Intervenciones psicológicas basadas en mindfulness y sus beneficiosestado actual de la cuestión

  1. Gonzalo Hervás
  2. Ausiàs Cebolla
  3. Joaquim Soler
Revista:
Clínica y salud: Investigación Empírica en Psicología

ISSN: 1130-5274

Año de publicación: 2016

Volumen: 27

Número: 3

Páginas: 115-124

Tipo: Artículo

DOI: 10.1016/J.CLYSA.2016.09.002 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Clínica y salud: Investigación Empírica en Psicología

Resumen

Resumen Las intervenciones basadas en mindfulness (IBM) se fundamentan en antiguas prácticas del budismo, actualizadas y adaptadas al contexto occidental. En la presente revisión se describirán las técnicas más usadas, para a continuación analizar los mecanismos de acción que el mindfulness (i.e., atención plena) parece activar como intervención psicológica. En la segunda parte se revisarán los estudios de tipo aplicado. Se comenzará analizando los ensayos clínicos y metaanálisis relativos a las intervenciones sobre problemas mentales. En un segundo momento se analizarán los estudios de eficacia y metaanálisis relativos a los problemas de salud física. En la parte final se tratan algunos temas importantes, como los posibles efectos adversos o los perfiles más adecuados a este tipo de intervención, y se revisan los temas que requieren de más investigación, como la eficacia comparada con otras técnicas de intervención ya validadas. La conclusión global en función de la investigación revisada es que las IBM son técnicas de gran versatilidad, ideales para contextos de atención primaria o similares y que logran sus mayores tasas de eficacia en pacientes con sintomatología de estrés, ansiedad o depresión.

