Perhaps no condition better illustrates the intimate relationship between brain and behavior – mind and body – as the inner experience of fear. In this chapter, we present an integrative scientific view of anxiety and clinical anxiety disorders, with an emphasis on awareness and acceptance as a foundation for mind/body health. Whereas anxiety-related psychopathology is characterized by a desire to avoid the inner experience of fear, we postulate that practicing mindfulness can promote a wise and accepting relationship with one's internal cognitive, emotional, and physical experience, even during times of intense fear or worry.
Keywords
- Anxiety Disorder
- Mindfulness Training
- Mindfulness Meditation
- Mindfulness Practice
- Physiological Arousal
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
… the term mental disorder unfortunately implies a distinction between “mental” disorders and “physical” disorders that is a reductionistic anachronism of mind/body dualism. A compelling literature documents that there is much “physical” in mental disorders and much “mental” in physical disorders.
– American Psychiatric Association (DSM-IV-TR, 2000)
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Ader, R. (Ed.). (2007). Psychoneuroimmunology (4th ed.), Vol. 1. San Diego, CA: Academic Press.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (DSM-IV, 4th ed., text revision). Washington, DC: American Psychiatric Association.
American Psychiatric Association. (2005). Let's talk facts about anxiety disorders. Available at http://www.HealthyMinds.org
Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143.
Baer, R. A., Fischer, S., & Huss, D. B. (2006b). Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 23, 281–300.
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006a). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45.
Barlow, D. H. (Ed.). (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York: Guilford.
Begley, S. (2007). Train your mind, change your brain: How a new science reveals our extraordinary potential to transform ourselves. New York: Ballantine.
Benson, H., & Klipper, M. Z. (1975). The relaxation response. New York: HarperCollins.
Bishop, S. D. (2002). What do we really know about mindfulness-based stress reduction? Psychosomatic Medicine, 64, 71–83.
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241.
Borkovec, T. D. (2002). Life in the future versus life in the present. Clinical Psychology: Science and Practice, 9, 76–80.
Borkovec, T. D., Ray, W. J., & Stöber, J. (1998). Worry: A cognitive phenomenon intimately lined to affective, physiological, and interpersonal behavioral processes. Cognitive Therapy and Research, 22, 561–576.
Brantley, J. (2003). Calming your anxious mind: How mindfulness and compassion can free you from anxiety, fear, and panic. Oakland, CA: New Harbinger.
Brantley, J. (2005). Mindfulness-based stress reduction. In S. M. Orsillo, & L. Roemer (Eds.), Acceptance and mindfulness-based approaches to anxiety (pp. 131–145). New York: Springer.
Brosschot, J. F., Gerin, W., & Thayer, J. F. (2006). The perseverative cognition hypothesis: A review of worry, prolonged stress-related physiological activation, and health. Journal of Psychosomatic Research, 60, 113–124.
Brosschot, J. F., Pieper, S., & Thayer, J. F. (2005). Expanding stress theory: Prolonged activation and perseverative cognition. Psychoneuroendocrinology, 30, 1043–1049.
Cahn, B. R., & Polich, J. (2006). Meditation states and traits: EEG, ERP, and neuroimaging studies. Psychological Bulletin, 132, 180–211.
Craske, M. G., & Hazlett-Stevens, H. (2002). Facilitating symptom reduction and behavior chance in GAD: The issue of control. Clinical Psychology: Science and Practice, 9, 69–75.
Creswell, J. D., Way, B. M., Eisenberger, N. I., & Lieberman, M. D. (2007). Neural correlates of dispositional mindfulness during affect labeling. Psychosomatic Medicine, 69, 560–565.
Dahl, J., Wilson, K. G., Luciano, C., & Hayes, S. C. (2005). Acceptance and commitment therapy for chronic pain. Reno, NV: Context Press.
Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S. F., et al. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine, 65, 564–570.
