Exploring the Role of Meditation and Dispositional Mindfulness on Social Cognition Domains: A Controlled Study

Daniel Campos, Marta Modrego-Alarcón, Yolanda López-Del-Hoyo, Manuel González-Panzano, William Van Gordon, Edo Shonin, Mayte Navarro-Gil, Javier García-Campayo, Daniel Campos, Marta Modrego-Alarcón, Yolanda López-Del-Hoyo, Manuel González-Panzano, William Van Gordon, Edo Shonin, Mayte Navarro-Gil, Javier García-Campayo

Abstract

Research suggests that mindfulness can induce changes in the social domain, such as enhancing emotional connection to others, prosocial behavior, and empathy. However, despite growing interest in mindfulness in social psychology, very little is known about the effects of mindfulness on social cognition. Consequently, the aim of this study was to explore the relationship between mindfulness and social cognition by comparing meditators with non-meditators on several social cognition measures. A total of 60 participants (meditators, n = 30; non-meditators, n = 30) were matched on sex, age, and ethnic group, and then asked to complete the following assessment measures: Mindful Awareness Attention Scale (MAAS), Five Facet Mindfulness Questionnaire Short Form (FFMQ-SF), Interpersonal Reactivity Index (IRI), Revised Eyes Test, Hinting Task, Ambiguous Intentions and Hostility Questionnaire (AIHQ), Hospital Anxiety and Depression Scale (HADS), and Screening for Cognitive Impairment in Psychiatry (SCIP). The results showed that meditators reported higher empathy (except for the personal distress subscale), higher emotional recognition, higher theory of mind (ToM), and lower hostile attributional style/bias. The findings also demonstrated that dispositional mindfulness (both total score assessed with MAAS and mindfulness facets using the FFMQ) was associated with social cognition, although it was not equally correlated with all social cognition outcomes, and correlation patterns differ when analyses were conducted separately for meditators and non-meditators. In addition, results showed potential predictors for each social cognition variable, highlighting non-reactivity to inner experience as a key component of mindfulness in order to explain social cognition performance. In summary, the findings indicated that the meditator sample performed better on certain qualities (i.e., empathy, emotional recognition, ToM, hostile attributional style/bias) in comparison to non-meditators and, furthermore, support the notion that mindfulness is related to social cognition, which may have implications for the design of mindfulness-based approaches for use in clinical and non-clinical settings.

Keywords: emotional recognition; empathy; meditation; mindfulness; social cognition; theory of mind.

Figures

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FIGURE 1
Flow chart of the study.

References

    1. Aguado J., Luciano J. V., Cebolla A., Serrano-blanco A., Soler J., García-Campayo J. (2015). Bifactor analysis and construct validity of the five facet mindfulness questionnaire (FFMQ) in non-clinical Spanish samples. Front. Psychol. 6:404. 10.3389/fpsyg.2015.00404
    1. Baer R., Smith G. T., Hopkins J., Krietemeyer J., Toney L. (2006). Using self-report assessment to explore facets of mindfulness. Assessment 13 27–45. 10.1177/1073191105283504
    1. Baer R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clin. Psychol. 10 125–143. 10.1093/clipsy/bpg015
    1. Baer R. A., Carmody J., Hunsinger M. (2012). Weekly change in mindfulness and perceived stress in a mindfulness-based stress reduction program. J. Clin. Psychol. 68 755–765. 10.1002/jclp.21865
    1. Baer R. A., Smith G. T., Lykins E., Button D., Krietemeyer J., Sauer S., et al. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment 15 329–342. 10.1177/1073191107313003
    1. Barbato M., Liu L., Cadenhead K. S., Cannon T. D., Cornblatt B. A., McGlashan T. H., et al. (2015). Theory of mind, emotion recognition and social perception in individuals at clinical high risk for psychosis: findings from the NAPLS-2 cohort. Schizophr. Res. Cogn. 2 133–139. 10.1016/j.scog.2015.04.004
    1. Baron-Cohen S., Bowen D. C., Holt R. J., Allison C., Auyeung B., Lombardo M. V., et al. (2015). The “reading the mind in the eyes” test: complete absence of typical sex difference in∼ 400 men and women with autism. PLoS One 10:e0136521. 10.1371/journal.pone.0136521
    1. Baron-Cohen S., Wheelwright S., Hill J., Raste Y., Plumb I. (2001). The “Reading the Mind in the Eyes” test revised version: a study with normal adults, and adults with Asperger syndrome or high-functioning autism. J. Child Psychol. Psychiatry 42 241–251. 10.1111/1469-7610.00715
    1. Batson C. D., Ahmad N., Lisner D. A. (2009). “Empathy and altruism,” in Oxford Handbook of Positive Psychology, eds Snyder C. R., Lopez S. J. (Oxford: Oxford University Press; ), 417–426.
