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18-06-2024 | ORIGINAL PAPER

Examining the Occurrence and Clinical Impact of Difficult Experiences that Emerge During a Mindfulness-Based Intervention Among Individuals at High Risk of Suicide

Auteurs: Alejandro Interian, Rachael Miller, Chintan Dave, Miriam Latorre, Lauren St. Hill, Arlene King, Dianna R. Boschulte, Anna Kline, David Siegel, Megan M. Sedita, Megan S. Chesin

Gepubliceerd in: Mindfulness | Uitgave 7/2024

Abstract

Objectives

Experiences of difficulty (e.g., anxiety, difficult emotions) can occur during mindfulness practice. This study characterized the occurrence of such difficulties, defined as abnormal distress, dysregulation, or agitation, among high-suicide-risk participants during a mindfulness-based intervention. The study also evaluated whether mindfulness difficulties were associated with baseline differences or poorer outcomes during follow-up.

Method

Participants (n = 50; mean age = 49 years, 84% male, 24% Latinx) were from the Mindfulness-Based Cognitive Therapy for Suicide Prevention (MBCT-S) trial. Occurrences of mindfulness difficulties were identified via systematic review of progress notes. Serious clinical outcomes (suicidal events, suicide attempts, and psychiatric hospitalizations) were tracked over 12 months follow-up. Participants experiencing difficulties during MBCT-S were compared to those who did not on baseline characteristics and serious clinical outcomes. Incidence density sampling and Cox proportional regression analyses tested whether experiencing difficulties during mindfulness increased the risk of subsequent serious clinical outcomes.

Results

Eighteen percent of participants had difficulty during mindfulness practice, which mostly included experiences of anxiety or hallucinations. Those experiencing difficulty showed several diagnostic differences at baseline, but were not at significantly greater risk of a suicidal event, HR 0.62 (95% confidence interval [CI], 0.14–2.71) or an acute psychiatric hospitalization, HR 0.85 (95% CI, 0.19–3.82). There were no suicide attempts among the nine participants who experienced mindfulness difficulty, compared to five suicide attempts in those without mindfulness difficulty.

Conclusions

Difficulties during mindfulness practice were common, but did not show increased risk of serious clinical outcomes in participants at high risk of suicide.

Preregistration

This study reports findings from a secondary analyses of a randomized clinical trial that was preregistered at clinicaltrials.gov (NCT01872338).

vorige artikel Change in Mindfulness Profiles After Mindfulness-Based Cognitive Therapy for Major Depressive Disorder

volgende artikel Group and Idiographic Longitudinal Modeling of State Mindfulness and Eating Disorder Behaviors in Anorexia Nervosa Spectrum Disorders

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Titel: Examining the Occurrence and Clinical Impact of Difficult Experiences that Emerge During a Mindfulness-Based Intervention Among Individuals at High Risk of Suicide
Auteurs: Alejandro Interian
Rachael Miller
Chintan Dave
Miriam Latorre
Lauren St. Hill
Arlene King
Dianna R. Boschulte
Anna Kline
David Siegel
Megan M. Sedita
Megan S. Chesin
Publicatiedatum: 18-06-2024
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 7/2024
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-024-02392-9

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Examining the Occurrence and Clinical Impact of Difficult Experiences that Emerge During a Mindfulness-Based Intervention Among Individuals at High Risk of Suicide

Abstract

Objectives

Method

Results

Conclusions

Preregistration

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Bohn Stafleu van Loghum

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

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Abstract

Objectives

Method

Results

Conclusions

Preregistration

Log in om toegang te krijgen

Parental Reflective Capacities: A Scoping Review of Mindful Parenting and Parental Reflective Functioning

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