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An empirical study of the mechanisms of mindfulness in a mindfulness‐based stress reduction program

James Carmody, Ruth A. Baer, Emily L. B. Lykins, Nicholas Olendzki

Journal of Clinical Psychology March 6, 2009 DOI: 10.1002/jclp.20579 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational study Peer reviewed
Population Participants in a mindfulness-based stress-reduction program
Intervention mindfulness-based stress-reduction program
Topics Meditation
Citations 528
Key findings Changes in reperceiving did not mediate the relationship between mindfulness and self-regulation, values clarification, cognitive and behavioral flexibility, and exposure, but combined mindfulness and reperceiving scores partially mediated effects on psychological distress.

Abstract

S. L. Shapiro and colleagues (2006) have described a testable theory of the mechanisms of mindfulness and how it affects positive change. They describe a model in which mindfulness training leads to a fundamental change in relationship to experience (reperceiving), which leads to changes in self-regulation, values clarification, cognitive and behavioral flexibility, and exposure. These four variables, in turn, result in salutogenic outcomes. Analyses of responses from participants in a mindfulness-based stress-reduction program did not support the mediating effect of changes in reperceiving on the relationship of mindfulness with those four variables. However, when mindfulness and reperceiving scores were combined, partial support was found for the mediating effect of the four variables on measures of psychological distress. Issues arising in attempts to test the proposed theory are discussed, including the description of the model variables and the challenges to their assessment.