Mindful Awareness Research Articles

Effect of Mindfulness Intervention on Compassion Fatigue Among Nurses: A Randomized Controlled Trial Study.

Compassion fatigue is a syndrome defined by both mental and physical restlessness. Mindfulness intervention can enhance one's emotions with nonjudgmental awareness and greater consciousness of thoughts and feelings. This study aims to examine the effect of mindfulness intervention on compassion fatigue among nurses. A randomized controlled trial was conducted, recruiting 100 nurses from three hospitals and dividing participants into an intervention and a control group. Increased mindfulness awareness was found in the comparison group in the research. The intervention group's mean burnout level was significantly lower than the comparison group. Age, gender, marital status, household size, and household income were among the sociodemographic factors that significantly correlated with compassion fatigue, which was determined through burnout and secondary traumatic stress. Nurses reported significant levels of compassion fatigue; however, this was significantly decreased through mindfulness intervention.

Mindful Awareness Related to Working Memory Capacity and Response Inhibition

Objectives: This study investigated the associations among trait mindfulness, working memory capacity (WMC), and response inhibition. Mindfulness and WMC are thought to involve goal maintenance while resolving competing responses (inhibition), and studies have indeed found associations among mindfulness, WMC, and response inhibition. However, previous studies focused primarily on behavioral inhibition and many failed to differentiate components of mindfulness (awareness and acceptance). This study examined how self-reported mindfulness (awareness and acceptance) related to performance on tasks of WMC and multiple types of response inhibition (i.e., behavioral inhibition, interference control, and cognitive inhibition). Methods: Sixty-seven undergraduate students (75% female) received extra credit for participation. Measures included the Philadelphia Mindfulness Scale (measuring awareness and acceptance), Hayling Task (cognitive inhibition), go/nogo task (behavioral inhibition), Attention Network Test (interference control), n-back task (WMC), and Automated Reading Span Task (WMC). Results: Higher self-reported awareness was related to stronger performance on two measures of WMC (r =.29; r =.32) and multiple measures of response inhibition, including behavioral inhibition (r = -.25), interference control (r = -.25), and cognitive inhibition (r = -.28); response inhibition and WMC accounted for 22% and 16% of the variance in awareness respectively. No relations were found between self-reported acceptance and cognitive performance. Conclusions: Overall, this study found that the Mindfulness component of higher awareness (but not the component of acceptance) was related to stronger WMC and response inhibition. Because Mindfulness, WMC, and response inhibition are related in unique ways to healthy functioning and wellbeing; learning about how they interact increases scientific understanding, and suggests a direction for potential interventions to target these areas.

Structure, network analysis, psychometric properties and clinical utility of the self-absorption scale in China

BackgroundSelf-absorption refers an excessive, persistent, and rigid preoccupation with information regarding the self. This study aims to introduce the Self-Absorption Scale (SAS) into China with an assessment of its latent variable structure, network structure, psychometric properties, and clinical utility in a nonclinical Chinese sample.Methods209 participants completed the translated SAS as well as the Short General Health Questionnaire (GHQ-12), rumination subscale of the Rumination-Reflection Questionnaire (RRQ), the Mindful Attention Awareness Scale (MAAS), the Private Self-Consciousness Scale (PrSCS), the Obsessive-Compulsive Inventory-Revised (OCI-R) and the Dissociative Experiences Scale (DES-II). In addition, 30 respondents completed the Chinese version of the SAS and retested it 2 weeks later.ResultsThe Chinese version of the SAS (CH-SAS) had a desirable two-correlated-factor structure with the reverse scored item removed, which was invariant across different genders. The core items in the network structure of the CH-SAS were related to excessive self-immersion, uncontrollability and anxiety aspects of self-absorption. The Cronbach’s alpha coefficient for the CH-SAS was 0.903 while the McDonald’s omega coefficient was 0.916 and the test-retest reliability was 0.908. The CH-SAS and its two subscales had moderate positive correlations with the rumination subscale of the RRQ (ranging from 0.474 to 0.616; p < .001) and the GHQ-12 (ranging from 0.479 to 0.538; p < .001), and moderate negative correlations with the MAAS (ranging from − 0.413 to − 0.360; p < .001). The PrSCS has almost no correlation with the CH-SAS and PrSAS (p > .05), and its correlation with the PubSAS was significant at the 0.05 level, with a remarkably low correlation coefficient (r = .157). The hierarchical regression analysis suggested that the CH-SAS can significantly predict the severity of OCD beyond factors such as depression, anxiety, rumination, dissociation, and mindful attention awareness.ConclusionsThe CH-SAS demonstrates excellent reliability, including internal consistency and test-retest reliability. Additionally, it exhibits favorable structural validity, as well as strong evidence of convergent and divergent validity. Furthermore, the self-absorption measured using the CH-SAS contributed significantly to the prediction of OCD beyond other relevant psychological factors, suggesting its clinical utility.

