The effects of mindfulness-based techniques on self-rumination, cognitive reappraisal and expressive suppression among patients with major depression: a nursing perspective.
Mohamed Hussein Ramadan Atta, Ayman Mohamed El-Ashry, Marwa Abd El-Gawad Mousa
Journal of Research in Nursing August 1, 2024 DOI: 10.1177/17449871241252011 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Quasi-experimental Longitudinal Peer reviewed |
|---|---|
| Sample size | 120 |
| Population | Patients with major depressive disorder (MDD) at psychiatric outpatient clinics |
| Intervention | Mindfulness-based techniques (MBTs) |
| Topics | Depression Meditation |
| Keywords | Emotional regulation Mindful attention awareness Mindfulness-based techniques Nursing intervention Self-reflection Self-rumination |
| Citations | 23 |
| Key findings | Mindfulness-based techniques significantly improved mindful attention awareness, self-reflection, cognitive reappraisal, and expressive suppression in patients with MDD compared to a control group. |
Abstract
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.
Comparable studies
Other experimental studies on depression, most cited first.
Citations in the library
Cited by 11
- Mindfulness for Menopausal Women: Enhancing Quality of Life and Psychological Well-Being Through a Randomized Controlled Intervention. Journal of Nursing Scholarship July 1, 2025
- Effects of online mindfulness-based stress reduction training on depression and anxiety symptoms among psychiatric healthcare workers in a randomized controlled trial: the mediating role of emotional suppression. BMC Psychiatry June 4, 2025
- The sustained effect of 5-week EmotionCore mindfulness training on emotion regulation and emotional intelligence: heterogeneous benefits for depression and anxiety across subgroups Frontiers in Psychiatry July 18, 2025
- The effects of mindfulness‐based interventions on emotion regulation/dysregulation in people with mental health conditions: A systematic review and meta‐analysis JCPP Advances February 12, 2026
- The association of mindfulness with stress self-management among university teachers: the mediating roles of resilience and cognitive reappraisal. Frontiers in Psychology 2025
and 6 more in the library
Cites 23
- The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology 2003
- Mindfulness: A proposed operational definition. Clinical Psychology Science and Practice 2004
- Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology Science and Practice 2003
- A Randomized Controlled Trial of Mindfulness-Based Cognitive Therapy for Treatment-Resistant Depression Psychotherapy and Psychosomatics 2016
- The psychometric properties of the Mindful Attention Awareness Scale (MAAS) and Freiburg Mindfulness Inventory (FMI) as measures of mindfulness and their relationship with burnout and work engagement SA Journal of Industrial Psychology April 22, 2016
and 18 more in the library