Social and Behavioral Sciences Commons^™

Mindfulness To Manage Moral Injury: Rationale And Development Of A Live Online 7-Week Group Intervention For Veterans With Moral Injury, Michelle L. Kelley, Megan Strowger, Victoria O. Chentsova, Adrian J. Bravo, Susan A. Gaylord, Elizabeth E. Burgin, Christine Vinci, Kenneth L. Ayers, Erum Agha

Psychology Faculty Publications

BACKGROUND: Military service puts service members at risk for moral injury. Moral injury is an array of symptoms (e.g., guilt, shame, anger) that develop from events that violate or transgress one's moral code.

OBJECTIVE: We describe adaption of in-person mindfulness training program, Mindfulness to Manage Chronic Pain (MMCP), to address symptoms of moral injury to be delivered live via the web. We discuss how we will assess benchmarks (i.e., recruitment, credibility and acceptability, completion rates, and adherence) of the Mindfulness to Manage Moral Injury (MMMI) program.

METHODS: Aim 1: To develop and then adapt the MMCP program based on …

Breath Counting As A Measure Of Sustained Attention In Mindfulness Meditation And Its Effect On Mood, John Clapper, Stephen Ware, Fitria Jong Martinez, Kevin Benitez, Hideya Koshino

Psychology Faculty Publications

A great deal of research is currently being carried out on mindfulness meditation, but most of this research suffers from obvious problems and shortcomings. Particularly lacking are objective, observable measures of mindfulness performance that would make it possible to track long-term improvement while at the same time assuring experimental control during individual sessions. One promising method is the so-called breath counting task (BCT) devised by Levinson et al. (2014), which pairs a button-pressing response with each breath during a meditation-like cognitive task. This study involves two experiments investigating the effects of individual-difference variables such as depression, anxiety, personality (Big 5), …

Does A Brief Mindfulness Training Enhance Heartfulness In Students? Results Of A Pilot Study, Myriam Rudaz, Thomas Ledermann, Michael P. Twohig, Michael E. Levin

Psychology Faculty Publications

(1) Background: There is robust evidence that mindfulness trainings enhance mindfulness as operationalized in Western psychology, but evidence about their effect on aspects of heartfulness is sparse. This study seeks to test whether a brief mindfulness training enhances heart qualities, including self-compassion, gratitude, and the generation of feelings of happiness.

(2) Methods: Eighteen students enrolled in a mindfulness training that was offered as part of an interdisciplinary class. The training consisted of five training sessions and four booster sessions of 45 minutes each over the course of nine weeks. Mindfulness was measured with the Five Facet Mindfulness Questionnaire-Short Form (FFMQ-SF) …

When Less Is More: Mindfulness Predicts Adaptive Affective Responding To Rejection Via Reduced Prefrontal Recruitment, Alexandra M. Martelli, David S. Chester, Kirk Warren Brown, Naomi I. Eisenberger, C. Nathan Dewall

Psychology Faculty Publications

Social rejection is a distressing and painful event that many people must cope with on a frequent basis. Mindfulness—defined here as a mental state of receptive attentiveness to internal and external stimuli as they arise, moment-to-moment—may buffer such social distress. However, little research indicates whether mindful individuals adaptively regulate the distress of rejection—or the neural mechanisms underlying this potential capacity. To fill these gaps in the literature, participants reported their trait mindfulness and then completed a social rejection paradigm (Cyberball) while undergoing functional magnetic resonance imaging. Approximately 1 hour after the rejection incident, participants reported their level of distress during …

Assessing Psychological Inflexibility In University Students: Development And Validation Of The Acceptance And Action Questionnaire For University Students (Aaq-Us), Michael E. Levin, Jennifer Krafft, Jacqueline Pistorello, John R. Seeley

Psychology Faculty Publications

This study sought to develop and validate a domain-specific measure of psychological inflexibility for university students, the acceptance and action questionnaire for university students (AAQ-US). Generic versions of the AAQ tend to not be as sensitive to changes in campus-specific functioning —a key outcome of interest in this population. An online survey was conducted with 425 undergraduate students. Psychometric analyses led to the refinement of a 12-item, single factor scale with strong internal consistency. Evidence for convergent validity was found with moderate to large correlations between the AAQ-US and measures of academic outcomes, mental health, and psychological inflexibility. The AAQ-US …

The Role Of Experiential Avoidance In Problematic Pornography Viewing, Michael E. Levin, Eric B. Lee, Michael P. Twohig

Psychology Faculty Publications

Research suggests that online pornography use can have harmful consequences for some individuals, but the psychological processes that contribute to problematic viewing are unclear. This study sought to evaluate the role of experiential avoidance in the negative consequences of online pornography viewing in a small cross sectional survey sample of 91 male college students who reported viewing. Results indicated that viewing pornography for experientially avoidant motivations was related to more frequent viewing and predicted self-reported negative consequences of viewing over and above other motivations (e.g., sexual pleasure, curiosity, excitement seeking). Although more frequent viewing was related to more self-reported negative …

