Advertisement

Community Mental Health Journal

, Volume 55, Issue 7, pp 1179–1185 | Cite as

Effect of a Mindfulness-Based Intervention Program on Comprehensive Mental Health Problems of Chinese Undergraduates

  • Xianhua LiuEmail author
Original Paper
  • 88 Downloads

Abstract

How best to support mental health of young people is an important public health challenge. More empirical researches are need to examine the relationship between mindfulness-based interventions and mental health in China. The present study reports results from a quasi-experiment following a one-group repeated-measures design which investigated the impact of a standard 8-week mindfulness-based cognitive therapy (MBCT) program in 81 Chinese undergraduates (14 males, 67 females, age 20.35 ± 1.35 years). Data was collected using the Symptom Check List 90 (SCL90) at baseline, week 3, week 6 and week 8 in order to examine the trajectory of mental health changes during the MBCT training. The repeated measures analysis of variance showed that the decrease was significant in the scores of somatization (F = 13.432, P < 0.01), obsessive–compulsive symptoms (F = 43.954, P < 0.01), interpersonal sensitivity (F = 36.196, P < 0.01), depression (F = 25.914, P < 0.01), anxiety (F = 26.547, P < 0.01), hostility (F = 19.707, P < 0.01), phobic anxiety (F = 21.145, P < 0.01), paranoid ideation (F = 19.857, P < 0.01) and psychoticism (F = 32.833, P < 0.01). The findings from the present study show that a standard MBCT program may have positive impact on reduction in mental health problems in Chinese undergraduates. Further controlled studies with randomized designs are needed to investigate these promising results in more depth.

Keywords

Mindfulness Mindfulness-based intervention Mindfulness-based cognitive therapy Mental health Undergraduate 

Notes

Funding

This study was supported by Hunan Provincial Education Sciences Planning of China (Grant No. XJK015AXL001), Hunan Provincial Philosophy and Social Science Foundation of China (Grant No. 16YBA039) and Hunan Provincial Social Science Achievement Review Committee Foundation of China (Grant No. XSP17YBZC006).

Compliance with Ethical Standards

Conflict of interest

The authors declare that he has no conflict of interest.

Ethical Approval

All procedures followed for the present study were approved by the Ethics Committee of Hengyang Normal University and were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5).

Informed Consent

Informed consent was obtained from all participants for being included in the study. No identifying information is included in this article.

