Navegando por Palavras-chave "mindfulness"
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- ItemSomente MetadadadosAssessing Decentering: Validation, Psychometric Properties, and Clinical Usefulness of the Experiences Questionnaire in a Spanish Sample(Assoc Adv Behavior Therapy, 2014-11-01) Soler, Joaquim; Franquesa, Alba; Feliu-Soler, Albert; Cebolla, Ausias; Garcia-Campayo, Javier; Tejedor, Rosa; Demarzo, Marcelo Marcos Piva [UNIFESP]; Banos, Rosa; Pascual, Juan Carlos; Porte, Maria J.; Hosp Santa Creu & Sant Pau; Univ Autonoma Barcelona; Univ Jaume I Castello; Univ Zaragoza; Xaixa Assistencial Univ Manresa; Universidade Federal de São Paulo (UNIFESP); Univ ValenciaDecentering is defined as the ability to. observe one's thoughts and feelings in a detached manner. The Experiences Questionnaire (EQ) is a self-report instrument that originally assessed decentering and rumination. The purpose of this study was to evaluate the psychometric properties of the Spanish version of EQ-Decentering and to explore its clinical usefulness. The 11-item EQ-Decentering subscale was translated into Spanish and psychometric properties were examined in a sample of 921 adult individuals, 231 with psychiatric disorders and 690 without. The subsample of nonpsychiatric participants was also split according to their previous meditative experience (meditative participants, n = 341; and nonmeditative participants, n = 349). Additionally, differences among these three subgroups were explored to determine clinical validity of the scale. Finally, EQ-Decentering was administered twice in a group of borderline personality disorder, before and after a 10-week mindfulness intervention. Confirmatory factor analysis indicated acceptable model fit sb chi(2) = 243.8836 (p < .001), CFI =.939, GM = .936, SRMR = .040, and RMSEA = .06 (.060.077), and psychometric properties were found to be satisfactory (reliability: Cronbach's at = .893; convergent validity: r > .46; and divergent validity: r < .35). The scale detected changes in decentering after a 10-session intervention in mindfulness (t = 4.692, p < .00001). Differences among groups were significant (F = 134.8, p < .000001), where psychiatric participants showed the lowest scores compared to nonpsychiatric meditative and nonmeditative participants. The Spanish version of the EQ-Decentering is a valid and reliable instrument to assess decentering either in clinical and nonclinical samples. In addition, the findings show that EQ-Decentering seems an adequate outcome instrument to detect changes after mindfulness-based interventions.
- ItemAcesso aberto (Open Access)Efeitos da acupuntura e de mindfulness em usuárias com cefaleia primária crônica na atenção primária à saúde no município de Fortaleza-CE: estudo de viabilidade e eficácia preliminar(Universidade Federal de São Paulo (UNIFESP), 2017-08-31) Girão, Athila Campos [UNIFESP]; Demarzo, Marcelo Marcos Piva [UNIFESP]; Marilyn Kay Nations; Javier Garcia-Campayo :; Universidade Federal de São Paulo (UNIFESP)Introduction: Mindfulness-based interventions may be effective for complementary management of primary headaches in socially vulnerable populations. This study with women from the largest favela in Ceará, Northeast Brazil, verified the effects of an IBM in women with chronic headache at social risk. Method: Preliminary, exploratory, quasi-experimental, mixed-approach (quantitative and qualitative) efficacy study evaluating the impact of an IBM on women users of SUS in relation to the disability in daily life activities (Midas) due to chronic headache (Primary outcome), as well as secondary variables such as level of mindfulness, perceived injustice and self-pity. One intervention with acupuncture was the active control group. Results: The participants' profile was: (44.5%) married; (51.3%) with up to 2 children; (63.9%) fundamental level; (53.8%) with income of 1 to 2 minimum wages and (72.21%) with chronic headache, being (63.3%) migraine and (8.8%) tension headache. Headache is associated with low schooling, low family income (p <0.05) and negative emotional events in life. In the self-reports, four social determinants of health that caused psychological distress were categorized: the social role of women in the community; Recurrent search for health services; Drug abuse and dysfunctional coping strategies. Psychological distress was at the basis of recurrent headache crises In the comparison within the IBM groups and acupuncture, IBM promoted a decrease in the level of headache inability indicated by self-reported but not by Midas; Increased self-pity (p <0.05); Increased level of mindfulness (p <0.05), whereas acupuncture promoted a decrease only in Midas (p <0.05). There was a decrease in perceived injustice in both groups, but not statistically significant (p> 0.05). In the comparison between groups, IBM presented higher levels of self-pity and mindfulness than in the acupuncture group, with a statistically significant difference (p <0.05). There were statistically significant correlations between Midas and perceived injustice (p <0.001) and Midas and mindfulness (p <0.05). In the regression model, only perceived injustice influenced Midas (p <0.001), corroborating the self-reports that highlighted this negative feeling in the genesis of headache. Final considerations and conclusions: This is the first international study to evaluate the effects of an IBM on a population of women with chronic and socially vulnerable headache compared to acupuncture. The two interventions were effective in reducing the incapacity of headache, and acting through different mechanisms. The results suggest that IBM positively influenced pain through mental and emotional processes (attention control, body awareness and emotional regulation), which did not occur in relation to the acupuncture group. The effects of IBM and acupuncture on chronic headache of the participants demonstrated preliminary potential efficacy of mind-body practices in socioeconomically vulnerable populations.