Referencias bibliográficas

  • Baer, R. A.. (2007). Mindfulness, assessment, and transdiagnostic processes. Psychological Inquiry. 18. 238
  • Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Devins, G.. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice. 11. 230
  • Black, D. S., Slavich, G. M.. (2016). Mindfulness meditation and the immune system: a systematic review of randomized controlled trials. Annals of the New York Academy of Sciences. 1373. 13-24
  • Bohlmeijer, E., Prenger, R., Taal, E., Cuijpers, P.. (2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: A meta-analysis. Journal of Psychosomatic Research. 68. 539
  • Bowen, S., Chawla, N., Marlatt, G. A.. (2011). Mindfulness-based relapse prevention for addictive behaviors: A clinician’s guide. Guilford Press. New York, NY.
  • Brefczynski-Lewis, J. A., Lutz, A., Schaefer, H. S., Levinson, D. B., Davidson, R. J.. (2007). Neural correlates of attentional expertise in long-term meditation practitioners. Proceedings of the National Academy of Sciences of the United States of America. 104. 11483
  • Brewer, J. A., Worhunsky, P. D., Gray, J. R., Tang, Y. Y., Weber, J., Kober, H.. (2011). Meditation experience is associated with differences in default mode network activity and connectivity. Proceedings of the National Academy of Sciences. 108. 20254
  • Buhle, J. T., Silvers, J. A., Wager, T. D., Lopez, R., Onyemekwu, C., Kober, H., Ochsner, K. N.. (2014). Cognitive reappraisal of emotion: a metaanalysis of human neuroimaging studies. Cerebral Cortex. 24. 2981
  • Carl, J. R., Soskin, D. P., Kerns, C., Barlow, D. H.. (2013). Positive emotion regulation in emotional disorders: A theoretical review. Clinical Psychology Review. 33. 343
  • Carmody, J., Baer, R. A.. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine. 31. 23-33
  • Cebolla, A., Miragall, M., Palomo, P., Llorens, R., Soler, J., Demarzo, M., Baños, R. M.. Embodiment and body awareness in meditators. Mindfulness.
  • Chadwick, P.. (2014). Mindfulness for psychosis. The British Journal of Psychiatry. 204. 333
  • Cherkin, D. C., Sherman, K. J., Balderson, B. H., Cook, A. J., Anderson, M. L., Hawkes, R. J., Turner, J. A.. (2016). Effect of mindfulness-based stress reduction vs cognitive behavioral therapy or usual care on back pain and functional limitations in adults with chronic low back pain: A randomized clinical trial. JAMA. 315. 1240
  • Chiesa, A., Calati, R., Serretti, A.. (2011). Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clinical Psychology Review. 31. 449
  • Chiesa, A., Malinowski, P.. (2011). Mindfulness-based approaches: are they all the same?. Journal of Clinical Psychology. 67. 404
  • Cifre, I., Soler, J.. (2014). Mindfulness y ciencia: de la tradición a la modernidad. Alianza Editorial, S.A.. Madrid.
  • Condon, P., Desbordes, G., Miller, W. B., DeSteno, D.. (2013). Meditation increases compassionate responses to suffering. Psychological Science. 24. 2125
  • Craig, A. D.. (2009). How do you feel now? The anterior insula and human awareness. Nature Reviews Neuroscience. 10. 59-70
  • Creswell, J. D., Way, B. M., Eisenberger, N. I., Lieberman, M. D.. (2007). Neural correlates of dispositional mindfulness during affect labeling. Psychosomatic Medicine. 69. 560
  • Dahl, C. J., Lutz, A., Davidson, R. J.. (2015). Reconstructing and deconstructing the self: Cognitive mechanisms in meditation practice. Trends in Cognitive Sciences. 19. 515
  • Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S. F., Sheridan, J. F.. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine. 65. 564
  • Davis, M. C., Zautra, A. J., Wolf, L. D., Tennen, H., Yeung, E. W.. (2015). Mindfulness and cognitive-behavioral interventions for chronic pain: Differential effects on daily pain reactivity and stress reactivity. Journal of Consulting and Clinical Psychology. 83. 24-35
  • Vibe, M. de, Solhaug, I., Tyssen, R., Friborg, O., Rosenvinge, J. H., Sørlie, T., Bjørndal, A.. (2015). Does personality moderate the effects of mindfulness training for medical and psychology students?. Mindfulness. 6. 281
  • Deen, S., Sipe, W., Eisendrath, S. J.. (2016). Mindfulness-Based Cognitive Therapy. Springer International Publishing. New York.
