Improve Well-Being in Adults who Experienced Childhood Maltreatment with Mindfulness

Improve Well-Being in Adults who Experienced Childhood Maltreatment with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness-based interventions can be beneficial for childhood maltreatment survivors to alleviate psychological symptoms including stress, anxiety, recurrent depression, substance use, and post-traumatic stress.” – Diane Joss

 

Childhood trauma can leave in its wake symptoms which can haunt the victims for the rest of their lives. These include persistent recurrent re-experiencing of the traumatic event, including flashbacks and nightmares, loss of interest in life, detachment from other people, increased depression, anxiety and emotional arousal, including outbursts of anger, difficulty concentration, and jumpiness, startling easily. Unfortunately, childhood maltreatment can continue to affect mental and physical health throughout the individual’s life. How individuals cope with childhood maltreatment helps determine the effects of the maltreatment on their mental health.

 

It has been found that experiencing the feelings and thoughts produced by trauma completely, allows for better coping. This can be provided by mindfulness. Indeed, mindfulness has been found to be effective for relieving trauma symptoms. But it is not known how mindfulness works to impact the psychological well-being of adults who experienced childhood maltreatment.

 

In today’s Research News article “Nonattachment Predicts Empathy, Rejection Sensitivity, and Symptom Reduction After a Mindfulness-Based Intervention Among Young Adults with a History of Childhood Maltreatment.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205188/ ) Joss and colleagues recruited patience with a history of childhood maltreatment including physical and emotional abuse or neglect, and sexual abuse, verbal abuse, witnessing violence between parents or physical abuse of siblings.

 

They were assigned to either a wait-list control condition or to receive mindfulness training. The training was modelled after the Mindfulness-Based Stress Reduction (MBSR) program and met once a week for eight weeks along with daily home practice and contained “breath awareness meditation, body scan meditation, mindful yoga, open awareness meditation, loving-kindness meditation, walking meditation, mountain meditation, mindful eating as well as noticing mindful moments in daily lives”. They were measured before and after training for mindfulness, childhood trauma, adverse childhood experiences, anxiety sensitivity, PTSD symptoms, rejection sensitivity, nonattachment, and interpersonal reactivity.

 

They found that in comparison to baseline and the wait-list control group, the group that received mindfulness training had significantly higher levels of mindfulness and nonattachment and significantly lower levels of PTSD symptoms, rejection sensitivity, and interpersonal reactivity. In addition, the greater the attendance at the mindfulness training sessions the greater the increases in mindfulness and nonattachment and decreases in personal distress and anxiety sensitivity. Further they found that mindfulness was associated with reduced rejection sensitivity indirectly by being associated with higher levels of nonattachment and empathy which were in turn associated with lower levels of rejection sensitivity.

 

The results suggest that mindfulness training improves the psychological well-being of young adults who had experienced childhood maltreatment in a dose dependent way. Nonattachment is a “flexible way of relating to one’s experiences without clinging to or suppressing them” and is increased by mindfulness training. In addition, empathy is “the capacity to understand others’ perspectives and to feel and share others’ feelings” and is increased by mindfulness training. These factors in turn appear to be important for the improvement in psychological well-being. In other words, mindfulness increases the ability to let go of experiences and not ruminate or worry about them and improves empathy and these factors improve the well-being of young adults who had experienced childhood maltreatment. All this suggests that mindfulness training should be recommended for people who experienced childhood maltreatment to reduce the impact of the trauma and improve psychological well-being.

 

So, improve well-being in adults who experienced childhood maltreatment with mindfulness.

 

Mindfulness skills tend to be lower among adolescents and adults exposed to various forms of childhood maltreatment.” – Alan R. King

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Joss, D., Lazar, S. W., & Teicher, M. H. (2020). Nonattachment Predicts Empathy, Rejection Sensitivity, and Symptom Reduction After a Mindfulness-Based Intervention Among Young Adults with a History of Childhood Maltreatment. Mindfulness, 11(4), 975–990. https://doi.org/10.1007/s12671-020-01322-9

 

Abstract

Objectives:

Individuals with a childhood maltreatment history tend to have various psychological symptoms and impaired social functioning. This study aimed to investigate the related therapeutic effects of a mindfulness-based intervention in this population.

