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Mindfulness Effects on Anxiety: Disentangling the Role of Decentering and Treatment Expectations.

Behavior therapy
September 1, 2024
Daniëlle P A Bos et al. (6 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether mindful decentering, a key component of mindfulness, reduces anxiety independently of placebo effects, specifically in the context of COVID-19-related anxiety.

Results Summary

Mindful decentering significantly reduced anxiety compared to sham decentering, regardless of participants' expectations. Participants in the mindful decentering group also used more decentering-related words, indicating the intervention's effectiveness.

Population

128 adults in a nonclinical sample.

Effective Dosage

Not specified (standardized audio instructions used).

Duration

Single session (pre- and post-intervention assessment).

Interactions

None mentioned.

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Mindfulness interventions
decrease
anxiety
-
-
have been found to lower
#1
mindful decentering
decrease
anxiety postintervention
One hundred twenty-eight adults
-
was found to reduce
#2
a short, standardized, and online mindful decentering intervention
decrease
pandemic-related anxiety
a nonclinical sample
-
can effectively decrease
#3
mindful decentering
increase
decentering-related words
Participants in the mindful decentering group
-
mentioned more
#4
Abstract

Mindfulness interventions have been found to lower anxiety. However, the current literature has not adequately considered the role of its individual components and of placebo effects. In an online experiment using a balanced placebo design, we aimed to disentangle effects of decentering, a key component of mindfulness, and expectations, a key component of placebo effects, on anxiety related to the COVID-19 pandemic. One hundred twenty-eight adults were randomly assigned to one of four groups: placebo/mindful decentering, placebo/sham decentering, sham/mindful decentering, and sham/sham decentering. Instructions were provided using standardized audio instructions. Current anxiety was assessed pre- and postintervention with the Short State version of the State-Trait Anxiety Inventory. Mindful decentering was found to reduce anxiety postintervention, as compared to sham decentering, regardless of induced expectations regarding its effectiveness. Participants in the mindful decentering group also mentioned more decentering-related words than those in the sham decentering group. These findings indicate that a short, standardized, and online mindful decentering intervention can effectively decrease pandemic-related anxiety independently of one's expectations. These findings provide insights into the efficacy of the individual elements of mindfulness, highlighting decentering as an effective active component for anxiety relief. Moreover, these findings suggest that, in a nonclinical sample, individuals can apply mindful decentering with minimal training.

Medical Subject Headings (MeSH)
HumansMindfulnessMaleFemaleAdultCOVID-19AnxietyYoung AdultPlacebo EffectMiddle Aged
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Research Impact Scores
APT Score0.05
Weight Score2.62
Normalized Score0.72
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