Ditto, B., Eclache, M., & Goldman, N. (2006). Short-term autonomic and cardiovascular effects of mindfulness body scan meditation. Annals of Behavioral Medicine, 32, 227–234.
Eifert, G. H., & Forsyth, J. P. (2005). Acceptance and commitment therapy for anxiety disorders. Oakland, CA: New Harbinger.
Feldman, G. (2007). Cognitive and behavioral therapies for depression: Overview, new directions, and practical recommendations for dissemination. Psychiatric Clinics of North America, 30, 39–50.
Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J.-P. (2007). Mindfulness and emotion regulation: The development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29, 177–190.
Feldman, G. C., Hayes, A. M., & Greeson, J. M. (2006, November). Reductions in stagnant deliberation during mindfulness training: A pilot study [Abstract]. Proceedings of the 40th Annual Convention of the Association for Cognitive and Behavioral Therapies, Chicago, IL.
Finucane, A., & Mercer, S. W. (2006). An exploratory mixed methods study of the acceptability and effectiveness of mindfulness-based cognitive therapy for patients with active depression and anxiety in primary care. BMC Psychiatry, 6, 14.
Garland, E.L. (2007). The meaning of mindfulness: A second-order cybernetics of stress, metacognition, and coping. Complementary Health Practice Review, 12, 15–30.
Germer, C. K. (2005). Anxiety disorders: Befriending Fear. In C. K. Germer, R. D. Siegel, & P. R. Fulton (Eds.), Mindfulness and psychotherapy (pp. 152–172). New York: Guilford.
Goldstein, J. (1976). The experience of insight: A natural unfolding. Santa Cruz, CA: Unity Press.
Goleman, D. (1980). A map for inner space. In R. N. Walsh & F. Vaughan (Eds.), Beyond ego (pp. 141–150). Los Angeles: J.P. Tarcher.
Greeson, J. M., Rosenzweig, S., Vogel, W. H., & Brainard, G. C. (2001). Mindfulness meditation and stress physiology in medical students [Abstract]. Psychosomatic Medicine, 63, 158.
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57, 35–43.
Hahn, T. N. (1976). The miracle of mindfulness: An introduction to the practice of meditation. Boston: Beacon.
Hayes, S. C. (2005). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35, 639–665.
Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I. et al. (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., Krompinger, J., & Baime, M. J. (2007). Mindfulness training modifies subsystems of attention. Cognitive, Affective, & Behavioral Neuroscience, 7, 109–119.
Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Delacorte.
Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion.
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156.
Kabat-Zinn, J. (2005). Coming to our senses: Healing ourselves and the world through mindfulness. New York: Hyperion.
Kristeller, J. L., Baer, R. A., & Quillian-Wolever, R. (2006). Mindfulness-based approaches to eating disorders. In R. A. Baer (Ed.), Mindfulness-based treatment approaches (pp. 75–91). San Diego, CA: Academic Press.
Lau, M. A., & McMain, S. F. (2005). Integrating mindfulness meditation with cognitive and behavioural therapies: The challenge of combining acceptance- and change-based strategies. Canadian Journal of Psychiatry, 50, 863–869.
Lazar, S. W. (2005). Mindfulness research. In C. K. Germer, R. D. Siegel, & P. R. Fulton (Eds.), Mindfulness and psychotherapy (pp. 220–238). New York: Guilford.
Lepine, J. P. (2002). The epidemiology of anxiety disorders: Prevalence and societal costs. Journal of Clinical Psychiatry, 63 suppl 14, 4–8.
Linehan, M. M. (1993). Cognitive behavioral therapy for borderline personality disorder. New York: Guilford.
Lynn, S. J., Das, L. S., Hallquist, M. N., & Williams, J. C. (2006). Mindfulness, acceptance, and hypnosis: Cognitive and clinical perspectives. International Journal of Clinical Hypnosis, 54, 143–166.
McEwen, B. S. (1998). Protective and damaging effects of stress mediators. New England Journal of Medicine, 338, 171–179.
