A Comparison of Two Brief Present Moment Awareness Training Paradigms in High Worriers
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High levels of worry are a common phenomenon in undergraduate populations, with 28 to 40% of undergraduates in introductory psychology courses classified as “high worriers.” Worry is characterized by a pervasive neglect of the present moment and persistent thoughts about the future. Various methods of increasing present moment focus have been devised. The purpose of this study was to compare the effects of two brief present moment awareness training paradigms—Mindfulness Meditation and Present Moment Joy—in high worriers. Although both paradigms seek to increase present moment awareness, the processes by which each does so are different and potentially contradictory. Prior studies have not compared these two paradigms, and the field has yet to examine Present Moment Joy as an independent technique. Ninety-seven high worriers completed two, 20-minute training sessions across 2 days of either Mindfulness Meditation or Present Moment Joy. Participants rated levels of state mindfulness (curiosity and decentering), affect, and anxiety before and after each session. Both conditions increased curiosity and decentering, but Mindfulness Meditation led to greater decentering changes on day 2 than did Present Moment Joy. Both conditions decreased anxiety and negative affect. Only Present Moment Joy increased positive affect. Results suggest that, although Mindfulness Meditation and Present Moment Joy operate via different mechanisms, both increase present moment awareness and reduce anxiety and negative affect; however, when one’s goal is also to increase positive affect, Present Moment Joy may be the more effective intervention.
KeywordsWorry Present moment Mindfulness Meditation
Compliance with Ethical Standards
This study was not funded by any grant or any other source.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
Conflict of Interest
The authors declare that they have no conflict of interests.
- Beck, A. T. (1967). Depression: clinical, experimental, and theoretical aspects. Philadelphia, PA: University of Pennsylvania Press.Google Scholar
- Borkovec, T. D., Mathews, A. M., Chambers, A., Ebrahimi, S., Lytle, R., & Nelson, R. (1987). The effects of relaxation training with cognitive or nondirective therapy and the role of relaxation-induced anxiety in the treatment of generalized anxiety. Journal of Consulting and Clinical Psychology, 55(6), 883–888. doi: 10.1037/0022-006X.55.6.883.PubMedCrossRefGoogle Scholar
- Borkovec, T. D., Newman, M. G., Pincus, A. L., & Lytle, R. (2002). A component analysis of cognitive-behavioral therapy for generalized anxiety disorder and the role of interpersonal problems. Journal of Consulting and Clinical Psychology, 70(2), 288–298. doi: 10.1037/0022-006X.70.2.288.PubMedCrossRefGoogle Scholar
- Borkovec, T. D., Alcaine, O., & Behar, E. (2004). Avoidance theory of worry and generalized anxiety disorder. In R. G. Heimberg, C. L. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: advances in research and practice (pp. 77–108). New York, NY: Guilford Press.Google Scholar
- Dimidjian, S., Martell, C. R., Herman-Dunn, R., & Hubley, S. (2014). Behavioral activation for depression. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: a step-by-step treatment manual (5th ed., pp. 353–393). New York, NY: Guilford Press.Google Scholar
- Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J. P. (2007). Mindfulness and emotion regulation: the development and initial validation of the cognitive and affective mindfulness scale-revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29(3), 177–190. doi: 10.1007/s10862-006-9035-8.CrossRefGoogle Scholar
- Feldman, G., Greeson, J., & Senville, J. (2010). Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behaviour Research and Therapy, 48(10), 1002–1011. doi: 10.1016/j.brat.2010.06.006.PubMedPubMedCentralCrossRefGoogle Scholar
- Fresco, D. M., Mennin, D. S., Heimberg, R. G., & Turk, C. L. (2003). Using the Penn State Worry Questionnaire to identify individuals with generalized anxiety disorder: a receiver operating characteristic analysis. Journal of Behavior Therapy and Experimental Psychiatry, 34, 283–291. doi: 10.1016/j.jbtep.2003.09.001.PubMedCrossRefGoogle Scholar
- Hayes, S. C., & Smith, S. (2005). Get out of your mind and into your life: the new acceptance and commitment therapy. Oakland, CA: New Harbinger Publications.Google Scholar
- Hazlett-Stevens, H., & Craske, M. G. (2009). Breathing retraining and diaphragmatic breathing techniques. In W. T. O'Donohue & J. E. Fisher (Eds.), General principles and empirically supported techniques of cognitive behavior therapy (pp. 166–172). Hoboken, NJ: John Wiley & Sons, Inc..Google Scholar
- Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York, NY: Dell Publishing.Google Scholar
- Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. doi: 10.1093/clipsy/bpg016.