    1. Batson C. D., Batson J. G., Slingsby J. K., Harrell K. L., Peekna H. M., Todd R. M. (1991). Empathic joy and the empathy-altruism hypothesis. J. Pers. Soc. Psychol. 61 413–426. 10.1037/0022-3514.61.3.413
    1. Birnie K., Speca M., Carlson L. E. (2010). Exploring self-compassion and empathy in the context of mindfulness-based stress reduction (MBSR). Stress Health 26 359–371. 10.1002/smi.1305
    1. Bohlmeijer E., ten Klooster P. M., Fledderus M., Veehof M., Baer R. (2011). Psychometric properties of the five facet mindfulness questionnaire in depressed adults and development of a short form. Assessment 18 308–320. 10.1177/1073191111408231
    1. Botella J., Sánchez-Meca J. (2015). Meta-Análisis en Ciencias Sociales y de la Salud [Meta-Analysis in Social and Health Sciences]. Madrid: Síntesis.
    1. Brackett M. A., Rivers S. E., Shiffman S., Lerner N., Salovey P. (2006). Relating emotional abilities to social functioning: a comparison of self-report and performance measures of emotional intelligence. J. Pers. Soc. Psychol. 91 780–795. 10.1037/0022-3514.91.4.780
    1. Brown K. W., Ryan R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. J. Pers. Soc. Psychol. 84 822–848. 10.1037/0022-3514.84.4.822
    1. Campos D., Cebolla A., Quero S., Bretón-López J., Botella C., Soler J., et al. (2016). Meditation and happiness: mindfulness and self-compassion may mediate the meditation-happiness relationship. Pers. Individ. Dif. 93 80–85. 10.1016/j.paid.2015.08.040
    1. Carmody J., Baer R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. J. Behav. Med. 31 23–33. 10.1007/s10865-007-9130-7
    1. Cebolla A., Campos D., Galiana L., Oliver A., Tomás J. M., Feliu-Soler A., et al. (2017). Exploring relations among mindfulness facets and various meditation practices: do they work in different ways? Conscious. Cogn. 49 172–180. 10.1016/j.concog.2017.01.012
    1. Cebolla A., García-Palacios A., Soler J., Guillen V., Baños R., Botella C. (2012). Psychometric properties of the Spanish validation of the five facets of mindfulness questionnaire (FFMQ). Eur. J. Psychiatry 26 118–126. 10.4321/S0213-61632012000200005
    1. Chambers R., Lo B. C. Y., Allen N. B. (2008). The impact of intensive mindfulness training on attentional control, cognitive style, and affect. Cogn. Ther. Res. 32 303–322. 10.1007/s10608-007-9119-0
    1. Chiesa A., Calati R., Serretti A. (2011). Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clin. Psychol. Rev. 31 449–464. 10.1016/j.cpr.2010.11.003
    1. Chu L. C. (2010). The benefits of meditation vis-à-vis emotional intelligence, perceived stress and negative mental health. Stress Health 26 169–180. 10.1002/smi.1289
