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Non-attachment as a potential mechanism for the effects of mindfulness meditation on obsessive-compulsive symptoms among survivors of adverse childhood experiences.

Diane Joss

Current Psychology October 1, 2025 DOI: 10.1007/s12144-025-08245-5 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Pilot study Peer reviewed
Sample size 40
Population Young adult survivors of adverse childhood experiences
Intervention Mindfulness-Based Intervention
Topics Anxiety Buddhism Depression Meditation
Keywords Path analysis Trauma
Key findings Non-attachment directly mediated mindfulness-based intervention effects on obsessive-compulsive symptoms after controlling for depression and anxiety changes.

Abstract

Obsessive-Compulsive Symptoms (OCS) arise from maladaptive appraisal of intrusive thoughts, for which Adverse Childhood Experiences (ACE) can be a major risk factor, due to distorted senses of responsibility and control. Emerging research suggests Mindfulness-Based Interventions (MBIs) can be beneficial for reducing OCS, but existing mechanistic understandings are still based on exposure therapy theories. This pilot study analyzed exploratory measures from a previous mechanistic randomized controlled trial (RCT) with young adult ACE survivors that compared MBI (N=21) vs. active control (N=19). Path analyses revealed that only in the MBI arm, post-intervention score changes (Δ) of "non-attachment" directly influenced ΔOCS (β=-0.50, p<0.05) after controlling for ΔDepression and ΔAnxiety. Such mechanistic finding highlights "non-attachment" as a potential psychological mechanism for MBI's effects on OCS, i.e., through cultivating the mentality of "letting go" of the desire of control over external and internal experiences.

Comparable studies

Other randomized controlled trials on meditation, most cited first.

Study Year Design Participants
Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment 2003 Randomized controlled trial n = 41
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults 2008 Randomized controlled trial n = 139
Short-term meditation training improves attention and self-regulation Undergraduate Chinese students 2007 Randomized controlled trial n = 40
Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients 2004 Randomized controlled trial n = 73

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