References

  1. Baer, R. A., Fischer, S., & Huss, D. B. (2005). Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 23, 281–300.CrossRefGoogle Scholar
  2. Barnhofer, T., Crane, C., Hargus, E., Amarasinghe, M., Winder, R., & Williams, J. M. G. (2009). Mindfulness-based cognitive therapy as a treatment for chronic depression: A preliminary study. Behaviour Research and Therapy, 47, 366–373.CrossRefGoogle Scholar
  3. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241.Google Scholar
  4. Bowen, S., Witkiewitz, K., Dillworth, T. M., Chawla, N., Simpson, T. L., Ostafin, B. D., et al. (2006). Mindfulness meditation and substance use in an incarcerated population. Psychology of Addictive Behaviors, 20, 343–347.CrossRefGoogle Scholar
  5. Chadwick, P., Taylor, K. N., & Abba, N. (2005). Mindfulness groups for people with psychosis. Behavioural and Cognitive Psychotherapy, 33, 351–359.CrossRefGoogle Scholar
  6. Chen, M. G., Feng, Y. H., & Li, H. (2018). A review of Studies on mindfulness in China. Psychology: Techniques and Applications, 6, 688–695.Google Scholar
  7. Coholic, D., Lougheed, S., & Lebreton, J. (2009). The helpfulness of holistic arts-based group work with children living in foster care. Social Work with Groups, 32, 29–46.CrossRefGoogle Scholar
  8. Cordon, S. L., Brown, K. W., & Gibson, P. R. (2009). The role of mindfulness- based stress reduction on perceived stress: Preliminary evidence for the moderating role of attachment style. Journal of Cognitive Psychotherapy: An International Quarterly, 23, 258–268.CrossRefGoogle Scholar
  9. Derogatis, L. R. (2000). Symptom checklist-90-revised. In Handbook of psychiatric measures. American Psychiatric Association, 2000, 81–84.Google Scholar
  10. Galante, J., Iribarren, S. J., & Pearce, P. F. (2012). Effects of mindfulness- based cognitive therapy on mental disorders: A systematic review and meta-analysis of randomised controlled trials. Journal of Research in Nursing, 18, 133–155.CrossRefGoogle Scholar
  11. Guo, Y. Y. (2002). Meditation: Some benefits of mental health and spirtual development. Journal of Nanjing Normal University (Social Science), 5, 75–81.Google Scholar
  12. Hayes, S. C., Follette, V. M., & Linehan, M. M. (2004). Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. New York: Guilford Press.Google Scholar
  13. Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25.CrossRefGoogle Scholar
  14. Hepburn, S. R., Crane, C., Barnhofer, T., Duggan, D. S., Fennell, M. J. V., & Williams, J. G. W. (2009). Mindfulness-based cognitive therapy may reduce thought suppression: Findings from a preliminary study. British Journal of Clinical Psychology, 48(pt2), 209–215.CrossRefGoogle Scholar
  15. Ji, C. L., Wang, L. P., Xu, W., Zhang, T. T., & Fan, W. J. (2018). Review of research advance mindfulness-based therapy in China. Journal of International Psychiatry, 45, 584–586.Google Scholar
  16. Jin, H., Wu, W. Y., & Zhang, M. Y. (1986). Primal analysis of Chinese SCL90 assessment result. Chinese Journal of Nervous and Mental Diseases, 12, 260–263.Google Scholar
  17. Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47.CrossRefGoogle Scholar
  18. Kabat-Zinn, J. (1990). Full catastrophe living: How to cope with stress, pain and illness using mindfulness meditation. New York: Bantam Dell.Google Scholar
  19. Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156.Google Scholar
  20. Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31, 1041–1056.CrossRefGoogle Scholar
  21. Kim, B., Lee, S. H., Kim, Y. W., Choi, T. K., Yook, K., Suh, S. Y., et al. (2010). Effectiveness of a mindfulnessbased cognitive therapy program as an adjunct to pharmacotherapy in patients with panic disorder. Journal of Anxiety Disorders, 24, 590–595.CrossRefGoogle Scholar
  22. Kocovski, N. L., Segal, Z. V., Battista, S. R., & Didonna, F. (2009). Mindfulness and psychopathology: Problem formulation. In F. Didonna (Ed.), Clinical handbook of mindfulness (pp. 85–98). New York: Springer.CrossRefGoogle Scholar
  23. Le, T. N., & Trieu, D. T. (2014). Feasibility of a mindfulness-based intervention to address youth issues in Vietnam. Health Promotion International, 31, 470–479.CrossRefGoogle Scholar
  24. Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.Google Scholar
  25. Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 31–40.CrossRefGoogle Scholar
  26. Mendelson, T., Greenberg, M., Dariotis, J., Gould, L., Rhoades, B., & Leaf, P. (2010). Feasibility and preliminary outcomes of a school-based mindfulness intervention for urban youth. Journal of Abnormal Child Psychology, 38, 985–994.CrossRefGoogle Scholar
  27. Miklowitz, D., Alatiq, Y., Goodwin, G. M., Geddes, J. R., Fennell, M. J. V., Dimidjian, S., et al. (2009). A pilot study of mindfulness- based cognitive therapy for bipolar disorder. International Journal of Cognitive Therapy, 2, 373–382.CrossRefGoogle Scholar
  28. Rawlett, K., & Scrandis, D. (2016). Mindfulness based programs implemented with at-risk adolescents. The Open Nursing Journal, 10, 90–98.CrossRefGoogle Scholar
  29. Rempel, K. D. (2012). Mindfulness for children and youth: A review of the literature with an argument for school-based implementation. Canadian Journal of Counselling and Psychotherapy, 46, 201–220.Google Scholar
  30. Roemer, L., Orsillo, S. M., & Salters-Pedneault, K. (2008). Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: Evaluation in a randomized controlled trial. Journal of Consulting and Clinical Psychology, 76, 1083–1089.CrossRefGoogle Scholar
  31. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness- based cognitive therapy for depression: A new approach to preventing relapse. New York: The Guilford Press.Google Scholar
  32. Shapiro, S. L., Brown, K. W., Thoresen, C., & Plante, T. G. (2011). The moderation of mindfulness-based stress reduction effects by trait mindfulness: Results from a randomized controlled trial. Journal of Clinical Psychology, 67, 267–277.CrossRefGoogle Scholar
  33. Spijkerman, M. P. J., Pots, W. T. M., & Bohlmeijer, E. T. (2016). Effectiveness of online mindfulness-based interventions in improving mental health: A review and meta- analysis of randomised controlled trials. Clinical Psychology Review, 45, 102–114.CrossRefGoogle Scholar
  34. Teasdale, J. D., Segal, Z. V., & Williams, J. M. G. (2003). Mindfulness training and problem formulation. Clinical Psychology: Science and Practice, 10, 157–160.Google Scholar
  35. Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623.CrossRefGoogle Scholar
  36. Vigo, D., Thornicroft, G., & Atun, R. (2016). Estimating the true global burden of mental illness. Lancet Psychiatry, 3, 171–178.CrossRefGoogle Scholar
  37. Wang, F. Y. (2015). History of Chinese regimen psychology thoughts. Shanghai: Shanghai Educational Publishing House.Google Scholar
  38. Wang, Z. Y. (1984). Symptom Check List 90 (SCL90). Shanghai Spirit Medicine, 12, 68–70.Google Scholar
  39. Witkiewitz, K., Marlatt, A., & Walker, D. (2005). Mindfulness-based relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy, 19, 211–228.CrossRefGoogle Scholar
  40. Zylowska, L., Ackerman, D. L., Yang, M. H., Futrell, J. L., Horton, N. I., Hale, S., et al. (2008). Mindfulness meditation training in adults and adolescents with ADHD: A feasibility study. Journal of Attention Disorders, 11, 737–746.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.College of Educational ScienceHengyang Normal UniversityHengyangPeople’s Republic of China

Personalised recommendations