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Testing mindfulness mechanisms of action on depression, anxiety, and mental well-being of social workers

A. Maddock

Current Psychology April 24, 2025 DOI: 10.1007/s12144-025-07801-3 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Secondary analysis of data from two randomized controlled trials using structural equation modeling Peer reviewed
Sample size 94
Population Social workers who completed a mindfulness-based programme
Intervention Mindfulness-based programme
Topics Anxiety Depression Meditation
Key findings The authors report that mindfulness, worry, and rumination appear to function as universal mechanisms of action of mindfulness-based programme participation on social worker depression, anxiety, and mental well-being, while attention regulation/decentering appears to act on depression and anxiety. They propose the clinically modified Buddhist psychological model as a possibly useful explanatory framework, offering this as initial evidence.

Abstract

The evidence that mindfulness-based programmes (MBPs) improve the mental health and well-being of social workers is growing. Which MBP mechanisms improve these outcomes is unclear. This study attempts to identify what these mechanisms might be, using data from two RCTs investigating the impact of the MBP participation on social worker depression, anxiety, and mental well-being. Structural equation models (SEM) were constructed on the data of the 94 social workers who completed a MBP. Conditional direct, and indirect effect models of changes in mindfulness, self-compassion, attention regulation/decentering, acceptance, non-attachment, aversion, mediating variables (rumination and worry) and outcomes (depression, anxiety, and psychological well-being) reflecting the clinically modified Buddhist psychological model (CBPM) were tested. This study provides initial evidence that direct and mediated effects, and mediated effects CBPM models of social worker depression, anxiety and mental well-being might useful explanatory frameworks of how these outcomes improve through MBP participation. The pattern of significant direct and mediated effects found indicate that multiple outcomes could be improved through multiple mechanisms. Mindfulness, worry, and rumination appear to function as universal mechanisms of action of MBP participation on social worker depression, anxiety, and mental well-being. Attention regulation/decentering appears to function as a universal mechanism of action on depression and anxiety.