The role of psychological inflexibility and mindfulness in somatization, depression, and anxiety among Asian Americans in the United States.

Masuda, Akihiko; Mandavia, Amar; Tully, Erin C.

doi:10.1037/a0034437

Cited by 35 publications

(18 citation statements)

References 64 publications

(101 reference statements)

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“…31 A different survey of 116 Asian-American college students found that higher mindfulness scores on the Mindful Attention Awareness Scale were associated with lower scores on somatic, depressive, and anxiety scales, consistent with findings observed in primarily white student samples. 32 Another study explored the relation between perceived discrimination and depressive symptoms in a diverse community sample (n=97; Hispanic=37, Black=44, Asian=11), finding that high trait mindfulness served as a buffer for discrimination-related distress. 33 Overall, mindfulness research involving non-white participants is becoming increasingly common and this trend should continue to ensure that established and future mindfulness interventions benefit the historically underserved.…”

Section: Resultsmentioning

confidence: 99%

Addressing Diversity in Mindfulness Research on Health: A Narrative Review using the ADDRESSING Framework

Chin

Anyanso

Greeson

2019

CRMJ

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INTRODUCTIONOver the past 5 years, the number of Americans practicing meditation has more than tripled, rising from 4% of adults in 2010 to 14% in 2017. 1 This rise is likely related to the increasing focus on preventive and integrative approaches to healthcare in the United States, such as meditation, whih is often used to reduce stress, anxiety, depression, and pain in conjunction with improving health and well-being. 2 While many different meditative practices exist, mindfulness meditation emphasizes nonjudgmental awareness of the present moment. Although substantial research supports mindfulness-related improvements in patient-reported mental and physical health, 3 the replication crisis in social science and medicine, alongside numerous methodological concerns about extant mindfulness studies, 4 invites questions regarding the generalizability of research on the reported health-promoting effects of mindfulness meditation and mindfulness as an innate, dispositional quality (trait mindfulness). Moreover, as much of mindfulness research over-samples middle-to-upper class, Caucasian, women, 5 the extent to which results generalize to a broader, more diverse population is unclear. One possible reason for this overrepresentation could be that this population has the time and/or finances to participate in mindfulness-based interventions (MBIs) from which researchers draw samples. In 2001, Dr. Pamela Hays published Addressing Cultural Complexities in Practice, 6 introducing the ADDRESSING framework as a guide to help clinicians better identify and understand the relevant cultural identities of their clients. According to Dr. Hays, the facets of identity include: Age, Developmental and 10 Chin et al.: Addressing Diversity in Mindfulness Research on Health Published by Rowan Digital Works, 2019acquired Disabilities, Religion, Ethnicity, Socioeconomic status, Sexual orientation, Indigenous heritage, National origin, and Gender. This framework allows room for intersectionality between identity facets and does not inherently exclude non-minority individuals. As such, the ADDRESSING framework, with its attention to multiple aspects of identity, provides an effective structure for organizing research published on different populations and identifying 1) which populations are represented and underrepresented in various categories and 2) what is known about underrepresented groups in research. The main purpose of this review, therefore, was to use the ADDRESSING framework to highlight mindfulness research conducted on historically underrepresented groups as both a method to summarize what has been done and to point out gaps for future research. METHODS Wesearched MEDLINE, PsychINFO, and Web of Science through September 2018 using the following combination of keywords: (diverse OR age OR disability OR race OR ethnicity OR Black OR White OR Latino OR Hispanic OR Asian OR gender OR transgender OR sexual orientation OR lesbian OR gay ORLGBT or LGB OR homosexual OR bisexual OR asexual OR socio-economic status OR SES OR low-income...

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Section: Resultsmentioning

confidence: 99%

Addressing Diversity in Mindfulness Research on Health: A Narrative Review using the ADDRESSING Framework

Chin

Anyanso

Greeson

2019

CRMJ

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“…Articles either explored racial/ethnic disparities in the prevalence of depression/anxiety/somatization and identified predictors of this difference (e.g., European Americans versus Asian Americans, n = 2; Chao et al, 2014; Lund et al, 2014) or focused on exploring the risk and protective factors of depression/anxiety/somatization for a single sample (e.g., pan-Asian Americans from diverse ethnic backgrounds or a single Asian ethnic group, such as Chinese Americans, n = 5; S. Cho, Park, Bernstein, Roh, & Jeon, 2014; Masuda, Mandavia, et al, 2014; Remigio-Baker, Hayes, & Reyes-Salvail, 2014; Tuason et al, 2014; Yeh, Liao, et al, 2014). Depression/anxiety/somatization was studied across different developmental periods of the life course: adolescence to emerging adulthood (Lund et al, 2014; Yeh, Liao, et al, 2014), emerging adulthood to middle adulthood (Masuda, Mandavia, et al, 2014; Tuason et al, 2014), older adulthood (Chao et al, 2014), or all of the above in the same study (S.…”

Section: Resultsmentioning

confidence: 99%

Annual review of Asian American Psychology, 2014.

