Life Matters: Exploring the Influence of Games and Mental Skills on Relatedness and Social Anxiety Levels in Disengaged Adolescent Students

LifeMatters is a 10-session life skills program implemented with youth that uses mental skills training and games to meet the three basic psychological needs of relatedness, autonomy, and competence. Forty disengaged students (20 experimental, 20 control) 16–17?years of age from a YMCA vocational school completed self-report measures before and after the intervention period. The school focuses on services for adolescents who find it difficult to gain an education through mainstream education due to behavioral and developmental issues. Mixed between-within subjects analyses of variance showed that there was a significant decrease in social anxiety, Wilks’s λ?=?.84, F(1, 26)?=?5.07, p?=?.03, partial?η²?= .16, and a significant increase in relatedness Wilks’s λ = .87, F(1, 26) = 4.2, p = .05, partial η² = .14, over time for the experimental group compared to the control group. Analyses of covariance showed no significant difference between the two groups in change on social anxiety levels, F(1, 25)?=?1.34, p?=?.26, partial η²?=?.05, when controlling for relatedness, and no significant difference between the two groups in change in relatedness levels, F(1, 25) = 1.34, p = .26, partial η² = .05, when controlling for social anxiety. This study provides insight into the potential effectiveness of using games and mental skills training to increase relatedness and decrease levels of social anxiety in disengaged students.

Lay Summary: LifeMatters is a life skills program combining mental skills training and physically active games. Disengaged students who took part in the program reported lower levels of social anxiety and higher levels of relatedness compared to students who did not take part.     

Transdiagnostic assessment of anxiety symptoms using the Anxiety Disorder Diagnostic Questionnaire – weekly version

Background: Norton and Robinson [2010. Development and evaluation of the anxiety disorder diagnostic questionnaire. Cognitive Behaviour Therapy, 39(2), 137–149. doi:10.1080/16506070903140430] developed the Anxiety Disorder Diagnostic Questionnaire (ADDQ) as a transdiagnostic assessment of fear and anxiety to address problems in using diagnosis-specific measures as well as limitations with the extant transdiagnostic measures of anxiety. The present study validated a weekly version of the ADDQ, the Anxiety Disorder Diagnostic Questionnaire – Weekly (ADDQ-W) allowing session-by-session transdiagnostic assessment of anxiety.

Method: Data were a secondary analysis of 49 treatment-seeking outpatient adults from a previous clinical trial. The ADDQ-W was administered weekly over the course of 12-group therapy sessions.

Results: The ADDQ-W was a valid weekly measure and neither scores, F(2, 37)?=?2.70, p?=?.08, nor trajectories of change, F(2, 37)?=?0.31, p?=?.73, differed by primary diagnosis, though power was limited. Rate of ADDQ-W change was predictive of change in both primary diagnosis severity, t?=?2.40, p?=?.02, β?=?0.32, and overall severity, t?=?3.01, p?<?.01, β?=?0.36, at post-treatment.

Conclusions: This study has established initial support for the use of the brief, easily scored, ADDQ-W for repeated assessment over treatment using a diagnostically heterogeneous clinical sample of treatment-seeking individuals.     

The benefits of being present: mindfulness and its role in psychological well-being

Mindfulness is an attribute of consciousness long believed to promote well-being. This research provides a theoretical and empirical examination of the role of mindfulness in psychological well-being. The development and psychometric properties of the dispositional Mindful Attention Awareness Scale (MAAS) are described. Correlational, quasi-experimental, and laboratory studies then show that the MAAS measures a unique quality of consciousness that is related to a variety of well-being constructs, that differentiates mindfulness practitioners from others, and that is associated with enhanced self-awareness. An experience-sampling study shows that both dispositional and state mindfulness predict self-regulated behavior and positive emotional states. Finally, a clinical intervention study with cancer patients demonstrates that increases in mindfulness over time relate to declines in mood disturbance and stress.     

