Abstract
Objective
Past studies have documented links between mindfulness practice and stress-related outcomes, but these links have typically been found over the course of treatment and at the between-person level of analysis. Building on past work, the present study aimed to evaluate practice-stress associations after treatment and at the within-person and between-person levels.
Methods
We drew extant data collected from 138 community-recruited adults who had received a standard, 8-week mindfulness-based stress reduction (MBSR) course and were asked to record formal and informal mindfulness practice time daily and complete a self-report measure of stress every 2 months over a 6-month follow-up period. Latent curve modeling was used to test the within-person and between-person components of the relation between practice and stress over the follow-up period.
Results
Results indicated that, at the within-person level, formal practice time from 2 to 4 months after treatment significantly predicted stress levels 4 months after treatment, and formal and informal practice time from 4 to 6 months after treatment significantly predicted stress levels 6 month after treatment. At the between-person level, formal and informal practice times were not significantly related to stress levels over the follow-up period.
Conclusions
Overall, the present findings highlight the potential importance of post-intervention practice and suggest that higher practice engagement 2 to 6 months after MBSR training predicts lower levels of subsequent stress. Results are discussed in the context of mindfulness theory and MBSR training curriculum.
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References
Barrett, B., Hayney, M. S., Muller, D., Rakel, D., Ward, A., Obasi, C. N., et al. (2012). Meditation or exercise for preventing acute respiratory infection: a randomized controlled trial. The Annals of Family Medicine, 10, 337–346.
Barrett, B., Hayney, M. S., Muller, D., Rakel, D., Brown, R., Zgierska, A. E., et al. (2018). Meditation or exercise for preventing acute respiratory infection (MEPARI-2): a randomized controlled trial. PLoS One, 13, e0197778.
Beaujean, A. A. (2014). Latent variable modeling using R: a step-by-step guide. New York: Routledge.
Berghoff, C. R., Wheeless, L. E., Ritzert, T. R., Wooley, C. M., & Forsyth, J. P. (2017). Mindfulness meditation adherence in a college sample: comparison of a 10-min versus 20-min 2-week daily practice. Mindfulness, 8, 1513–1521.
Birtwell, K., Williams, K., van Marwijk, H., Armitage, C. J., & Sheffield, D. (2019). An exploration of formal and informal mindfulness practice and associations with wellbeing. Mindfulness, 10, 89–99.
Bollen, K. A., & Curran, P. J. (2006). Latent curve models: a structural equation perspective. Hoboken: Wiley.
Bowen, S., Chawla, N., & Marlatt, A. (2010). Mindfulness-based relapse prevention for addictive behaviors: a clinician’s guide. New York: Guilford Press.
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.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396.
Curran, P. J., & Bauer, D. J. (2011). The disaggregation of within-person and between-person effects in longitudinal models of change. Annual Review of Psychology, 62, 583–619.
Curran, P. J., Obeidat, K., & Losardo, D. (2010). Twelve frequently asked questions about growth curve modeling. Journal of Cognition and Development, 11, 121–136.
Curran, P. J., Howard, A. L., Bainter, S. A., Lane, S. T., & McGinley, J. S. (2014). The separation of between-person and within-person components of individual change over time: a latent curve model with structured residuals. Journal of Consulting and Clinical Psychology, 82, 879–894.
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.
Del Re, A. C., Flückiger, C., Goldberg, S. B., & Hoyt, W. T. (2013). Monitoring mindfulness practice quality: an important consideration in mindfulness practice. Psychotherapy Research, 23, 54–66.
Ester, M., Kriegel, H. P., Xu, X. (1996). A density-based algorithm for discovering clusters in large spatial datasets with noise. Processings of the 2 nd ACM International Conference on Knowledge Discovery and Data Mining (KDD), Portalnd, OR.
Garland, E. L., Gaylord, S. A., & Fredrickson, B. L. (2011). Positive reappraisal mediates the stress-reductive effects of mindfulness: an upward spiral process. Mindfulness, 2(1), 59–67.
Garland, E. L., Hanley, A., Farb, N. A., & Froeliger, B. (2015). State mindfulness during meditation predicts enhanced cognitive reappraisal. Mindfulness, 6, 234–242.
Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Wampold, B. E., Kearney, D. J., & Simpson, T. L. (2018). Mindfulness-based interventions for psychiatric disorders: a systematic review and meta-analysis. Clinical Psychology Review, 59, 52–60.
Gotink, R. A., Chu, P., Busschbach, J. J. V., Benson, H., Fricchione, G. L., & Hunink, M. G. M. (2015). Standardised mindfulness-based interventions in healthcare: an overview of systematic reviews and meta-analyses of RCTs. PLoS One, 10, e0124344.
Gross, C. R., Kreitzer, M. J., Russas, V., Treesak, C., Frazier, P. A., & Hertz, M. I. (2004). Mindfulness meditation to reduce symptoms after organ transplant: a pilot study. Advances in Mind-Body Medicine, 20, 20–29.
Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42, 377–381.
Hodge, V., & Austin, J. (2004). A survey of outlier detection methodologies. Artificial Intelligence Review, 22, 85–126.
Hoffman, L. (2007). Multilevel models for examining individual differences in within-person variation and covariation over time. Multivariate Behavioral Research, 42, 609–629.
