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Published in: Community Mental Health Journal 7/2019

01-10-2019 | Anxiety | Original Paper

Effect of a Mindfulness-Based Intervention Program on Comprehensive Mental Health Problems of Chinese Undergraduates

Author: Xianhua Liu

Published in: Community Mental Health Journal | Issue 7/2019

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Abstract

How best to support mental health of young people is an important public health challenge. More empirical researches are need to examine the relationship between mindfulness-based interventions and mental health in China. The present study reports results from a quasi-experiment following a one-group repeated-measures design which investigated the impact of a standard 8-week mindfulness-based cognitive therapy (MBCT) program in 81 Chinese undergraduates (14 males, 67 females, age 20.35 ± 1.35 years). Data was collected using the Symptom Check List 90 (SCL90) at baseline, week 3, week 6 and week 8 in order to examine the trajectory of mental health changes during the MBCT training. The repeated measures analysis of variance showed that the decrease was significant in the scores of somatization (F = 13.432, P < 0.01), obsessive–compulsive symptoms (F = 43.954, P < 0.01), interpersonal sensitivity (F = 36.196, P < 0.01), depression (F = 25.914, P < 0.01), anxiety (F = 26.547, P < 0.01), hostility (F = 19.707, P < 0.01), phobic anxiety (F = 21.145, P < 0.01), paranoid ideation (F = 19.857, P < 0.01) and psychoticism (F = 32.833, P < 0.01). The findings from the present study show that a standard MBCT program may have positive impact on reduction in mental health problems in Chinese undergraduates. Further controlled studies with randomized designs are needed to investigate these promising results in more depth.
Literature
go back to reference Baer, R. A., Fischer, S., & Huss, D. B. (2005). Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 23, 281–300.CrossRef Baer, R. A., Fischer, S., & Huss, D. B. (2005). Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 23, 281–300.CrossRef
go back to reference Barnhofer, T., Crane, C., Hargus, E., Amarasinghe, M., Winder, R., & Williams, J. M. G. (2009). Mindfulness-based cognitive therapy as a treatment for chronic depression: A preliminary study. Behaviour Research and Therapy, 47, 366–373.CrossRefPubMedPubMedCentral Barnhofer, T., Crane, C., Hargus, E., Amarasinghe, M., Winder, R., & Williams, J. M. G. (2009). Mindfulness-based cognitive therapy as a treatment for chronic depression: A preliminary study. Behaviour Research and Therapy, 47, 366–373.CrossRefPubMedPubMedCentral
go back to reference Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241.
go back to reference Bowen, S., Witkiewitz, K., Dillworth, T. M., Chawla, N., Simpson, T. L., Ostafin, B. D., et al. (2006). Mindfulness meditation and substance use in an incarcerated population. Psychology of Addictive Behaviors, 20, 343–347.CrossRefPubMed Bowen, S., Witkiewitz, K., Dillworth, T. M., Chawla, N., Simpson, T. L., Ostafin, B. D., et al. (2006). Mindfulness meditation and substance use in an incarcerated population. Psychology of Addictive Behaviors, 20, 343–347.CrossRefPubMed
go back to reference Chadwick, P., Taylor, K. N., & Abba, N. (2005). Mindfulness groups for people with psychosis. Behavioural and Cognitive Psychotherapy, 33, 351–359.CrossRef Chadwick, P., Taylor, K. N., & Abba, N. (2005). Mindfulness groups for people with psychosis. Behavioural and Cognitive Psychotherapy, 33, 351–359.CrossRef
go back to reference Chen, M. G., Feng, Y. H., & Li, H. (2018). A review of Studies on mindfulness in China. Psychology: Techniques and Applications, 6, 688–695. Chen, M. G., Feng, Y. H., & Li, H. (2018). A review of Studies on mindfulness in China. Psychology: Techniques and Applications, 6, 688–695.