How mindfulness affects benign and malicious envy from the perspective of the mindfulness reperceiving model

At present, mindfulness is a hotspot in psychological research. Mindfulness is an effective tool that enables people to effectively inhibit negative emotions. Previous studies have shown that envy is a typical negative emotion; however, envy can be divided into two completely different types: benign envy and malicious envy. The question then arises, how does mindfulness affect both types of envy? Using a mindfulness reperceiving model, we explored the effect of mindfulness on these two different types of envy and on the mediating mechanism of psychological resilience. To accomplish this, we recruited 676 Chinese undergraduates to complete the Mindful Attention Awareness Scale (MAAS), the Benign and Malicious Envy Scale (BEMAS) and the Connor-Davidson Resilience Scale (CD-RISC). The results we obtained showed that mindfulness and psychological resilience significantly and negatively predicted malicious envy and that psychological resilience played a partially mediating role in the relationship. In addition, the results showed that there was no significant effect between mindfulness and benign envy; however, psychological resilience can significantly and positively predict benign envy and played a completely mediating role between mindfulness and benign envy. These results effectively extend theories based on the mindfulness reperceiving model while also being important for promoting benign envy and inhibiting malicious envy in terms of improving mindfulness and psychological resilience.     

Early Feeding,Child Behaviour and Parenting as Correlates of Problem Eating

Mealtimes are a common source of stress for families. Examining factors related to problem eating may provide markers by which to identify families requiring assistance and salient targets for treatment. The current study investigated parenting practices and cognitions, generalisation of child behavioural issues, and early feeding history as they relate to problem eating in typically developing young children. We compared a community sample of 105 parents of 1.5–6-year-old children via survey and observation with 96 parents seeking treatment for their child’s problem eating. History of problems with breastfeeding, χ²(1)?=?3.88, p?=?.049, and the transition to solids, χ²(1)?=?7.27, p?=?.007, were more common among problem eaters than comparisons. Problem eaters had a greater number of problem behaviours outside of mealtimes, F(1181)?=?10.88, p?=?.001, though not more frequently than comparisons and not to clinical levels, F(1181)?=?1.81, p?=?.181. Parents of problem eaters reported more unhelpful mealtime parenting strategies, F(1155)?=?22.59, p?<?.001, yet general parenting style was similar by group, F(1187)?=?0.42, p?=?.527. Parents’ cognitions about mealtimes, F(1155)?=?119.81, p?<?.001, including mealtime-specific self-efficacy, F(1155)?=?171.30, p?<?.001, were poorer amongst problem eaters, and were the only factors to predict problem eating in the total sample. General parenting self-efficacy was poorer in parents of problem eaters (Behaviour: F(1187)?=?42.36, p?<?.001; Setting: F(1187)?=?10.64, p?=?.001). Evidence of feeding issues in infancy may support early detection of and intervention for later problem eating. The significance of broader child behaviour is less clear. Parent factors, particularly those specific to mealtimes, and cognitive in nature (including mealtime parenting self-efficacy) clearly differentiated the groups, and represent important targets for intervention.     

Dispositional mindfulness and perceived stress: The role of emotional intelligence

The present study examined the relationships between dispositional mindfulness, emotional intelligence and perceived stress using self-report measures. We administered the Mindful Attention Awareness Scale (MAAS), the Wong Law Emotional Intelligence Scale (WLEIS), and the Perceive Stress Scale (PPS) to a non-clinical sample of Chinese adults (n = 380). The results showed that mindfulness was positively associated with four components of WLEIS, and negatively associated with perceived stress. Mediation analysis indicated that only the regulation and use of emotion components of WLEIS acted as mediators of the association between mindfulness and perceived stress. Effect contrasts showed no significant difference between the specific indirect effects through these two mediators. Implications and suggestions for future research are discussed.     

The Five Factor Mindfulness Questionnaire in Norway

The aim of this study was to adapt the Five Factor Mindfulness Questionnaire (FFMQ) for use in Norway. Three studies involving three different samples of university students (mean age 22 years, total N = 792) were conducted. Confirmatory factor analyses showed that a five factor structure provided an acceptable fit to the data. All five factors loaded significantly on the overall mindfulness factor. As expected, correlations between the FFMQ total scores and subscales were positive and significant, ranging from 0.45 to 0.65. Correlations between FFMQ total/subscales and Mindful Attention Awareness Scale (MAAS) were significant and negative (since low scores on the MAAS indicate high mindfulness), ranging from r = ?0.17 to ?0.69. The Norwegian FFMQ total score was inversely correlated with all indicators of psychological health: neuroticism (r = ?0.61), ruminative tendencies (r = ?0.41), self‐related negative thinking (r = ?0.40), emotion regulation difficulties (r = ?0.66) and depression (r = ?0.46 to r = ?0.65). In contrast to the other FFMQ subscales, the FFMQ Observe subscale did not have a positive relation to psychological health in our mostly non‐meditating sample. However, being able to non‐judgmentally observe one's inner life and environment is a part of the mindfulness construct that might emerge more clearly with more mindfulness training. We conclude that the Norwegian FFMQ has acceptable psychometric properties and can be recommended for use in Norway, especially in studies seeking to differentiate between different aspects of mindfulness and how these may change over time.     

