Clinical Psychology Science and Practice
January 1, 2004
Scott R. Bishop, Mark A. Lau, Shauna L. Shapiro et al.
6,266 citations
Mindfulness has attracted considerable interest as a way to reduce cognitive vulnerability to stress and emotional distress, but it has not been defined operationally. Recent consensus meetings produced a two-component model of mindfulness, specifying each component in terms of specific behaviors, experiential manifestations, and psychological processes. The paper addresses temporal stability and situational specificity, speculates on the conceptual and operational distinctiveness of mindfulness, and discusses implications for instrument development and measurement.
Journal of Clinical Psychology
January 1, 2006
Mark A. Lau, Scott R. Bishop, Zindel V. Segal et al.
1,462 citations
A new self-report questionnaire, the Toronto Mindfulness Scale (TMS), measures the state of mindfulness. In two studies, the scale showed good internal consistency and two factors: Curiosity and Decentering. TMS scores increased with more mindfulness meditation experience. In a second study, participants in an 8-week mindfulness-based stress reduction program showed increased TMS scores after treatment, and Decentering scores predicted improvements in clinical outcomes. The TMS is a promising measure with good psychometric properties and predictive validity for treatment outcome.
Journal of Clinical Psychology
March 6, 2009
James Carmody, Ruth A. Baer, Emily L. B. Lykins et al.
528 citations
A theory proposes that mindfulness training works by changing how people relate to their experiences, a process called reperceiving, which then improves self-regulation, values clarity, mental flexibility, and exposure to experiences, leading to better health. Testing this with participants in a mindfulness-based stress-reduction program did not support that changes in reperceiving alone explained how mindfulness affected those four factors. However, when mindfulness and reperceiving scores were combined, there was partial support that those four factors helped reduce psychological distress. The text discusses difficulties in measuring these concepts.
Pain
February 1, 2025
James Gerhart, John W Burns, Beverly Thorn et al.
3 citations
For chronic low back pain, cognitive therapy, mindfulness-based stress reduction, and behavior therapy all appear to work by progressively weakening the link between pain-related thoughts or pain spikes and later outcomes, rather than by directly changing those mechanisms. In a study of 521 people, associations between treatment mechanism variables and outcomes were strong early in treatment but became nonsignificant by the final third. This decoupling effect was similar across the three active treatments but did not occur in treatment as usual. The findings suggest that by midtreatment, participants may learn that maladaptive thoughts or pain increases need not worsen their subsequent experience.