    1. Cohen J. (1988). Statistical Power Analysis for the Behavioral Sciences, 2nd Edn Hillsdale, NJ: Erlbaum.
    1. Combs D. R., Penn D. L., Wicher M., Waldheter E. (2007). The Ambiguous Intentions Hostility Questionnaire (AIHQ): a new measure for evaluating hostile social-cognitive biases in paranoia. Cogn. Neuropsychiatry 12 128–143. 10.1080/13546800600787854
    1. Corcoran R., Mercer G., Frith C. D. (1995). Schizophrenia, symptomatology and social inference: investigating “theory of mind” in people with schizophrenia. Schizophr. Res. 17 5–13. 10.1016/0920-9964(95)00024-G
    1. Crawford J. R., Henry J. D., Crombie C., Taylor E. P. (2001). Normative data for the HADS from a large non-clinical sample. Br. J. Clin. Psychol. 40 429–434. 10.1348/014466501163904
    1. Dahl C. J., Lutz A., Davidson R. J. (2015). Reconstructing and deconstructing the self: cognitive mechanisms in meditation practice. Trends Cogn. Sci. 19 515–523. 10.1016/j.tics.2015.07.001
    1. Dalai Lama (1995). The World of Tibetan Buddhism: An Overview of Its Philosophy and Practice. Boston, MA: Wisdom Publications.
    1. Davis M. H. (1980). A multidimensional approach to individual differences in empathy. JSAS Cat. Sel. Doc. Psychol. 10:85.
    1. Davis M. H. (1983). Measuring individual differences in empathy: evidence for a multidimensional approach. J. Pers. Soc. Psychol. 44 113–126. 10.1037/0022-3514.44.1.113
    1. Demarzo M. M., Montero-Marin J., Cuijpers P., Zabaleta-del-Olmo E., Mahtani K. R., Vellinga A., et al. (2015). The efficacy of mindfulness based-interventions in primary care: a meta-analytic review. Ann. Fam. Med. 13 573–582. 10.1370/afm.1863
    1. Demenescu L. R., Stan A., Kortekaas R., van der Wee N. J., Veltman D. J., Aleman A. (2014). On the connection between level of education and the neural circuitry of emotion perception. Front. Hum. Neurosci. 8:866. 10.3389/fnhum.2014.00866
    1. Eddy M. D., Brunyé T. T., Tower-Richardi S., Mahoney C. R., Taylor H. A. (2015). The effect of a brief mindfulness induction on processing of emotional images: an ERP study. Front. Psychol. 6:1391. 10.3389/fpsyg.2015.01391
    1. Elices M., Carmona C., Pascual J. C., Feliu-Soler A., Martin-Blanco A., Soler J. (2017). Compassion and self-compassion: construct and measurement. Mindfulness Compassion 2 34–40. 10.1016/j.mincom.2016.11.003
    1. Farb N. A., Segal Z. V., Mayberg H., Bean J., McKeon D., Fatima Z., et al. (2007). Attending to the present: mindfulness meditation reveals distinct neural modes of self-reference. Soc. Cogn. Affect. Neurosci. 2 313–322. 10.1093/scan/nsm030
    1. Fernández-Abascal E. G., Cabello R., Fernández-Berrocal P., Baron-Cohen S. (2013). Test-retest reliability of the ‘Reading the Mind in the Eyes’ test: a one-year follow-up study. Mol. Autism 4:33. 10.1186/2040-2392-4-33
    1. Gallagher S., Varga S. (2015). Social cognition and psychopathology: a critical overview. World Psychiatry 14 5–14. 10.1002/wps.20173
    1. García-Campayo J., Navarro-Gil M., Demarzo M. (2016). Attachment-based compassion therapy. Mindfulness Compassion 2 68–74. 10.3389/fpsyt.2017.00307
    1. Gil D., Fernández-Modamio M., Bengochea R., Arrieta M. (2012). Adaptación al español de la prueba de teoría de la mente hinting task. Rev. Psiquiatr. Salud Ment. 5 79–88. 10.1016/j.rpsm.2011.11.004
    1. Green M. F., Penn D. L., Bentall R., Carpenter W. T., Gaebel W., Gur R. C., et al. (2008). Social cognition in schizophrenia: an NIMH workshop on definitions, assessment, and research opportunities. Schizophr. Bull. 34 1211–1220. 10.1093/schbul/sbm145
    1. Greig T. C., Nicholls S. S., Wexler B. E., Bell M. D. (2004). Test–retest stability of neuropsychological testing and individual differences in variability in schizophrenia outpatients. Psychiatry Res. 129 241–247. 10.1016/j.psychres.2004.09.006
    1. Grossenbacher P. G., Quaglia J. T. (2017). Contemplative cognition: a more integrative framework for advancing mindfulness and meditation research. Mindfulness 8 1580–1593. 10.1007/s12671-017-0730-1
    1. Hölzel B. K., Carmody J., Vangel M., Congleton C., Yerramsetti S. M., Gard T., et al. (2011a). Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Res. Neuroimaging 191 36–43. 10.1016/j.pscychresns.2010.08.006
    1. Hölzel B. K., Lazar S. W., Gard T., Schuman-Olivier Z., Vago D. R., Ott U. (2011b). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspect. Psychol. Sci. 6 537–559. 10.1177/1745691611419671