Tailoring Acceptance And Commitment Therapy Skill Coaching In-The-Moment Through Smartphones: Results From A Randomized Controlled Trial, Michael E. Levin, Jack Haegar, Rick A. Cruz

Psychology Faculty Publications

There is growing evidence for the efficacy of acceptance and commitment therapy (ACT) interventions delivered through smartphones, but research has not yet focused on how to optimize such interventions. One benefit of mobile interventions is the ability to adapt content based on in-the-moment variables. The current randomized controlled trial evaluated whether an ACT app that tailored skill coaching based on in-the-moment ecological momentary assessments (EMAs) would be more efficacious than the same app where skill coaching was random or an EMA-only condition. A sample of 69 adults interested in using a self-help app were randomized to one of three app …

Mindfulness And Acceptance-Based Trainings For Fostering Self-Care And Reducing Stress In Mental Health Professionals: A Systematic Review, Myriam Rudaz, Michael P. Twohig, Clarissa W. Ong, Michael E. Levin

Psychology Faculty Publications

This review summarizes the effectiveness of Mindfulness-Based Stress Reduction (MBSR), Mindfulness-Based Cognitive Therapy (MBCT), Mindful Self-Compassion (MSC), and Acceptance and Commitment Therapy (ACT) to foster self-care and reduce stress in mental health professionals. Twenty-four quantitative articles from PsycInfo and PubMed were identified that focused on mindfulness, self-compassion, psychological flexibility, stress, burnout, or psychological well-being. All MBSR and MBCT studies lacked active control conditions, but some of the ACT studies and one MSC study included an active control. Most studies support evidence that all training programs tend to improve mindfulness and some also self-compassion. In addition, psychological flexibility was measured in …

The Interaction Of Mindful Awareness And Acceptance In Couples Satisfaction, Jennifer Krafft, Jack Haegar, Michael E. Levin

Psychology Faculty Publications

Past studies indicate that the awareness and acceptance facets of trait mindfulness both independently predict relationship satisfaction. However, this study hypothesized that the combination of awareness and acceptance might be a stronger contributor to relationship functioning than either in isolation. Regression analyses were used to test whether mindful awareness and acceptance interact in predicting couples satisfaction in a sample of dating or married college students (n = 138). Acceptance was positively associated with couples satisfaction, while awareness was unrelated. These two mindfulness facets interacted such that greater awareness was related to poorer satisfaction when acceptance was low, but was …

Evaluating An Adjunctive Mobile App To Enhance Psychological Flexibility In Acceptance And Commitment Therapy, Michael E. Levin, Jack Haegar, Benjamin G. Pierce, Rick A. Cruz

Psychology Faculty Publications

The primary aims of this study were to evaluate the feasibility and potential efficacy of a novel adjunctive mobile app designed to enhance the acquisition, strengthening, and generalization of acceptance and commitment therapy (ACT) skills being taught in therapy. A sample of 14 depressed/anxious clients receiving ACT used the ACT Daily app for two weeks in a pre-post, open trial design. Participants reported a high degree of program satisfaction. Clients significantly improved over the two-week period on depression and anxiety symptoms as well as a range of psychological inflexibility measures. Analyses of mobile app data indicated effects of …

Latent Profile Analysis Of The Five Facet Mindfulness Questionnaire In A Sample With A History Of Recurrent Depression, Jenny Gu, Anke Karl, Ruth A. Baer, Clara Strauss, Thorsten Barnhofer, Catherine Crane

Psychology Faculty Publications

Background: Extending previous research, we applied latent profile analysis in a sample of adults with a history of recurrent depression to identify subgroups with distinct response profiles on the Five Facet Mindfulness Questionnaire and understand how these relate to psychological functioning. Method: The sample was randomly divided into two subsamples to first examine the optimal number of latent profiles (test sample; n = 343) and then validate the identified solution (validation sample; n = 340). Results: In both test and validation samples, a four-profile solution was revealed where two profiles mapped broadly onto those previously identified in nonclinical samples: “high …

Depressive Symptoms And Alcohol-Related Problems Among College Students: A Moderated-Mediated Model Of Mindfulness And Drinking To Cope, Adrian J. Bravo, Matthew R. Pearson, Leah E. Stevens, James M. Henson

Psychology Faculty Publications

Objective: In college student samples, the association between depressive symptoms and alcohol-related problems has been found to be mediated by drinking-to-cope motives. Mindfulness-based interventions suggest that mindfulness may attenuate the conditioned response of using substances in response to negative emotional states, and trait mindfulness has been shown to be a protective factor associated with experiencing fewer alcohol-related problems. In the present study, we examined trait mindfulness as a moderator of the indirect associations of depressive symptoms on alcohol-related problems via drinking-to-cope motives. Method: Participants were undergraduate students at a large, southeastern university in the United States who drank at least …