Self-control and bed procrastination as mediators between mindfulness and sleep quality among college students during the COVID-19 pandemic

In recent years, sleep problems among college students have become increasingly prominent, especially in the context of the COVID-19 pandemic, and their sleep quality has deteriorated dramatically, severely affecting their physical and mental health. Numerous research studies have investigated the relationship between mindfulness and sleep quality; however, it is still unclear what psychological process underlies this relationship. In the current study, college students’ bed procrastination and self-control as mediating factors in the association between mindfulness and sleep quality were investigated. Using the convenience sampling method, 763 Chinese college students (mean age = 19.48 years, SD = 2.06) were recruited to complete self-reported questionnaires that included the Mindful Attention Awareness Scale, Self-Control Scale, Bed Procrastination Scale, and Sleep Quality Scale. All statistical analyses were performed using SPSS 23.0 software. Results showed that (a) mindfulness was positively associated with sleep quality; (b) both self-control and bed procrastination mediated the relationship between mindfulness and sleep quality, and (c) self-control and bed procrastination sequentially mediated the relationship between mindfulness and sleep quality. These findings collectively suggest a potential mechanism for how mindfulness influences sleep quality, providing a therapeutic target for mindfulness-based interventions aimed at helping college students improve sleep quality.

Mindfulness in Different Sociodemographic Strata: Partial Validation of the Mindful Attention Awareness Scale in an Indian Sample

Background: Mindfulness-based interventions are increasing in clinical and nonclinical populations. It is important to have a culturally validated instrument to measure the construct. Aims: We intended to evaluate the Mindful Attention Awareness Scale (MAAS) in an Indian sample, for its reliability and dimensionality along with any differences among the sociodemographic strata. Settings and Design: The design of the study was an online-based survey. Materials and Methods: An anonymous survey was conducted involving adult participants with a convenience and snowball sampling method. Mindfulness based on MAAS responses and demographic details were collected. Statistical Analysis: Cronbach’s alpha, t-test, analysis of variance, Tukey’s honestly significant difference test, and factor analysis were used for analysis. Results: The average mindfulness score was 4.3 ± 0.78, and skewness was − 0.39. The score was normally distributed. The reliability for the MAAS (Cronbach’s α =0.830) was acceptable. The split-half reliability correlation was 0.66. The mean of item scores varied from 3.52 to 4.85, and the standard deviation varied from 1.2 to 1.6. The factor analysis explained 53% variance and identified four factors named as “inattention to the present,” “lost in thought,” “lack of circumstantial awareness,” and “late realization of feelings.” MAAS scores were significantly different across age, marital status, and occupation but did not differ by gender, education, or economic status. Conclusions: It appears that MAAS can be used in the Indian population; however, there is a need for further validation studies, in different specific populations.

Mediators of a Mindfulness-Based Intervention for Younger Breast Cancer Survivors: Effects on Depressive Symptoms.

