Palavras-chave
Depresión
Pensamiento repetitivo
Supresión emocional
Reevaluación cognitiva
Bienestar subjetivo
Como Citar
Resumo
Stressful events regularly affect people throughout their lives. Mindfulness-based interventions can be used to prevent the negative consequences of these events. The present study aims to evaluate the impact of a brief mindfulness intervention, measuring its effects on depressive symptomatology, life satisfaction, cognitive rumination and emotional regulation, in adults living in Chile, who have experienced a recent stressful event. An experimental design was used, through a randomized controlled trial of two groups, one experimental and one wait-list control, with pre, post and follow-up measurement of all study variables, using the Centre for Epidemiological Studies Depression Scale (CES-D), the Satisfaction with Life Scale (SWLS), the Event-Related Rumination Inventory (ERRI) and the Emotional Regulation Questionnaire (ERQ). Results show that the intervention decreased levels of depressive symptomatology and intrusive rumination, increasing levels of life satisfaction. No intergroup changes in emotional regulation were observed. It is concluded that brief mindfulness could be an effective intervention to prevent depressive symptomatology and cognitive rumination and promote life satisfaction in people experiencing a recent stressful event.
Referências
Alzugaray, C., García, F., Reyes, A., & Álvarez, R. (2015). Propiedades psicométricas de una versión breve de la Escala de Rumiación Relacionada a un Evento en población chilena afectada por eventos altamente estresantes. Ajayu, 13(2), 183-198.
Arias, P., & García, F. (2018). Psychometric properties of the satisfaction with life scale in the adult Ecuadorian population. Pensamiento Psicológico, 16(2), 21-29 https://doi.org/10.11144/javerianacali.ppsi16-2.ppes
Barnhofer, T., Crane, C., Brennan, K., Duggan, D., Crane, R., Eames, C., … Williams, J. (2015). Mindfulness-Based Cognitive Therapy (MBCT) reduces the association between depressive symptoms and suicidal cognitions in patients with a history of suicidal depression. Journal of Consulting and Clinical Psychology, 83(6), 1013-1020. https://doi.org/10.1037/ccp0000027
Bonanno, G. A., Westphal, M., & Mancini, A. D. (2011). Resilience to loss and potential trauma. Annual Review of Clinical Psychology, 7, 511-535. https://doi.org/10.1146/annurev-clinpsy-032210-104526
Boutron, I., Moher, D., Altman, D. G., Schulz, K. F., & Ravaud, P. (2008). Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: Explanation and elaboration. Annals of Internal Medicine, 148, 295-309. https://doi.org/10.7326/0003-4819-148-4-200802190-00008
Campos, D., Cebolla, A ., & Mira, A. (2015). Mindfulness como estrategia de regulación emocional, un estudio de laboratorio. Ágora de Salut, I, 127-138. https://doi.org/10.6035/AgoraSalut.2015.1.9.
Cann, A., Calhoun, L. G., Tedeschi, R. G., Triplett, K., Vishnevsky, T ., & Lindstrom, C. (2011). Assessing posttraumatic cognitive processes: The Event Related Rumination Inventory. Anxiety, Stress & Coping, 24, 137-156. https://doi.org/10.1080/10615806.2010.529901
Cavanagh, K., Strauss, C., Cicconi, F., Griffiths, N., Wyper, A., & Jones, F. (2013). A randomized controlled trial of a brief online Mindfulness-based intervention. Behaviour Research and Therapy, 51(4), 573-578. https://doi.org/10.1016/j.brat.2013.06.003
Cerna, C., García, F ., & Tellez, A. (2020). Brief Mindfulness, mental health, and cognitive processes: A randomized controlled trial. PsyCh Journal, 9(3), 359-369. https://doi.org/10.1002/pchj.325
Cerna, C., Demarzo, M., García, F., Aravena, V., & Wlodarczyk, A. (2021). Brief mindfulness therapy and mental health in people exposed to a recent stressful event: A study of multiple cases with follow up. Journal of Contemporary Psychotherapy. https://doi.org/10.1007/s10879-020-09483-3
Chiodelli, R., Mello, L. T. N., Jesus, S. N., & Andretta, I. (2018). Effects of a brief mindfulness-based intervention on emotional regulation and levels of mindfulness in senior students. Psicologia: Reflexão e Crítica, 31(1), 21. https://doi.org/10.1186/s41155-018-0099-7
Compare, A., Zarbo, C., Shonin, E., Van Gordon, W., & Marconi, C. (2014). Emotional regulation and depression: A potential mediator between heart and mind. Cardiovascular Psychiatry and Neurology. 1-10. https://doi.org/10.1155/2014/324374.
