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The Five-Facet Mindfulness Model as a Basis for Differentiated Selection of Psychotherapeutic Interventions in Anxiety Disorders

Vera M. Ruzinova, Anastasia V. Kotelnikova, Maria G. Kiseleva, N. I. Zentsova

Bulletin of psychotherapy April 28, 2026 DOI: 10.25016/2782-652x-2026-0-97-165-173 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Systematic review Peer reviewed
Measures Five-Facet Mindfulness Questionnaire (FFMQ)
Topics Anxiety Meditation
Key findings Different psychotherapeutic approaches have distinct effects on mindfulness facets: mindfulness-based cognitive therapy develops observation, conscious actions, and non-reactivity; dialectical behavior therapy develops description and conscious actions; acceptance and commitment therapy develops non-reactivity and absence of reactivity; psychoanalysis fosters observation. The Five-Facet Mindfulness Model is proposed as a tool for individualized treatment planning.

Abstract

Relevance. Anxiety disorders affect over 4 % of the global population, significantly impairing quality of life and creating a substantial burden on healthcare systems. The limited efficacy of existing treatment modalities necessitates the exploration of novel therapeutic approaches. Objective. To conduct a systematic analysis and integration of data regarding the potential of various psychotherapeutic approaches to develop mindfulness components in patients with anxiety disorders based on the Five-Facet Model. Methodology . A systematic literature review was conducted using PubMed, Google Scholar, CyberLeninka, and eLIBRARY databases for publications from 2000 to 2024. Comparative and systematic analysis methods were employed to identify mechanisms through which different therapeutic paradigms impact mindfulness components. Results and а nalysis . The study revealed distinct intervention profiles of different approaches: mindfulness-based cognitive therapy demonstrated efficacy in developing observation, conscious actions, and non-reactivity; dalectical behavior therapy was most effective for developing description and conscious actions; acceptance and commitment therapy proved effective for developing nonreactivity and absence of reactivity; psychoanalysis primarily fostered observation skills. Conclusion. The Five-Facet Mindfulness Model represents a practical tool for developing individualized psychotherapy protocols. The utilization of the Five-Facet Mindfulness Questionnaire (FFMQ) is recommended for diagnostic assessment and selection of relevant psychocorrection methods.

Comparable studies

Other systematic reviews and meta-analyses on anxiety, most cited first.

Study Year Design Participants
Meditation Programs for Psychological Stress and Well-being Diverse adult clinical populations 2014 Meta-analysis n = 3,515
Research Review: The effects of mindfulness‐based interventions on cognition and mental health in children and adolescents – a meta‐analysis of randomized controlled trials Children and adolescents 2018 Systematic review and meta-analysis n = 3,666
Therapeutic effects of classic serotonergic psychedelics: A systematic review of modern‐era clinical studies Patients with cancer- or illness-related anxiety and depression, major depressive... 2020 Systematic review n = 188
Does Mindfulness Meditation Improve Anxiety and Mood Symptoms? A Review of the Controlled Research Clinical populations with medical and emotional disorders 2007 Systematic review n = 15
Antidepressive, anxiolytic, and antiaddictive effects of ayahuasca, psilocybin and lysergic acid diethylamide (LSD): a systematic review of clinical trials published in the last 25 years Patients from included clinical trials 2016 Systematic review

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