Impact of mindfulness training on attentional control and anger regulation processes for psychotherapists in training

Psychotherapy Research

Volumn 24, Issue 2, 2014, Pages 202-213

  Rodriguez Vega, Beatriz ^a   Melero Llorente, Javier ^a   Bayon Perez, Carmen ^a   Cebolla, Susana ^a   Mira, Jorge ^a   Valverde, Carla ^a   Fernández Liria, Alberto ^b  

^a HOSPITAL UNIVERSITARIO LA PAZ IDIPAZ   (Spain)

^b HOSPITAL UNIVERSITARIO PRÍNCIPE DE ASTURIAS   (Spain)

Author keywords

anger; attentional control; depression; mindfulness; psychotherapist in training

Indexed keywords

ADULT; ANGER; ARTICLE; ATTENTION; CLINICAL PSYCHOLOGY; EDUCATION; EXECUTIVE FUNCTION; FEMALE; HEALTH CARE PERSONNEL; HUMAN; MALE; MEDICAL EDUCATION; MINDFULNESS; PHYSIOLOGY; PSYCHIATRY; PSYCHOLOGICAL ASPECT; PSYCHOTHERAPY; STANDARD;

ADULT; ANGER; ATTENTION; EXECUTIVE FUNCTION; FEMALE; HEALTH PERSONNEL; HUMANS; INTERNSHIP AND RESIDENCY; MALE; MINDFULNESS; PSYCHIATRY; PSYCHOLOGY, CLINICAL; PSYCHOTHERAPY;

EID: 84893775173     PISSN: 10503307     EISSN: 14684381     Source Type: Journal    
DOI: 10.1080/10503307.2013.838651     Document Type: Article

References (99)

