Trait mindfulness, emotion dysregulation, and depression in individuals with multiple sclerosis

Duraney, Elizabeth Jean; Schirda, Brittney; Nicholas, Jacqueline; Prakash, Ruchika Shaurya

doi:10.1016/j.msard.2022.103651

Cited by 6 publications

(3 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Following the seven-day period, participants were invited to the laboratory where they completed self-report questionnaires, a worry and rumination task designed to induce negative affect, and the Brief Repeatable Battery (BRB), a well-validated neuropsychological battery designed for PwMS (Rao, 1990). Data on the worry and rumination task and the BRB have been published previously (Duraney et al, 2022; Manglani et al, 2020; Schirda et al, 2020). Participants were then randomized to MBT, aCT, or WL using a 1:1:1 allocation ratio.…”

Section: Methodsmentioning

confidence: 99%

Impact of mindfulness training on emotion regulation in multiple sclerosis: Secondary analysis of a pilot randomized controlled trial.

Duraney¹,

Fisher²,

Manglani³

et al. 2022

Rehabilitation Psychology

Self Cite

View full text Add to dashboard Cite

This secondary analysis of a pilot randomized controlled trial in people with multiple sclerosis (PwMS) aimed to compare mindfulness-based training (MBT), adaptive cognitive training (aCT), and a waitlist control (WL) on the use of emotion regulation strategies during daily worries and ruminations. Further, we examined cognitive functioning as a moderator of training effects. Research Method/Design: Sixty-one PwMS were randomized into an MBT, aCT, or a WL control group for four weeks. Participants completed daily diaries assessing their use of emotion regulation strategies and measures of cognitive functioning at pre-and posttraining. The frequency of acceptance use, maladaptive strategies, and cognitive reappraisal, as well as the success of acceptance use, were the primary outcomes of interest. We also examined whether a cognitive composite score moderated treatment gains. Results: Relative to pretraining, at posttraining, participants in the MBT group used acceptance more frequently, and this change was significantly greater compared to the change in aCT and WL groups. Training did not have differential effects on the frequency of maladaptive strategy and cognitive reappraisal use or on the success of acceptance use. Cognitive functioning did not moderate observed treatment gains. Conclusion/ Implications: Our findings, based on this pilot study, suggest that after brief training in mindfulness meditation, PwMS used more acceptance strategies to regulate their emotions. Future studies with larger sample sizes, longer duration of treatment, and longitudinal follow-up are needed to better understand the efficacy of mindfulness mediation for promoting affective and cognitive health in PwMS. Impact and ImplicationsThese secondary analyses of a pilot randomized controlled trial explored the preliminary effects of mindfulness-based training (MBT) on the use of emotion regulation strategies in people with multiple sclerosis (PwMS). Emotion dysregulation has garnered increased support as a transdiagnostic factor underlying psychological disturbances. This study found that a four-week mindfulness program increased the use of acceptance-an adaptive emotion regulation strategy-during daily episodes of worry and rumination compared with an active and a passive control group. Although pretraining differences in acceptance use between the three groups necessitate further research, additional analyses that identified medium effects for the MBT group, provide preliminary evidence that mindfulness training may in fact increase the frequency of acceptance use in PwMS. This study contributes to the literature by exploring the impact of mindfulness training on emotion regulation strategy use in a population with chronic health issues that experiences increased rates of mood and anxiety disorders. This study is the first to examine changes in This investigation was supported (in part) by Grant PP2183 from the National Multiple Sclerosis Society.Jaqueline A. Nicholas has received research grants from PCORI, Novartis, Biogen Idec, a...

show abstract

Section: Methodsmentioning

confidence: 99%

Impact of mindfulness training on emotion regulation in multiple sclerosis: Secondary analysis of a pilot randomized controlled trial.