  • Demarzo, M. M., Montero-Marin, J., Cuijpers, P., Zabaleta-del-Olmo, E., Mahtani, K. R., Vellinga, A., García-Campayo, J. (2015). The efficacy of mindfulnessbased interventions in primary care: a meta-analytic review. The Annals of Family Medicine. 13. 573
  • DeRubeis, R. J., Cohen, Z. D., Forand, N. R., Fournier, J. C., Gelfand, L. A., LorenzoLuaces, L.. (2014). The Personalized Advantage Index: Translating Research on Prediction into Individualized Treatment Recommendations. A Demonstration. PLoS ONE. 9. 83875
  • Didonna, F., Gonzalez, Y. R.. (2009). Clinical handbook of mindfulness. Springer Publishing. New York.
  • Dunn, B. D., Galton, H. C., Morgan, R., Evans, D., Oliver, C., Meyer, M., Dalgleish, T.. (2010). Listening to your heart. How interoception shapes emotion experience and intuitive decision making. Psychological Science. 21. 1835
  • Erisman, S. M., Roemer, L.. (2010). A preliminary investigation of the effects of experimentally induced mindfulness on emotional responding to film clips. Emotion. 10. 72-82
  • Farb, N. A. S., Anderson, A. K., Mayberg, H., Bean, J., McKeon, D., Segal, Z. V.. (2010). Minding one’s emotions: Mindfulness training alters the neural expression of sadness. Emotion. 10. 25-33
  • Farb, N. A. S., Segal, Z. V., Mayberg, H., Bean, J., McKeon, D., Fatima, Z., Anderson, A. K.. (2007). Attending to the present: mindfulness meditation reveals distinct neural modes of self-reference. Social Cognitive and Affective Neuroscience. 2. 313
  • Feliu-Soler, A., Pascual, J. C., Borràs, X., Portella, M. J., Martín-Blanco, A., Armario, A., Soler, J.. (2014). Effects of Dialectical Behaviour Therapy-Mindfulness Training on Emotional Reactivity in Borderline Personality Disorder: Preliminary Results. Clinical Psychology & Psychotherapy. 21. 363
  • Fox, K. C., Nijeboer, S., Dixon, M. L., Floman, J. L., Ellamil, M., Rumak, S. P., Christoff, K.. (2014). Is meditation associated with altered brain structure? A systematic review and meta-analysis of morphometric neuroimaging in meditation practitioners. Neuroscience & Biobehavioral Reviews. 43. 48-73
  • Fredrickson, B. L.. (2008). The Science of Subjective Well-Being. Guilford Press. New York, NY.
  • Garland, E. L., Gaylord, S. A., Fredrickson, B. L.. (2011). Positive reappraisal mediates the stress-reductive effects of mindfulness: An upward spiral process. Mindfulness. 2. 59-67
  • Garland, E. L., Geschwind, N., Peeters, F., Wichers, M.. (2015). Mindfulness training promotes upward spirals of positive affect and cognition: multilevel and autoregressive latent trajectory modeling analyses. Frontiers in Psychology. 6. 15
  • Geschwind, N., Peeters, F., Drukker, M., Os, J. van, Wichers, M.. (2011). Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression: a randomized controlled trial. Journal of Consulting and Clinical Psychology. 79. 618
  • Goyal, M., Singh, S., Sibinga, E. M., Gould, N. F., Rowland-Seymour, A., Sharma, R., Ranasinghe, P. D.. (2014). Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. JAMA internal medicine. 174. 357
  • Gratz, K. L., Roemer, L.. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment. 26. 41-54
  • Grepmair, L., Mitterlehner, F., Loew, T., Bachler, E., Rother, W., Nickel, M.. (2007). Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: A randomized, double-blind, controlled study. Psychotherapy and Psychosomatics. 76. 332
  • Grossman, P., Niemann, L., Schmidt, S., Walach, H.. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research. 57. 35-43
  • Grossman, P., Tiefenthaler-Gilmer, U., Raysz, A., Kesper, U.. (2007). Mindfulness training as an intervention for fibromyalgia: evidence of post-intervention and 3-year follow-up benefits in well-being. Psychotherapy and Psychosomatics. 76. 226
  • Gu, J., Strauss, C., Bond, R., Cavanagh, K.. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review. 37. 1-12
  • Hadash, Y., Plonsker, R., Vago, D. R., Bernstein, A.. (2016). Experiential Self-Referential and Selfless Processing in Mindfulness and Mental Health: Conceptual Model and Implicit Measurement Methodology. Psychological Assessment. 28. 856
  • Hervás, G.. (2011). Psicopatología de la regulación emocional: El papel de los déficit emocionales en los trastornos clínicos. Psicología Conductual. 19. 347