    1. Hutcherson C. A., Seppala E. M., Gross J. J. (2008). Loving-kindness meditation increases social connectedness. Emotion 8 720–724. 10.1037/a0013237
    1. 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 self-acceptance as regulatory mechanisms. Pers. Individ. Dif. 49 645–650. 10.1016/j.paid.2010.05.041
    1. Jones G. D., Hughes S. D. (2016). The impact of mindfulness on empathy, active listening, and perceived provisions of emotional support. Commun. Res. 1–28. 10.1177/0093650215626983
    1. Khoury B., Lecomte T., Fortin G., Masse M., Therien P., Bouchard V., et al. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clin. Psychol. Rev. 33 763–771. 10.1016/j.cpr.2013.05.005
    1. Khoury B., Sharma M., Rush S. E., Fournier C. (2015). Mindfulness-based stress reduction for healthy individuals: a meta-analysis. J. Psychosom. Res. 78 519–528. 10.1016/j.jpsychores.2015.03.009
    1. Kiken L. G., Garland E. L., Bluth K., Palsson O. S., Gaylord S. A. (2015). From a state to a trait: trajectories of state mindfulness in meditation during intervention predict changes in trait mindfulness. Pers. Individ. Dif. 81 41–46. 10.1016/j.paid.2014.12.044
    1. Lahera G., Herrera S., Reinares M., Benito A., Rullas M., González-Cases J., et al. (2015). Hostile attributions in bipolar disorder and schizophrenia contribute to poor social functioning. Acta Psychiatr. Scand. 131 472–482. 10.1111/acps.12399
    1. Lakens D. (2013). Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Front. Psychol. 4:863. 10.3389/fpsyg.2013.00863
    1. Lieberman M. D. (2007). Social cognitive neuroscience: a review of core processes. Annu. Rev. Psychol. 58 259–289. 10.1146/annurev.psych.58.110405.085654
    1. Lilja J. L., Lundh L. G., Josefsson T., Falkenström F. (2013). Observing as an essential facet of mindfulness: a comparison of FFMQ patterns in meditating and nonmeditating individuals. Mindfulness 4 203–212. 10.1007/s12671-012-0111-8
    1. Lim D., Condon P., DeSteno D. (2015). Mindfulness and compassion: an examination of mechanism and scalability. PLoS One 10:e0118221. 10.1371/journal.pone.0118221
    1. Lin Y., Fisher M. E., Roberts S. M., Moser J. S. (2016). Deconstructing the emotion regulatory properties of mindfulness: an electrophysiological investigation. Front. Hum. Neurosci. 10:451. 10.3389/fnhum.2016.00451
    1. Lippelt D. P., Hommel B., Colzato L. S. (2014). Focused attention, open monitoring and loving kindness meditation: effects on attention, conflict monitoring, and creativity – A review. Front. Psychol. 5:1083. 10.3389/fpsyg.2014.01083
    1. Lopes P. N., Brackett M. A., Nezlek J. B., Schütz A., Sellin I., Salovey P. (2004). Emotional intelligence and social interaction. Pers. Soc. Psychol. Bull. 30 1018–1034. 10.1177/0146167204264762
    1. Luberto C. M., Shinday N., Song R., Philpotts L. L., Park E. R., Fricchione G. L., et al. (2018). A systematic review and meta-analysis of the effects of meditation on empathy, compassion, and prosocial behaviors. Mindfulness 9 708–724. 10.1007/s12671-017-0841-8
    1. Lutz A., Slagter H. A., Dunne J. D., Davidson R. J. (2008). Attention regulation and monitoring in meditation. Trends Cogn. Sci. 12 163–169. 10.1016/j.tics.2008.01.005
    1. Mehling W. E., Gopisetty V., Daubenmier J., Price C. J., Hecht F. M., Stewart A. (2009). Body awareness: construct and self-report measures. PLoS One 4:e5614. 10.1371/journal.pone.0005614
    1. Melen S., Pepping C. A., O’Donovan A. (2017). Social foundations of mindfulness: priming attachment anxiety reduces emotion regulation and mindful attention. Mindfulness 8 136–143. 10.1007/s12671-016-0587-8
    1. Melloni M., Sedeño L., Couto B., Reynoso M., Gelormini C., Favaloro R., et al. (2013). Preliminary evidence about the effects of meditation on interoceptive sensitivity and social cognition. Behav. Brain Funct. 9:47. 10.1186/1744-9081-9-47
    1. Mira A., Campos D., Etchemendy E., Baños R. M., Cebolla A. (2016). Access to autobiographical memory as an emotion regulation strategy and its relation to dispositional mindfulness. Mindfulness Compassion 1 39–44. 10.1016/j.mincom.2016.09.005
    1. Moore A., Malinowski P. (2009). Meditation, mindfulness and cognitive flexibility. Conscious. Cogn. 18 176–186. 10.1016/j.concog.2008.12.008
    1. Ospina M. B., Bond K., Karkhaneh M., Tjosvold L., Vandermeer B., Liang Y., et al. (2007). Meditation practices for health: state of the research. Evid. Rep. Technol. Assess. 155 1–263.
