Journal article
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
- Abstract:
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Objective
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.
Method
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.
Results
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.
Conclusion
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.
Trial registration: ClinicalTrials.gov identifier: NCT05154266.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
Actions
Access Document
- Files:
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-
(Preview, Version of record, pdf, 811.1KB, Terms of use)
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- Publisher copy:
- 10.1080/10503307.2023.2269299
Authors
+ Wellcome Trust
More from this funder
- Funder identifier:
- https://ror.org/029chgv08
- Grant:
- WT104908/Z/14/Z
- Publisher:
- Taylor & Francis
- Journal:
- Psychotherapy Research More from this journal
- Volume:
- 34
- Issue:
- 8
- Pages:
- 1162-1173
- Place of publication:
- England
- Publication date:
- 2023-11-06
- Acceptance date:
- 2023-09-18
- DOI:
- EISSN:
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1468-4381
- ISSN:
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1050-3307
- Pmid:
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37931304
- Language:
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English
- Keywords:
- Pubs id:
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1562635
- Local pid:
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pubs:1562635
- Deposit date:
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2023-12-30
Terms of use
- Copyright holder:
- Maloney et al
- Copyright date:
- 2023
- Rights statement:
- © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis GroupThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properlycited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s)or with their consent
- Licence:
- CC Attribution (CC BY)
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