  • Hervás, G., Vázquez, C.. (2011). What else do you feel when you feel sad? Emotional overproduction, neuroticism and rumination. Emotion. 11. 881
  • Hölzel, B. K., Carmody, J., Vangel, M., Congleton, C., Yerramsetti, S. M., Gard, T., Lazar, S. W.. (2011). Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Research: Neuroimaging. 191. 36-43
  • Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., Ott, U.. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science. 6. 537
  • Hölzel, B. K., Ott, U., Gard, T., Hempel, H., Weygandt, M., Morgen, K., Vaitl, D.. (2008). Investigation of mindfulness meditation practitioners with voxel-based morphometry. Social Cognitive and Affective Neuroscience. 3. 55-61
  • Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., Schwartz, G. E.. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine. 33. 11-21
  • Jang, J. H., Jung, W. H., Kang, D. H., Byun, M. S., Kwon, S. J., Choi, C. H., Kwon, J. S.. (2011). Increased default mode network connectivity associated with meditation. Neuroscience Letters. 487. 358
  • Jha, A. P., Krompinger, J., Baime, M. J.. (2007). Mindfulness training modifies subsystems of attention. Cognitive, Affective, Behavioral Neuroscience. 7. 109
  • Kabat-Zinn, J.. (1990). Full catastrophe living. Delta Books. New York, NY.
  • Kabat-Zinn, J.. (2009). Full catastrophe living. Bantam Dell. New York, NY.
  • Kabat-Zinn, J., Chapman-Waldrop, A.. (1988). Compliance with an outpatient stress reduction program: Rates and predictors of program completion. Journal of Behavioral Medicine. 11. 333
  • Kabat-Zinn, J., Lipworth, L., Burney, R.. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine. 8. 163
  • Khoury, B., Lecomte, T., Gaudiano, B. A., Paquin, K.. (2013). Mindfulness interventions for psychosis: A meta-analysis. Schizophrenia Research. 150. 176
  • Kiken, L. G., Garland, E. L., Bluth, K., Palsson, O. S., Gaylord, S. A.. (2015). From a state to a trait: trajectories of state mindfulness in meditation during intervention predict changes in trait mindfulness. Personality and Individual Differences. 81. 41
  • Killingsworth, M. A., Gilbert, D. T.. (2010). A wandering mind is an unhappy mind. Science. 330. 932
  • Kuijpers, H. J. H., Heijden, F. M. M. A. van der, Tuinier, S., Verhoeven, W. M. A.. (2007). Meditation-induced psychosis. Psychopathology. 40. 461
  • Kuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bondolfi, G., Segal, Z.. (2016). Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse: An individual patient data meta-analysis from randomized trials. JAMA Psychiatry. 73. 565
  • Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., Dalgleish, T.. (2010). How does mindfulness-based cognitive therapy work?. Behaviour Research and Therapy. 48. 1105
  • Lauche, R., Cramer, H., Dobos, G., Langhorst, J., Schmidt, S.. (2013). A systematic review and meta-analysis of mindfulness-based stress reduction for the fibromyalgia syndrome. Journal of Psychosomatic Research. 75. 500
  • Lazar, S. W., Kerr, C. E., Wasserman, R. H., Gray, J. R., Greve, D. N., Treadway, M. T., Fischl, B.. (2005). Meditation experience is associated with increased cortical thickness. Neuroreport. 16. 1893
  • Levinson, D. B., Stoll, E. L., Kindy, S. D., Merry, H. L., Davidson, R. J.. (2014). A mind you can count on: validating breath counting as a behavioral measure of mindfulness. Frontiers in Psychology. 5. 1-10
  • Lim, D., Condon, P., DeSteno, D.. (2015). Mindfulness and compassion: an examination of mechanism and scalability. PloS one. 10. 0118221
  • Lutz, A., Slagter, H. A., Rawlings, N. B., Francis, A. D., Greischar, L. L., Davidson, R. J.. (2009). Mental training enhances attentional stability: neural and behavioral evidence. The Journal of Neuroscience. 29. 13418
  • Lykins, E. L., Baer, R. A.. (2009). Psychological functioning in a sample of long-term practitioners of mindfulness meditation. Journal of Cognitive Psychotherapy. 23. 226
  • Mason, M. F., Norton, M. I., Horn, J. D. Van, Wegner, D. M., Grafton, S. T., Macrae, C. N.. (2007). Science. 315. 393
  • McManus, F., Surawy, C., Muse, K., Vazquez-Montes, M., Williams, J. M. G.. (2012). A randomized clinical trial of mindfulness-based cognitive therapy versus unrestricted services for health anxiety (hypochondriasis). Journal of Consulting and Clinical Psychology. 80. 817