- ItemSomente MetadadadosEfeitos de um programa de redução de estresse, fundamentado em mindfulness, em profissionais de enfermagem brasileiros: avaliação quantitativa e qualitativa(Universidade Federal de São Paulo (UNIFESP), 2015-10-29) Santos, Teresa Maria dos [UNIFESP]; Martins, Luiz Antonio Nogueira Martins [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Introdution: mindfulness has been shown to effectively mitigate the negative effects of stress among nursing professionals, but in countries like Brazil, these practices are relatively unexplored. Objective: to evaluate the effects of a Stress Reduction Program (SRP) including mindfulness meditation among nursing professionals working in a Brazilian hospital setting. Study Design: in this longitudinal study, we used a mixed model with quantitative and qualitative methods to evaluate a group of participants at three different time points: pre-intervention, post-intervention and throughout. Setting: this study was conducted at Hospital São Paulo (São Paulo, Brazil). Participants: the sample consisted of 13 nursing professionals employed at the hospital. Intervention: participants underwent attention and concentration practices, mindfulness meditation: body scan, breathing anchor and informal meditation, and loving kindness meditation during a period of six weeks and an additional six-week follow-up. Instruments: the Perceived Stress Scale (PSS), Maslach Burnout Inventory (MBI), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Satisfaction with Life Scale (SWLS), Self-Compassion Scale (SCS), WHOQOL-BREF quality of life assessment, and Work Stress Scale (WSS). Qualitative data were collected via a group interview following participation in the SRP. Results: the quantitative analyses revealed a significant reduction between pre- and post-intervention scores for BDI, PSS, MBI, STAI (trait) and a significant increase in the physical and psychological domains of the WHOQOL-BREF (p <0.05). Except for those last two domains of the WHOQOL-BREF (which decreased significantly six weeks after the end of the intervention), all other variables were maintained at the last follow-up. The remaining variables showed no significant differences between post-intervention and follow-up scores. Qualitative results showed improvement in the reactivity to inner experience; a more attentive perception of internal and external experiences; greater attention and awareness of actions and attitudes at every moment; and a positive influence of the SRP in nursing activities.
- ItemAcesso aberto (Open Access)Efficacy of 8-and 4-Session Mindfulness-Based Interventions in a Non-clinical Population: A Controlled Study(Frontiers Media Sa, 2017) Demarzo, Marcelo [UNIFESP]; Montero-Marin, Jesus; Puebla-Guedea, Marta; Navarro-Gil, Mayte; Herrera-Mercadal, Paola; Moreno-Gonzalez, Sergio; Calvo-Carrion, Sandra; Bafaluy-Franch, Laura; Garcia-Campayo, JavierBackground: Many attempts have been made to abbreviate mindfulness programmes in order to make them more accessible for general and clinical populations while maintaining their therapeutic components and efficacy. The aim of this study was to assess the efficacy of an 8-week mindfulness-based intervention (MBI) programme and a 4-week abbreviated version for the improvement of well-being in a non-clinical population. Method: A quasi-experimental, controlled, pilot study was conducted with pre-post and 6-month follow-up measurements and three study conditions (8- and 4-session MBI programmes and a matched no-treatment control group, with a sample of 48, 46, and 47 participants in each condition, respectively). Undergraduate students were recruited, and mindfulness, positive and negative affect, self-compassion, resilience, anxiety, and depression were assessed. Mixed-effects multi-level analyses for repeated measures were performed. Results: The intervention groups showed significant improvements compared to controls in mindfulness and positive affect at the 2- and 6-month follow-ups, with no differences between 8- vs. 4-session programmes. The only difference between the abbreviated MBI vs. the standard MBI was found in self-kindness at 6 months, favoring the standard MBI. There were marginal differences in anxiety between the controls vs. the abbreviated MBI, but there were differences between the controls vs. the standard MBI at 2- and 6-months, with higher levels in the controls. There were no differences in depression between the controls vs. the abbreviated MBI, but differences were found between the controls vs. the standard MBI at 2- and 6-months, favoring the standard MBI. There were no differences with regard to negative affect and resilience. Conclusion: To our knowledge, this is the first study to directly investigate the efficacy of a standard 8-week MBI and a 4-week abbreviated protocol in the same population. Based on our findings, both programmes performed better than controls, with similar effect size (ES). The efficacy of abbreviated mindfulness programmes may be similar to that of a standard MBI programme, making them potentially more accessible for a larger number of populations. Nevertheless, further studies with more powerful designs to compare the non-inferiority of the abbreviated protocol and addressing clinical populations are warranted.