go back to reference Coholic, D., Lougheed, S., & Lebreton, J. (2009). The helpfulness of holistic arts-based group work with children living in foster care. Social Work with Groups, 32, 29–46.CrossRef Coholic, D., Lougheed, S., & Lebreton, J. (2009). The helpfulness of holistic arts-based group work with children living in foster care. Social Work with Groups, 32, 29–46.CrossRef
go back to reference Cordon, S. L., Brown, K. W., & Gibson, P. R. (2009). The role of mindfulness- based stress reduction on perceived stress: Preliminary evidence for the moderating role of attachment style. Journal of Cognitive Psychotherapy: An International Quarterly, 23, 258–268.CrossRef Cordon, S. L., Brown, K. W., & Gibson, P. R. (2009). The role of mindfulness- based stress reduction on perceived stress: Preliminary evidence for the moderating role of attachment style. Journal of Cognitive Psychotherapy: An International Quarterly, 23, 258–268.CrossRef
go back to reference Derogatis, L. R. (2000). Symptom checklist-90-revised. In Handbook of psychiatric measures. American Psychiatric Association, 2000, 81–84. Derogatis, L. R. (2000). Symptom checklist-90-revised. In Handbook of psychiatric measures. American Psychiatric Association, 2000, 81–84.
go back to reference Galante, J., Iribarren, S. J., & Pearce, P. F. (2012). Effects of mindfulness- based cognitive therapy on mental disorders: A systematic review and meta-analysis of randomised controlled trials. Journal of Research in Nursing, 18, 133–155.CrossRefPubMed Galante, J., Iribarren, S. J., & Pearce, P. F. (2012). Effects of mindfulness- based cognitive therapy on mental disorders: A systematic review and meta-analysis of randomised controlled trials. Journal of Research in Nursing, 18, 133–155.CrossRefPubMed
go back to reference Guo, Y. Y. (2002). Meditation: Some benefits of mental health and spirtual development. Journal of Nanjing Normal University (Social Science), 5, 75–81. Guo, Y. Y. (2002). Meditation: Some benefits of mental health and spirtual development. Journal of Nanjing Normal University (Social Science), 5, 75–81.
go back to reference Hayes, S. C., Follette, V. M., & Linehan, M. M. (2004). Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford Press. Hayes, S. C., Follette, V. M., & Linehan, M. M. (2004). Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford Press.
go back to reference Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25.CrossRefPubMed Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25.CrossRefPubMed
go back to reference Hepburn, S. R., Crane, C., Barnhofer, T., Duggan, D. S., Fennell, M. J. V., & Williams, J. G. W. (2009). Mindfulness-based cognitive therapy may reduce thought suppression: Findings from a preliminary study. British Journal of Clinical Psychology, 48(pt2), 209–215.CrossRefPubMed Hepburn, S. R., Crane, C., Barnhofer, T., Duggan, D. S., Fennell, M. J. V., & Williams, J. G. W. (2009). Mindfulness-based cognitive therapy may reduce thought suppression: Findings from a preliminary study. British Journal of Clinical Psychology, 48(pt2), 209–215.CrossRefPubMed
go back to reference Ji, C. L., Wang, L. P., Xu, W., Zhang, T. T., & Fan, W. J. (2018). Review of research advance mindfulness-based therapy in China. Journal of International Psychiatry, 45, 584–586. Ji, C. L., Wang, L. P., Xu, W., Zhang, T. T., & Fan, W. J. (2018). Review of research advance mindfulness-based therapy in China. Journal of International Psychiatry, 45, 584–586.
go back to reference Jin, H., Wu, W. Y., & Zhang, M. Y. (1986). Primal analysis of Chinese SCL90 assessment result. Chinese Journal of Nervous and Mental Diseases, 12, 260–263. Jin, H., Wu, W. Y., & Zhang, M. Y. (1986). Primal analysis of Chinese SCL90 assessment result. Chinese Journal of Nervous and Mental Diseases, 12, 260–263.
go back to reference Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47.CrossRefPubMed Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47.CrossRefPubMed
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: How to cope with stress, pain and illness using mindfulness meditation. New York: Bantam Dell. Kabat-Zinn, J. (1990). Full catastrophe living: How to cope with stress, pain and illness using mindfulness meditation. New York: Bantam Dell.