    1. Pepping C. A., Walters B., Davis P. J., O’Donovan A. (2016). Why do people practice mindfulness? An investigation into reasons for practicing mindfulness meditation. Mindfulness 7 542–547. 10.1007/s12671-016-0490-3
    1. Pérez-Albéniz A., De Paúl J., Etxeberría J., Montes M. P., Torres E. (2003). Adaptación de interpersonal reactivity index (IRI) al español. Psicothema 15 267–272.
    1. Pinkham A. E., Penn D. L., Green M. F., Buck B., Healey K., Harvey P. D. (2014). The social cognition psychometric evaluation study: results of the expert survey and RAND panel. Schizophr. Bull. 40 813–823. 10.1093/schbul/sbt081
    1. Pino Ó., Guilera G., Gómez J., Rojo J. E., Vallejo J., Purdon S. E. (2006). Escala breve para evaluar el deterioro cognitivo en pacientes psiquiátricos. Psicothema 18 447–452.
    1. Purdon S. E. (2005). The Screen for Cognitive Impairment in Psychiatry (SCIP): Instructions and Three Alternate Forms. Edmonton: PNL, Inc.
    1. Raab K. (2014). Mindfulness, self-compassion, and empathy among health care professionals: a review of the literature. J. Health Care Chaplain. 20 95–108. 10.1080/08854726.2014.913876
    1. Raffone A., Srinivasan N. (2017). Mindfulness and cognitive functions: toward a unifying neurocognitive framework. Mindfulness 8 1–9. 10.1007/s12671-016-0654-1
    1. Reva N. V., Pavlov S. V., Korenyok V. V., Loktev K. V., Aftanas L. I. (2015). The influence of long-term meditation practice on early emotional processing in the brain: an ERP study. Zh. Vyssh. Nerv. Deiat. Im. I P Pavlova 65 306–312.
    1. Ridderinkhof A., de Bruin E. I., Brummelman E., Bögels S. M. (2017). Does mindfulness meditation increase empathy? An experiment. Self Identity 16 251–269. 10.1080/15298868.2016.1269667
    1. Salmon P. G., Santorelli S. F., Kabat-Zinn J. (1998). “Intervention elements promoting adherence to mindfulness-based stress reduction programs in the clinical behavioral medicine setting,” in Handbook for Health Behavior Change, eds Riekert K. A., Ockene J. K., Pbert L. (New York, NY: Springer; ), 239–266.