1. Ackerman, S. J., & Hilsenroth, M. J. (2003). A review of therapist characteristics and techniques positively impacting the therapeutic alliance. Clinical Psychology Review, 23, 1-33. doi:10.1016/S0272-7358(02)00146-0
2. Accreditation Council for Graduate Medical Education. (2007). Program requirements for graduate medical education in psychiatry. Retrieved from www.acgme.org/.
3. Adele, M. H., & Feldman, G. (2004). Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology, 11, 255-262. doi:10.1093/clipsy.bph080
4. Allport, D. A., Styles, E. A., & Hsieh, S. (1994). Shifting intentional set: Exploring the dynamiccontrol of tasks. In C. Umilta & M. Moscovitch (Eds.), Attention and performance. Cambridge, MA: MIT Press.
5. Aggs, C., & Bambling, M. (2010). Teaching mindfulness to psychotherapists in clinical practice. The Mindful Therapy Programme. Counselling and Psychotherapy Research, 10, 278-286. doi:10.1080/14733145.2010.485690
6. Anderson, N. D., Lau, M. A., Segal, Z. V., & Bishop, S. R. (2007). Mindfulness-based stress reduction and attentional control. Clinical Psychology and Psychotherapy, 14, 449-463. doi:10.1002/cpp.544
7. Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125-143. doi:10.1093/clipsy.bpg015
8. Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment method to explore facets of mindfulness. Assessment, 13, 27-45. doi:10.1177/1073191105283504
9. Beck, A. T., & Steer, R. A. (1993). Beck Depression Inventory. Manual. San Antonio, TX: The Psychological Corporation.
10. Bion, W. R. (1967). Notes on memory and desire. The Psychoanalytic Forum, 2, Autumn.
11. Bishop, S. R., Lau, M., & Shapiro, S. (2004). Mindfulness: A proposed operational definition. Clinical Psychology, 11, 230-241.
12. Borgaro, S., Pogge, D. L., DeLuca, V. A., Bilginer, L., Stokes, J., & Harvey, F. D. (2003). Convergence of different versions of the continuous performance test: Clinical and scientific implications. Journal of Clinical and Experimental Neuropsychology, 25, 283-292. doi:10.1076/jcen.25.2.283.13646
13. Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822-848. doi:10.1037/0022-3514.84.4.822
14. Chambers, R., Lo, B. C. Y., & Allen, N. B. (2008). The impact of intensive mindfulness training on attentional control, cognitive style and affect. Cognitive Therapy & Research, 32, 303-322. doi:10.1007/s10608-007-9119-0
15. Chan, D., & Woollacott, M. (2007). Effects of level of meditation experience on attentional focus: Is the efficiency of executive or orientation networks improved? Journal of Alternative and Complementary Medicine, 13, 651-657. doi:10.1089/acm.2007.7022
16. Chiesa, A., Calati, R., & Serretti, A. (2011). Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clinical PsychologyReview, 31, 449-464.
17. Conners, C. K. (2000). Conners' Continuous Performance Test-II. Toronto: Multi-Health Systems.
18. Corcoran, K. M., Farb, N., Anderson, A., & Segal, Z. V. (2010). Mindfulness and emotion regulation: Outcomes and possible mediating mechanisms. In A. M. Kring & D. M. Sloan (Eds.), Emotion regulation and psychopathology: A transdiagnositc approach to etiology and treatment (pp. 339-355). New York: Guilford Press.
19. Crane, R. S., Kuyken, W., Mark, J., Williams, G., Hastings, R. P., Cooper, L., & Fennell, M. V. (2012). Competence in teaching mindfulness-based courses: Concepts, development and assessment. Mindfulness, 3, 76-84. doi:10.1007/s12671-011-0073-2
20. Davis D. M., & Hayes, J. A. (2011). What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy, 8, 198-208. doi:10.1037/a0022062
21. Davis, E. N., & Nolen-Hoesksema, S. (2000). Cognitive inflexibility among ruminators and non-ruminators. Cognitive Therapy and Research, 24, 699-711. doi:10.1023/A:1005591412406
22. Ellis, H. C., & Ashbrook, P. W. (1988). Resource allocation model of the effects of depressed mood states on memory. In K. Fiedleer &. J. P. Forgas (Eds.), Affect, cognition and social behavior (pp. 25-43). Tornonto: Hogrefe.
23. Farb, N. A. S., Anderson, A. K., Mayberg, H., Bean, J., McKeon, D., & Segal, Z. V. (2010). Minding one's emotions: Mindfulness training alters the neural expression of sadness. Emotion, 10, 25-33. doi:10.1037/a0017151
24. Fernandez-Liria, A., Rodriguez-Vega, B., Ortiz-Sanchez, D., Baldor Tubet, I., & Gonzalez-Juarez, C. (2010). Effectiveness of a structured training program in psychotherapeutic skills used in clinical interviews for psychiatry and clinical psychology residents. Psychotherapy Research, 20, 113-121. doi:10.1080/10503300903131907