Depression is associated with poor outcomes in breast cancer patients, with higher prevalence among younger women. Although mindfulness-based interventions (MBIs) have demonstrated therapeutic effects, the mechanisms of intervention effects are poorly understood. We investigated whether rumination, self-kindness, intrusive thoughts about cancer, cancer-related worry, or a sense of meaning and peace mediated the intervention effects of an MBI, Mindful Awareness Practices (MAPs), on depressive symptoms. Additionally, we explored the same variables as mediators of a psychoeducation program, Survivorship Education (SE). Women diagnosed with stage 0-III breast cancer at age <50 years were randomized to 6 weeks of MAPs ( n = 85), SE ( n = 81), or wait-list control (WLC; n = 81). During preintervention, postintervention, and 6-month follow-up (FU), we assessed depressive symptoms, rumination, self-kindness, intrusive thoughts, worry, and meaning and peace. MAPs and SE significantly reduced depressive symptoms at postintervention, and reductions remained through 6-month FU for MAPs. Models revealed that reductions in rumination ( β = -0.68, 95% confidence interval [CI] = -1.64 to -0.07) and intrusive thoughts ( β = 1.17, 95% CI = -2.17 to -0.37) and improvements in self-kindness ( β = -1.09, 95% CI = -2.37 to -0.28) and meaning and peace ( β = -1.09, 95% CI = -3.16 to -0.56) mediated MAPs' effects at all time points. Reductions in worry ( β = -1.34, 95% CI = -2.47 to -0.45]) mediated effects at postintervention only. Worry and intrusive thoughts mediated SE effects at postintervention and 6-month FU, respectively. Findings identified depression-relevant mediators of MAPs' effects, expanding the understanding of MBI mechanisms. Results highlight pathways that could be leveraged to optimize intervention outcomes. ClinicalTrials.gov identifier: NCT03025139 .

The environmental model of mindfulness

This paper introduces the environmental model of mindfulness, a novel perspective that conceptualizes mindfulness as an adaptive set of cognitive styles influenced by specific socioecological contexts. Extending upon existing conceptualizations of mindfulness as a cultivated trait or practice, the environmental model describes how mindfulness can also result from cognitive adaptations to immediate-return environments. Through an interdisciplinary synthesis of cognitive psychology, anthropology, and environmental studies, four key factors are identified that foster mindful cognitive styles in immediate-return environments: immediate feedback, observational learning, nature exposure, and interconnected self-construal. By examining Indigenous communities living in immediate-return environments, this paper demonstrates how modern, delayed-return environments may inadvertently suppress innate mindful awareness, suggesting that mindfulness practices might be attempts to recalibrate toward more natural cognitive styles. The environmental model bridges Western medical and Eastern ethical perspectives on mindfulness, offering a unifying framework that acknowledges cognitive, environmental, and cultural influences. This approach not only enriches our understanding of human cognitive functioning but also broadens cultural perspectives on mindfulness, highlighting its manifestations across diverse sociocultural contexts. The model has profound implications for mindfulness research and interventions, providing a foundation for more ecologically valid and culturally sensitive approaches to fostering wellbeing. It invites a fundamental reconsideration of the relationship between human cognition and the environment, potentially revolutionizing our approach to mental health and cognitive enhancement in an increasingly complex world. This paper stands as a call to action for researchers, clinicians, and policymakers to rethink fundamental assumptions about human cognition and design environments that support our innate capacity for mindful awareness.

Mind-body therapy for treating fibromyalgia: a systematic review.

Fibromyalgia is a chronic and disabling condition that presents management challenges for both patients and healthcare providers. The objective of this systematic review was to summarize current evidence on the effectiveness and safety of mind-body therapies in the treatment and/or management of fibromyalgia. We searched MEDLINE, EMBASE, PsycINFO, AMED, and CINAHL databases from their inception to December 2023. Eligible articles included adults diagnosed with fibromyalgia participating in a mind-body therapy intervention and were published from the beginning of 2012 onwards. We assessed the quality of the studies using the Joanna Briggs Institute Critical Appraisal Checklists. Of 3866 records screened, 27 studies (30 articles) met our inclusion criteria, in which 22 were randomized controlled trials and 5 were quasi-experimental studies. Mind-body therapies included guided imagery (n = 5), mindfulness-based stress reduction (n = 5), qi gong (n = 5), tai chi (n = 5), biofeedback (n = 3), yoga (n = 2), mindfulness awareness training (n = 1), and progressive muscle relaxation (n = 1). With the exception of mindfulness-based stress reduction, all therapies had at least one study showing significant improvements in pain at the end of treatment. Multiple studies on guided imagery, qi gong, and tai chi observed significant improvements in pain, fatigue, multidimensional function, and sleep. Approximately one-third of the studies reported on adverse events. This review suggests that mind-body therapies are potentially beneficial for adults with fibromyalgia. Further research is necessary to determine if the positive effects observed post-intervention are sustained. Open Science Framework (https://osf.io) (September 12, 2023; https://doi.org/10.17605/osf.io/6w7ac).