Five Facets Of Mindfulness And Psychological Health: Evaluating A Psychological Model Of The Mechanisms Of Mindfulness, David B. Brown, Adrian J. Bravo, Corey R. Roos, Matthew R. Pearson

Psychology Faculty Publications

There has been an increasing focus on determining the psychological mechanisms underlying the broad effects of mindfulness on psychological health. Mindfulness has been posited to be related to the construct of reperceiving or decentering, defined as a shift in perspective associated with decreased attachment to one's thoughts and emotions. Decentering is proposed to be a meta-mechanism that mobilizes four psychological mechanisms (cognitive flexibility, values clarification, self-regulation, and exposure), which in turn are associated with positive health outcomes. Despite preliminary support for this model, extant studies testing this model have not examined distinct facets of mindfulness. The present study used a …

Mindfulness And Emotional Outcomes: Identifying Subgroups Of College Students Using Latent Profile Analysis, Matthew R. Pearson, Adrienne K. Lawless, David B. Brown, Adrian J. Bravo

Psychology Faculty Publications

In non-meditating samples, distinct facets of mindfulness are found to be negatively correlated, preventing the meaningful creation of a total mindfulness score. The present study used person-centered analyses to distinguish subgroups of college students based on their mindfulness scores, which allows the examination of individuals who are high (or low) on all facets of mindfulness. Using the Lo-Mendell-Rubin Adjusted LRT test, we settled on a 4-class solution that included a high mindfulness group (high on all 5 facets, N = 245), low mindfulness group (moderately low on all 5 facets, N = 563), judgmentally observing group (high on observing, but …

Mindful Eating: Trait And State Mindfulness Predict Healthier Eating Behavior, Christian H. Jordan, Wan Wang, Linda R. Donatoni, Brian P. Meier

Psychology Faculty Publications

Obesity and excess weight are significant societal problems. Mindfulness may encourage healthier weight and eating habits. Across four studies, we found a positive relation between mindfulness and healthier eating. Trait mindfulness was associated with less impulsive eating, reduced calorie consumption, and healthier snack choices. In addition, we found a causal effect of mindfulness on healthier eating. An experimental manipulation of state mindfulness led participants to consume fewer calories in a spontaneous eating task. We also found preliminary evidence that mindfulness affects eating behavior by encouraging attitudinal preferences for healthier foods. Taken together, these results provide strong evidence that mindfulness encourages …

Relations Among Self-Concealment, Mindfulness, And Internalizing Problems, Joshua Edmunds, Akihiko Masuda, Erin C. Tully

Psychology Faculty Publications

Self-concealment and mindfulness can be viewed as two fairly stable emotion/behavior regulation tendencies, which are often linked to a range of internalizing problems. The current study examined whether low levels of mindfulness and higher levels of self-concealment predict higher levels of depression, anxiety, and somatization for both men and women. An ethnically diverse sample of college undergraduate females (n = 738) and males (n = 249) completed a web-based survey that included the self-report measures of interest. Path analysis models were evaluated separately for male participants and female participants. The findings from these models revealed that low levels …

The Role Of Mindfulness And Psychological Flexibility In Somatization, Depression, Anxiety, And General Psychological Distress Of A Non-Clinical College Sample, Akihiko Masuda, Erin C. Tully

Psychology Faculty Publications

The current study investigated whether mindfulness and psychological flexibility uniquely and separately accounted for variability in psychological distress (somatization, depression, anxiety, and general psychological distress). An ethnically diverse, non-clinical sample of college undergraduates (N = 494, 76% female) completed a web-based survey that included the self-report measures of interest. Consistent with prior research, psychological flexibility and mindfulness were positively associated with each other, and tested separately, both variables were negatively associated with somatization, depression, anxiety, and general psychological distress. Results also revealed that psychological flexibility and mindfulness accounted for unique variance in all four measures of distress. These findings …

The Role Of Mindfulness And Psychological Flexibility In Somatization, Depression, Anxiety, And General Psychological Distress Of A Non-Clinical College Sample., Akihiko Masuda, Erin Tully

Psychology Faculty Publications

The current study investigated whether mindfulness and psychological flexibility uniquely and separately accounted for variability in psychological distress (somatization, depression, anxiety, and general psychological distress). An ethnically diverse, non-clinical sample of college undergraduates (N = 494, 76% female) completed a web-based survey that included the self-report measures of interest. Consistent with prior research, psychological flexibility and mindfulness were positively associated with each other, and tested separately, both variables were negatively associated with somatization, depression, anxiety, and general psychological distress. Results also revealed that psychological flexibility and mindfulness accounted for unique variance in all four measures of distress. These findings …