Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
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Effectiveness of a Mindfulness-Based Intervention in Older People Exposed to Trauma During the Jeju 4·3 Incident

  • Hyeonmi Hong (Division of Future Education, Jeju National University) ;
  • Young-Eun Jung (Department of Psychiatry, School of Medicine, Jeju National University)
  • Received : 2023.09.27
  • Accepted : 2023.10.18
  • Published : 2023.10.30
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Abstract

Objective : We assessed the effectiveness of a mindfulness-based intervention in improving positive psychological resources in older people who were affected by the Jeju 4·3 incident. Methods : This study included 25 older people recruited from the Jeju 4·3 Trauma Center. The intervention was conducted on a once-a-week basis for six weeks. All participants completed self-report questionnaires, including the Five Facet Mindfulness Questionnaire Short Form (FFMQ) and Positive Resources Test (POREST). Results : This intervention significantly improved the total score and the nonreactivity, observing, acting with awareness, describing, and nonjudging of inner experience FFMQ scores. The interventions also significantly improved the POREST subscale scores. Conclusion : The mindfulness-based intervention significantly improved positive psychological resources in older people exposed to the Jeju 4·3 incident.

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References

  1. Druss BG, Hwang I, Petukhova M, Sampson NA, Wang PS, Kessler RC. Impairment in role functioning in mental and chronic medical disorders in the United States: results from the National Comorbidity Survey Replication. Mol Psychiatry 2009;14:728-737.  https://doi.org/10.1038/mp.2008.13
  2. Bleiberg KL, Markowitz JC. A pilot study of interpersonal psychotherapy for posttraumatic stress disorder. Am J Psychiatry 2005;162:181-183.  https://doi.org/10.1176/appi.ajp.162.1.181
  3. Jeju Peace Foundation. The Jeju 4.3 incident investigation report, 2014. Available from URL: http://www.jeju43peace.or.kr/report_eng.pdf. 
  4. Jeju Peace Foundation. A guide to the history of the Jeju 4.3 incident, 2016. Available from URL: http://www.jejupeaceacademy.com/manual.pdf. 
  5. Jung YE, Kim MD. Lifetime suicidal attempts and current suicidal risk in aging survivors of the Jeju April 3 incident. J Affect Disord 2018;225:1-3.  https://doi.org/10.1016/j.jad.2017.07.048
  6. Jung YE, Kim MD. Prevalence and correlates of comorbid PTSD with depression among older people exposed to the Jeju April 3 incident. J Affect Disord 2020;272:8-14.  https://doi.org/10.1016/j.jad.2020.03.072
  7. Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. Gen Hosp Psychiatry 1982;4:33-47.  https://doi.org/10.1016/0163-8343(82)90026-3
  8. Kabat-Zinn J. Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell Publishing;1990. 
  9. Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press;2002. 
  10. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: an experiential approach to behavior change. New York: Guilford Press;1999. 
  11. Linehan MM. Cognitive-behavioral treatment for borderline personality disorder. New York: Guilford Press;1993. 
  12. Barinaga M. Buddhism and neuroscience: studying the well-trained mind. Science 2003;302:44-46.  https://doi.org/10.1126/science.302.5642.44
  13. Ha HJ, Kwon SM. Suggestions for psychotherapeutic application of mindfulness meditation. Instit Buddhist Culture 2010;56:241-271. 
  14. Chiesa A, Serretti A. Mindfulness based cognitive therapy for psychiatric disorders: a systematic review and meta-analysis. Psychiatry Res 2011;187:441-453.  https://doi.org/10.1016/j.psychres.2010.08.011
  15. Piet J, Hougaard E, Hecksher MS, Rosenberg NK. A randomized pilot study of mindfulness-based cognitive therapy and group cognitive-behavioral therapy for young adults with social phobia. Scand J Psychol 2010;51:403-410.  https://doi.org/10.1111/j.1467-9450.2009.00801.x
  16. Kabat-Zinn J, Massion AO, Kristeller J, Peterson LG, Fletcher KE, Pbert L, et al. Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. Am J Psychiatry 1992;149:936-943.  https://doi.org/10.1176/ajp.149.7.936
  17. Ledesma D, Kumano H. Mindfulness-based stress reduction and cancer: a meta-analysis. Psychooncology 2009;18:571-579.  https://doi.org/10.1002/pon.1400
  18. Shennan C, Payne S, Fenlon D. What is the evidence for the use of mindfulness-based interventions in cancer care? A review. Psychooncology 2011;20:681-697.  https://doi.org/10.1002/pon.1819