Demarzo, M., Cebolla, A ., & García-Campayo, J. (2015). The implementation of mindfulness in healthcare systems: A theoretical analysis. General Hospital Psychiatry, 37(2), 166-171. https://doi.org/10.1016/j.genhosppsych.2014.11.013.
Demarzo, M., Montero-Marin, J., Cuijpers, P., Zabaleta-del-Olmo, E., Mahtani, KR, Vellinga, A., … García-Campayo, J. (2015). The efficacy of Mindfulness-Based Interventions in primary care: A meta analytic review. Annals of Family Medicine, 13(6), 575-582. https://doi.org/10.1370/afm.1863
Demarzo, M., Montero-Marin, J., Puebla-Guedea, M., Navarro-Gil, M., Herrera-Mercadal, P., Moreno-González, S., … García-Campayo, J. (2017). Efficacy of 8 and 4 session Mindfulness-Based Interventions in a non-clinical population: A controlled study. Frontiers in Psychology, 8, 1-12. https://doi.org/10.3389/fpsyg.2017.01343.
Díaz, C. A., Quintana, G. R., & Vogel, E. H. (2012). Síntomas de depresión, ansiedad y estrés posttraumático en adolescentes siete meses después del terremoto del 27 de febrero de 2010 en Chile. Terapia Psicológica, 30(1), 37-43. https://doi.org/10.4067/s0718-48082012000100004
Diener, E., Emmons, R., Larsen, R., & Griffin, S. (1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49(1), 71-75. https://doi.org/10.1207/s15327752jpa4901_13
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146
Galatzer-Levy, I. R., Huang, S. H., & Bonanno, G. A. (2018). Trajectories of resilience and dysfunction following potential trauma: A review and statistical evaluation. Clinical Psychology Review, 63, 41-55. https://doi.org/10.1016/j.cpr.2018.05.008
García, F. E., Vergara-Barra, P., Concha-Ponce, P., Andrades, M., Rincón, P., & Valdivia-Devia, M. (2023). The Emotion Regulation Questionnaire: Psychometric Properties and Prediction of Posttraumatic Consequences during the COVID-19 Pandemic in Chilean Adults. International Journal of Environmental Research and Public Health, 20(4), 3452. https://doi.org/10.3390/ijerph20043452
Galhardo, A., Cunha, M., Pinto-Gouveia, J., & Carvalho, S. A. (2021). Efficacy of a single-session online ACT-based mindfulness intervention among undergraduates in lockdown during the COVID-19 pandemic: A randomized controlled trial. Trends in Psychiatry and Psychotherapy, 43(4), 312-319. https://doi.org/10.47626/2237-6089-2020-0172
Gempp, R., Avendaño, C., & Muñoz, C. (2004). Normas y punto de corte para la Escala de Depresión del Centro para Estudios Epidemiológicos (CES-D) en población juvenil chilena. Terapia Psicológica, 22(2), 145-156.
Geschwind, N., Peeters, F., Huibers, M., van Os, J ., & Wichers, M. (2012). Efficacy of Mindfulness-based cognitive therapy in relation to prior history of depression: Randomised controlled trial. The British Journal of Psychiatry, 201, 320-325. https://doi.org/10.1192/bjp.bp.111.104851.