25. Forgays, D. K., Spielberger, C. D., Ottaway, S. A., & Forgays, D. G. (1998). Factor structure of the State-Trait Anger Expression Inventory for middle-aged men and women. Assessment, 5, 141-155. doi:10.1177/107319119800500205
26. Fresco, D. M., Frankel, A. N., Mennin, D. S., Turk, C. L., & Heimberg, R. G. (2002). Distinct and overlapping features of rumination and worry: The relationship of cognitive production to negative affective styles. Cognitive Therapy and Research, 26, 179-188. doi:10.1023/A:1014517718949
27. Freud, S. (1912). Ratschläge für den ArztbeiderpsychoanalytischenBehandlung. In S. Freud (Ed.), Studienausgabe. Ergänzungs-band.SchriftenzurBehandlungstechnik. Frankfurt am Main: Fischer.
28. Fulton, P. R. (2005). Mindfulness as clinical training. In C. K. Germer, R. D. Siegel, & P. R. Fulton (Eds.), Mindfulness and psychotherapy (pp. 55-72). New York: Guilford Press.
29. Gilligan, S. G. (1995). Therapeutic trances: The cooperation principle in Ericksonian hypnotherapy. Heidelberg: Auer.
30. Greason, P. B., & Cashwell, C. S. (2009). Mindfulness and counseling self-efficacy: The mediating role of attention and empathy. Counselor Education and Supervision, 49, 2-19. doi:10.1002/j.1556-6978.2009.tb00083.x
31. Grepmair, L., Mitterlehner, F., Loew, T., Bachler, E., Rother, W., & Nickel, M. (2007). Promoting mindfulness in psychotherapists in training influences the treatment results of their patients: a randomized, double-blind, controlled study. Psychotherapy and Psychosomatics, 76, 332-338. doi:10.1159/000107560
32. Gonzalez-Torres, M. A. (2011). Psychoanalysis and neuroscience. Friends or enemies? International Forum of Psychoanalysis. doi:10.1080/0803706X.2011.602359
33. Gunaratana, V. H. (1993). Mindfulness in plain English. Somerville, MA: Wisdom Publications.
34. Heinonen, E., Lindfors, O., Laaksonen, M. A., & Knekt, P. (2012). Therapists' professional and personal characteristics as predictors of outcome in short- and long-term psychotherapy. Journal of Affective Disorders, 138, 301-312. doi:10.1016/j.jad.2012.01.023
35. Hofmann, S. G., Sawyer, A. T., Witt, 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, 169-183. doi:10.1037/a0018555
36. Jha, A. P., Krompinger, J., & Baime, M. J. (2007). Mindfulness training modifies subsystems of attention. Cognitive & Affective Behavior & Neuroscience, 7, 109-119. doi:10.3758/CABN.7.2.109
37. Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York: Dell.
38. Kane, M. J., & Engle, R. W. (2003). Working-memory capacity and the control of attention: The contributions of goal neglect, response competition and task set to Stroop interference. Journal of Experimental Psychology: General, 132, 47-70. doi:10.1037/0096-3445.132.1.47
39. Kapleau, P. (1965). The three pillars of Zen: Teaching, practice and enlightenment. Boston, MA: Bacon Press.
40. Karson, M., & Fox, J. (2010). Common skills that underlie the common factors of successful psychotherapy. American Journal of Psychotherapy, 64, 269-281.
41. Kendall, P., & Imgram, R. (1989). Cognitive-behavioural perspectives: Theory and Research on depresion and anxiety. In P. C. Kendall & D. Watson (Eds.), Anxiety and depression: Distinctive and overlapping features (pp. 27-53). San Diego, CA: Academic Press.
42. Keune, J. D., Brunsvold, M. E., Hohmann, E., James, R., Korndorffer, J., Weinstein, D. F., & Smink, D. S. (2013). The ethics of conducting graduate medical education research on residents. Academic Medicine, 88, 449-453. doi:10.1097/ACM.0b013e3182854bef
43. Kumar, S. M., Feldman, G. C., & Hayes, A. (2008). Changes in mindfulness end emotion regulation in an exposure based cognitive therapy or depression. Cognitive Therapy & Research, 32, 734-744. doi:10.1007/s10608-008-9190-1
44. Lambert, M. J., & Barley, D. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy, 38, 357-361. doi:10.1037/0033-3204.38.4.357
45. Lambert, M., Norcross, J. C., & Goldfried, M. R. (1992). Psychotherapy outcome research. Handbook of psychotherapy integration (pp. 94-129). New York: Basic Books.
46. Lambert, M. J., & Olges, B. M. (2004). The efficacy and effectiveness of psychotherapy. Bergin and Garfield's handbook of psychotherapy and behavior change (pp. 139-193). New York: Wiley.
47. Lecic-Tosevski, D., Pejovic-Milovancevic, M., Tenjovic, L., Draganic-Gajic, S., & Christodoulou, G. N. (2005). Personality characteristics of psychiatric trainees. Psychotherapy and Psychosomatics, 74, 129-130. doi:10.1159/000083173
48. Macmillan, N. A., & Creelman, C. D. (2005). Detection theory: A user's guide (2nd ed.). Mahwah, NJ: Lawrence Erlbaum.
49. Martin, J. R. (1997). Mindfulness: A proposed common factor. Journal of Psychotherapy Integration, 7, 291-312. doi:10.1023/B:JOPI.0000010885.18025.bc