Duraney¹,

Fisher²,

Manglani³

et al. 2022

Rehabilitation Psychology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Following mindfulness-based treatment, there was a greater effect of cardiac activity on emotion regulation choice (Ardi et al, 2021); trait mindfulness is associated with greater use of acceptance-based strategies in people with multiple sclerosis (Duraney et al, 2022); mindfulness-based treatment also increased flexibility in emotion regulation choice (Alkoby et al, 2019); distraction is selected more than reappraisal for highintensity negative emotion (Matthews et al, 2021;Sheppes et al, 2014), thus decreases in emotional reactivity may increase rates of reappraisal; beliefs that emotions are helpful is associated with greater use of reappraisal (Karnaze & Levine, 2018); theoretical models suggest that beliefs about the utility of different emotions (which is likely moderated by equanimity) can motivate the selection of strategies to meet utilitarian or hedonic goals Tamir & Ford, 2012;Tamir et al, 2007); mindfulness is negatively associated with disengagement responses (Zimmer-Gembeck et al, 2021) which are considered maladaptive (Semcho et al, 2023). Action -Activation of goal to use one or more strategies Equanimity decreases the effects of negative beliefs about emotions or their controllability which impede regulation.…”

Section: Valuation -Valuation Of Strategiesmentioning

confidence: 99%

Integrating Mindfulness Into The Extended Process Model Of Emotion Regulation: The Dual-Mode Model Of Mindful Emotion Regulation

Raugh¹,

Strauss²

2023

Preprint

View full text Add to dashboard Cite

Extensive research has been conducted regarding how people manage their emotions. Within this research, there has been growing attention towards the role of mindfulness in emotion regulation. While prior reviews have discussed mindfulness in the context of emotion regulation, they have not provided a thorough integration using the prevailing models of emotion regulation or mindfulness. The present review discusses the Extended Process Model of Emotion Regulation and Monitoring and Acceptance Theory of mindfulness in order to propose a novel integrated framework, the Dual-mode Model of Mindful Emotion Regulation (D-MER). This model proposes two “modes” of mindfulness: Implementation and facilitation. Implementation posits that mindfulness components act as emotion regulation strategies through attentional deployment and cognitive change. Facilitation posits that mindfulness components act on emotion generation and regulation through effects on cognitive processes and positive or negative valence systems. Empirical and theoretical support for this model are discussed, specific hypotheses to guide further research are provided, and clinical implications are presented. Use of this model may identify mechanisms underlying the interaction between mindfulness and emotion regulation which can be used in ongoing affective and clinical research.

show abstract

“…Trait mindfulness is associated with greater use of acceptance-based strategies in people with multiple sclerosis (Duraney et al, 2022)…”

mentioning

confidence: 99%

Integrating mindfulness into the extended process model of emotion regulation: The dual-mode model of mindful emotion regulation.

Raugh,

Strauss

2024

Emotion

View full text Add to dashboard Cite

Extensive research has been conducted regarding how people manage their emotions. Within this research, there has been growing attention toward the role of mindfulness in emotion regulation. While prior reviews have discussed mindfulness in the context of emotion regulation, they have not provided a thorough integration using the prevailing models of emotion regulation or mindfulness. The present review discusses the Extended Process Model of Emotion Regulation and Monitoring and Acceptance Theory of mindfulness in order to propose a novel integrated framework, the Dual-mode Model of Mindful Emotion Regulation (D-MER). This model proposes two "modes" of mindfulness: Implementation and facilitation. Implementation posits that mindfulness skills can be used as emotion regulation strategies through attentional deployment and cognitive change. Facilitation posits that mindfulness as a state or trait affects emotion generation and regulation through effects on cognitive processes and positive or negative valence systems. Further, the D-MER posits that mindfulness experience can improve the efficiency of mindfulness-based emotion regulation strategies (implementation) while effects of mindfulness on emotion regulation processes become increasingly trait-like and automatic over time (facilitation). Empirical and theoretical support for this model are discussed, specific hypotheses to guide further research are provided, and clinical implications are presented. Use of this model may identify mechanisms underlying the interaction between mindfulness and emotion regulation which can be used in ongoing affective and clinical research.

show abstract

Trait mindfulness, emotion dysregulation, and depression in individuals with multiple sclerosis

Cited by 6 publications

References 40 publications

Impact of mindfulness training on emotion regulation in multiple sclerosis: Secondary analysis of a pilot randomized controlled trial.

Impact of mindfulness training on emotion regulation in multiple sclerosis: Secondary analysis of a pilot randomized controlled trial.

Integrating Mindfulness Into The Extended Process Model Of Emotion Regulation: The Dual-Mode Model Of Mindful Emotion Regulation

Integrating mindfulness into the extended process model of emotion regulation: The dual-mode model of mindful emotion regulation.

Contact Info

Product

Resources

About