Effects of Mindful Breathing on Depression in Japanese University Students: Focusing on Negative Rumination and Self-Acceptance
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1 WASEDA RILAS JOURNAL NO. 5 Effects of Mindful Breathing on Depression in Japanese University Students: Focusing on Negative Rumination and Self-Acceptance Manami MAEKAWA This study examined the effects of mindful breathing on depression and related psychological factors, such as negative rumination and self-acceptance, in Japanese university students. Forty-four undergraduates (mean age = years, 63.6% female) were randomly assigned to a mindful breathing or a control group and participated in three sessions for a two-week period: T1 (first session), T2 (after the first week), and T3 (after the second week). Both groups completed measures of depression, negative rumination trait, uncontrollability of negative rumination, and self-acceptance (this scale consists of an evaluative dimension [SA-E] and an affective dimension [SA-A]) in every session. Additionally, in the first session, participants in the mindful breathing group were instructed on how to practice mindful breathing with a guided CD and asked to do it for about ten minutes every day. Two-way (Group Time) repeated measures analysis of variance was conducted. The analysis of negative rumination, uncontrollability of negative rumination, and self-acceptance demonstrated significant interactions of Time by Group. Follow-up Shaffer multiple comparisons revealed that, in the mindful breathing group, negative rumination trait scores at T2 and T3 were significantly lower than at T1 and were also significantly lower than those in the control group. In addition, uncontrollability of negative rumination scores in the mindful breathing group got significantly lower with each session. Furthermore, in the mindful breathing group, SA-E score at T3 was significantly higher than at T1 and T2, and SA-A scores in the mindful breathing group got significantly higher with each session. In contrast, the analysis of depression showed significant main effect of Time, but the interaction of Time by Group was non-significant. The hypothesis that practicing mindful breathing for two weeks would relieve depression was not supported. However, the results indicated that mindful breathing reduced the level of negative rumination, which was related to depression, and increased self-acceptance, which was closely associated with depression. Therefore, it is concluded that continuous mindful breathing is likely to prevent aggravated depression., 2015, 2001, 2005,
2 WASEDA RILAS JOURNAL NO. 5 SDS Zung, 1965;, Sakamoto, Kijima, Tomoda, & Kambara SDS SD = , 2011 SDS SD = SD = 8.21 SDS 40 Zung, Zung, SDS 35 SD = 8 Cuijpers & Smit, 2004 Martin & Tesser, 1989, 2001, 2001 Trapnell & Campbell, Raes & Williams 2010 a b c, Kabat-Zinn, 1994, 2007 MBSR Mindfulness Based Stress Reduction; Kabat-Zinn, 1990 MBCT Mindfulness-Based Cognitive Therapy; Segal, Williams, & Teasdale,
3 Grossman, Niemann, Schmidt, & Walach, 2004; Hofmann, Sawyer, Witt, & Oh, 2010 MBSR MBCT, 2016;, 2013;, 2011;, Raes & Williams Jimenez, Niles, & Park 2010 Mason & Hargreaves MBCT Mindful Breathing MB MB MB Time1 263
4 WASEDA RILAS JOURNAL NO. 5 T1 1 2 Time2 T2 2 3 Time3 T3 3 SDS 2 3 MB Segal et al. 2002The Three-Minute Breathing Space , 2010, CD 11 2 Table1 R anovakun HAD15.0, 2016 SDS MB T1 T2 T3 2 Huynh-Feldt ε MB T1 F 2, 84 = 6.26, p <.01, ε =.80, ηg 2 =.02 F 2, 42 = 21.53, p <.001, ε =.80, ηg 2 =.14; F 2, 42 = 3.47, p <.05, ηg 2 =.02 Shaffer MB T1 T2 T3 T2 T3 T2 F 1, 42 = 8.30, p <.01, ηg 2 =.16, T3 F 1, 42 = 5.90, p <.05, ηg 2 =.12 T2 T3 MB F 2, 84 = 3.26, p <.05, ε =.93, ηg 2 =.01 MB F 2, 42 = 13.76, p <.001, ε =.74, ηg 2 =.12 Shaffer MB T1 T2 T1 T3 F 2, 84 = 3.29, p <.05, ηg 2 =.01 MB F 2, 42 = 5.44, p <.01, ηg 2 =.02 Shaffer MB T1 T2 T3 F 2, 84 = 6.51, p <.01, ε =.84, ηg 2 =