The effects of mindfulness-based techniques on self-rumination, cognitive reappraisal and expressive suppression among patients with major depression: a nursing perspective.

Patients with major depressive disorder (MDD) often struggle with adaptive strategies like self-reflection and cognitive reappraisal, relying instead on maladaptive ones like self-rumination and emotional suppression. Mindfulness-based techniques (MBTs) have been identified as a promising complementary psychological intervention for this population. To evaluate the effects of MBTs on mindful attention awareness, self-rumination, self-reflection, cognitive reappraisal and expressive suppression in patients with MDD between patients who receive MBTs and those who do not. This quasi-experimental research was carried out at the Psychiatric Outpatient Clinics. A representative sample of 120 patients with MDD were randomly recruited to either a study group (n = 60) or a control group (n = 60). The Mindful Attention Awareness Scale (MAAS), The Rumination-Reflection Questionnaire (RRQ) and The Emotion Regulation Questionnaire (ERQ) were utilised to collect data. After participation in MBTs, the study group had significantly greater improvements in the mean scores of MAAS, RRQ, Cognitive Reappraisal and Expressive Suppression compared to the control group (p < 0.001 each). The study recommends developing and implementing training programmes for nurses to equip them with the skills and knowledge to effectively deliver MBTs as part of patient care. Conducting longitudinal studies is necessary to assess the sustainability of these improvements.

Promoting 21st Century Health and Wellness Skills in Elementary School Children: a Group Randomized Trial

In a group randomized trial of 45 elementary schools, a whole-child health and wellness curriculum introduced as a regular part of the educational programming was compared to education as usual over 2 years with a 2-year follow-up. The curriculum focused on integrating multiple SEL skills—mindfulness, compassion, and physical awareness—with the intent to advantage developmental patterns for these skills, academic engagement, personal well-being, and student behavior. The program design and trial implementation were launched with end-use delivery and long-term sustainability as integral considerations. Effects were shown for several SEL skills and behavioral indicators previously robustly correlated to long-term outcomes. Effects were demonstrated more broadly in schools serving high-poverty communities, suggesting the impact was stronger where the need was greater. Results are interpreted regarding supporting school-based SEL, the potential of applying group randomized trials with end-use conditions of implementation, and the value of fitting innovation efforts to school system operations, mandates, and priorities for promoting sustainability.

Pattern Theory of Selflessness: How Meditation May Transform the Self-Pattern

For many centuries, scholars and philosophers from wisdom traditions in different cultures have reported and discussed non-self states of consciousness. These states can be both short-term (state, transitory) and long-term (trait, lasting) conditions. However, in psychology, the importance of a healthy self is usually emphasized, and some theorists have dismissed the idea of “selfless” modes of functioning. This disagreement hinders further empirical progress in the study of self and the way it might be affected by meditation. This paper addresses this issue by providing an interdisciplinary conceptual discussion, grounded in the pattern theory of self (PTS). According to PTS, what we call “self” is a complex pattern of dynamically related constituent processes, which include embodied, experiential (prereflective), affective, psychological/cognitive, reflective, narrative, intersubjective, ecological, and normative processes. We propose that Buddhist and secular meditative practices induce a reorganization of the self-pattern, allowing individuals to experience a “selfless” state, both temporarily and persistently. We then put forward a heuristic model, the pattern theory of selflessness (PTSL), possibly experienced through meditation practices. The proposed PTSL model consists of six transformations that contribute to self-pattern reorganization in a nonlinear and iterative manner: consolidating and integrating the self-pattern; cultivating concentration and present-moment awareness; cultivating mindful awareness; self-deconstruction (non-self) states; self-flexibility; and self-liberation as a trait. This conceptual analysis and integrative view contributes to the growing field of consciousness and contemplative research by advancing the contemporary understanding of non-self experience and its relation to Buddhist and secular meditation. The proposed model serves as a basis for interdisciplinary efforts to guide empirical research in this area.

