The Role of Attentional Control in Mindfulness Intervention for Emotional Distress: A Randomized Controlled Trial With Longitudinal Mediation Analyses

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Hauptverfasser: Zhenzhen Wang, Kaerqika Shalihaer, Stefan G. Hofmann, Shixing Feng, Xinghua Liu
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Veröffentlicht: Wiley 2024
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author Zhenzhen Wang
Kaerqika Shalihaer
Stefan G. Hofmann
Shixing Feng
Xinghua Liu
author_facet Zhenzhen Wang
Kaerqika Shalihaer
Stefan G. Hofmann
Shixing Feng
Xinghua Liu
Zhenzhen Wang
Kaerqika Shalihaer
Stefan G. Hofmann
Shixing Feng
Xinghua Liu
collection Wiley Open Access
contents The Role of Attentional Control in Mindfulness Intervention for Emotional Distress: A Randomized Controlled Trial With Longitudinal Mediation Analyses Zhenzhen Wang Kaerqika Shalihaer Stefan G. Hofmann Shixing Feng Xinghua Liu Clinical Psychology & Psychotherapy ABSTRACTObjectiveThis study aimed to investigate whether attentional control serves as a mediator for mindfulness‐based interventions for emotional distress, utilizing a randomized waitlist (WL)‐controlled design.MethodsA total of 498 participants with high emotional distress was recruited online and randomly assigned to a 49‐day online Mindfulness Intervention for Emotional Distress (MIED) group (N = 249) or a WL control group (N = 249). Levels of attentional control, anxiety and depression were assessed at baseline (T0), Week 3 (T3), Week 5 (T5) and Week 7 (postintervention, T7).ResultsLinear mixed models revealed significant Group‐by‐Time interaction effects for attentional control (p < 0.001), anxiety (p < 0.001) and depression (p < 0.05). Latent growth curve analyses demonstrated a significant increase in attentional control and a decrease in anxiety and depression levels during the MIED programme. These changes becoming evident starting Week 3. Longitudinal mediation analyses revealed that the slope of attentional control significantly mediated the effects of the MIED programme on the slope of anxiety and depression levels. Further, attentional control level at Week 3 significantly mediates the effect of MIED programme on anxiety and depression levels at Weeks 5 and 7. Similarly, attentional control level at Week 5 significantly mediates the MIED programme's effects on anxiety and depression levels at Week 7.ConclusionsThe present trial provides evidence suggesting that mindfulness interventions may alleviate emotional distress through the enhancement of attentional control.Trial RegistrationChinese Clinical Trial Registry number: ChiCTR2200064140 10.1002/cpp.2981 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1002/cpp.2981
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spellingShingle The Role of Attentional Control in Mindfulness Intervention for Emotional Distress: A Randomized Controlled Trial With Longitudinal Mediation Analyses
Zhenzhen Wang
Kaerqika Shalihaer
Stefan G. Hofmann
Shixing Feng
Xinghua Liu
Clinical Psychology & Psychotherapy
The Role of Attentional Control in Mindfulness Intervention for Emotional Distress: A Randomized Controlled Trial With Longitudinal Mediation Analyses Zhenzhen Wang Kaerqika Shalihaer Stefan G. Hofmann Shixing Feng Xinghua Liu Clinical Psychology & Psychotherapy ABSTRACTObjectiveThis study aimed to investigate whether attentional control serves as a mediator for mindfulness‐based interventions for emotional distress, utilizing a randomized waitlist (WL)‐controlled design.MethodsA total of 498 participants with high emotional distress was recruited online and randomly assigned to a 49‐day online Mindfulness Intervention for Emotional Distress (MIED) group (N = 249) or a WL control group (N = 249). Levels of attentional control, anxiety and depression were assessed at baseline (T0), Week 3 (T3), Week 5 (T5) and Week 7 (postintervention, T7).ResultsLinear mixed models revealed significant Group‐by‐Time interaction effects for attentional control (p < 0.001), anxiety (p < 0.001) and depression (p < 0.05). Latent growth curve analyses demonstrated a significant increase in attentional control and a decrease in anxiety and depression levels during the MIED programme. These changes becoming evident starting Week 3. Longitudinal mediation analyses revealed that the slope of attentional control significantly mediated the effects of the MIED programme on the slope of anxiety and depression levels. Further, attentional control level at Week 3 significantly mediates the effect of MIED programme on anxiety and depression levels at Weeks 5 and 7. Similarly, attentional control level at Week 5 significantly mediates the MIED programme's effects on anxiety and depression levels at Week 7.ConclusionsThe present trial provides evidence suggesting that mindfulness interventions may alleviate emotional distress through the enhancement of attentional control.Trial RegistrationChinese Clinical Trial Registry number: ChiCTR2200064140 10.1002/cpp.2981 http://onlinelibrary.wiley.com/termsAndConditions#vor
title The Role of Attentional Control in Mindfulness Intervention for Emotional Distress: A Randomized Controlled Trial With Longitudinal Mediation Analyses
topic Clinical Psychology & Psychotherapy
url https://onlinelibrary.wiley.com/doi/10.1002/cpp.2981