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Factors that contribute to trait mindfulness level among hospitalized patients with major depressive disorder.

Cai-Fang Ji, Guan-Hui Wu, Xiang Dong Du, Gui-Xian Wang, Li-Li Liu, Mei-E Niu, Robert K. Logan, Fan-Zhen Kong

Frontiers in Psychiatry June 29, 2023 DOI: 10.3389/fpsyt.2023.1144989 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cross-sectional study Peer reviewed
Sample size 126
Population Hospitalized patients with major depressive disorder
Measures Beck Depression Inventory (BDI), World Health Organization Quality of Life Brief, Five-Factor Mindfulness Questionnaire (FFMQ), Rumination Response Scale (RRS)
Topics Depression Meditation
Keywords Major depression disorder Ffmq Trait mindfulness
Key findings Trait mindfulness was negatively and bidirectionally associated with major depressive disorder severity, primarily through the describing and acting-with-awareness facets. Higher trait mindfulness was also associated with older age, being married, and prior mindfulness training. The authors propose that characterizing trait mindfulness in hospitalized MDD patients could help predict treatment efficiency, establish prognosis, and identify therapeutic targets.

Abstract

Mindfulness training among patients with major depressive disorder (MDD) reduces symptoms, prevents relapse, improves prognosis, and is more efficient for those with a high level of trait mindfulness. Upon hospital admission, 126 MDD patients completed the Beck Depression Inventory (BDI), World Health Organization Quality of Life Brief, Five-Factor Mindfulness Questionnaire (FFMQ), and the Rumination Response Scale (RRS). The 65 patients that scored less than the median of all subjects on the FFMQ were placed into the low mindfulness level (LML) group. The other 61 patients were placed in the high mindfulness level (HML) group. All facet scores were statistically different between the mental health assessment scores of the HML and LML groups except for RRS brooding and FFMQ nonjudgement. Trait mindfulness level exhibited a negative and bidirectional association with MDD severity primarily through the facets of description and aware actions. Trait mindfulness was also related positively with age primarily through the facets of nonreactivity and nonjudgement. Being married is positively associated with trait mindfulness levels primarily through the facet of observation and by an associated increase in perceived quality of life. Mindfulness training prior to MDD diagnosis also associates positively with trait mindfulness level. Hospitalized MDD patients should have their trait mindfulness levels characterized to predict treatment efficiency, help establish a prognosis, and identify mindfulness-related therapeutic targets.

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