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THE LONGITUDINAL MEDIATING EFFECT OF DISTRESS TOLERANCE IN A MINDFULNESS-BASED INTERVENTION: A RANDOMIZED CONTROLLED TRIAL

xinghua_liu@pku.edu.cn

Bingqian Liu1, Qiang Xie2, Ye Guan1, Ashley Y. Zhou3, Angelica J. Zhang1, and Xinghua Liu1*

1 School of Psychological and Cognitive Science, Peking University, Beijing, P.R.China
2 Faculty of Psychology, Beijing Normal University, Beijing, P.R.China
3 St. Paul’s School, Concord, NH, United States

Abstract

Objective: The present study aimed to investigate the intermediary role of distress tolerance in Mindfulness-Based Intervention (MBI) with respect to self-perceived stress reduction. Method: One hundred and twenty-nine adults with a high level of emotional distress were randomized into MBI groups or a waiting-list group. Levels of mindfulness skills, self-perceived stress, and distress tolerance (tolerance, appraisal, absorption, and regulation) were measured four times: pre-test, week 3, week 6, and post-test. Results: The developmental trajectories modeled by the univariate latent growth curve showed that the factor intervention significantly predicted the slope of observing, non-reactivity, overall mindfulness, and distress appraisal during first six weeks. Bivariate latent growth curve models demonstrated a significant association between increases in the growth rate of distress appraisal and non-reactivity in participants receiving mindfulness training. Such an association was not observed among those who did not receive an MBI. Longitudinal mediation analyses further revealed that the effect of MBI on non-reactivity and self-perceived stress at week 6 was fully mediated by distress appraisal at week 3, respectively.

Keywords: Mindfulness, Stress, Distress Tolerance, Distress Intolerance, Distress Appraisal, Mediation

Please cite this article as: Liu, B., Xie, Q., Guan, Y., Zhou, A. Y., Zhang, A. J., & Liu, X. (2023). THE LONGITUDINAL MEDIATING EFFECT OF DISTRESS TOLERANCE IN A MINDFULNESS-BASED INTERVENTION: A RANDOMIZED CONTROLLED TRIAL. Journal of Evidence-Based Psychotherapies, 23(2), 49-78.

DOI: 10.24193/jebp.2023.2.11

Published online: 2023/09/01
Published print: 2023/09/01

Full text – THE LONGITUDINAL MEDIATING EFFECT OF DISTRESS TOLERANCE IN A MINDFULNESS-BASED INTERVENTION: A RANDOMIZED CONTROLLED TRIAL Download
Sep 29, 2023Carmen Cotet
PROCRASTINATION AMONG ADULTS: THE ROLE OF SELF-DOUBT, FEAR OF THE NEGATIVE EVALUATION, AND IRRATIONAL/RATIONAL BELIEFSSOCIAL ANXIETY FROM AN ATTACHMENT THEORY PERSPECTIVE: THE MEDIATING ROLE OF EARLY MALADAPTIVE SCHEMA DOMAINS AND REJECTION SENSITIVITY
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Keywords
irrational beliefscbtrebtEditorialdistresscognitive-behavioral therapyappraisalcognitive restructuringschemasautism spectrum disordersbinary model of distressrational emotive behavior theoryconversion disorderautismhypnosispositive illusionstheory of mindearly interventioncommunicationdevelopmentthe Attitudes and Belief Scale 2incompatible information techniquedeficitsneural structurestoddlerscognitive psychologyrational anticipation techniquewithdrawal motivational systemsattributionsfunctional and dysfunctional negative emotionsunitary model of distressmind reading beliefsirrational and rational beliefstreatmenteating behavioursmental healtharousalpre-goal/ post-goal attainment positive emotionsfunctional and dysfunctional emotionscore relational themesapproach motivational systemsdemandingnessdysfunctional consequencesdysfunctional positive emotionspreferences
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