Mindfulness meditation (MM) training has been shown to have positive effects on working memory and focused attention tasks. Clarifying the construct of mindfulness is important so that mindfulness can be studied effectively in individual differences and cognition research. The current study tested whether trait mindfulness alone explains any of the variability on task performance. Five commonly used mindfulness scales, as well as six standardized and experimental attention and working memory tasks were administered to 164 participants with no meditation experience. Confirmatory factor analysis found that the common variance denoted by measures of trait mindfulness is unrelated to the common variance among tasks requiring focused attention. These results indicate that mindfulness scales may not be capturing the attentional aspects of mindfulness. Individuals who score high on mindfulness scales do not perform better on focused attention tasks than those who score lower on mindfulness scales. These results have implications for defining and operationalizing mindfulness.
We address a gap in the literature on civil competency by examining characteristics of those who undergo civil competency evaluations and how well Managing Money and Health and Safety subscales of the Independent Living Scales (ILS) predict legal competency adjudications. We were also interested whether these subscales are more accurate in making such predictions than the Mini-Mental State Examination and Trail-Making Test, Parts A and B, well-known measures of neuropsychological functioning. Actual legal competency decisions were obtained from public court records on 71 individuals with either mental retardation/borderline intellectual functioning (MR/BIF) or psychiatric, neurological, or combined psychiatric or neurological diagnoses. We found that those with neurological diagnoses performed significantly better on the Trail-Making Test, Part A, than the MR/BIF and combined neurological and psychiatric groups, and they demonstrated trends in the same direction for other measures. Both ILS subscales performed better than the cognitive measures, in terms of both hit rate and predictive value, in predicting ultimate judicial decision-making about competency. These findings are particularly relevant for clinicians who must decide what measures to include in an assessment battery in civil competency evaluations.
The use of dialectical behavioral therapy (DBT) among a variety of programs and patients has recently exploded. Of particular interest is the use of DBT in partial hospital (PH) programs due to the high number of severely ill and suicidal patients who participate in these programs. Recently, Lothes, Mochrie and St. John (2014) examined data from a local DBT-informed PH program and found significant reductions in depression, anxiety, hopelessness, and degree of suffering from intake to discharge. The present study examined these same four symptom constructs by assessing intake and discharge data for additional individuals enrolled in this DBT-informed PH program. In addition, lengths of stay and acuity ratings were analyzed to explore the relationship between these variables and symptom constructs. Significant symptom reduction in depression, anxiety, hopelessness, and degree of suffering from intake to discharge was found among high and medium acuity patients, replicating the results of Lothes et al. (2014). Further, individuals with the highest acuity saw the largest reduction in hopelessness symptoms the longer they participated in the program (i.e., a significant interaction effect between acuity and length of stay). This is meaningful given the connection between hopelessness and suicidal ideation/action, which is of particular concern for those charged with treating clinical populations. DBT-informed PH programs may be a cost-effective and useful way to treat high-risk patients who come from inpatient facilities. Future studies may wish to create follow-up periods (i.e., 3 months, 6 months) post-discharge to assess if symptom reduction remains.
Objective Preliminarily findings suggest dialectical behavior therapy (DBT)‐informed partial hospital (PH) programs can reduce patient symptoms. The present study assessed changes in various mental health symptoms as well as mindfulness skill acquisition in relation to these outcomes in a DBT‐informed PH program. Method Participants included 212 adults, ages 18–66 (Mean = 35.63, Standard Deviation = 12.39). The sample was predominantly female (N = 140, 66.00%) and Caucasian (N = 185, 87.30%). Results Findings showed significant symptom reduction (i.e., depression, anxiety, hopelessness, and degree of suffering) from intake to discharge. Overall mindfulness skill acquisition significantly increased from intake to discharge, and specific scales of mindfulness acquisition accounted for significant proportions of the variance in symptom reduction for depression and anxiety. Conclusions Mindfulness skill acquisition may be a mechanism by which DBT impacts symptom reduction in PH settings. Future studies might examine mindfulness practice to determine optimum doses.
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