Grecucci, A., Pappaianni, E., Siugzdaite, R., Theuninck, A ., & Job, R. (2015). Mindful emotion regulation: Exploring the neurocognitive mechanisms behind Mindfulness. BioMed Research International, 0-9. https://doi.org/10.1155/2015/670724
Gross, J. (2013). Emotion regulation: Taking stock and moving forward. Emotion, 13, 359-365. https://doi.org/10.1037/a0032135
Gross, J ., & John, O. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-Being. Journal of Personality and Social Psychology, 85, 348-362. https://doi.org/10.1037/0022-3514.85.2.348
Gross, J ., & Levenson. R. (1997). Hiding feelings: The acute effects of inhibiting negative and positive emotion. Journal of Abnormal Psychology, 106(1), 95-103. https://doi.org/10.1037/0021-843x.106.1.95
Hofmann, S. G., & Gómez, A. F. (2017). Mindfulness-based interventions for anxiety and depression. Psychiatric Clinics of North America, 40(4), 739-749. https://doi.org/10.1016/j.psc.2017.08.008
Howarth, A., Smith, J. G., Perkins-Porras, L., & Ussher, M. (2019). Effects of brief mindfulness-based interventions on health-related outcomes: A systematic review. Mindfulness, 10(10), 1957-1968. https://doi.org/10.1007/s12671-019-01163-1
Jimenez, O., Ramos, N. S., Gonzalez-Moraleda, A., & Resurreccion, D. M. (2020). Brief mindfulness-based interventions in a laboratory context: A systematic review of randomized controlled trials. Mindfulness, 11, 849-861. https://doi.org/10.1007/s12671-020-01320-x
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144-156. https://doi.org/10.1093/clipsy/bpg016
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593-602. https://doi.org/10.1001/archpsyc.62.6.593
Laca, F., Mejía, J., Rodriguez, E., & Carrillo, E. (2017). Avances en psicología del bienestar subjetivo: Relación entre el mindfulness y la satisfacción con la vida. UARICHA Revista de Psicología, 14(32), 78-86.
Little, R. J., D'Agostino, R., Cohen, M. L., Dickersin, K., Emerson, S. S., Farrar, J. T., .. ., & Stern, H. (2012). The prevention and treatment of missing data in clinical trials. New England Journal of Medicine, 367(14), 1355-1360. https://doi.org/10.1056/NEJMsr1203730
Mapurunga, M. V., Rodrigues de Oliveira, D., Andreoni, S., Sarubbi, V., Jr., Bonilha, A. C., D'Almeida, V., Tomita, L., Ramos, L. R., & Demarzo, M. (2025). Effects of mindfulness training on quality of life and well-being in older adults: A randomized controlled trial. Aging & Mental Health, 1-13. https://doi.org/10.1080/13607863.2025.2488890
Moscoso, M ., & Lengacher, C. (2015). Mecanismos neurocognitivos de la terapia basada en mindfulness. Liberabit, 21(2), 221-233.
Moscoso, M ., & Lengacher, C. (2017). El rol de mindfulness en la regulación emocional de la depresión. Mindfulness & Compassion, 2(2), 64-70. https://doi.org/10.1016/j.mincom.2017.08.002
Norris, F., Hamblen, J., Brown, L., & Schinka, J. (2008). Validation of the Short Posttraumatic Stress Disorder Rating Interview (expanded version, Sprint-E) as a measure of postdisaster distress and treatment need. American Journal of Disaster Medicine, 3, 201-212.
Nozaki, Y. (2015). Emotional competence and extrinsic emotion regulation directed toward an ostracized person. Emotion, 15(6), 763-774. https://doi.org/10.1037/emo0000081
Paul, N., Stanton, S., Greeson, J., Smoski, M ., & Wang, L. (2013). Psychological and neural mechanisms of trait Mindfulness in reducing depression vulnerability. Social Cognitive and Affective Neuroscience, 8, 56-64. https://doi.org/10.1093/scan/nss070
Radloff, L. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401. https://doi.org/10.1177/014662167700100306
Reangsing, C., Lauderman, C., & Schneider, J. K. (2022). Effects of mindfulness meditation intervention on depressive symptoms in emerging adults: a systematic review and meta-analysis. Journal of Integrative and Complementary Medicine, 28(1), 6-24. https://doi.org/10.1089/jicm.2021.0036
Roselló, J., Zayas, G ., & Lora, V. (2016). Impacto de un adiestramiento en meditación en consciencia plena (Mindfulness) en medidas de ansiedad, depresión, ira y estrés y consciencia plena: Un estudio piloto. Revista Puertoriqueña de Psicología, 27(1), 62-78.