- ItemAcesso aberto (Open Access)How Do Cultural Factors Influence the Teaching and Practice of Mindfulness and Compassion in Latin Countries?(Frontiers Media Sa, 2017) Garcia-Campayo, Javier; Demarzo, Marcelo [UNIFESP]; Shonin, Edo; Van Gordon, William
- ItemAcesso aberto (Open Access)Intervenções baseadas em mindfulness no tratamento do transtorno de ansiedade generalizada: revisão de literatura(Universidade Federal de São Paulo (UNIFESP), 2020) Liarte Gasparini Ribeiro, Luciana [UNIFESP]; Oliveira, Daniela Rodrigues de [UNIFESP]; http://lattes.cnpq.br/3254548396117259; http://lattes.cnpq.br/4129046568999921; Universidade Federal de São Paulo (UNIFESP)Generalized Anxiety Disorder (GAD) is a chronic condition, involving cognitive, physical and emotional aspects, characterized mostly by a excessive worry that impairs the patients quality of life. The aim of this study was to evaluate by a integrative review of literature the mindfulness based interventions (MBIs) effects over patients with diagnosis of generalized anxiety disorder. First at all, a searching at scientific databases was conducted (PubMed, Lilacs, Scielo) with the following keywords: anxiety, generalized anxiety disorder, mindfulness and mindfulness based intervention. The search offered 108 articles and 18 was included in this review. Six articles about mindfulness-based stress reduction (MBSR), four about mindfulnessbased cognitive therapy (MBCT) and eight about others mindfulness-based interventions (MBIs) were evaluated in the treatment of GAD. All studies in this field suggests that mindfulness can help patients with this diagnosis, suggesting also that more randomized controlled trials with larger follow up should be done.
- ItemSomente MetadadadosMeditation awareness training for the treatment of workaholism: A controlled trial(Akademiai Kiado Rt, 2017) Van Gordon, William; Shonin, Edo; Dunn, Thomas J.; Garcia-Campayo, Javier; Demarzo, Marcelo M. P. [UNIFESP]; Griffiths, Mark D.Background and aims: Workaholism is a form of behavioral addiction that can lead to reduced life and job satisfaction, anxiety, depression, burnout, work-family conflict, and impaired productivity. Given the number of people affected, there is a need for more targeted workaholism treatments. Findings from previous case studies successfully utilizing second-generation mindfulness-based interventions (SG-MBIs) for treating behavioral addiction suggest that SG-MBIs may be suitable for treating workaholism. This study conducted a controlled trial to investigate the effects of an SG-MBI known as meditation awareness training (MAT) on workaholism. Methods: Male and female adults suffering from workaholism (n = 73) were allocated toMAT or a waiting-list control group. Assessments were performed at pre-, post-, and 3-month follow-up phases. Results: MAT participants demonstrated significant and sustained improvements over control-group participants in workaholism symptomatology, job satisfaction, work engagement, work duration, and psychological distress. Furthermore, compared to the control group, MAT participants demonstrated a significant reduction in hours spent working but without a decline in job performance. Discussion and conclusions: MAT may be a suitable intervention for treating workaholism. Further controlled intervention studies investigating the effects of SG-MBIs on workaholism are warranted.
