Pathways to mental well-being for graduates of mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR): a mediation analysis of an RCT

<strong>Objective<br></strong> To explore mediated effects of Mindfulness-Based Cognitive Therapy-“Taking it Further” (MBCT-TiF) on mental well-being through changes in mindfulness, self-compassion, and decentering. <br><strong> Method<br></strong> A seconda...

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Glavni autori: Maloney, S, Montero-Marin, J, Kuyken, W
Format: Journal article
Jezik:English
Izdano: Taylor & Francis 2023
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author Maloney, S
Montero-Marin, J
Kuyken, W
author_facet Maloney, S
Montero-Marin, J
Kuyken, W
author_sort Maloney, S
collection OXFORD
description <strong>Objective<br></strong> To explore mediated effects of Mindfulness-Based Cognitive Therapy-“Taking it Further” (MBCT-TiF) on mental well-being through changes in mindfulness, self-compassion, and decentering. <br><strong> Method<br></strong> A secondary analysis of an RCT using simple mediation, with 164 graduates of MBCT and mindfulness-based stress reduction (MBSR), was implemented whereby MBCT-TiF (vs ongoing mindfulness practice; OMP) was the independent variable; changes in mindfulness, self-compassion, and decentering during the intervention were the mediators; and mental well-being at post-intervention, whilst controlling for baseline, was the dependent variable. Secondary outcomes included psychological quality of life, depression, and anxiety. <br><strong> Results<br></strong> Compared to OMP, MBCT-TiF experienced significant improvements in mental well-being through changes in all three mediators (mindfulness: ab = 0.11 [0.03, 0.25]; decentering: ab = 0.16 [0.05, 0.33]; self-compassion: ab = 0.07 [0.01, 0.18]). A similar pattern was demonstrated for depression, but only mindfulness and decentering mediated effects on psychological quality of life and anxiety. <br><strong> Conclusion<br></strong> The findings provide preliminary support for all three mediators in driving change in mental well-being in a sample of MBCT/MBSR graduates. Future work must be theory-driven and powered to test all mediators in parallel and alongside other potential mediators (e.g., equanimity) to further understand independent contributions and interacting effects. <br><strong> Trial registration: </strong>ClinicalTrials.gov identifier: NCT05154266.
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spelling oxford-uuid:4d56422e-619f-47ca-a58c-10c4e75dfa642025-02-19T11:13:31ZPathways to mental well-being for graduates of mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR): a mediation analysis of an RCTJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4d56422e-619f-47ca-a58c-10c4e75dfa64EnglishSymplectic ElementsTaylor & Francis2023Maloney, SMontero-Marin, JKuyken, W<strong>Objective<br></strong> To explore mediated effects of Mindfulness-Based Cognitive Therapy-“Taking it Further” (MBCT-TiF) on mental well-being through changes in mindfulness, self-compassion, and decentering. <br><strong> Method<br></strong> A secondary analysis of an RCT using simple mediation, with 164 graduates of MBCT and mindfulness-based stress reduction (MBSR), was implemented whereby MBCT-TiF (vs ongoing mindfulness practice; OMP) was the independent variable; changes in mindfulness, self-compassion, and decentering during the intervention were the mediators; and mental well-being at post-intervention, whilst controlling for baseline, was the dependent variable. Secondary outcomes included psychological quality of life, depression, and anxiety. <br><strong> Results<br></strong> Compared to OMP, MBCT-TiF experienced significant improvements in mental well-being through changes in all three mediators (mindfulness: ab = 0.11 [0.03, 0.25]; decentering: ab = 0.16 [0.05, 0.33]; self-compassion: ab = 0.07 [0.01, 0.18]). A similar pattern was demonstrated for depression, but only mindfulness and decentering mediated effects on psychological quality of life and anxiety. <br><strong> Conclusion<br></strong> The findings provide preliminary support for all three mediators in driving change in mental well-being in a sample of MBCT/MBSR graduates. Future work must be theory-driven and powered to test all mediators in parallel and alongside other potential mediators (e.g., equanimity) to further understand independent contributions and interacting effects. <br><strong> Trial registration: </strong>ClinicalTrials.gov identifier: NCT05154266.
spellingShingle Maloney, S
Montero-Marin, J
Kuyken, W
Pathways to mental well-being for graduates of mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR): a mediation analysis of an RCT
title Pathways to mental well-being for graduates of mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR): a mediation analysis of an RCT
title_full Pathways to mental well-being for graduates of mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR): a mediation analysis of an RCT
title_fullStr Pathways to mental well-being for graduates of mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR): a mediation analysis of an RCT
title_full_unstemmed Pathways to mental well-being for graduates of mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR): a mediation analysis of an RCT
title_short Pathways to mental well-being for graduates of mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR): a mediation analysis of an RCT
title_sort pathways to mental well being for graduates of mindfulness based cognitive therapy mbct and mindfulness based stress reduction mbsr a mediation analysis of an rct
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AT kuykenw pathwaystomentalwellbeingforgraduatesofmindfulnessbasedcognitivetherapymbctandmindfulnessbasedstressreductionmbsramediationanalysisofanrct