Sans-Corrales, M., Pujol-Ribera, E., Gene-Badia, J., Pasarín-Rua, M. I., Iglesias-Pérez, B., & Casajuana-Brunet, J. (2006). Family medicine attributes related to satisfaction, health and costs. Family Practice, 23(3), 308-316. https://doi.org/10.1093/fampra/cmi112
Schumer, M. C., Lindsay, E. K., & Creswell, J. D. (2018). Brief mindfulness training for negative affectivity: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 86(7), 569-583. https://doi.org/10.1037/ccp0000324
Sousa, G.., Lima-Araújo, G., Araújo, D., & Sousa, M. (2021). Brief mindfulness-based training and mindfulness trait attenuate psychological stress in university students: A randomized controlled trial. BMC Psychology, 9, 1-14. https://doi.org/10.1186/s40359-021-00520-x
Sutin, A., Costa, P., Wethington, E., & Eaton, W. W. (2010). Perceptions of stressful life events as turning points are associated with self-rated health and psychological distress. Anxiety, Stress and Coping, 23(5), 479-492. https://doi.org/10.1080/10615800903552015
Tedeschi, R ., & Blevins, C. (2015). From Mindfulness to meaning: Implications for the theory of posttraumatic growth. Psychological Inquiry, 26(4), 373-376. https://doi.org/10.1080/1047840X.2015.1075354
Teixeira, D. S., Fortes, S., Kestenberg, C., Alves, K., Campos, M. R., Neto, A. O., ... ., & Demarzo, M. (2024). Improving patient-centered mental health promotion in primary care in vulnerable communities through mindfulness training in Rio de Janeiro, Brazil. Frontiers in Medicine, 11, 1356040. https://doi.org/10.3389/fmed.2024.1356040
Toniolo-Barrios, M., Brasil, A., & Pitt, L. F. (2020). Nine prolific years: An analysis of publications in mindfulness. Mindfulness, 11, 1077-1089. https://doi.org/10.1007/s12671-020-01321-w
Thorp, J. G., Gerring, Z. F., Colodro-Conde, L., Byrne, E. M., Medland, S. E., Middeldorp, C. M., & Derks, E. M. (2023). The association between trauma exposure, polygenic risk and individual depression symptoms. Psychiatry Research, 321, 115101.. https://doi.org/10.1016/j.psychres.2023.115101
Trombka, M., Demarzo, M., Campos, D., Antonio, S. B., Cicuto, K., Walcher, A. L., Javier García-Campayo, J., Schuman-Olivier, Z, & Rocha, N. S. (2021). Mindfulness training improves quality of life and reduces depression and anxiety symptoms among police officers: results From the POLICE study-a multicenter randomized controlled trial. Frontiers in Psychiatry, 12, 624876. https://doi.org/10.3389/fpsyt.2021.624876
Waszczuk, M. A., Zavos, H., Antonova, E., Haworth, C.M., Plomin, R., & Eley, T. C. (2015). A multivariate twin study of trait mindfulness, depressive symptoms, and anxiety sensitivity. Depression and Anxiety, 32, 254-261. https://doi.org/10.1002/da.22326
Williams, J., Crane, C., Barnhofer, K., Brennan, K., Duggan, D., Fennell, M., … Russell, I. (2013). Mindfulness-based cognitive therapy for preventing relapse in recurrent depression: A randomized dismantling trial, Journal of Consulting and Clinical Psychology, 82(2), 275-286. https://doi.org/10.1037/a0035036
Wu, W., Wu, H., Wu, X., Gu, J., & Qi, X. (2024). A Meta-Analysis of Life Satisfaction’s Association with Cognitive Reappraisal and Expressive Suppression: The Influences of Age, Gender, and Cultural Values. Journal of Happiness Studies, 25(4), 1-24. https://doi.org/10.1007/s10902-024-00753-8
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