Promoting spiritual well-being: a quasi-experimental test of an element of Hay and Nye’s theory of children’s spirituality

This study is one of the first tests of key implicit claims of Hay and Nye’s theory of children’s spirituality and spiritual development. Two quasi-experimental studies tested two claims: that exposure to six conditions posited as fostering relational consciousness in a programme of spiritual formation promotes spiritual well-being; that the effect of the conditions continues after exposure ends. The results for Study One revealed that length of exposure to any of the six conditions was not a significant predictor of spiritual well-being, F(3, 179)?=?1.49, p = 0.22. Study Two results indicated that as the length of time since exposure increased so did spiritual well-being, r(38)?=?0.39, p = 0.01 at the bivariate level, and F(4, 35)?=?2.4, p = 0.06 in the regression. These results reveal a possible relationship between exposure to the six conditions and spiritual well-being.     

The Relation Between Self-Report Mindfulness and Performance on Tasks of Sustained Attention

Validation of self-report mindfulness measures has been promising, although comparisons with non-self-report instruments are lacking. Because past research suggests that mindfulness training is associated with improved attention, this study predicted that higher self-report mindfulness would be positively related to performance on tasks of sustained attention. Fifty undergraduates completed the Mindful Attention Awareness Scale (MAAS), the Kentucky Inventory of Mindfulness Skills (KIMS), the Cognitive and Affective Mindfulness Scale, Revised (CAMS-R), and performed the Continuous Performance Test II (CPT-II) and the Paced Auditory Serial Addition Test (PASAT). Mindfulness scores, as measured by the MAAS and CAMS-R, were negatively related to target omissions on the CPT-II (ps ≤ 0.001), but were not related to PASAT performance (ps ≥ 0.11). Scores on the KIMS were not related to the CPT-II or PASAT (ps ≥ 0.15). Results suggest that self-report mindfulness is related to exaggerated lapses of attention, as measured by the CPT-II.     

Teaching mindfulness to psychotherapists in clinical practice: The Mindful Therapy Programme

Introduction: Initially proposed as a treatment modality for psychological disorders, mindfulness is now being promoted as a means of enhancing both therapist self care and therapeutic efficacy. The degree to which mindfulness can be learned by therapists to manage their own and clients' processes in therapy is as yet unknown. This study examines training outcomes of a standardised introductory mindfulness programme for mental health professionals. Methods: Forty-seven mental health professionals completed an eight-week mindful therapy (MT) training programme and associated measures. Results: Compared with baseline scores, participants demonstrated knowledge acquisition on all measures, including increased mindfulness in clinical work, increased capacity to intentionally invoke mindful states of consciousness, and higher participant ratings of well-being over the course of training sessions. Discussion: This research provides preliminary evidence that a brief, standardised mindfulness training programme can achieve acceptable knowledge and skills outcomes for therapists that can aid their therapeutic practice. Of note, increased ‘therapeutic mindfulness’ in this study resulted from changed mindfulness ‘attitudes’ (i.e. a more accepting and equanimous orientation within therapeutic work) as opposed to a clear demonstration of increased attention-regulation skills. The implications of these and other results for programme development and wider research are discussed.     

Effects of Test Order and Modality on Sustained Attention in Children With Epilepsy

Neurological conditions affect sustained attention, but the effects of modality and interactions with test order have not been examined. In a 2?×?2 (Order?×?Modality) design using 54 children with chronic epilepsy, performance was compared on an auditory measure (modified Seashore Rhythm Test) versus a visual measure of attention (modified Conners’ Continuous Performance Test). Auditory scores were worse than visual, F(1,?52)?=?98.93, p<.001, but there was no order effect or interaction (p>.05). Implications for assessment and intervention are discussed.     

The Use of a Child-Based Acceptance and Commitment Therapy Curriculum to Increase Attention

Acceptance and Commitment Therapy (ACT) is a treatment that integrates mindfulness and acceptance training with behavior change processes. One of the core processes in ACT is contact with the present moment which involves shifting attention to what is happening here and now, contacting both internal and external stimuli. An experimental and control group were used to determine the impact ACT had on attention. ACT participants (M?=?5.4, SD?=?9.8) showed fewer inaccuracies on the CPT-X task compared to the control group (M?=?19.75, SD?=?16.1) at posttest F(1, 38)?=?11.49, p?=?.02, ηp²?=?.232. Results of the current study demonstrate participation in the use of an ACT curriculum for children to help increase attention outcomes.     

