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Features of Self-Organization during the Process of Mindfulness-Based Stress Reduction: A Single Case Study

Günter Schiepek, Tatjana Marinell, Wolfgang Aichhorn, Helmut Schöller, Michael E. Harrer

Entropy September 30, 2023 DOI: 10.3390/e25101403 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Case report Peer reviewed
Sample size 1
Population A female nurse
Intervention app-based daily self-assessments
Duration 8-week MBSR program plus 10 months of continued self-assessment and mindfulness practice
Topics Meditation
Key findings The authors report that the participant's coping with work-related stress improved after an 8-week MBSR program, and that time-series analyses showed a cascade of discontinuous phase transitions, which they interpret as supporting self-organization as a possible mechanism of change. The participant also reported that daily monitoring and systematic feedback benefited the change process, and the authors conclude that continuous high-frequency monitoring is feasible and useful.

Abstract

Compared to the extensive evidence of the effectiveness of mindfulness-based interventions, there is only a limited understanding of their mechanisms of change. The three aims of this study are (1) to identify features of self-organization during the process (e.g., pattern transitions), (2) to obtain an impression of the effects of continuous self-assessments and feedback sessions on mindfulness-related stress reduction, and (3) to test the feasibility of high-frequency process monitoring and process feedback. Concerning aim (1), the specific hypothesis is that change will occur as a cascade of discontinuous pattern transitions emerging spontaneously in the sense of not being a reaction to external input. This single case study describes changing patterns of multiple time series that were produced by app-based daily self-assessments during and after an 8-week mindfulness-based stress reduction program. After this MBSR program, the participant (a female nurse) continued the self-assessment and the mindfulness practice for a further 10 months. The results confirm findings on the positive effects of mindfulness programs for healthcare professionals, especially on coping with work-related stress. The analysis of the time series data supports the hypothesis of self-organization as a possible mechanism of change manifesting as a cascade of phase transitions in the dynamics of a biopsychosocial system. At the end of the year, the participant reported a beneficial impact of daily monitoring and systematic feedback on the change process. The results underline the feasibility and usefulness of continuous high-frequency monitoring during and after mindfulness interventions.

Comparable studies

Other case reports and case series on meditation, most cited first.

Study Year Design Participants
Brain sources of EEG gamma frequency during volitionally meditation-induced, altered states of consciousness, and experience of the self Advanced meditator 2001 Case study n = 1
Mindfulness Meditation for Alcohol Relapse Prevention: A Feasibility Pilot Study Adult alcohol-dependent graduates of an intensive outpatient program 2008 Prospective case series n = 19
How does it feel to lack a sense of boundaries? A case study of a long-term mindfulness meditator. A single long-term mindfulness practitioner (S) with 40 years of practice in... 2015 Qualitative case study n = 1
Loving‐kindness meditation to enhance recovery from negative symptoms of schizophrenia Individuals suffering from schizophrenia-spectrum disorders with persistent negative... 2009 Case study
Mindfulness-Based Cognitive Therapy for Problem Gambling A female problem gambler 2011 Case study n = 1

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