness of an ACT informed intervention for managing stress and improving therapist qualities in clinical psychology trainees. Journal of Clinical Psychology, 68, 592–613.
Thorsell, J., Finnes, A., Dahl, J., Lundgren, T., Gybrant, M., Gordh, T., & Buhrman, M. (2011). A comparative study of 2 manual-based self-help interventions, acceptance and commitment therapy and applied relaxation, for persons with chronic pain. The Clinical Journal of Pain, 27, 716–723.
Toews, J. A., Lockyer, J. M., Dobson, D. J., & Brownell, A. K. (1993). Stress among residents, medical students, and graduate science students. Academic Medicine, 68, S46–S48.
van Aalderen, J. R., Donders, A. R. T., Giommi, F., Spinhoven, P., Barendregt, H. P., & Speckens, A. E. M. (2012). The efficacy of mindfulness-based cognitive therapy in recurrent depression patients with and without a current depressive episode: a randomized controlled trial. Psychological Medicine, 42, 989–1001.
Vettese, L. C., Toneatto, T., Stea, J. N., Nguyen, L., & Wang, J. J. (2009). Do mindfulness meditation participants do their homework? And does it make a difference? A review of empirical evidence. Journal of Cognitive Psychotherapy: An International Quarterly, 23, 198–225.
Vøllestad, J., Sivertsen, B., & Nielsen, G. H. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: evaluation in a randomized controlled trial. Behaviour Research and Therapy, 49, 281–288.
Wells, A. (2009). Metacognitive therapy for anxiety and depression. New York: Guilford Press.
Williams, J. M. G. (2008). Mindfulness, depression, and modes of mind. Cognitive Therapy and Research, 32, 721–733.
Acknowledgments
The authors thank Scott Woodruff for consultation on statistical analyses, Elizabeth Hirschhorn and Megan Wheeler for help with recruiting participants, and Douglas Boyd, Andrea Kulish, Rachel Severino, and Jessica Smith for assistance with data entry.
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Hindman, R.K., Glass, C.R., Arnkoff, D.B. et al. A Comparison of Formal and Informal Mindfulness Programs for Stress Reduction in University Students. Mindfulness 6, 873–884 (2015). https://doi.org/10.1007/s12671-014-0331-1
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DOI: https://doi.org/10.1007/s12671-014-0331-1