go back to reference Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156. Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156.
go back to reference Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31, 1041–1056.CrossRefPubMedPubMedCentral Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31, 1041–1056.CrossRefPubMedPubMedCentral
go back to reference Kim, B., Lee, S. H., Kim, Y. W., Choi, T. K., Yook, K., Suh, S. Y., et al. (2010). Effectiveness of a mindfulnessbased cognitive therapy program as an adjunct to pharmacotherapy in patients with panic disorder. Journal of Anxiety Disorders, 24, 590–595.CrossRefPubMed Kim, B., Lee, S. H., Kim, Y. W., Choi, T. K., Yook, K., Suh, S. Y., et al. (2010). Effectiveness of a mindfulnessbased cognitive therapy program as an adjunct to pharmacotherapy in patients with panic disorder. Journal of Anxiety Disorders, 24, 590–595.CrossRefPubMed
go back to reference Kocovski, N. L., Segal, Z. V., Battista, S. R., & Didonna, F. (2009). Mindfulness and psychopathology: Problem formulation. In F. Didonna (Ed.), Clinical handbook of mindfulness (pp. 85–98). New York: Springer.CrossRef Kocovski, N. L., Segal, Z. V., Battista, S. R., & Didonna, F. (2009). Mindfulness and psychopathology: Problem formulation. In F. Didonna (Ed.), Clinical handbook of mindfulness (pp. 85–98). New York: Springer.CrossRef
go back to reference Le, T. N., & Trieu, D. T. (2014). Feasibility of a mindfulness-based intervention to address youth issues in Vietnam. Health Promotion International, 31, 470–479.CrossRefPubMed Le, T. N., & Trieu, D. T. (2014). Feasibility of a mindfulness-based intervention to address youth issues in Vietnam. Health Promotion International, 31, 470–479.CrossRefPubMed
go back to reference Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press. Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
go back to reference Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 31–40.CrossRefPubMed Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 31–40.CrossRefPubMed
go back to reference Mendelson, T., Greenberg, M., Dariotis, J., Gould, L., Rhoades, B., & Leaf, P. (2010). Feasibility and preliminary outcomes of a school-based mindfulness intervention for urban youth. Journal of Abnormal Child Psychology, 38, 985–994.CrossRefPubMed Mendelson, T., Greenberg, M., Dariotis, J., Gould, L., Rhoades, B., & Leaf, P. (2010). Feasibility and preliminary outcomes of a school-based mindfulness intervention for urban youth. Journal of Abnormal Child Psychology, 38, 985–994.CrossRefPubMed
go back to reference Miklowitz, D., Alatiq, Y., Goodwin, G. M., Geddes, J. R., Fennell, M. J. V., Dimidjian, S., et al. (2009). A pilot study of mindfulness- based cognitive therapy for bipolar disorder. International Journal of Cognitive Therapy, 2, 373–382.CrossRef Miklowitz, D., Alatiq, Y., Goodwin, G. M., Geddes, J. R., Fennell, M. J. V., Dimidjian, S., et al. (2009). A pilot study of mindfulness- based cognitive therapy for bipolar disorder. International Journal of Cognitive Therapy, 2, 373–382.CrossRef
go back to reference Rempel, K. D. (2012). Mindfulness for children and youth: A review of the literature with an argument for school-based implementation. Canadian Journal of Counselling and Psychotherapy, 46, 201–220. Rempel, K. D. (2012). Mindfulness for children and youth: A review of the literature with an argument for school-based implementation. Canadian Journal of Counselling and Psychotherapy, 46, 201–220.
go back to reference Roemer, L., Orsillo, S. M., & Salters-Pedneault, K. (2008). Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: Evaluation in a randomized controlled trial. Journal of Consulting and Clinical Psychology, 76, 1083–1089.CrossRefPubMedPubMedCentral Roemer, L., Orsillo, S. M., & Salters-Pedneault, K. (2008). Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: Evaluation in a randomized controlled trial. Journal of Consulting and Clinical Psychology, 76, 1083–1089.CrossRefPubMedPubMedCentral