    1. Shapiro S. L., Carlson L. E., Astin J. A., Freedman B. (2006). Mechanisms of mindfulness. J. Clin. Psychol. 62 373–386. 10.1002/jclp.20237
    1. Siegel D. J. (2007). Mindfulness training and neural integration: differentiation of distinct streams of awareness and the cultivation of well-being. Soc. Cogn. Affect. Neurosci. 2 259–263. 10.1093/scan/nsm034
    1. Slagter H. A., Lutz A., Greischar L. L., Francis A. D., Nieuwenhuis S., Davis J. M., et al. (2007). Mental training affects distribution of limited brain resources. PLoS Biol. 5:e138. 10.1371/journal.pbio.0050138
    1. Soler J., Cebolla A., Feliu-Soler A., Demarzo M. M., Pascual J. C., Baños R., et al. (2014a). Relationship between meditative practice and self-reported mindfulness: the MINDSENS composite index. PLoS One 9:e86622. 10.1371/journal.pone.0086622
    1. Soler J., Franquesa A., Feliu-Soler A., Cebolla A., García-Campayo J., Tejedor R., et al. (2014b). Assessing decentering: validation, psychometric properties, and clinical usefulness of the experiences questionnaire in a Spanish sample. Behav. Ther. 45 863–871. 10.1016/j.beth.2014.05.004
    1. Soler J., Tejedor R., Feliu-Soler A., Pascual J. C., Cebolla A., Soriano J. (2012). Propiedades psicométricas de la versión española de la escala Mindful Attention Awareness Scale (MAAS). Actas Esp. Psiquiatr. 40 18–25.
    1. Tan L. B. G., Lo B. C. Y., Macrae C. N. (2014). Brief mindfulness meditation improves mental state attribution and empathizing. PLoS One 9:e110510. 10.1371/journal.pone.0110510
    1. Tang Y. Y., Ma Y., Fan Y., Feng H., Wang J., Feng S., et al. (2009). Central and autonomic nervous system interaction is altered by short-term meditation. Proc. Natl. Acad. Sci. U.S.A. 106 8865–8870. 10.1073/pnas.0904031106
    1. 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. J. Consult. Clin. Psychol. 70 275–287. 10.1037/0022-006X.70.2.275
    1. Tejero A., Guimerá E. M., Farré J. M., Peri J. M. (1986). Uso clínico del HAD (Hospital Anxiety and Depression Scale) en población psiquiátrica: un estudio de su sensibilidad, fiabilidad y validez. Rev. Psiquiatr. Fac. Med. Barc. 13 233–238.
    1. Terol M. C., López-Roig S., Rodríguez-Marín J., Martí-Aragón M., Pastor M. A., Reig M. T. (2007). Propiedades psicométricas de la escala hospitalaria de ansiedad y depresión (had) en población española. Ansiedad Estrés 13 163–176.
    1. Vago D. R., Silbersweig D. A. (2012). Self-awareness, self-regulation, and self-transcendence (S-ART): a framework for understanding the neurobiological mechanisms of mindfulness. Front. Hum. Neurosci. 6:296. 10.3389/fnhum.2012.00296
    1. Van Dam N. T., Sheppard S. C., Forsyth J. P., Earleywine M. (2011). Self-compassion is a better predictor than mindfulness of symptom severity and quality of life in mixed anxiety and depression. J. Anxiety Disord. 25 123–130. 10.1016/j.janxdis.2010.08.011
    1. Van Doesum N. J., Van Lange D. A., Van Lange P. A. M. (2013). Social mindfulness: skill and will to navigate the social world. J. Pers. Soc. Psychol. 105 86–103. 10.1037/a0032540
    1. Van Gordon W., Shonin E., Dunn T., Garcia-Campayo J., Griffiths M. D. (2017). Meditation Awareness Training for the treatment of fibromyalgia: a randomised controlled trial. Br. J. Health Psychol. 22 186–206. 10.1111/bjhp.12224
    1. Van Gordon W., Shonin E., Sumich A., Sundin E. C., Griffiths M. D. (2014). Meditation awareness training (MAT) for psychological well-being in a sub-clinical sample of university students: a controlled pilot study. Mindfulness 5 381–391.
    1. Wallace B. A. (2001). Intersubjectivity in indo-tibetan buddhism. J. Conscious. Stud. 8 209–230.
    1. Watkins E., Teasdale J. D. (2004). Adaptive and maladaptive self-focus in depression. J. Affect. Disord. 82 1–8. 10.1016/j.jad.2003.10.006
    1. Watkins E. D. (2004). Adaptive and maladaptive ruminative self-focus during emotional processing. Behav. Res. Ther. 42 1037–1052. 10.1016/j.brat.2004.01.009
    1. Zigmond A. S., Snaith R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatr. Scand. 67 361–370. 10.1111/j.1600-0447.1983.tb09716.x

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