Who Benefits Most from a Brief Mindfulness Intervention to Reduce Anxiety During Stereotactic Breast Biopsy: the Moderating Effect of Trait Mindfulness, Spiritual Well-being, and Distress Tolerance

Chelsea G. Ratcliff, Shaelyn N. Fowler, Kelsey L. Sinclair, Sarah Prinsloo, Alejandro Chaoul, Stephanie G. Zepeda, Amy Spelman, Wei T. Yang, Lorenzo Cohen

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Objectives: This study examined trait mindfulness, spiritual well-being, and distress tolerance as moderators of the effect of a brief mindfulness intervention on anxiety reported during stereotactic breast biopsy (SBB). Methods: This is a secondary analysis of an RCT examining guided meditation (GM; n = 30), focused breathing (FB; n = 30), or standard care (SC; n = 16) on anxiety for women undergoing SBB. Women in GM and FB were guided through their respective interventions for 10 min before and during biopsy. Anxiety (0–10 visual analogue scale), trait mindfulness (FFMQ), spiritual well-being (FACIT-SP), and discomfort intolerance (DI) were assessed at baseline, and anxiety was assessed every 4 min during SBB. Multilevel modeling examined moderator-by-group-by-time interactions. Significant 3-way interactions were decomposed using a median split. Results: FFMQ observing, FFMQ describing, FACIT-SP meaning/peace, and DI moderated the group-by-time effects on anxiety during biopsy (p’s < 0.03). For those high in FFMQ describing, FACIT-SP-Meaning/Peace, or DI, GM was associated with a steeper reduction in anxiety compared to FB and SC (p’s < 0.05). For those low in FFMQ describing, FFMQ observing, and FACIT-SP-Meaning/Peace, both GM and FB were associated with a steeper reduction in anxiety compared to SC (p’s < 0.05). Conclusions: Individuals high in mindful describing, high in the meaning/peace aspect of spiritual well-being, and high in distress intolerance may benefit most from GM. Individuals low in attentional aspects of mindfulness (i.e., describing and observing) and low in the meaning/peace aspect of spiritual well-being may benefit from either a GM or FB intervention. Trial Registration <ref-website><ce_e-address>ClinicalTrial.org</ce_e-address><RefTarget Address="https://clinicaltrials.gov" TargetType="URL" /></ref-website>: (NCT03023215)

Original languageEnglish (US)
Pages (from-to)1127-1137
Number of pages11
JournalMindfulness
Volume12
Issue number5
DOIs
StatePublished - May 2021

Keywords

  • Brief mindfulness-based intervention
  • Distress tolerance
  • Mindfulness
  • Procedural anxiety
  • Spiritual well-being
  • Stereotactic breast biopsy

ASJC Scopus subject areas

  • Social Psychology
  • Health(social science)
  • Experimental and Cognitive Psychology
  • Developmental and Educational Psychology
  • Applied Psychology

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