Distress tolerance as a mechanism of mindfulness for depression and anxiety: Cross-sectional and diary evidence.

Distress tolerance as a mechanism of mindfulness for depression and anxiety: Cross-sectional and diary evidence.
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DOI:
10.1016/j.ijchp.2023.100392
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发表时间:
2023-10
影响因子:
8.8
通讯作者:
Liu, Xinghua
Liu, Xinghua
中科院分区:
心理学1区
文献类型:
--
作者:
Li, Yanjuan;Ju, Ruilin;Hofmann, Stefan G.;Chiu, Wingsze;Guan, Ye;Leng, Yu;Liu, Xinghua

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特质正念和状态正念都与较少的抑郁和焦虑有关,但其机制仍然未知。痛苦承受力是情绪障碍的重要转诊因素,可能介导正念与抑郁/焦虑之间的关系。研究1在大样本(n = 905)中检查了人与人之间水平的中介模型。在研究2中,进行了每日日记研究(n = 110),以检查人内变化。参与者被邀请完成连续14天的每日日记,测量每日正念,痛苦耐受力,抑郁和焦虑。在研究1中,简单的中介分析的结果表明,痛苦的容忍调解正念和抑郁/焦虑之间的关系在人与人之间的水平。在研究2中,多层次中介分析的结果表明,在并发模型和时滞模型中,每日痛苦耐受力介导了每日正念对每日抑郁/焦虑的影响,无论是在人与人之间的水平。痛苦耐受是正念和抑郁/焦虑之间关系的一种机制。患有高度或波动性抑郁和焦虑的人可能会受益于短期或长期的正念训练,以提高痛苦耐受力。
Both trait and state mindfulness are associated with less depression and anxiety, but the mechanisms remain unknown. Distress tolerance, an important transdiagnostic factor of emotional disorders, may mediate the relationship between mindfulness and depression/anxiety. Study 1 examined the mediation model at the between-person level in a large cross-sectional sample (n = 905). In Study 2, a daily diary study (n = 110) was conducted to examine within-person changes. Participants were invited to complete daily diaries measuring daily mindfulness, distress tolerance, depression and anxiety for 14 consecutive days. In Study 1, results of simple mediation analyses indicated that distress tolerance mediated the relationship between mindfulness and depression/anxiety at the between-person level. In Study 2, results of multilevel mediation analyses indicated that, in both the concurrent model and time-lagged model, daily distress tolerance mediated the effects of daily mindfulness on daily depression/anxiety at both the within- and between-person level. Distress tolerance is a mechanism underlying the relationship between mindfulness and depression/anxiety. Individuals with high or fluctuating depression and anxiety may benefit from short-term or long-term mindfulness training to increase distress tolerance.
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