50. Miguel-Tobal, J. J., Casado, M. I., Cano-Vindel, A., & Spielberger, C. D. (2001). STAXI-2. Inventario de expresión de ira estado-rasgo. Madrid: TEA.
51. Moore, A., & Malinowski, P. (2009). Meditation, mindfulness and cognitive flexibility. Consciousness and Cognition, 18, 176-186. doi:10.1016/j.concog.2008.12.008
52. Morgan, W. D., & Morgan, S. T. (2005). Cultivating attention and empathy. In C. K.Germer, R. D. Siegel, & P. R. Fulton (Eds.), Mindfulness and psychotherapy (pp. 73-90). New York, NY: Guilford Press.
53. Mrazek, M. D., Franklin, M. S., Phillips, D. T., Baird, B., & Schooler, J. W. (2013). Mindfulness training improves working memory capacity and GRE performance while reducing mind wandering. Psychological Science, 24, 776-781. doi:10.1177/0956797612459659
54. Mueller, S. T. (2009). The psychology experiment building language. Retrieved from http://pebl.sf.net
55. Newsome, S., Christopher, J. C., Dahlen, P., & Christopher, S. (2006). Teaching counselors self-care through mindfulness practices: The application of mindfulness-based stress reduction to counselor training. Teachers College Record, 108, 1881-1900. doi:10.1111/j.1467-9620.2006.00766.x
56. Norcross, J., & Lambert, M. (2011). Evidence-based therapy relationships. In J. Norcross (Ed.), Psychotherapy relationships that work: Evidence based responsiveness (2nd ed., pp. 3-21). New York: Oxford University Press.
57. Ogg, R. J., Zou, P., Allen, D. N., Hutchins, S. B., Dutkiewicz, R. M., & Mulhern, R. K. (2008). Neural correlates of a clinical continuous performance test. Magnetic Resonance Imaging, 26, 504-512. doi:10.1016/j.mri.2007.09.004
58. Oliva, F. J., Hernandez, M. R., & Calleja, N. (2010). Validation of the mexican version of the State-Trait Anger Expression Inventory (STAXI-2). Acta Colombiana de Psicología, 13, 107-117.
59. Orlinsky, D. E., Grawe, L., & Parks, B. K. (1994). Process and outcome in psychotherapy-Noch einmal. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change (4th ed., pp. 270-376). New York: Wiley.
60. Ortner, C. N. M., Kilner, S. J., & Zelazo, P. D. (2007). Mindfulness meditation and reduced emotional interference on a cognitive task. Motivation and Emotion, 31, 271-283. doi:10.1007/s11031-007-9076-7
61. Polak, E. L. (2009). Impact of two sessions of mindfulness training on attention. Open Access Dissertations, Paper 251.
62. Posner, M. I., & Rothbart, M. K. (1992). Attention and conscious experience. In A. D. Milner & M. D. Rugg (Eds.), The neuropsychology of consciousness (pp. 91-112). London: Academic.
63. Raes, F., Dewulf, D., Van Heeringen, C., & Williams, J. M. (2009). Mindfulness and reduced cognitive reactivity to sad mood: Evidence from a correlational study and a non-randomized waiting list controlled study. Behaviour Research and Therapy, 47, 623-627. doi:10.1016/j.brat.2009.03.007
64. Richter, P., Werner, J., Heerlein, A., Kraus, A., & Sauer, H. (1998). On the validity of the Beck Depression Inventory. A review. Psychopathology, 31, 160-168. doi:10.1159/000066239
65. Rimondini, M., Del Piccolo, L., Goss, C., Mazzi, M., Paccaloni, M., & Zimmermann, C. (2010). The evaluation of training in patient-centred interviewing skills for psychiatric residents. Psychological Medicine, 40, 467-476. doi:10.1017/S0033291709990730
66. Rosvold, H. E., Mirsky, A. F., Sarason, I., Bransome, E. D., & Beck, L. H. A. (1956). Continuous performance test of brain damage. Journal of Consulting Psychology, 20, 343-350. doi:10.1037/h0043220
67. Royal College of Psychiatrists. (2006). Specialty curriculum for psychiatry training. London: Royal College of Psychiatrists.
68. Royal College of Physicians and Surgeons of Canada. (2008). Specialty Training Requirements in Psychiatry, 2008. Retrieved from www.rcpsc.medical.org/.
69. Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21, 95-103. doi:10.1037/h0045357
70. Rogers, C. R. (1975). Empathic: An unappreciated way of being. The Counseling Psychologist, 5, 2-10. doi:10.1177/001100007500500202
71. Ryan, A., Safran, J. D., Doran, J. M., & Muran, J. C. (2012). Therapist mindfulness, alliance and treatment outcome. Psychotherapy Research, 22, 289-297. doi:10.1080/10503307.2011.650653
72. Safran, J. D., Muran, J. C., Stevens, C., & Rothman, M. (2007). A relational approach to supervision: Addressing ruptures in the alliance. In C. A. Falender & E. P. Shafranske (Eds.), Casebook for clinical supervision: A competency-based approach (pp. 137-157). Washington DC: American Psychological Association.