  • Mehling, W. E., Price, C., Daubenmier, J. J., Acree, M., Bartmess, E., Stewart, A.. (2012). The multidimensional assessment of interoceptive awareness (MAIA). PLoS ONE. 7. 48230
  • Meyer, T. J., Mark, M. M.. (1995). Effects of psychosocial interventions with adult cancer patients: a meta-analysis of randomized experiments. Health Psychology. 14. 101
  • Mira, A., Campos, D., Etchemendy, E., Baños, R., Cebolla, A.. (2016). Access to autobiographical memory as an emotion regulation strategy and its relation to dispositional mindfulness. Mindfulness & Compassion. 1. 39-44
  • Mitchell, A. J., Chan, M., Bhatti, H., Halton, M., Grassi, L., Johansen, C., Meader, N.. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a metaanalysis of 94 interview-based studies. The Lancet Oncology. 12. 160
  • Mitchell, J. T., Zylowska, L., Kollins, S. H.. (2015). Mindfulness meditation training for attention-deficit/hyperactivity disorder in adulthood: current empirical support, treatment overview, and future directions. Cognitive and Behavioral Practice. 22. 172
  • Neff, K. D.. (2003). The development and validation of a scale to measure self-compassion. Self and Identity. 2. 223
  • Nicholson, A., Kuper, H., Hemingway, H.. (2006). Depression as an aetiologic and prognostic factor in coronary heart disease: a meta-analysis of 6362 events among 146 538 participants in 54 observational studies. European Heart Journal. 27. 2763
  • Nyklícek, I., Kuijpers, K. F.. (2008). Effects of mindfulness-based stress reduction intervention on psychological well-being and quality of life: is increased mindfulness indeed the mechanism?. Annals of Behavioral Medicine. 35. 331
  • Ortner, C. N., Kilner, S. J., Zelazo, P. D.. (2007). Mindfulness meditation and reduced emotional interference on a cognitive task. Motivation and Emotion. 31. 271
  • Orzech, K. M., Shapiro, S. L., Brown, K. W., McKay, M.. (2009). Intensive mindfulness training-related changes in cognitive and emotional experience. The Journal of Positive Psychology. 4. 212
  • Penberthy, J. K., Konig, A., Gioia, C. J., Rodríguez, V. M., Starr, J. A., Meese, W., Natanya, E.. (2015). Mindfulness-Based Relapse Prevention: History, Mechanisms of Action, and Effects. Mindfulness. 6. 151
  • Perich, T., Manicavasagar, V., Mitchell, P. B., Ball, J. R., Hadzi-Pavlovic, D.. (2013). A randomized controlled trial of mindfulness-based cognitive therapy for bipolar disorder. Acta Psychiatrica Scandinavica. 127. 333
  • Piet, J., Würtzen, H., Zachariae, R.. (2012). The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology. 80. 1007
  • Quezada-Berumen, L., González-Ramírez, M. T., Cebolla, A., Soler, J., García-Campayo, J.. (2014). Conciencia corporal y mindfulness: Validación de la versión española de la escala de conexión corporal (SBC). Actas Españolas de Psiquiatría. 42. 57-67
  • Raes, F., Dewulf, D., Heeringen, C. Van, Williams, J. M. G.. (2009). Mindfulness and reduced cognitive reactivity to sad mood: Evidence from a correlational study and a non-randomized waiting list controlled study. Behaviour Research and Therapy. 47. 623
  • Reinholdt-Dunne, M. L., Mogg, K., Bradley, B. P.. (2013). Attention control: Relationships between self-report and behavioural measures, and symptoms of anxiety and depression. Cognition & Emotion. 27. 430
  • Rodríguez-Carvajal, R., García-Rubio, C., Paniagua, D., García-Diex, G., Rivas, S. de. Mindfulness Integrative Model (MIM): Cultivating positive states of mind towards oneself and the others through mindfulness and self-compassion. Anales de Psicología.
  • Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., Beasley, D.. (2010). Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice. Journal of Psychosomatic Research. 68. 29-36
  • Schoenberg, P. L., Hepark, S., Kan, C. C., Barendregt, H. P., Buitelaar, J. K., Speckens, A. E.. (2014). Effects of mindfulness-based cognitive therapy on neurophysiological correlates of performance monitoring in adult attention-deficit/hyperactivity disorder. Clinical Neurophysiology. 125. 1407
  • Schwartz, L., Slater, M. A., Birchler, G. R.. (1994). Interpersonal stress and pain behaviors in patients with chronic pain. Journal of Consulting and Clinical Psychology. 62. 861