Self-Compassion, Dispositional Mindfulness, and Parenting Stress: The Mediating role of Mindful Parenting

The purpose of this study is to examine whether mindful parenting mediates the relationship between self-compassion, dispositional mindfulness, and parenting stress. A total of 208 parents participated, with 156 being female and 52 being male. Participants completed the Self-Compassion Scale, the Mindful Attention Awareness Scale (MAAS), the Parenting Stress Scale, and the Mindfulness in Parenting Questionnaire (MIPQ). The findings revealed that mindfulness in parenting plays a mediating role between self-compassion, dispositional mindfulness, and parenting stress. These results indicate that higher levels of dispositional mindfulness and self-compassion may facilitate the practice of mindful parenting, potentially leading to a corresponding reduction in parenting-related stress. These findings underscore the importance of actively addressing and alleviating parenting stress as a crucial factor in fostering the development of self-compassion, mindfulness, and the application of mindful parenting.

Trait Mindfulness Moderates Treatment Outcomes in a Randomized Controlled Trial of Mantram Repetition Program for Veterans with Post-Traumatic Stress Disorder.

Objectives: This secondary analysis examined five facets of mindful awareness as potential moderators of clinical outcomes using data from a randomized controlled trial (RCT) that compared Mantram Repetition Program (MRP) with present-centered therapy (PCT) in veterans with post-traumatic stress disorder (PTSD). Methods: Data were examined from 173 veterans with military-related PTSD randomly assigned to receive eight sessions of MRP (n = 89) or PCT (n = 84). Clinician-administered and self-report measures of mindfulness (Five Facet Mindfulness Questionnaire [FFMQ]), PTSD severity, insomnia symptoms, and depression symptoms, and were obtained pre- and post-intervention. Hierarchical regressions were used to test for FFMQ moderation on clinical outcomes within the two treatment groups. Results: For those with greater ability to "describe their internal experience" (+1 standard deviation [SD]), MRP was associated with lower PTSD hyperarousal symptoms post-intervention than PCT (p < 0.001). For those with lower "nonreactivity to internal stimuli" (-1 SD), MRP was associated with greater reductions in PTSD avoidance and numbing symptoms and insomnia compared with PCT (all ps < 0.002). Conclusions: Pre-intervention mindfulness domains of "describe" and "nonreactivity to inner experience" differentially predicted improvements in PTSD and insomnia symptoms for MRP as compared with PCT subjects. The FFMQ may be an important tool for predicting patient preparedness for mindfulness-based interventions, such as MRP.

The mediational role of cognitive emotion regulation and mindfulness in the relationship between adult separation anxiety and partner-related obsessive compulsive symptoms

Aims: This study aims to investigate the mediating role of cognitive emotion regulation and mindfulness in the relationship between adult separation anxiety and partner-focused obsessive-compulsive symptoms. Methods: The study includes a total of 502 adult participants aged over 18, consisting of 293 women and 209 men, who participated on a voluntary basis. The personal information form, partner-related obsessive-compulsive symptoms scale, cognitive emotion regulation questionnaire, adult separation anxiety questionnaire, and mindful attention awareness scale were used in this research. Statistical analyses were conducted using SPSS 27 software. Results: The results indicate that the self-blame and focusing on thought subscales of the cognitive emotion regulation questionnaire have a mediating role between adult separation anxiety and partner-related obsessive-compulsive symptoms. Conclusion: Mindfulness serves as a mediator in the relationship between adult separation anxiety and partner-related obsessive-compulsive symptoms.

