Literature DB >> 25695903

Decreased symptoms of depression after mindfulness-based stress reduction: potential moderating effects of religiosity, spirituality, trait mindfulness, sex, and age.

Jeffrey M Greeson1, Moria J Smoski, Edward C Suarez, Jeffrey G Brantley, Andrew G Ekblad, Thomas R Lynch, Ruth Quillian Wolever.   

Abstract

OBJECTIVE: Mindfulness-based stress reduction (MBSR) is a secular meditation training program that reduces depressive symptoms. Little is known, however, about the degree to which a participant's spiritual and religious background, or other demographic characteristics associated with risk for depression, may affect the effectiveness of MBSR. Therefore, this study tested whether individual differences in religiosity, spirituality, motivation for spiritual growth, trait mindfulness, sex, and age affect MBSR effectiveness.
METHODS: As part of an open trial, multiple regression was used to analyze variation in depressive symptom outcomes among 322 adults who enrolled in an 8-week, community-based MBSR program.
RESULTS: As hypothesized, depressive symptom severity decreased significantly in the full study sample (d=0.57; p<0.01). After adjustment for baseline symptom severity, moderation analyses revealed no significant differences in the change in depressive symptoms following MBSR as a function of spirituality, religiosity, trait mindfulness, or demographic variables. Paired t tests found consistent, statistically significant (p<0.01) reductions in depressive symptoms across all subgroups by religious affiliation, intention for spiritual growth, sex, and baseline symptom severity. After adjustment for baseline symptom scores, age, sex, and religious affiliation, a significant proportion of variance in post-MBSR depressive symptoms was uniquely explained by changes in both spirituality (β=-0.15; p=0.006) and mindfulness (β=-0.17; p<0.001).
CONCLUSIONS: These findings suggest that MBSR, a secular meditation training program, is associated with improved depressive symptoms regardless of affiliation with a religion, sense of spirituality, trait level of mindfulness before MBSR training, sex, or age. Increases in both mindfulness and daily spiritual experiences uniquely explained improvement in depressive symptoms.

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Year:  2015        PMID: 25695903      PMCID: PMC4365440          DOI: 10.1089/acm.2014.0285

Source DB:  PubMed          Journal:  J Altern Complement Med        ISSN: 1075-5535            Impact factor:   2.579


  25 in total

1.  Evaluation of a Wellness-Based Mindfulness Stress Reduction intervention: a controlled trial.

Authors:  K A Williams; M M Kolar; B E Reger; J C Pearson
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2.  The funds, friends, and faith of happy people.

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3.  The daily spiritual experience scale: development, theoretical description, reliability, exploratory factor analysis, and preliminary construct validity using health-related data.

Authors:  Lynn G Underwood; Jeanne A Teresi
Journal:  Ann Behav Med       Date:  2002

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Review 5.  The meeting of meditative disciplines and Western psychology: a mutually enriching dialogue.

Authors:  Roger Walsh; Shauna L Shapiro
Journal:  Am Psychol       Date:  2006-04

Review 6.  Meditation programs for psychological stress and well-being: a systematic review and meta-analysis.

Authors:  Madhav Goyal; Sonal Singh; Erica M S Sibinga; Neda F Gould; Anastasia Rowland-Seymour; Ritu Sharma; Zackary Berger; Dana Sleicher; David D Maron; Hasan M Shihab; Padmini D Ranasinghe; Shauna Linn; Shonali Saha; Eric B Bass; Jennifer A Haythornthwaite
Journal:  JAMA Intern Med       Date:  2014-03       Impact factor: 21.873

7.  Mindfulness-based stress reduction and health-related quality of life in a heterogeneous patient population.

Authors:  D K Reibel; J M Greeson; G C Brainard; S Rosenzweig
Journal:  Gen Hosp Psychiatry       Date:  2001 Jul-Aug       Impact factor: 3.238

Review 8.  The validity of the Hospital Anxiety and Depression Scale. An updated literature review.

Authors:  Ingvar Bjelland; Alv A Dahl; Tone Tangen Haug; Dag Neckelmann
Journal:  J Psychosom Res       Date:  2002-02       Impact factor: 3.006

9.  An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results.

Authors:  J Kabat-Zinn
Journal:  Gen Hosp Psychiatry       Date:  1982-04       Impact factor: 3.238

10.  The hospital anxiety and depression scale.

Authors:  A S Zigmond; R P Snaith
Journal:  Acta Psychiatr Scand       Date:  1983-06       Impact factor: 6.392

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  19 in total

1.  The Moderating Role of Spirituality in the Association between Stress and Substance Use among Adolescents: Differences by Gender.

Authors:  Katrina J Debnam; Adam J Milam; Morgan M Mullen; Krim Lacey; Catherine P Bradshaw
Journal:  J Youth Adolesc       Date:  2017-05-10

2.  The Effect of a Brief Mindfulness Training on Distress Tolerance and Stress Reactivity.

Authors:  Joseph K Carpenter; Jenny Sanford; Stefan G Hofmann
Journal:  Behav Ther       Date:  2018-10-09

3.  The many facets of mindfulness and the prediction of change following mindfulness-based stress reduction (MBSR).

Authors:  Michael J Gawrysiak; Stevie N Grassetti; Jeffrey M Greeson; Ryan C Shorey; Ryan Pohlig; Michael J Baime
Journal:  J Clin Psychol       Date:  2017-08-16

4.  Parental Criticism and Depressive Symptoms: The Contribution of Active Coping Among African American Adolescents : Prairie View A&M University.

Authors:  Timothy I Lawrence
Journal:  Community Ment Health J       Date:  2022-06-20

5.  Do gender, anxiety, or sleep quality predict mindfulness-based stress reduction outcomes?

Authors:  Megan M Brown; Danielle Arigo; Ruth Q Wolever; Moria J Smoski; Martica H Hall; Jeffrey G Brantley; Jeffrey M Greeson
Journal:  J Health Psychol       Date:  2020-06-03

6.  Predictors of Improvements in Mental Health From Mindfulness Meditation in Stressed Older Adults.

Authors:  Barry S Oken; Elena Goodrich; Daniel Klee; Tabatha Memmott; Jeffrey Proulx
Journal:  Altern Ther Health Med       Date:  2018-01       Impact factor: 1.305

7.  Anxiety and Depression in Cancer Patients: The Association with Religiosity and Religious Coping.

Authors:  Guan Chong Ng; Salina Mohamed; Ahmad Hatim Sulaiman; Nor Zuraida Zainal
Journal:  J Relig Health       Date:  2017-04

8.  Brief mindfulness training reduces salivary IL-6 and TNF-α in young women with depressive symptomatology.

Authors:  Erin Walsh; Tory Eisenlohr-Moul; Ruth Baer
Journal:  J Consult Clin Psychol       Date:  2016-06-09

9.  Self-compassion in mindfulness-based stress reduction: An examination of prediction and mediation of intervention effects.

Authors:  Landrew S Sevel; Micheal T M Finn; Rachel M Smith; Anna M Ryden; Lindsey C McKernan
Journal:  Stress Health       Date:  2019-12-24       Impact factor: 3.454

10.  Attitudes toward a mindfulness-based intervention from African American women living with HIV: A qualitative study.

Authors:  Slone Taylor; Shan Qiao; Sharon Weissman; Xiaoming Li
Journal:  SAGE Open Med       Date:  2021-06-16
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