  • Segal, Z. V., Williams, J. M. G., Teasdale, J. D.. (2012). Mindfulness-based cognitive therapy for depression. The Guilford Press. New York, NY.
  • Segerstrom, S. C., Miller, G. E.. (2004). Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry. Psychological Bulletin. 130. 601
  • Sephton, S. E., Salmon, P., Weissbecker, I., Ulmer, C., Floyd, A., Hoover, K., Studts, J. L.. (2007). Mindfulness meditation alleviates depressive symptoms in women with fibromyalgia: results of a randomized clinical trial. Arthritis Care & Research. 57. 77-85
  • Shapiro, D. H.. (1992). Adverse effects of meditation: a preliminary investigation of long-term meditators. International Journal of Psychosomatics. 39. 62
  • Shapiro, S. L., Astin, J. A., Bishop, S. R., Cordova, M.. (2005). Mindfulness-based stress reduction for health care professionals: Results from a randomized trial. International Journal of Stress Management. 12. 164
  • Shapiro, S. L., Carlson, L. E., Astin, J. A., Freedman, B.. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology. 62. 373
  • Shawyer, F., Enticott, J. C., Özmen, M., Inder, B., Meadows, G. N.. (2016). Mindfulness-based cognitive therapy for recurrent major depression: A ‘best buy’ for health care?. Australian and New Zealand Journal of Psychiatry.
  • Slagter, H. A., Lutz, A., Greischar, L. L., Francis, A. D., Nieuwenhuis, S., Davis, J. M., Davidson, R. J.. (2007). Mental training affects distribution of limited brain resources. PLoS Biology. 5. 1228
  • Soler, J., Elices, M., Pascual, J. C., Martín-Blanco, A., Feliu-Soler, A., Carmona, C., Portella, M. J.. (2016). Effects of mindfulness training on different components of impulsivity in borderline personality disorder: results from a pilot randomized study. Borderline Personality Disorder and Emotion Dysregulation. 11. 3-11
  • Soler, J., Franquesa, A., Feliu-Soler, A., Cebolla, A., García-Campayo, J., Tejedor, R., Portella, M. J.. (2014). Assessing decentering: Validation, psychometric properties, and clinical usefulness of the experiences questionnaire in a Spanish sample. Behavior Therapy. 45. 863
  • Soler, J., Valdepérez, A., Feliu-Soler, A., Pascual, J. C., Portella, M. J., Martín-Blanco, A., Pérez, V.. (2012). Effects of the dialectical behavioral therapy-mindfulness module on attention in patients with borderline personality disorder. Behaviour Research and Therapy. 50. 150
  • 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
  • Strauss, C., Cavanagh, K., Oliver, A., Pettman, D.. (2014). Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: A meta-analysis of randomised controlled trials. PLoS One. 9. 96110
  • Tang, Y. Y., Hölzel, B. K., Posner, M. I.. (2015). The neuroscience of mindfulness meditation. Nature Reviews Neuroscience. 16. 213
  • Teasdale, J. D.. (1999). Emotional processing, three modes of mind and the prevention of relapse in depression. Behaviour Research and Therapy. 37. 553
  • Treanor, M.. (2011). The potential impact of mindfulness on exposure and extinction learning in anxiety disorders. Clinical Psychology Review. 31. 617
  • Turner, J. A., Anderson, M. L., Balderson, B. H., Cook, A. J., Sherman, K. J., Cherkin, D. C.. (2016). Mindfulness-based stress reduction and cognitive-behavioral therapy for chronic low back pain: similar effects on mindfulness, catastrophizing, self-efficacy, and acceptance in a randomized controlled trial. Pain.
  • Vago, D. R., Silbersweig, D. A.. (2012). Self-awareness, self-regulation, and self-transcendence (S-ART): a framework for understanding the neurobiological mechanisms of mindfulness. Frontiers in Human Neuroscience. 6. 296
  • Villemure, C., Bushnell, C. M.. (2002). Cognitive modulation of pain: how do attention and emotion influence pain processing?. Pain. 95. 195
  • Vøllestad, J., Sivertsen, B., Nielsen, G. H.. (2011). Mindfulness-based stress reduction for patients with anxiety disorders: Evaluation in a randomized controlled trial. Behaviour Research and Therapy. 49. 281
  • Zainal, N. Z., Booth, S., Huppert, F. A.. (2013). The efficacy of mindfulness-based stress reduction on mental health of breast cancer patients: A meta-analysis. Psycho-Oncology. 22. 1457