Testing a Mediation Model of Dispositional Optimism, Mindful Self-Care, and Subjective Well-Being.

Research consistently demonstrates a positive association between dispositional optimism (DO) and subjective well-being (SWB). This study takes a step forward by exploring potential mechanisms underlying this relationship, with a specific focus on the mediating role of mindful self-care (MSC). We conducted a cross-sectional online survey involving 312 Singaporean adults. Participants completed questionnaires assessing their DO, MSC practices, and overall SWB. Our findings confirmed a significant link between DO and SWB, with individuals exhibiting higher optimism reporting greater well-being. Importantly, the relationship was mediated by MSC, suggesting that optimism motivates individuals to engage in MSC practices, which in turn, enhances SWB. Moreover, DO was linked to all SWB subcomponents, even after controlling for MSC as a mediator. Among the six MSC facets, self-compassion and purpose, supportive relationships, and mindful awareness emerged as significant mediators. This study adds to the growing body of evidence recognizing the positive role of DO and MSC in improving well-being outcomes. It highlights the potential of interventions aimed at cultivating optimism as a promising approach for enhancing mindful self-care practices and ultimately promoting well-being in adults.

The effects of mindfulness-based psycoeducation program on the perceived stress levels and emotion regulation strategies of patients diagnosed with bipolar disorder

ObjectivesIn recent years, mindfulness-based practices in psychiatric patients have become a new trend. It is applied to many mental disorders and is stated to have various benefits. There is not enough research yet on how mindfulness-based practices effect patients with diagnosed bipolar disorder. This study aimed to evaluate the effects of mindfulness-based psychoeducation program on emotion regulation strategies and perceived stress levels of patients diagnosed with bipolar disorder. MethodsThe study, which was carried out as a pre-test and post-test quasi-experimental research design with a control group, was carried out with a total of 71 patients diagnosed with bipolar disorder, 35 of whom were assigned to the experimental group, and 36 of them were assigned to the control group. Data of the study was collected with the Personal Information Form, Mindful Attention Awareness Scale (MAAS), Emotion Regulation Questionnaire (ERQ), and Perceived Stress Scale (PSS). The mindfulness-based psychoeducation program was implemented in the form of group training, 2 sessions per week, for a total of 6 sessions. ResultsCompared to the control group, it was determined that the MAAS and ERQ-Reappraisal total mean scores of the experimental group increased significantly, and the PSS and ERQ-Suppression total mean scores decreased significantly (p < 0.01). ConclusionsMindfulness-Based psycoeducation program improved mindfulness, emotion regulation and level of perceived stress of patients diagnosed with bipolar disorder.

Through Alzheimer’s Eyes: A Virtual Pilot Intervention for Family Caregivers of People with Dementia

ABSTRACT Objective To evaluate the feasibility and acceptability of a virtually delivered psychoeducational skill-building intervention for ADRD caregivers. Methods A single-arm, pre-posttest pilot study design was employed to evaluate the intervention. Four 90-min group-based weekly sessions were combined with four individual coaching sessions via Zoom. Intervention components covered topics designed to reduce caregiver stress and distress, and a VR experience to help caregivers understand dementia. Data was gathered via REDCap pre- and post-intervention and through post-intervention interviews via Zoom. Results Results (N = 20) from individual interviews, surveys, and treatment implementation strategies suggest strong feasibility and acceptability. Key change exploration indicated medium effect sizes and statistical significance in preparedness for caregiving (t(19) = 2.69, p = .015, d = 63), communication (t(19) = 2.45, p = .024, d = 0.55), and a medium effect size for the mindful attention awareness scale (t(19) = 0.48, p = (0.637, d = 0.54). Further, participants reported their perceptions of improvement in outcomes such as the ability to care, increased understanding of memory loss, and confidence. Conclusions Through Alzheimer’s Eyes is a feasible and acceptable intervention that blends technology with skill-building strategies to help caregivers manage their stress and distress regardless of their location. Clinical Implications There is potential for interventions including VR to assist family caregivers in managing caregiving challenges and improve well-being.