- Kaviani, H., Javaheri, F., & Hatami, N. (2011). Mindfulness-based cognitive therapy (MBCT) reduces depression and anxiety induced by real stressful setting in non-clinical population. International Journal of Psychology and Psychological Therapy, 11(2), 285–296. doi: 10.1016/j.beth.2011.08.006.Google Scholar
- Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., Shapiro, S., Carmody, J., Abbey, S., & Devins, G. (2006). The Toronto Mindfulness Scale: development and validation. Journal of Clinical Psychology, 62(12), 1445–1467. doi: 10.1002/jclp.20326.PubMedCrossRefGoogle Scholar
- Lazar, S. W., Kerr, C. E., Wasserman, R. H., Gray, J. R., Greve, D. N., Treadway, M. T., McGarvey, M., Quinn, B. T., Dusek, J. A., Benson, H., Rauch, S. L., Moore, C. I., & Fischl, B. (2005). Meditation experience is associated with increased cortical thickness. Neuroreport, 16(17), 1893–1897. doi: 10.1097/01.wnr.0000186598.66243.19.PubMedPubMedCentralCrossRefGoogle Scholar
- Miller, J. J., Fletcher, K., & Kabat-Zinn, J. (1995). Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry, 17(3), 192–200. doi: 10.1016/0163-8343(95)00025-M.PubMedCrossRefGoogle Scholar
- Molina, S., & Borkovec, T. D. (1994). The Penn State Worry Questionnaire: psychometric properties and associated characteristics. In J. Hunsley & E. J. Mash (Eds.), A guide to assessments that work (pp. 261–262). New York, NY: Oxford University Press.Google Scholar
- Newman, M. G., & Borkovec, T. D. (2002). Cognitive behavioral therapy for worry and generalized anxiety disorder. In G. Simos (Ed.), Cognitive behaviour therapy: a guide for the practicing clinician (pp. 150–172). New York, NY: Taylor & Francis.Google Scholar
- Newman, M. G., Castonguay, L. G., Borkovec, T. D., Fisher, A. J., Boswell, J. F., Szkodny, L. E., & Nordberg, S. S. (2011). A randomized controlled trial of cognitive-behavioral therapy for generalized anxiety disorder with integrated techniques from emotion-focused and interpersonal therapies. Journal of Consulting and Clinical Psychology, 79(2), 171–181. doi: 10.1037/a0022489.PubMedPubMedCentralCrossRefGoogle Scholar
- 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(6), 1083–1089. doi: 10.1037/a0012720.PubMedPubMedCentralCrossRefGoogle Scholar
- Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2001). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse (1st ed.). New York, NY: The Guilford Press.Google Scholar
- Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2012). Mindfulness-based cognitive therapy for depression (2nd ed.). New York, NY: The Guilford Press.Google Scholar
- Spielberger, C. D., Gorsuch, R., Lushene, R. E., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
- Stanley, M. A., Diefenbach, G. J., Hopko, D. R., Novy, D. M., Kunik, M. E., Wilson, N., & Wagener, P. (2003). The nature of generalized anxiety disorder in older primary care patients: preliminary findings. Journal of Psychopathology and Behavioral Assessment, 25(4), 273–280. doi: 10.1023/A:1025903214019.CrossRefGoogle Scholar
- 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(4), 615–623. doi: 10.1037/0022-006X.68.4.615.PubMedCrossRefGoogle Scholar
- van Rijsoort, S., Emmelkamp, P., & Vervaeke, G. (1999). The Penn State Worry Questionnaire and the Worry Domains Questionnaire: structure, reliability and validity. Clinical Psychology & Psychotherapy, 6(4), 297–307. doi: 10.1002/(SICI)1099-0879(199910)6:4<297::AID-CPP206>3.0.CO;2-E.CrossRefGoogle Scholar