Methods:

We analyzed self-report questionnaire scores of the Mindful Attention Awareness Scale (MAAS), Non-Attachment Scale (NAS), Adult Rejection Sensitivity Questionnaire (A-RSQ), Interpersonal Reactivity Index (IRI), PTSD CheckList (PCL), and Anxiety Sensitivity Index (ASI), from 16 (3 males) young adults (age range 22–29) with mild to moderate childhood maltreatment, compared to 18 matched participants (6 males) on a waiting list, during both pre- and post-intervention/waiting periods. Analyses were conducted with linear mixed effects models, partial correlation analyses and t-tests.

Results:

There were group by time interaction effects with the scores of MAAS, NAS, PCL, IRI-Fantasy, and A-RSQ (p < .05). The mindfulness group had significant increase in MAAS (17.325%) and NAS (8.957%) scores, as well as reduction in PCL (15.599%) and A-RSQ (23.189%) scores (p < .05). Changes in non-attachment, but not mindfulness, had significant contributions to the score changes of PCL (16.375%), ASI (36.244%), IRI-Personal Distress (24.141%), IRI-Empathic Concern (16.830%), and A-RSQ (10.826%) (p < .05). The number of intervention sessions attended was correlated with score changes of NAS (r = .955, p < .001), and ASI (r = −.887, p < .001), suggesting a dose-dependent effect.

Conclusions:

Findings from this pilot study suggest that the mindfulness-based intervention improved mindfulness, non-attachment and empathy, which contributed to reduced interpersonal distress, rejection sensitivity and other psychological symptoms.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205188/

 

Mindfulness is Associated with a Reduced Tendency to Ostracize

Mindfulness is Associated with a Reduced Tendency to Ostracize

 

By John M. de Castro, Ph.D.

 

“adults scoring higher on trait mindfulness reported ostracizing coworkers less [and] demonstrated greater inclusion of a fellow group member being ostracized by others in the group.“ – Eric Jones

 

Humans are social animals. This is a great asset for the species as the effort of the individual is amplified by cooperation. In primitive times, this cooperation was essential for survival. But in modern times it is also essential, not for survival but rather for making a living and for the happiness of the individual. This deep need for positive social interactions heightens the pain of social rejection and ostracism. “Ostracism, or being excluded and ignored, is a detrimental experience for the target of ostracism because it harms the target’s relational needs of belonging, self-esteem, meaningful existence, and control, along with worsening the target’s mood.”

 

Mindfulness has been found to increase prosocial behaviors such as altruism, compassion and empathy and reduce antisocial behaviors such as violence and aggression. So, it is likely that mindfulness may affect the individual’s tendency to reject and ostracize others.

 

In today’s Research News article “Who Is Less Likely to Ostracize? Higher Trait Mindfulness Predicts More Inclusionary Behavior.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8277536/ ) Jones and colleagues studied the relationship of mindfulness to ostracism in 3 studies. For all studies they recruited healthy adult workers online.

 

In the first study they had them complete measures of mindfulness, perceived ostracism, perceived stress, and instigation of ostracism. They found that the higher the levels of mindfulness the lower the levels of perceived ostracism, perceived stress, and instigation of ostracism. So, mindful workers are more sensitive to ostracism in the workplace and less likely to be involved in ostracism.

 

In the second study they had the participants play a simulated ball tossing game, Cyberball, where they tossed a ball to 3 other participants who were simulated did not exist other than in the program. In one condition the ball was tossed to all participants equally and in the ostracism condition one simulated participant had the ball tossed to them initially but then never again from anyone except the real participant who could toss the ball to the ostracized participant if they chose. They found that the higher the level of participant mindfulness the greater the proportion of simulated ball tosses were directed to the simulated “ostracized” participant. Neither empathy, personal distress, nor the other motives were found to mediate the effects of mindfulness.