Immediate Effects of Mindful Awareness in Body-oriented Therapy as an Adjunct to Medication for Opioid Use Disorder.

While effective, medication for opioid use disorder (MOUD) treatment outcomes can be limited by co-occurring polysubstance use, mental health and chronic pain conditions. Interoceptive training may facilitate well-being and support medication treatment for MOUD. This study examined the pre-post effects of the mindfulness-based intervention Mindful Awareness in Body-oriented Therapy (MABT) as an adjunct to MOUD. MABT teaches interoceptive awareness skills to promote self-care and emotion regulation. People stabilized on medication for OUD (N = 303) from 6 community clinics in Northwestern United States were recruited and randomly assigned to MABT plus MOUD or MOUD only. In a mixed-methods study, we used an intent-to-treat approach to examine the proportion of days abstinent from non-prescribed opioids, and other substance use (primary outcomes) at baseline and 3 months post-intervention. Secondary outcomes included symptoms of mental health distress; emotional regulation difficulties; pain and physical symptom indicators; interoceptive awareness and mindfulness skills. Participant experience of MABT was collected through post-intervention surveys. Changes in outcomes were assessed using linear mixed models; content analysis was used to analyze the qualitative data. Levels of overall substance use were low and did not differ between groups. Significant improvements in PTSD symptoms, interoceptive awareness, pain severity, pain activity interference, and physical symptom frequency were found for those who received MABT compared to MOUD only. In this stable MOUD population, substance use outcomes were not improved, however MABT demonstrated significant positive changes across multiple health outcomes critical for improving MOUD treatment. Clinical Trials Registration: NCT04082637 on 9/3/2019.

Subjective well-being: self-forgiveness, coping self-efficacy, mindfulness, and the role of resilience?

ABSTRACT In the current study, we investigated self-forgiveness, coping self-efficacy, mindfulness, and resilience as predictors of subjective well-being. The study group consisted of 1091 undergraduate students. A Personal Information Form, the Heartland Forgiveness Scale, the Mindful Attention Awareness Scale, the Coping Self-Efficacy Scale, the Connor-Davidson Resilience Scale-Short Form, the Positive and Negative Affect Schedule, and the Satisfaction with Life Scale were used as data collection tools in the study. Pearson Correlation Analysis and Structural Equation Model analysis were performed in the study. According to the results of the structural equation model analysis, it was revealed that all the positive characteristics in the model contributed significantly to the subjective well-being of undergraduate students. In addition, apart from the path from mindfulness to resilience, other paths in the structural model were found to be statistically significant, as well.

Reducing parenting stress in Chinese parents of children with learning disabilities with a mindful parenting program: A randomized controlled trial

BackgroundParents raising children with Learning Disabilities (LDs) often face multiple challenges and high levels of parenting stress, especially in societies with intense academic competitions. Mindful parenting (MP) is an emerging approach that brings mindful awareness to parent–child interactions and is found effective in reducing parenting stress in various parent populations. AimsThis study examined the effectivenesss of an 8-week online MP program on Chinese parents of children with LDs. Methods and proceduresA MP program was adapted and implemented in an online format with 69 parents of children with LDs. A randomized controlled trial design was used to examine the efficacy of the mindful parenting group compared with a wait-list control group. Parenting stress, mindful parenting and self-compassion were assessed pre- and post-intervention. Outcomes and resultsCompared with the wait-list control group, the MP group participants showed decreased parenting stress (d = 0.62, p < 0.05), improved mindful parenting (d = 0.63, p < 0.05), and increased self-compassion (d = 0.61, p < 0.05). Conclusions and implicationsThese findings support the effectiveness of an online MP intervention in reducing parenting stress and increasing mindful parenting and self-compassion among Chinese parents of children with LDs. The behavioral and intrapersonal aspects of MP are more amenable to improvement, whereas the attitudinal and interpersonal aspects, particularly non-judgmental acceptance and compassion towards the child, are resistant to change. Future studies should explore strategies to enhance these attitudinal aspects and interpersonal processes of MP.