Further Psychometric Validation of the Mindful Attention Awareness Scale (MAAS)

Mindfulness is an increasingly prominent construct in health research but its study has been impeded by a lack of well-validated measures. The Mindful Attention and Awareness Scale (MAAS; Brown and Ryan, Journal of Personality and Social Psychology, 84:822–848, 2003) is a promising measure and the goal of the present study was to further validate the MAAS in a large university sample (n = 711). Confirmatory factor analysis supported the unidimensional factor structure of the MAAS in the overall sample. No gender differences in MAAS performance were evident, but the factor structure was not confirmed in the subsample of men, apparently due to power limitations. No categorical differences were evident based on experience with meditation, and MAAS performance was not significantly associated with experience with meditation. These findings are interpreted as broadly supporting the MAAS as a valid measure of mindfulness, but suggesting that novice-level experience with meditation should not be presumed to be associated with greater mindfulness.     

Does mindfulness improve inhibitory control in psychotic disorders? A randomized controlled clinical trial

Background/Objective: Impaired Inhibitory Control (IC) is a core feature of psychotic disorders and is related with impaired social functioning in people experiencing psychosis. Despite research showing the benefits of mindfulness over IC in the general population, no study has assessed its effects on IC in psychoses. The aim of our study was to assess the effectiveness of a mindfulness-based intervention combined with integrated rehabilitation treatment in a sample of people diagnosed of psychotic disorders. Method: Fifty-six patients diagnosed with psychotic disorder were recruited and randomly allocated either to integrated rehabilitation treatment or integrated rehabilitation treatment enhanced with 26 mindfulness group sessions. Measures comprised PANSS interview, MAAS scale, and Stroop Color Word Test (SCWT). The primary outcome variable was the performance in the non-congruent trials of the SCWT. Results: There were no differences between groups at baseline. At post-treatment patients allocated to mindfulness group increased their scores in non-congruent trials of SCWT and in MAAS. At post-treatment mindfulness group scored higher than integrated rehabilitation treatment in MAAS. Conclusions: Data suggest that mindfulness added to integrated rehabilitation treatment may improve IC in psychosis. Results are convergent with prior works about the effect of mindfulness over cognitive performance in general population.     

How does mindfulness modulate daily stress response: evidences from ambulatory assessment

Objective: Mindfulness has been found to be associated with less adverse stress response. However, little is known about how mindfulness modulates stress response in the real daily life. The current study investigated the relation between daily stress and negative emotions, and explored a mediational link via perceived loss of control, and moderation by dispositional mindfulness, to better understand this association. Design: A total of 95 college students were recruited to complete a questionnaire and to report on their stress, perceived loss of control and negative emotions in daily life. Main Outcome Measures: Mindful Attention Awareness Scale (MAAS) was used to assess dispositional mindfulness. Stress, perceived loss of control and negative emotions were assessed by ambulatory assessment. Results: Stress was positively related with negative emotions at within-person level. Perceived loss of control mediated the relationship between stress and negative emotions. Furthermore, participants with higher levels of dispositional mindfulness showed an attenuated association between stress and anger, and also attenuated associations between perceived loss of control, and anger and fatigue at within-person level. Conclusion: These findings point to perceived loss of control as an important key factor in daily stress effects. Dispositional mindfulness appears to have beneficial effects in that it attenuates the impact of daily stressors on individuals’ wellbeing. Clinical implications and limitations are discussed.     

Mindfulness and psychological well-being among black South African university students and their relatives

This study investigated the relationship between mindfulness and psychological well-being in a convenience sample of black South African students (n = 203) and their parents and other relatives (n = 204) (66.1% = female; age range 18–73). The students self-reported on their mindfulness on the Mindful Attention Awareness Scale and psychological well-being on the Satisfaction with Life Scale, the Positive and Negative Affect Schedule, Adult Trait Hope Scale and the Meaning in Life Questionnaire. A multivariate regression model was specified and analysed via structural equation modelling in Mplus 7.3. Results revealed that mindfulness scores strongly predicted elevated levels of meaning and positive affect, and lowered levels of negative effect, and were moderately strong predictors of life satisfaction and hope. The findings imply that mindfulness likely plays an important role in relation to the psychological well-being of cross-generational African culture community members.     