- ItemAcesso aberto (Open Access)Mindfulness e gravidez: uma revisão integrativa dos efeitos da prática de mindfulness no processo de vínculo mãe/bebê na gestação(Universidade Federal de São Paulo (UNIFESP), 2020) Ferreira, Cristiane Linhares [UNIFESP]; Cicuto, Karen Messas [UNIFESP]; http://lattes.cnpq.br/9905267940193868; Universidade Federal de São Paulo (UNIFESP)Objective: to verify if practices of mindfulness based on compassion in pregnant women with psychic disorders, reduces anxiety, stress and depression, favoring the mother / baby bonding process during pregnancy. Method: it is an integrative review based on the PUbMed research database, where the following descriptors were used: pregnancy, mindfulness, compassion and depression. In the screening, 7 articles were found and, after reading the title and abstracts, only 6 were selected for conducting studies with pregnant women with mental disorders submitted to mindfulness protocols. Conclusion: all studies showed an improvement in the psychological disorder of pregnant women, especially in the context of anxiety. No study addressed a specific protocol of compassion, but all showed improvement in self-compassion and compassion. There was also no study focused on the observation of the bonding process, however, the results obtained in relation to the improvement of the mental health condition during pregnancy, seem to have signaled an improvement in the fetal maternal attachment and a greater availability of the mother for the needs of the baby in the postpartum period.
- ItemAcesso aberto (Open Access)Mindfulness may both moderate and mediate the effect of physical fitness on cardiovascular responses to stress: a speculative hypothesis(Frontiers Research Foundation, 2014-03-25) Demarzo, Marcelo Marcos Piva [UNIFESP]; Montero-Marin, Jesus; Stein, Phyllis K.; Cebolla, Ausias; Provinciale, Jaime G.; Garcia-Campayo, Javier; Universidade Federal de São Paulo (UNIFESP); Univ Zaragoza; Washington Univ; Univ Jaume 1; Ctr Invest Biomed Red Fisiopatol Obesidad & Nutr; Univ Politecn ValenciaThe psychological construct of mindfulness refers to an awareness that emerges by intentionally paying attention to the present experience in a non-judgmental or evaluative way. This particular quality of awareness has been associated to several indicators of physical and psychological health, and can be developed using mindfulness-based interventions (MBIs), and therefore MBIs have been successfully applied as preventive and complementary interventions and therapies in medicine and psychology. Together with quiet sitting and lying meditation practices, mindful physical exercises such as mindful walking and mindful movement are key elements in MBIs and couple muscular activity with an internally directed focus, improving interoceptive attention to bodily sensations. in addition, MBIs seem to share similar mechanisms with physical fitness (PF) by which they may influence cardiovascular responses to stress. Based on these facts, it is feasible to raise the question of whether physical training itself may induce the development of that particular quality of awareness associated with mindfulness, or if one's dispositional mindfulness (DM) (the tendency to be more mindful in daily life) could moderate the effects of exercise on cardiovascular response to stress. the role of mindfulness as a mediator or moderator of the effect of exercise training on cardiovascular responses to stress has barely been studied. in this study, we have hypothesized pathways (moderation and mediation) by which mindfulness could significantly influence the effects of PF on cardiovascular responses to stress and discussed potential practical ways to test these hypotheses.
- ItemAcesso aberto (Open Access)Validity evidence of the brazilian version of the five facet mindfulness questionnaire (FFMQ)(Instituto de Psicologia, Universidade de Brasília, 2014-09-01) Barros, Víviam Vargas de; Kozasa, Elisa Harumi [UNIFESP]; Souza, Isabel Cristina Weiss de [UNIFESP]; Ronzani, Telmo Mota; Universidade Federal de Juiz de Fora; Hospital Israelita Albert Einstein; Universidade Federal de São Paulo (UNIFESP)In order to assess the psychometric properties of the Brazilian version of the FFMQ, 395 participants divided into smokers, people from the general population, college students, and meditators answered the FFMQ and the Psychological Well-Being Scale (PWBS). An Exploratory Factor Analysis (EFA) was conducted and the reliability was assessed. The FFMQ-BR consists of seven factors and all of them showed good internal consistency. Evidence of the construct and criterion validity was obtained by a significant correlation between the FFMQ-BR scores and well-being and by a significant difference between the scores of the meditators and the other participants on the FFMQ-BR. This study may help in providing subsidies to the progress of research in the topic by examining the empirical relationships between Mindfulness and mental health.