73. Sanz, J., & Vázquez, C. (1998). Fiabilidad, validez y datos normativos del Inventario para la Depresión de Beck. Psicothema, 10, 303-318.
74. Schmertz, S. K. (2006). The relation between self-report mindfulness and performance on tasks of attention. Psychology Theses, Paper 30.
75. Segal, Z., Williams, M., & Teasdale, J. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.
76. Seisdedos, N. (1988). Cuestionario de Ansiedad Estado/Rasgo (STAI). Madrid: TEA Ediciones.
77. Semple, R. J. (2010). Does mindfulness meditation enhance attention? A randomized controlled trial. Mindfulness, 1, 121-130. doi:10.1007/s12671-010-0017-2
78. Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: Results from a randomized trial. International Journal of Stress Management, 12, 164-176. doi:10.1037/1072-5245.12.2.164
79. Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: Effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1, 105-115. doi:10.1037/1931-3918.1.2.105
80. Soler, J., Tejedor, R., Feliu-Soler, A., Pascual, J. C., Cebolla, A., Soriano, J., & Alvarez, E. (2012). Propiedades psicométricas de la versión española de la escala Mindful Attention Awareness Scale (MAAS). Actas españolas de psiquiatría, 40, 19-26.
81. Spielberger, C. D. (1999). State-trait anger expression inventory-revised. Odessa, FL: Psychological Assessment Resources.
82. Spielberger, C. D., Gorsuch, R. L., & Lushene, R. (1982). Manual del Cuestionario de Ansiedad Estado/Rasgo (STAI) (3rd ed.). Madrid: TEA.
83. Spielberger, C. D., Reheiser, E. C., Ritterband, L. M., Sydeman, S. J., & Unger, K. K. (1995). Assessment of emotional states and personality traits: Measuring psychological vital signs. In J. N. Butcher (Ed.), Clinical personality assessment: Practical approaches. New York: Oxford University Press.
84. Strauss, E., Sherman, E. M. S., & Spreen, O. (2006). A compendium of neuropsychological tests: Administration, norms, and commentary. New York: Oxford University Press.
85. Stroop, J. R. (1935). Studies of interference in serial verbal reactions. Journal of Experimental Psychology: Learning, Memory, and Cognition, 18, 643-661.
86. Tang, Y. Y., Ma, Y., Wang, J., Fan, Y., Feng, S., & Lu, Q. (2007). Short-term meditation training improves attention and self-regulation. Proceedings of the National Academy of Sciences of the USA, 104, 17152-17156. doi:10.1073/pnas.0707678104
87. Teasdale, J. (1988). Cognitive vulnerability to persistent depression. Cognition and Emotion, 2, 247-274. doi:10.1080/02699938808410927
88. Teasdale, J. D., Segal, Z., & Williams, J. M. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behaviour Research and Therapy, 33, 25-39. doi:10.1016/0005-7967(94)E0011-7
89. Twemlow, S. W. (2001). Training psychotherapists in attributes of "Mind" from Zen and psychoanalytic perspectives, Part I: Core principles, emptiness, impermanence, and paradox. American Journal of Psychotherapy, 55, 1-21.
90. UEMS Section for Psychiatry. (2005). The profile of a psychiatrist. Washington DC: American Psychological Association
91. Valentine, E. R., & Sweet, P. L. G. (1999). Meditation and attention: A comparison of the effects of concentrative and mindfulness meditation on sustained attention. Mental Health, Religion, & Culture, 2, 59-70. doi:10.1080/13674679908406332
92. Van den Hurk, P. A. M., Giommi, F., Gielen, S. C., Speckens, A. E. M., & Barendregt, H. P. (2010). Greater efficiency in attentional processing related to mindfulness meditation. The Quarterly Journal of Experimental Psychology, 63, 1168-1180. doi:10.1080/17470210903249365
93. Wallace, B. A. (2001). Intersubjectivity in Indo-Tibetan buddhism. Journal of Consciousness Studies, 8, 209-230.
94. Walsh, R., & Shapiro, S. L. (2006). The meeting of meditative disciplines and western psychology: A mutually enriching dialogue. American Psychologist, 61, 227-239. doi:10.1037/0003-066X.61.3.227
95. Wampold, B. E. (2001), The great psychotherapy debate: Models, methods, and findings. Mahwah, NJ: Erlbaum.
96. Watson, J. C. (2001). Revisioning empathy: Theory, research, and practice. In D. Cain & J. Seeman (Eds.), Handbook of research and practice in humanistic psychotherapy (pp. 445-472). Washington DC: American Psychological Association.
97. Weerasekera, P., Manring, J., & Lynn, D. J. (2010). Psychotherapy training for residents: Reconciling requirements with evidence-based, competency-focused practice. Academic Psychiatry, 34, 5-12. doi:10.1176/appi.ap.34.1.5
98. Wenk-Sormaz, H. (2005). Meditation can reduce habitual responding. Alternative Therapies in Health and Medicine, 11, 42-58.
99. Young, S. (1997). The science of enlightenment. Boulder, CO: Sounds True.