Evidence map›Paper›PMID 26956654›Full record

Trial reportBehavior therapy2016

Mindfulness-Based Exposure Strategies as a Transdiagnostic Mechanism of Change: An Exploratory Alternating Treatment Design.

C Alex Brake, Shannon Sauer-Zavala, James F Boswell, Matthew W Gallagher, Todd J Farchione, David H Barlow

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Behavior therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05027113 (App-Based Mindfulness Meditation for People of Color Who Experience Race-Related Stress), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05027113 nacompletednot on this mapstarted 2021, after this paper: background citation

App-Based Mindfulness Meditation for People of Color Who Experience Race-Related Stress: A Randomized Control Trial

TypeinterventionalSponsorUniversity of California, Los AngelesRan2021 to 2022Enrolled155ConditionsStress, Psychological, Anxiety, Depression, RuminationArmsMindfulness meditation
3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
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  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Experimental Investigation of the Influence of Positive Emotion Dysregulation on Risky Behavior Following Idiographic Emotion Inductions.Clinical psychological science : a journal of the Association for Psychological Science · 2023
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Mindfulness-based interventions for addictive behaviors: Implementation issues on the road ahead.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2017
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

C Alex BrakeUniversity of Kentucky. Electronic address: alex.brake@uky.edu.
Shannon Sauer-ZavalaCenter for Anxiety and Related Disorders, Boston University.
James F BoswellUniversity at Albany.
Matthew W GallagherUniversity of Houston.
Todd J FarchioneCenter for Anxiety and Related Disorders, Boston University.
David H BarlowCenter for Anxiety and Related Disorders, Boston University.

Funding

Efficacy Evaluation of a Unified Transdiagnostic Treatment for Anxiety DisordersR01MH090053 · NIMH · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI BARLOW, DAVID H. · 2011 to 2015
$2.9M
NIMH NIH HHS R01 MH090053NIMH NIH HHS R01MH090053-S1
6 · The paper itself

Abstract

The present study explored whether distress reduction in response to strong negative emotions, a putative transdiagnostic mechanism of action, is facilitated by mindfulness strategies. Seven patients (mean age=31.14years, SD=12.28, range 19-48 years, 43% female, 86% Caucasian) with heterogeneous anxiety disorders (i.e., panic disorder with or without agoraphobia, social anxiety, generalized anxiety) were assigned a randomized order of weeklong blocks utilizing either mindfulness- or avoidance-based strategies while ascending a 6-week emotion exposure hierarchy. Participants completed three exposures per block and provided distress and avoidance use ratings following each exposure. Anxiety severity, distress aversion, and distraction/suppression tendencies were also assessed at baseline and the conclusion of each block. Visual, descriptive, and effect size results showing exposures utilizing mindfulness were associated with higher overall distress levels, compared with those utilizing avoidance. Within blocks, the majority of participants exhibited declining distress levels when employing mindfulness strategies, as opposed to more static distress levels in the avoidance condition. Systematic changes in anxiety severity, distress aversion, and distraction/suppression were not observed. These results suggest mindfulness strategies may be effective in facilitating emotion exposure; however, a minimum dosage may be necessary to overcome initial distress elevation. Potential transdiagnostic change mechanisms and clinical implications are discussed.

Indexed as

AdultAnxietyAnxiety DisordersCognitive Behavioral TherapyEmotionsFemaleHumansMaleMiddle AgedMindfulnessTreatment OutcomeYoung Adultexposuremindfulnesssingle-case experimental designtransdiagnostictreatment mechanisms

Identifiers

PMID26956654
PMCPMC8177505

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.