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness- based cognitive therapy for depression: A new approach to preventing relapse. New York: The Guilford Press. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness- based cognitive therapy for depression: A new approach to preventing relapse. New York: The Guilford Press.
go back to reference Shapiro, S. L., Brown, K. W., Thoresen, C., & Plante, T. G. (2011). The moderation of mindfulness-based stress reduction effects by trait mindfulness: Results from a randomized controlled trial. Journal of Clinical Psychology, 67, 267–277.CrossRefPubMed Shapiro, S. L., Brown, K. W., Thoresen, C., & Plante, T. G. (2011). The moderation of mindfulness-based stress reduction effects by trait mindfulness: Results from a randomized controlled trial. Journal of Clinical Psychology, 67, 267–277.CrossRefPubMed
go back to reference Spijkerman, M. P. J., Pots, W. T. M., & Bohlmeijer, E. T. (2016). Effectiveness of online mindfulness-based interventions in improving mental health: A review and meta- analysis of randomised controlled trials. Clinical Psychology Review, 45, 102–114.CrossRefPubMed Spijkerman, M. P. J., Pots, W. T. M., & Bohlmeijer, E. T. (2016). Effectiveness of online mindfulness-based interventions in improving mental health: A review and meta- analysis of randomised controlled trials. Clinical Psychology Review, 45, 102–114.CrossRefPubMed
go back to reference Teasdale, J. D., Segal, Z. V., & Williams, J. M. G. (2003). Mindfulness training and problem formulation. Clinical Psychology: Science and Practice, 10, 157–160. Teasdale, J. D., Segal, Z. V., & Williams, J. M. G. (2003). Mindfulness training and problem formulation. Clinical Psychology: Science and Practice, 10, 157–160.
go back to reference Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623.CrossRefPubMed Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623.CrossRefPubMed
go back to reference Vigo, D., Thornicroft, G., & Atun, R. (2016). Estimating the true global burden of mental illness. Lancet Psychiatry, 3, 171–178.CrossRefPubMed Vigo, D., Thornicroft, G., & Atun, R. (2016). Estimating the true global burden of mental illness. Lancet Psychiatry, 3, 171–178.CrossRefPubMed
go back to reference Wang, F. Y. (2015). History of Chinese regimen psychology thoughts. Shanghai: Shanghai Educational Publishing House. Wang, F. Y. (2015). History of Chinese regimen psychology thoughts. Shanghai: Shanghai Educational Publishing House.
go back to reference Wang, Z. Y. (1984). Symptom Check List 90 (SCL90). Shanghai Spirit Medicine, 12, 68–70. Wang, Z. Y. (1984). Symptom Check List 90 (SCL90). Shanghai Spirit Medicine, 12, 68–70.
go back to reference Witkiewitz, K., Marlatt, A., & Walker, D. (2005). Mindfulness-based relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy, 19, 211–228.CrossRef Witkiewitz, K., Marlatt, A., & Walker, D. (2005). Mindfulness-based relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy, 19, 211–228.CrossRef
go back to reference Zylowska, L., Ackerman, D. L., Yang, M. H., Futrell, J. L., Horton, N. I., Hale, S., et al. (2008). Mindfulness meditation training in adults and adolescents with ADHD: A feasibility study. Journal of Attention Disorders, 11, 737–746.CrossRefPubMed Zylowska, L., Ackerman, D. L., Yang, M. H., Futrell, J. L., Horton, N. I., Hale, S., et al. (2008). Mindfulness meditation training in adults and adolescents with ADHD: A feasibility study. Journal of Attention Disorders, 11, 737–746.CrossRefPubMed
Metadata
Title
Effect of a Mindfulness-Based Intervention Program on Comprehensive Mental Health Problems of Chinese Undergraduates
Author
Xianhua Liu
Publication date
01-10-2019
Publisher
Springer US
Keyword
Anxiety
Published in
Community Mental Health Journal / Issue 7/2019
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-019-00426-4

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