 

In the third study they again had the participants play Cyberball with an ostracized simulated participant. There were 2 conditions in that the participants were either instructed at the beginning to pay attention to the other players or did not receive the attention instruction. They found that the attention instruction increased the percentage of tosses directed to the simulated “ostracized” participant. In the attention instruction condition the effects of mindfulness disappeared.

 

The results suggest that high trait mindfulness is associated with less ostracizing of others in their work environments. The simulated ball tossing results suggested that mindfulness is also associated with lower ostracizing in artificial simulated conditions. But when an attention instruction is included the association with mindfulness goes away. This suggests that mindfulness results in a participant paying more attention to others around them and this produces a lowered tendency to ostracize others.

 

Ostracism is extremely harmful to individuals. So, methods to reduce ostracism are socially important. The results suggest that mindfulness may be an effective tool in countering ostracism by making individuals more attentive to others. It remains for future research to determine if training in mindfulness can reduce ostracism.

 

So, mindfulness is associated with a reduced tendency to ostracize.

 

dispositional mindfulness predicted greater empathic concern for, and more helping behavior toward, an ostracized stranger [and] also promoted prosocial responsiveness to an ostracized stranger.“ – Daniel Berry

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Twitter @MindfulResearch

 

Study Summary

 

Jones, E. E., Wirth, J. H., Ramsey, A. T., & Wynsma, R. L. (2019). Who Is Less Likely to Ostracize? Higher Trait Mindfulness Predicts More Inclusionary Behavior. Personality & social psychology bulletin, 45(1), 105–119. https://doi.org/10.1177/0146167218780698

 

Abstract

Despite the pain ostracism (being excluded and ignored) causes, researchers have minimally investigated factors related to reducing its occurrence. We investigated the association between higher trait mindfulness (the tendency to be attentive to the present moment) and lower engagement in ostracism. In Study 1, employed adults scoring higher on trait mindfulness reported ostracizing coworkers less. In Study 2, participants possessing higher levels of trait mindfulness demonstrated greater inclusion of a fellow group member being ostracized by others in the group. Results suggested that attention, rather than empathy, was the psychological process responsible for greater inclusion of an ostracized group member by mindful individuals. Study 3 supported this conclusion, because participants responded similarly to those high in trait mindfulness when they were instructed to pay attention and ensure all players were included equally. Overall, we found that people with higher levels of trait mindfulness are more attentive to targets of ostracism.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8277536/

 

Withstand Rejection Better with Mindfulness

Withstand Rejection Better with Mindfulness

 

By John M. de Castro, Ph.D.

 

“People who have greater levels of mindfulness — or the tendency to maintain attention on and awareness of the present moment — are better able to cope with the pain of being rejected by others.” – Brian McNeill

 

Humans are social animals. This is a great asset for the species as the effort of the individual is amplified by cooperation. In primitive times, this cooperation was essential for survival. But in modern times it is also essential, not for survival but rather for making a living and for the happiness of the individual. This ability to cooperate is so essential to human flourishing that it is built deep into our DNA and is reflected in the structure of the human nervous system. This deep need for positive social interactions heightens the pain of social rejection.

 

Mindfulness has been found to increase prosocial behaviors such as altruism, compassion and empathy and reduce antisocial behaviors such as violence and aggression. It can also improve the individual’s ability to respond adaptively to strong emotions. So, it is possible that mindfulness may work to counter the effects of social rejection. In today’s Research News article “When less is more: mindfulness predicts adaptive affective responding to rejection via reduced prefrontal recruitment.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022565/ ), Martelli and colleagues examine the relationship of mindfulness to the ability to cope with social rejection and its relationship to brain structure and connectivity.

 

They recruited healthy undergraduate students and measured them for mindfulness and social distress. They then played a video game while having their brain scanned with functional Magnetic Resonance Imaging (fMRI). The game was called “Cyberball” which the participant believed they were playing on-line with others. The players tossed a “ball” to each others. After a while the participant stopped receiving the “ball” from other players simulating social rejection. They were then measured again for social distress.

 

They found that after the social “rejection” that the participants who were high in mindfulness were significantly lower in social distress. This suggests that mindfulness tends to protect the individual from the negative emotions associated with social rejection. In addition, they found that the high mindfulness was associated with lower activation of the ventrolateral prefrontal cortex and less connectivity of the ventrolateral prefrontal cortex with the Amygdala and dorsal anterior cingulate cortex. This lower activity and connectivity was associated with lower social distress following social rejection.