5 Negative Rumination Trait (α =.92) Score: M (SD) F (effect size: ηg 2 ) simple effects Groups n T1 T2 T3 Group Time G T for interaction Mindful Breathing *** 6.26** T2 (MB < CTR) (8.79) (6.64) (7.13) (0.074) (0.063) (0.021) T3 (MB < CTR) Control MB (T1 > T2 = T3) (8.21) (7.76) (7.40) Uncontrollability of Negative Rumination (α =.76) Self-Acceptance Evaluative dimension (α =.89) Affective dimension (α =.91) Mindful Breathing *** 3.26* MB (T1 > T2 > T3) (3.93) (3.47) (3.74) (0.002) (0.052) (0.015) Control (3.50) (3.76) (3.74) Mindful Breathing * MB (T1 = T2 < T3) (14.41) (14.44) (15.21) (0.005) (0.005) (0.006) Control (10.05) (11.81) (12.82) Mindful Breathing ** 6.51** MB (T1 < T2 < T3) (15.15) (14.14) (16.24) (0.005) (0.011) (0.013) Control (13.72) (14.14) (15.17) SDS (α =.91) Mindful Breathing * 1.60 (7.58) (6.03) (6.43) (0.004) (0.021) (0.008) Control (8.18) (7.24) (7.93) Note. < and > mean significant difference. = means non-significant diferrence. *** p <.001, ** p <.01, * p <.05, p <.10 MB F 2, 42 = 12.50, p <.001, ηg 2 =.04 Shaffer MB T1 T2 T1 T3 F 2, 84 = 1.60, n.s., ηg 2 =.01 F 2, 84 = 4.25, p <.05, ηg 2 =.02 Shaffer T1 T3 MB T3 T1 Welch t MB t 42 = 1.75, p <.10, d =.48 SDS T2-T1 T3-T2 T3-T1 Table2 SDS SDS SDS SDS SDS 265
6 WASEDA RILAS JOURNAL NO. 5 T2 T1 T3 T2 T3 T1 UCL SA-E SA-A SDS UCL SA-E SA-A SDS UCL SA-E SA-A SDS NRT UCL ** * * SA-E.581 ** ** **.514 * SA-A * Note. NRT UCLSA-E SA-A ** p <.01, * p <.05, p <.10 MB T1 T1 T3 MB 2 Teasdale, Moore, Hathurst, Pope, Williams, & Segal, 2002 MBCT , MB 2 266
7 , T3 T1 t MB Carmody & Baer, MB FFMQ Sugiura, Sato, Ito, & Murakami, , 2016 Carmody, J., Baer, R. A., (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulnessbased stress reduction program. Journal of Behavioral Medicine, 31, Cuijpers, P. & Smit, F. (2004). Subthreshold depression as a risk indicator for major depressive disorder: A systematic review of prospective studies. Acta Psychiatrica Scandinavica, 109, , 75, SDS. 267
8 WASEDA RILAS JOURNAL NO. 5 Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57, , 5, , 84, Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78, , 2, , 34, , 14, Jimenez, S. S., Niles, B. L., & Park, C. L. (2010). A mindfulness model of affect regulation and depressive symptoms: Positive emotions, mood regulation expectancies, and selfacceptance as regulatory mechanisms. Personality and Individual Differences, 49, Kabat-Zinn, J. (1990) Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte. Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion , 35, , 42, ,, 55, , 19, , Martin, L. L., & Tesser, A. (1989). Toward a motivational and structural theory of ruminative thought. In J. S. Uleman & J. A. Bargh (Eds.), Unintended thought. New York: Guilford. pp Mason, O., & Hargreaves, I. (2001). A qualitative study of mindfulness-based cognitive therapy for depression. British Journal of Medical Psychology, 74, , 38, Leuven Adaptation of the Rumination on Sadness Scale (LARSS), 24, , 55, , 45, , pp Raes, F., & Williams, J. M. G. (2010). The relationship between mindfulness and uncontrollability of ruminative thinking. Mindfulness, 1, Sakamoto, S., Kijima, N., Tomoda, A., & Kambara, M. (1998) Factor structures of the Zung Self-Rating Depression Scale (SDS) for undergraduates. Journal of Clinical Psychology, 54, Segal, Z. V., Williams, J. M G., & Teasdale, J. D. (2002) Mindfulness-based cognitive therapy for depression. New York: Guilford Press HAD,, 1, Sugiura, Y., Sato, A., Ito, Y., & Murakami, H. (2012). Development and validation of the Japanese version of the Five Facet Mindfulness Questionnaire. Mindfulness, 3, ,, 21, , 17, , 4, Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M.,Williams, S., & Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Consulting and Clinical Psychology, 70, Trapnell, P. D., & Campbell, J. D. (1999). Private self-consciousness and the five-factor model of personality: Distinguishing rumination from reflection. Journal of Personality and Social Psychology, 76, SDS, 24,
9 , 50, , 45, Zung, W. W. K. (1965). A self-rating depression scale. Archives of General Psychiatry, 12, Zung, W. W. K. (1972). How Normal is Depression? Psychosomatics, 13,
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