Change motivation and mindfulness in individual psychotherapy: examining a sample of adult outpatients with depression and/or anxiety

Objectives Existing literature has demonstrated that both motivation to change and mindfulness are associated with therapy outcomes in samples with mental disorders. Between the constructs of mindfulness and motivation to change occurs some theoretical-related and empirical overlap. However, it is s...

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Hauptverfasser: Baumann, Ines (VerfasserIn) , Kalmar, Julia (VerfasserIn) , Schleiting, Elena (VerfasserIn) , Blanck, Paul (VerfasserIn) , Vonderlin, Eva (VerfasserIn) , Heidenreich, Thomas (VerfasserIn) , Mander, Johannes (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 20 January 2024
In: Journal of clinical psychology
Year: 2024, Jahrgang: 80, Heft: 3, Pages: 646-663
ISSN:1097-4679
DOI:10.1002/jclp.23645
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1002/jclp.23645
Verlag, kostenfrei, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/jclp.23645
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Verfasserangaben:Ines Baumann, Julia Kalmar, Elena Gruber, Paul Blanck, Eva Vonderlin, Thomas Heidenreich, Johannes Mander

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520 |a Objectives Existing literature has demonstrated that both motivation to change and mindfulness are associated with therapy outcomes in samples with mental disorders. Between the constructs of mindfulness and motivation to change occurs some theoretical-related and empirical overlap. However, it is still little known about the association of these two constructs. For this reason, we investigated the relationship of motivation to change and mindfulness in a sample of 116 adult outpatients with a primary diagnosis of depression or anxiety. Methods An outpatient sample of 116 depressive and/or anxious patients filled in the German short version of the University of Rhode Island Change Assessment (URICA-S) and the German version of the Kentucky Inventory of Mindfulness Skills (KIMS) before the start of cognitive-behavioral therapy (pre) and after the 25th cognitive-behavioral therapy session (post). To assess the association between change motivation and mindfulness, we calculated correlations, hierarchical regressions and cross-lagged panel models (CLPM). Results Several positive and negative significant correlations at the premeasurement time point, at the postmeasurement time point, and over time (from pre to postmeasurement time point) demonstrated a relation between the KIMS and the URICA-S. Hierarchical regression analyses and CLPM pointed towards relations between mindfulness and change motivation over time and in both directions for some subscales of the KIMS and the URICA-S. Conclusion A bidirectional relation between motivation to change and mindfulness was supported in our naturalistic psychotherapy setting for several subscales. For a better understanding of the interconnection between the two constructs, future research should focus on the application of interventions to improve either mindfulness or motivation to change in psychotherapy. Additionally, the interactional effects of mindfulness and change motivation on therapy outcomes should be investigated. 
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