Effects of a Mindfulness Meditation App on Subjective Well-Being: Active Randomized Controlled Trial and Experience Sampling Study

被引:61
|
作者
Walsh, Kathleen Marie [1 ]
Saab, Bechara J. [2 ,3 ,4 ,5 ,6 ]
Farb, Norman A. S. [7 ]
机构
[1] Univ Toronto Scarborough, Dept Psychol Clin Sci, SY 146 Sci Res Bldg,1265 Mil Trail, Toronto, ON M1C 1A4, Canada
[2] St Michaels Hosp, Biomed Zone, Mobio Interact Inc, Toronto, ON, Canada
[3] Univ Zurich, Psychiat Hosp, Preclin Lab Translat Res Affect Disorders, Zurich, Switzerland
[4] Univ Zurich, Neurosci Ctr Zurich, Zurich, Switzerland
[5] Swiss Fed Inst Technol, Zurich, Switzerland
[6] Univ Zurich, Psychiat Hosp, Dept Psychiat Psychotherapy & Psychosomat, Zurich, Switzerland
[7] Univ Toronto, Dept Psychol, Mississauga, ON, Canada
来源
JMIR MENTAL HEALTH | 2019年 / 6卷 / 01期
关键词
mindfulness; attention; mobile health; interoception; mood; stress; psychological; PSYCHOMETRIC PROPERTIES; PERCEIVED STRESS; TRAINING-PROGRAM; ATTENTION; ACCEPTANCE; INTERVENTIONS; HEALTH; QUESTIONNAIRE; REDUCTION; AWARENESS;
D O I
10.2196/10844
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Mindfulness training (MT) includes a variety of contemplative practices aimed at promoting intentional awareness of experience, coupled with attitudes of nonjudgment and curiosity. Following the success of 8-week, manualized group interventions, MT has been implemented in a variety of modalities, including smartphone apps that seek to replicate the success of group interventions. However, although smartphone apps are scalable and accessible to a wider swath of population, their benefits remain largely untested. Objective: This study aimed to investigate a newly developed MT app called Wildflowers, which was codeveloped with the laboratory for use in mindfulness research. It was hypothesized that 3 weeks of MT through this app would improve subjective well-being, attentional control, and interoceptive integration, albeit with weaker effects than those published in the 8 week, manualized group intervention literature. Methods: Undergraduate students completed 3 weeks of MT with Wildflowers (n=45) or 3 weeks of cognitive training with a game called 2048 (n=41). State training effects were assessed through pre- and postsession ratings of current mood, stress level, and heart rate. Trait training effects were assessed through pre- and postintervention questionnaires canvassing subjective well-being and behavioral task measures of attentional control and interoceptive integration. State and trait training data were analyzed in a multilevel model using emergent latent factors (acceptance, awareness, and openness) to summarize the trait questionnaire battery. Results: Analyses revealed both state and trait effects specific to MT; participants engaging in MT demonstrated improved mood (r=.14) and a reduction of stress (r=-.13) immediately after each training session compared with before the training session and decreased postsession stress over 3 weeks (r=-.08). In addition, MT relative to cognitive training resulted in greater improvements in attentional control (r=-.24). Interestingly, both groups demonstrated increased subjective ratings of awareness (r=.28) and acceptance (r=.23) from pre- to postintervention, with greater changes in acceptance for the MT group trending (r=.21). Conclusions: MT, using a smartphone app, may provide immediate effects on mood and stress while also providing long-term benefits for attentional control. Although further investigation is warranted, there is evidence that with continued usage, MT via a smartphone app may provide long-term benefits in changing how one relates to their inner and outer experiences.
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页数:23
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