Mechanisms of Mindfulness Intervention: Cognitive Flexibility Dose Manipulation

Condition(s) studied

Investigational drug(s) / intervention(s)

Mindfulness Intervention for Emotional Distress(MIED)-normal version: Mindfulness Intervention for Emotional Distress (MIED) program provides standard audio instructions for mindfulness exercises, introduces the nature and law of anxiety, depression, and other emotions, the source of anxiety, depression, and other emotional distress, and the strategies and methods to alleviate emotional distress. These exercises, knowledge and strategies are based on the latest progress in the field of psychological counseling and treatment, and their application in daily life can help alleviate anxiety, depression and other emotional problems.

Mindfulness Intervention for Emotional Distress(MIED)-increase cognitive flexibility: Increase the intervention dose of cognitive flexibility in Mindfulness Intervention for Emotional Distress (MIED). For example, including more cognitive reappraisal practice, psychoeducational content and practice about regarding thoughts just as thoughts.

Study summary

This study hopes to:

1. explore whether an increase in the dosage of cognitive flexibility intervention corresponds to greater effectiveness of mindfulness intervention in alleviating emotional distress.
2. explore whether cognitive flexibility mediates the effects of mindfulness intervention on alleviating emotional distress.

Eligibility

Primary outcome measure(s)

• Weekly changes of Five Facet Mindfulness Questionnaire during the intervention — pre-intervention; weekly during the 7-week intervention; immediately after the intervention
  The Five Facet Mindfulness Questionnaire is a self-reported questionnaire measuring mindfulness levels. Scores range from 39 to 195, with higher scores indicating higher levels of mindfulness.
• Weekly changes of 10-item Kessler Psychological Distress Scale during the intervention — pre-intervention; weekly during the 7-week intervention; immediately after the intervention
  The 10-item Kessler Psychological Distress Scale is a self-reported questionnaire measuring distress. Scores range from 10 to 50, with higher scores indicating higher levels of distress.
• Weekly changes of Rumination-Reflection Questionnaire during the intervention — pre-intervention; weekly during the 7-week intervention; immediately after the intervention
  Rumination-Reflection Questionnaire is a self-reported questionnaire measuring Rumination level.Scores range from 12 to 60, with higher scores indicating higher levels of Rumination.
• Weekly changes of Emotion Regulation Questionnaire during the intervention — pre-intervention; weekly during the 7-week intervention; immediately after the intervention
  Emotion Regulation Questionnaire is a self-reported questionnaire measuring cognitive reappraisal level.Scores range from 6 to 42, with higher scores indicating higher levels of cognitive reappraisal ability.
• Weekly changes of Overall Anxiety Severity and Impairment Scale during the intervention — pre-intervention; weekly during the 7-week intervention; immediately after the intervention
  The Overall Anxiety Severity and Impairment Scale is a self-reported questionnaire measuring anxiety. Scores range from 0 to 20, with higher scores indicating higher levels of anxiety.
• Weekly changes of Overall Depression Severity and Impairment Scale during the intervention — pre-intervention; weekly during the 7-week intervention; immediately after the intervention
  The Overall Depression Severity and Impairment Scale is a self-reported questionnaire measuring depression. Scores range from 0 to 20, with higher scores indicating higher levels of depression.
• Weekly changes of Cognitive flexibility Inventory during the intervention — pre-intervention; weekly during the 7-week intervention; immediately after the intervention
  Cognitive flexibility Inventory is a self-reported questionnaire measuring Cognitive flexibility level.Scores range from 20 to 100, with higher scores indicating higher levels of Cognitive flexibility.
• Weekly changes of experiences questionnaire during the intervention — pre-intervention; weekly during the 7-week intervention; immediately after the intervention
  experiences questionnaire is a self-reported questionnaire measuring decentralization ability. Scores range from 20 to 100, with higher scores indicating higher levels of Decentralized ability.
• Weekly changes of Beck Anxiety Inventory during the intervention — pre-intervention; weekly during the 7-week intervention; immediately after the intervention
  Beck Anxiety Inventory is a self-reported questionnaire measuring Anxiety level.Scores range from 0 to 63, with higher scores indicating higher levels of Anxiety.
• Weekly changes of Beck Depression Inventory during the intervention — pre-intervention; weekly during the 7-week intervention; immediately after the intervention
  Beck Depression Inventory is a self-reported questionnaire measuring depression level.Scores range from 0 to 63, with higher scores indicating higher levels of depression.

Trial sites (1)

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