, Volume 8, Issue 2, pp 454–459 | Cite as

Mindfulness as a Mediator Between the Relational Style with Voices and Negative Affect

  • Salvador Perona-GarcelánEmail author
  • Juan F. Rodríguez-Testal
  • Cristina Senín-Calderón
  • Miguel Ruiz-Veguilla
  • Mark Hayward


Recent studies have established associations between relating to voices and distress. However, the potential influence of mindfulness on this relationship has received little attention. This study was designed to explore the extent to which associations between relating to voices and distress are mediated by mindfulness. A cross-sectional study was conducted to explore the associations between these variables. A sample of 62 patients with psychotic disorder were given the Voices and You Scale (VAY) to measure the relational style with the voices, the Mindfulness and Awareness Scale (MAAS) to measure the capability of mindfulness, and the Beck Anxiety Inventory (BAI) and Beck Depression Inventory-II (BDI-II) to measure anxiety and depression, respectively. The results showed a negative association between a dysfunctional style of relating to the voices and mindfulness. It was also found from simple mediation analysis that the mindfulness variable negatively mediated the dysfunctional relational style with voices and distress. Mindfulness is a variable that can mediate the effect of relating style upon voices and distress and should be a target of therapeutic intervention.


Relational style with voices Mindfulness Auditory hallucinations Negative affect Psychosis 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Salvador Perona-Garcelán
    • 1
    • 2
    Email author
  • Juan F. Rodríguez-Testal
    • 2
  • Cristina Senín-Calderón
    • 3
  • Miguel Ruiz-Veguilla
    • 1
  • Mark Hayward
    • 4
  1. 1.Virgen del Rocío Outpatient Mental Hospital, Andalusian Health-Care ServiceUniversity Hospital Virgen del RocíoSevilleSpain
  2. 2.Personality, Evaluation and Psychological Treatment DepartmentUniversity of SevilleSevilleSpain
  3. 3.Department of PsychologyUniversity of CadizCadizSpain
  4. 4.Department of PsychologyUniversity of SussexBrightonUK

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