Kim¹,

Shen²,

Hou³

et al. 2015

Asian American Journal of Psychology

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This 2014 review of Asian American psychology is the sixth review in the series. It includes 316 articles that met the inclusion criteria established by the past five annual reviews. Featured articles were derived from three sources: 137 were generated via the search term “Asian American” in PyscINFO, 111 were generated via a search for specific Asian American ethnic groups, and 32 were generated via author searches of articles that met the inclusion criteria. The top primary topic was health and health-related behaviors, the most frequently employed study design was cross-sectional, and the most studied Asian American ethnic group was Chinese. This year’s review includes information on the target population of the primary topic, the age range and developmental period of participants, and whether the study design was cross-sectional or longitudinal. It also identifies top authors and journals contributing to the 2014 annual review. These new features reveal that the most common target population of the primary topic was youths; studies most commonly included emerging adults ages 18–25; cross-sectional study design was employed more often than longitudinal design; the top contributor to the 2014 review was Stephen Chen, who authored the highest number of papers included; and the Asian American Journal of Psychology generated the highest number of publications for this review.

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“…These negative response patterns in depressive symptoms are also identified as negative attributional styles in hopelessness theory (Alloy et al 1988 ), ruminative responses in the response style theory (Nolen-Hoeksema, 1991 ), and negative mood regulation (Catanzaro and Mearns 1990 ). The ACT model hypothesizes that these negative response patterns are improved by promoting psychological flexibility (Hayes et al 2006 ), and previous research has provided strong evidence that greater psychological inflexibility is associated with more depressive symptoms among college students (e.g., Gloster et al 2011 ; Masuda et al 2014 ; Woodruff et al 2014 ), employees (e.g., Bond et al 2011 ; Gloster et al 2011 ), and individuals with panic disorders (e.g., Gloster et al 2011 ; Kämpfe et al 2012 ), anxiety disorders (e.g., Curtiss and Klemanski 2014 ; Fergus et al 2013 ), and chronic pain (e.g., McCracken et al 2011 , 2014 ). A meta-analytic study (Ruiz, 2010 ) showed that the weighted correlation for psychological inflexibility and depressive symptoms was 0.55 ( N = 3323), and correlations ranged from 0.37 to 0.77.…”

Section: Introductionmentioning

confidence: 99%

Impact of psychological inflexibility on depressive symptoms and sleep difficulty in a Japanese sample

Kato

2016

SpringerPlus

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BackgroundPsychological inflexibility is a core concept in the acceptance and commitment therapy (ACT) model. The current study hypothesized and tested two models in which psychological inflexibility was linked with higher levels of depressive symptoms and sleep difficulty.ResultsTo attain data, Japanese university students (N = 633) completed questionnaires related to psychological inflexibility, depressive symptoms, and sleep difficulty. Psychological inflexibility was significantly correlated with higher levels of both depressive symptoms (r = 0.61) and sleep difficulty (r = 0.39). Structural equation modeling showed that psychological inflexibility was associated with higher levels of depressive symptoms after controlling for the effect of sleep difficulty. Additionally, psychological inflexibility was correlated with higher levels of sleep difficulty after controlling for the effect of depressive symptoms. These findings might assist with motivating clinicians to use ACT for insomnia.ConclusionsThe current study found that greater psychological inflexibility was linked with high levels of depressive symptoms and sleep difficulties. These findings might assist with motivating clinicians to use ACT for insomnia.

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The role of psychological inflexibility and mindfulness in somatization, depression, and anxiety among Asian Americans in the United States.

Cited by 35 publications

References 64 publications

Addressing Diversity in Mindfulness Research on Health: A Narrative Review using the ADDRESSING Framework

Addressing Diversity in Mindfulness Research on Health: A Narrative Review using the ADDRESSING Framework

Annual review of Asian American Psychology, 2014.

Impact of psychological inflexibility on depressive symptoms and sleep difficulty in a Japanese sample

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