Hoffman, L., & Stawski, R. S. (2009). Persons as contexts: evaluating between-person and within-person effects in longitudinal analysis. Research in Human Development, 6, 97–120.
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55.
Imel, Z., Baldwin, S., Bonus, K., & MacCoon, D. (2008). Beyond the individual: group effects in mindfulness-based stress reduction. Psychotherapy Research, 18, 735–742.
Kabat-Zinn, J. (2013). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Bantam Books.
Khoury, B., Sharma, M., Rush, S. E., & Fournier, C. (2015). Mindfulness-based stress reduction for healthy individuals: a meta-analysis. Journal of Psychosomatic Research, 78, 519–528.
Kiken, L. G., Garland, E. L., Bluth, K., Palsson, O. S., & Gaylord, S. A. (2015). From a state to a trait: trajectories of state mindfulness in meditation during intervention predict changes in trait mindfulness. Personality and Individual Differences, 81, 41–46.
Kline, R. B. (2005). Principles and practices of structural equation modeling (2nd ed.). New York: Guilford Press.
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9. Journal of General Internal Medicine, 16, 606–613.
Lacaille, J., Sadikaj, G., Nishioka, M., Carrière, K., Flanders, J., & Knäuper, B. (2018). Daily mindful responding mediates the effect of meditation practice on stress and mood: the role of practice duration and adherence. Journal of Clinical Psychology, 74, 109–122.
Mathew, K. L., Whitford, H. S., Kenny, M. A., & Denson, L. A. (2010). The long-term effects of mindfulness-based cognitive therapy as a relapse prevention treatment for major depressive disorder. Behavioural and Cognitive Psychotherapy, 38, 561–576.
McClintock, A. S., & Anderson, T. (2015). The application of mindfulness for interpersonal dependency: effects of a brief intervention. Mindfulness, 6, 243–252.
Morgan, L. P., Graham, J. R., Hayes-Skelton, S. A., Orsillo, S. M., & Roemer, L. (2014). Relationships between amount of post-intervention mindfulness practice and follow-up outcome variables in an acceptance-based behavior therapy for generalized anxiety disorder: the importance of informal practice. Journal of Contextual Behavioral Science, 3, 173–178.
Parsons, C. E., Crane, C., Parsons, L. J., Fjorback, L. O., & Kuyken, W. (2017). Home practice in mindfulness-based cognitive therapy and mindfulness-based stress reduction: a systematic review and meta-analysis of participants’ mindfulness practice and its association with outcomes. Behaviour Research and Therapy, 95, 29–41.
Razali, N. M., & Wah, Y. B. (2011). Power comparisons of Shapiro-Wilk, Kolmogorov-Smirnov, Lilliefors and Anderson-Darling tests. Journal of Statistical Modeling and Analytics, 2, 21–33.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2012). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press.
Sephton, S. E., Salmon, P., Weissbecker, I., Ulmer, C., Floyd, A., Hoover, K., & Studts, J. L. (2007). Mindfulness meditation alleviates depressive symptoms in women with fibromyalgia: Results of a randomized clinical trial. Arthritis Care & Research, 57, 77–85.
Snippe, E., Nyklíček, I., Schroevers, M. J., & Bos, E. H. (2015). The temporal order of change in daily mindfulness and affect during mindfulness-based stress reduction. Journal of Counseling Psychology, 62, 106–114.
Tan, L., & Martin, G. (2015). Taming the adolescent mind: a randomised controlled trial examining clinical efficacy of an adolescent mindfulness-based group programme. Child and Adolescent Mental Health, 20, 49–55.
Taylor, J. M. (2015). Psychometric analysis of the ten-item Perceived Stress Scale. Psychological Assessment, 27, 90–101.
Wang, L. P., & Maxwell, S. E. (2015). On disaggregating between-person and within-person effects with longitudinal data using multilevel models. Psychological Methods, 20, 63–83.
Zgierska, A., Burzinski, C. A., Mundt, M. P., McClintock, A. S., Cox, J., Coe, C., et al. (2019). Mindfulness-based relapse prevention for alcohol dependence: findings from a randomized controlled trial. Journal of Substance Abuse Treatment, 100, 8–17.
Funding
ASM was supported by a postdoctoral research training program funded by the Health Resources and Services Administration (HRSA; T32HP10010). BB was supported by a mid-career research and mentoring career grant from NCCIH (K24AT006543). Funding for the original study came from National Center for Complementary and Integrative Health at the National Institutes of Health (NCCIH; R01AT006970).
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ASM designed the study, conducted data analyses, interpreted results, and wrote the paper. RB assisted in designing the study, results interpretation, and editing the paper. CLC assisted in designing the study, results interpretation, and editing the paper. AZ assisted in designing the study, results interpretation, and editing the paper. BB assisted in designing the study, results interpretation, and editing the paper. All authors approved the submitted manuscript.
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This study was approved by the University of Wisconsin-Madison’s Institutional Review Board. All procedures performed in studies involving human participates 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.
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Informed consent was obtained from all individual participants included in the study.
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McClintock, A.S., Brown, R., Coe, C.L. et al. Mindfulness Practice and Stress Following Mindfulness-Based Stress Reduction: Examining Within-Person and Between-Person Associations with Latent Curve Modeling. Mindfulness 10, 1905–1914 (2019). https://doi.org/10.1007/s12671-019-01159-x
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DOI: https://doi.org/10.1007/s12671-019-01159-x