 

This study employs a fairly artificial method to simulate the social distress produced by rejection. But, the participants reported ignorance that the game was not actually being played socially and the “rejection” appeared to increase distress. So, the lab task appeared to be valid. It should be kept in mind, however, that the findings are correlational and as a result no conclusions can be reached regarding causation. Future research should investigate the impact of mindfulness training on the social distress produced by rejection.

 

The results of the fMRI scans suggest that activation of a brain network including the ventrolateral prefrontal cortex, amygdala, and dorsal anterior cingulate cortex are involved in social distress and that mindfulness is associated with lower activity in these structures resulting in less social distress. So, mindfulness may work to dampen brain activity that’s involved in social distress helping to protect the individual from the negative emotions produced by social rejection.

 

Rejection can be devastating to an individual. It can produce strong negative emotions. The fact that mindfulness appears to help the individual cope with the rejection is and important benefit of mindfulness. It further suggests that people suffering from social anxiety might benefit from mindfulness training. Indeed, previous research indicates exactly that. Mindfulness training is an effective treatment for social anxiety disorder.

 

So, withstand rejection better with mindfulness.

 

“Mindful individuals are not as distressed by social rejection.  Mindful individuals appear to successfully regulate distressing emotions by not using effortful, inhibitory processes that suppress their feelings of social pain.” – Shawna Freshwater

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Martelli, A. M., Chester, D. S., Warren Brown, K., Eisenberger, N. I., & DeWall, C. N. (2018). When less is more: mindfulness predicts adaptive affective responding to rejection via reduced prefrontal recruitment. Social Cognitive and Affective Neuroscience, 13(6), 648–655. http://doi.org/10.1093/scan/nsy037

 

Abstract

Social rejection is a distressing and painful event that many people must cope with on a frequent basis. Mindfulness—defined here as a mental state of receptive attentiveness to internal and external stimuli as they arise, moment-to-moment—may buffer such social distress. However, little research indicates whether mindful individuals adaptively regulate the distress of rejection—or the neural mechanisms underlying this potential capacity. To fill these gaps in the literature, participants reported their trait mindfulness and then completed a social rejection paradigm (Cyberball) while undergoing functional magnetic resonance imaging. Approximately 1 hour after the rejection incident, participants reported their level of distress during rejection (i.e. social distress). Mindfulness was associated with less distress during rejection. This relation was mediated by lower activation in the left ventrolateral prefrontal cortex during the rejection incident, a brain region reliably associated with the inhibition of negative affect. Mindfulness was also correlated with less functional connectivity between the left ventrolateral prefrontal cortex and the bilateral amygdala and the dorsal anterior cingulate cortex, which play a critical role in the generation of social distress. Mindfulness may relate to effective coping with rejection by not over-activating top-down regulatory mechanisms, potentially resulting in more effective long-term emotion-regulation.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022565/

 

Reduce Sensitivity to Rejection with Non-Judging Mindfulness

Reduce Sensitivity to Rejection with Non-Judging Mindfulness

 

By John M. de Castro, Ph.D.

 

“Simply acknowledging that rejection will hurt, whatever we do, can in itself be a relief. Much of our suffering comes from wishing that our experience was different to how it currently is. But mindfulness helps us to see and accept this moment, however we happen to find it, even if our moment is filled with feelings of unworthiness. The trick is to remember that unworthiness is a transitory feeling, never an absolute truth about us.” – The Mindfulness Project

 

Being rejected socially is a painful but common experience. Our sensitivity to rejection probably evolved to help maintain group cohesion which was essential during early human evolutionary development. So, it is normal and natural. But, being overly sensitive to rejection can be maladaptive not just to the individual but also to the group as it can accentuate withdrawal. Indeed, high sensitivity to rejection is characteristic of a number of mental illnesses including borderline personality disorder, avoidant personality disorder, depression, and social anxiety.