  19. Bowen S, Witkiewitz K, Dillworth TM, Chawla N, Simpson TL, Ostafin BD, et al. Mindfulness meditation and substance use in an incarcerated population. Psychol Addict Behav 2006;20:343-347.  https://doi.org/10.1037/0893-164X.20.3.343
  20. Ehlers A, Clark DM. A cognitive model of posttraumatic stress disorder. Behav Res Ther 2000;38:319-345.  https://doi.org/10.1016/S0005-7967(99)00123-0
  21. Cloitre M, Koenen KC, Cohen LR, Han H. Skills training in affective and interpersonal regulation followed by exposure: a phase-based treatment for PTSD related to childhood abuse. J Consult Clin Psychol 2002;70:1067-1074.  https://doi.org/10.1037/0022-006X.70.5.1067
  22. Granato HF, Wilks CR, Miga EM, Korslund KE, Linehan MM. The use of dialectical behavior therapy and prolonged exposure to treat comorbid dissociation and self-harm: the case of a client with borderline personality disorder and posttraumatic stress disorder. J Clin Psychol 2015;71:805-815.  https://doi.org/10.1002/jclp.22207
  23. Polusny MA, Erbes CR, Thuras P, Moran A, Lamberty GJ, Collins RC, et al. Mindfulness-based stress reduction for posttraumatic stress disorder among veterans: a randomized clinical trial. JAMA 2015;314:456-465.  https://doi.org/10.1001/jama.2015.8361
  24. Stahl B, Goldstein E. A Mindfulness-Based Stress Reduction Workbook. Oakland, CA: New Harbinger Publications;2010. 
  25. Neff KD. Self-compassion: stop beating yourself up and leave insecurity behind. New York: William Morrow;2011. 
  26. Baer RA, Smith GT, Allen KB. Assessment of mindfulness by self-report: the kentucky inventory of mindfulness skills. Assessment 2004;11:191-206.  https://doi.org/10.1177/1073191104268029
  27. Won DR, Kim KH. Validation of the Korean version of five-factor mindfulness questionnaire. Korean J Health Psychol 2006;11:871-886. 
  28. Huh HJ, Kim SY, Min JA, Chae JH. Development of the clinical short-form positive resources test. Stress 2018;26:77-87.  https://doi.org/10.17547/kjsr.2018.26.2.77
  29. Kim W, Woo JM, Chae JH. Heart rate variability in psychiatry. J Korean Neuropsychiatr Assoc 2005;44:176-184. 
  30. Geiger PJ, Boggero IA, Brake CA, Caldera CA, Combs HL, Peters JR, et al. Mindfulness-based interventions for older people: A review of the effects on physical and emotional well-being. Mindfulness (NY) 2016;7:296-307.  https://doi.org/10.1007/s12671-015-0444-1
  31. Hazlett-Stevens H, Singer J, Chong A. Mindfulness-based stress reduction and mindfulness-based cognitive therapy with older people: a qualitative review of randomized controlled outcome research. Clin Gerontol 2019;42:347-358.  https://doi.org/10.1080/07317115.2018.1518282
  32. Keng SL, Smoski MJ, Robins CJ. Effects of mindfulness on psychological health: a review of empirical studies. Clin Psychol Rev 2011;31:1041-1056.  https://doi.org/10.1016/j.cpr.2011.04.006
  33. Anderson ND, Lau MA, Segal ZV, Bishop SR. Mindfulness-based stress reduction and attentional control. Clin Psychol Psychother 2007;14:449-463.  https://doi.org/10.1002/cpp.544
  34. Shapiro SL, Schwartz G, Bonner G. Effects of mindfulness-based stress reduction on medical and premedical students. J Behav Med 1998;21:581-599.  https://doi.org/10.1023/A:1018700829825
  35. Weissbecker I, Salmon P, Studts JL, Floyd AR, Dedert EA, Sephton SE. Mindfulness-based stress reduction and sense of coherence among women with fibromyalgia. J Clin Psychol Med Settings 2002;9:297-307.  https://doi.org/10.1023/A:1020786917988
  36. Oman D, Shapiro SL, Thoresen CE, Plante TG, Flinders T. Meditation lowers stress and supports forgiveness among college students. J Am Coll Health 2008;56:569-578.  https://doi.org/10.3200/JACH.56.5.569-578
  37. Grossman P, Kappos L, Gensicke H, D'Souza M, Mohr DC, Penner IK, et al. MS quality of life, depression, and fatigue improve after mindfulness training: a randomized trial. Neurology 2010;75:1141-1149.  https://doi.org/10.1212/WNL.0b013e3181f4d80d
  38. Shapiro SL, Astin JA, Bishop SR, Cordova M. Mindfulness-based stress reduction for health care professionals: Results from a randomized trial. Int J Stress Manag 2005;12:164-176.  https://doi.org/10.1037/1072-5245.12.2.164
  39. Park YN, Chae JH. The effect of mindfulness meditation on positive resources and positive affects in outpatients with depressive disorder and anxiety disorder. Mood Emot 2017;15:67-72. 
  40. Shapiro SL, Carlson LE, Astin JA, Freedman B. Mechanisms of mindfulness. J Clin Psychol 2006;62:373-386.  https://doi.org/10.1002/jclp.20237
  41. Follette VM, Briere J, Rozelle D, Hopper JW, Rome DI. Mindfulness-oriented Interventions for Trauma: Integrating Contemplative Practices. New York: Guilford Press;2015.