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The potential mediating role of anxiety sensitivity in the impact of mindfulness training on anxiety and depression severity and impairment: A randomized controlled trial.

Scandinavian journal of psychology
February 1, 2023
Qiang Xie et al. (5 authors)
Randomized Controlled TrialJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether anxiety sensitivity is a potential mechanism for the impact of mindfulness training on anxiety and depression.

Results Summary

The study found significant reductions in anxiety sensitivity and overall anxiety severity and impairment, with marginally significant reductions in depression severity and impairment. Anxiety sensitivity mediated the effects of mindfulness training on anxiety and depression.

Population

Participants with high psychological distress.

Effective Dosage

Not specified

Duration

Eight weeks

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based interventions
decrease
anxiety and depression
-
-
alleviate
#1
mindfulness training
decrease
anxiety and depression
Participants with high psychological distress
-
impact
#2
eight-week mindfulness intervention
decrease
anxiety sensitivity
Participants with high psychological distress
-
significant group × time interactions
#3
eight-week mindfulness intervention
decrease
overall anxiety severity and impairment
Participants with high psychological distress
-
significant group × time interactions
#4
eight-week mindfulness intervention
decrease
overall depression severity and impairment
Participants with high psychological distress
-
marginally significant interaction
#5
mindfulness training
decrease
changes in anxiety and depression severity and impairment
Participants with high psychological distress
-
reductions of anxiety sensitivity mediated the impact
#6
Abstract

The benefits of mindfulness-based interventions to alleviate anxiety and depression have been supported by many studies. Given the effectiveness of mindfulness-based interventions on anxiety and depression, the underlying mechanisms need to be explored. Using a randomized waitlist-controlled design, this study investigated whether anxiety sensitivity was a potential mechanism for the impact of mindfulness training on anxiety and depression. Participants with high psychological distress were randomly assigned to an eight-week mindfulness intervention (N = 35) or a wait-list control group (N = 34). Before and after the intervention or corresponding waitlist period, participants completed measures of anxiety and depression severity and impairment and anxiety sensitivity. Separate mixed ANOVA demonstrated significant group (intervention vs. control group) × time (pre- vs. post-test) interactions for anxiety sensitivity and overall anxiety severity and impairment and marginally significant interaction for overall depression severity and impairment. Moreover, simple mediation models showed that reductions of anxiety sensitivity from pre- to post-test mediated the impact of mindfulness training on changes in anxiety and depression severity and impairment. The findings suggest that anxiety sensitivity is a potential mechanism underlying the effect of mindfulness training on anxiety and depression, which provides a new perspective for the study of processes of change of mindfulness-based interventions.

Medical Subject Headings (MeSH)
HumansMindfulnessDepressionAnxietyAnxiety DisordersPsychological DistressStress, Psychological
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations6
Citations/Year3.0
Relative Citation Ratio2.64
NIH Percentile82.1%
Research Impact Scores
APT Score0.50
Weight Score2.72
Normalized Score0.70
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