 

Mindfulness makes us more aware of ourselves and our emotions and improves our ability to cope with these emotions. As such, it may help with coping with rejection. Indeed, mindfulness has been shown to improve social relationships, including romantic relationships, and reduce our dependence on other people. Mindfulness has also been shown to improve the mental illnesses that are characterized by high levels of rejection sensitivity, including borderline personality disorder, depression, and social anxiety. So, it makes sense to hypothesize that mindfulness may be an antidote to high sensitivity to rejection.

 

In today’s Research News article “Dispositional mindfulness and rejection sensitivity: The critical role of nonjudgment.” See summary below or view the full text of the study at:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4809056/

Peters and colleagues examine the relationship of mindfulness to rejection sensitivity. They recruited college students and required them to complete online measures of five different facets of mindfulness, rejection sensitivity, and positive and negative emotions. They then preformed statistical analysis to determine the relationships between these variables.

 

They found that the mindfulness facets of acting with awareness, nonjudging, nonreactivity, and describing were all significantly negatively related to rejection sensitivity and negative emotions. When these mindfulness facets were included simultaneously in a multiple regression the mindfulness facets of acting with awareness, nonjudging, and nonreactivity remained as significant predictors of low rejection sensitivity, but nonjudging was by far the strongest predictor. In addition, nonjudging was found to moderate the relationship between rejection sensitivity and negative emotions, suggesting that nonjudging may protect the individual from the bad feelings produced by rejection.

 

It needs to be kept in mind that this study was correlational and thereby cannot determine causal connections. It is equally likely that rejection sensitivity interferes with mindfulness as that mindfulness reduces rejection sensitivity. Nevertheless, the results confirm the relationship between high levels of mindfulness, especially nonjudging and low levels of sensitivity to rejection. This relationship may occur by nonjudging protecting the individual from the negative emotions resulting from rejection. Judging experience can make it seem worse than it is and amplify the emotional consequences of the experience. So, by not judging an experience of rejection, the individual may be better able to keep the emotions elicited at a more normal and natural level.

 

So, reduce sensitivity to rejection with non-judging mindfulness.

 

“Rejections aren’t the end of the world but sometimes we can react as if they are. Being turned away from one opportunity makes you available for another. Ultimately, I encourage people not to take things so seriously. If that reaction arises, mindfulness practice can help people to back away from it and keep things in perspective.”Arnie Kozak

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

Peters, J. R., Eisenlohr-Moul, T. A., & Smart, L. M. (2016). Dispositional mindfulness and rejection sensitivity: The critical role of nonjudgment. Personality and Individual Differences, 93, 125–129. http://doi.org/10.1016/j.paid.2015.06.029

 

Highlights

  • Examined relationships between facets of mindfulness and rejection sensitivity (RS)
  • RS was negatively associated with multiple mindfulness facets, especially nonjudging
  • Increased nonjudging reduced the association between RS and trait negative affect
  • Mindfulness, specifically nonjudging, may be protective against RS and its effects

Abstract

The pain of rejection is a crucial component of normal social functioning; however, heightened sensitivity to rejection can be impairing in numerous ways. Mindfulness-based interventions have been effective with several populations characterized by elevated sensitivity to rejection; however, the relationship between mindfulness and rejection sensitivity has been largely unstudied. The present study examines associations between rejection sensitivity and multiple dimensions of dispositional mindfulness, with the hypothesis that a nonjudgmental orientation to inner experiences would be both associated with decreased rejection sensitivity and attenuate the impact of sensitivity to rejection on general negative affect. A cross-sectional sample of undergraduates (n = 451) completed self-report measures of rejection sensitivity, dispositional mindfulness, and trait-level negative affect. Significant zero-order correlations and independent effects were observed between most facets of dispositional mindfulness and rejection sensitivity, with nonjudging demonstrating the largest effects. As predicted, rejection sensitivity was associated with negative affectivity for people low in nonjudging (β = .27, t = 5.12, p < .001) but not for people high in nonjudging (β = .06, t = .99, p = .324). These findings provide preliminary support for mindfulness, specifically the nonjudging dimension, as a protective factor against rejection sensitivity and its effects on affect.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4809056/