Passion and mindfulness: Accessing adaptive self-processes

The goal of this research was to examine passion as a determinant of mindfulness. Three studies were conducted based on the premise that harmonious passion (HP) provides access to adaptive self-processes, such as mindfulness, whereas obsessive passion (OP) limits such access. In Study 1 (n = 301), results revealed that HP and OP positively and negatively predicted mindfulness, respectively. Study 2 (n = 459) aimed at replicating results from Study 1 and explored the mediating role of mindfulness in the passion–affect relationship. Results uncovered that HP and OP, respectively, predicted positively and negatively mindfulness that, in turn, positively predicted positive affect and negatively predicted negative affect. These results were replicated in Study 3 (n = 176) while incorporating a time lag in the design. Vitality was also included in the model and was positively predicted by mindfulness. Findings underscore the facilitative role of HP in accessing adaptive self-processes, such as mindfulness.     

Long-term adherence to a physical activity intervention: The role of telephone-assisted vs. self-administered coping plans and strategy use

Objective: This study investigated the role of coping plans and the use of selection, optimisation and compensation (SOC) strategies within an experimental evaluation of a 26-week physical exercise intervention.

Methods: Older women (N?=?86, M _age?=?73.7 years) were randomly assigned to a telephone-assisted or a self-administered coping planning intervention after 6 weeks’ participation in an exercise programme. The number of different coping plans formulated, exercise-specific SOC strategy use and their interaction were used to predict objectively measured long-term adherence to the intervention.

Results: The number of coping plans formulated (β?=?0.28) and goal-pursuit strategies reported (sum score of optimisation and compensation strategies, β?=?0.39) predicted adherence to the exercise programme over 20 weeks. The predictive strength of coping plans increased with decreasing numbers of goal-pursuit strategies (β?=??0.21). Women supported via telephone reported significantly more coping plans than did women in the self-administered coping planning group, F(1,80)?=?9.47, p?=?0.003.

Conclusion: Coping plans have a buffering effect on adherence levels when use of SOC strategies is low. Older women's adherence to physical activities may be improved if they are given direct support in generating coping plans involving strategies of selection, optimisation and compensation.     

Illness representations predict adherence in adolescents and young adults with type 1 diabetes

Objective: Most adolescents and young adults (AYAs) with type 1 diabetes struggle with diabetes self-management and exhibit suboptimal glycemic control. This study examined two models of association between illness representations, a modifiable predictor of suboptimal outcomes, and adherence and glycemic control in AYAs with type 1 diabetes.

Design and main outcome measures: Ninety-nine AYAs (ages 15–20?years) completed measures of illness representations and adherence at two visits. Blood glucose monitoring frequency and haemoglobin A1c were obtained via chart review. Relationships were examined using structural equation modelling.

Results: Illness representations accounted for a significant proportion of the variance in blood glucose monitoring frequency (ΔR^2?=?.23, p?<?.01) and adherence to emergency precautions at Time 1 (ΔR^2?=?.07, p?=?.03). Illness representations also accounted for significant variance in blood glucose monitoring frequency (ΔR^2?=?.08, p?=?.01), adherence to recommendations for insulin and food (ΔR²?=?.08, p?=?.02) and exercise (ΔR^2?=?.10, p?<?.01), and adherence to emergency precautions (ΔR^2?=?.16, p?<?.01) at Time 2.

Conclusion: Illness representations are salient predictors of adherence in this population. Interventions targeting adherence promotion and glycemic control in AYAs with type 1 diabetes may be enhanced by efforts to modify illness representations.     

Previous mindfulness experience interacts with brief mindfulness induction when reducing stimulus overselectivity

The current study examined the effects of a brief mindfulness induction on overselectivity. Participants were randomly assigned to a mindfulness, unfocused attention (relaxation), or no‐intervention group. Participants experienced their designated intervention for 10 min, and they underwent simultaneous discrimination training (AB+ CD?) followed by an extinction test (AvC, AvD, BvC, and BvD). Levels of mindfulness were measured by the Toronto Mindfulness Scale, and participants were asked about their previous experience with mediation and mindfulness practice. Mindfulness reduced overselectivity, and previous levels of mindfulness experience identified by a single question moderated this effect, with mindful‐experienced participants showing less overselectivity. Both findings have some practical utility in the ongoing investigation of the possible use of mindfulness in medical settings.