Narrow, W. E., Rae, D. S., Robins, L. N., & Regier, D. A. (2002). Revised prevalence based estimates of mental disorders in the United States: Using a clinical significance criterion to reconcile 2 surveys’ estimates. Archives of General Psychiatry, 59, 115–123.
Orsillo, S. M., & Roemer, L. A. (Eds.). (2005). Acceptance and mindfulness-based approaches to anxiety: Conceptualization and treatment. New York: Springer.
Orsillo, S. M., Roemer, L., & Holowka, D. W. (2005). Acceptance-based behavioral therapies for anxiety. In: S.M. Orsillo & L. Roemer (Eds.), Acceptance and mindfulness-based approaches to anxiety (pp. 3–35). New York: Springer.
Otto, M. W., Smits, J. A. J., & Reese, H. E. (2005). Combined psychotherapy and pharmacotherapy for mood and anxiety disorders in adults: Review and analysis. Clinical Psychology: Science and Practice, 12, 72–86.
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 and Research, 28, 433–455.
Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9, 54–68.
Roemer, L., Salters-Pedneault, K., & Orsillo, S. M. (2006). Incorporating mindfulness- and acceptance-based strategies in the treatment of generalized anxiety disorder. In R. A. Baer (Ed.), Mindfulness-based treatment approaches (pp. 51–74). San Diego, CA: Academic Press.
Salzberg, S., & Goldstein, J. (2001). Insight meditation. Boulder, CO: Sounds True.
Schneiderman, N., & McCabe, P. M. (1989). Psychophysiologic strategies in laboratory research. In N. Schneiderman, S. M. Weiss, & P. G. Kaufmann (Eds.), Handbook of research methods in cardiovascular behavioral medicine. New York, Plenum.
Segal, Z. V., Williams, J. M., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing depressive relapse. New York: Guilford.
Selye, H. (1976). The stress of life (2nd ed.). New York: McGraw-Hill.
Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373–386.
Shapiro, S. L., Schwartz, G. E. R., & Santerre, C. (2002). Meditation and positive psychology. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of Positive Psychology (pp. 632–645), New York: Oxford University Press.
Shapiro, S. L., & Schwartz, G. E. R. (2000). Intentional systemic mindfulness: An integrative model for self-regulation and health. Advanced in Mind/body Medicine, 16, 128–134.
Sheehan, D. W., & Harnett Sheehan, K. (2007). Current approaches to the pharmacologic treatment of anxiety disorders. Psychopharmacology Bulletin, 40, 98–109.
Shigaki, C. L., Glass, B., & Schopp, L. H. (2006). Mindfulness-based stress reduction in medical settings. Journal of Clinical Psychology in Medical Settings, 13, 209–216.
Siegel, D. J. (2007). The mindful brain: Reflection and Attunement in the Cultivation of well-being. New York: W.W. Norton.
Smith, J. E., Richardson, J., Hoffman, C., & Pilkington, K. (2005). Mindfulness-based stress reduction as a supportive therapy in cancer care: A systematic review. Journal of Advanced Nursing, 52, 315–327.
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 and Clinical Psychology, 70, 275–287.
Thayer, J. F., & Brosschot, J. F. (2005). Psychosomatics and psychopathology: Looking up and down from the brain. Psychoneuroendocrinology, 30, 1050–1058.
Wallace, B. A. (2006). Contemplative science: Where Buddhism and neuroscience converge. New York: Columbia University Press.
Walsh, R., & Shapiro, S. L. (2006). The meeting of meditative disciplines and Western psychology: A mutually enriching dialogue. American Psychologist, 61, 227–239.
Wells, A. (2002). GAD, metacognition, and mindfulness: An information processing analysis. Clinical Psychology: Science and Practice, 9, 95–100.
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Greeson, J., Brantley, J. (2009). Mindfulness and Anxiety Disorders: Developing a Wise Relationship with the Inner Experience of Fear. In: Didonna, F. (eds) Clinical Handbook of Mindfulness. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09593-6_11
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