The (Lack of) Replication of Self-Reported Mindfulness as a Mechanism of Change in Mindfulness-Based Relapse Prevention for Substance Use Disorders
Open accessAbstract
The development and evaluation of mindfulness-based interventions for a variety of psychological and medical disorders has grown exponentially over the past 20 years. Yet, calls for increasing the rigor of mindfulness research and recognition of the difficulties of conducting research on the topic of mindfulness have also increased. One of the major difficulties is the measurement of mindfulness, with varying definitions across studies and ambiguity with respect to the meaning of mindfulness. There is also concern about the reproducibility of findings given few attempts at replication. The current secondary analysis addressed the issue of reproducibility and robustness of the construct of self-reported mindfulness across two separate randomized clinical trials of mindfulness-based relapse prevention (MBRP), as an aftercare treatment for substance use disorder. Specifically, we tested the robustness of our previously published findings, which identified a latent construct of mindfulness as a significant mediator of the effect of MBRP on reducing craving following treatment. First, we attempted to replicate the findings in a separate randomized clinical trial of MBRP. Second, we conducted sensitivity analyses to test the assumption of the no-omitted confounder bias in a mediation model. The effect of MBRP on self-reported mindfulness and overall mediation effect failed to replicate in a new sample. The effect of self-reported mindfulness in predicting craving following treatment did replicate and was robust to the no-omitted confounder bias. The results of this work shine a light on the difficulties in the measurement of mindfulness and the importance of examining the robustness of findings.
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Serious concerns have been raised about the validity of self-report measures of mindfulness because their factor structures and item functioning differ between populations, time points, and studies.
“Serious concerns have been raised about the validity of self-report measures of mindfulness in particular because their factor structures and item functioning have been shown to be different between populations, e.g., high trait mindfulness individuals versus low trait mindfulness individuals with the Five Factor Mindfulness Questionnaire (FFMQ) (Pelham et al., 2019), between time points with the”
From Dismantling Mindfulness-Based Programs: a Systematic Review to Identify Active Components of Treatment (2020) · cites this paper as Hsiao et al., 2019
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Donate, A. P. G., de Macedo, E. C., Bedendo, A., Félix-Junior, I. J., Gallo, G. G., Opaleye, E. S., & Noto, A. R. (2023) · PLoS ONE · doi:10.1371/journal.pone.0293502 · Cited by 7 · see citing works
An R Shiny App for Sensitivity Analysis for Latent Growth Curve Mediation
Kruger, E. S., Tofighi, D., Hsiao, Y., MacKinnon, D. P., Horn, M. L. V., & Witkiewitz, K. A. (2022) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705511.2022.2045203 · Cited by 3 · see citing works
Self-citationFélix-Junior, I. J., Opaleye, E. S., Donate, A. P. G., Bedendo, A., Machado, M. P. A., Galduróz, J. C. F., Bowen, S. W., & Noto, A. R. (2023) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-023-01113-y · Cited by 3 · see citing works
Refinement and Validation of the Balanced Inventory of Mindfulness-related Skills (BIMS)Preprint
Padmanabham, S. S., Bilgrami, Z. R., Eisenlohr-Moul, T. A., & Dam, N. T. V. (2020) · doi:10.31231/osf.io/qt8vn
Mindfulness Based Intervention for 21-Year-Old with Substance Use
Sohail, S., & Mubashir, A. S. (2022) · International Journal of Innovations in Science and Technology · doi:10.33411/ijist/2022040608
Cosme, D., Helion, C., Kang, Y., Lydon‐Staley, D. M., Doré, B., Stanoi, O. A., Ahn, J., Jovanova, M., McGowan, A. L., Boyd, Z. M., et al. (2023) · doi:10.31234/osf.io/7j4ey
Bernaldo‐de‐Quirós, M., & Amores, A. (2024) · African journal of rhetoric · doi:10.21134/haaj.v24i1.792
Refinement and Validation of the Balanced Inventory of Mindfulness-related Skills (BIMS)Preprint
Bilgrami, Z. R., Eisenlohr-Moul, T. A., Padmanabham, S. S., & Dam, N. T. V. (2024) · OSF Preprints (OSF Preprints)
Self-Efficacy as a Potential Mechanism of Behavior Change in Mindfulness-Based Relapse PreventionPreprint
Witkiewitz, K. A., & Moniz-Lewis, D. I. K. (2022) · OSF Preprints (OSF Preprints)
Self-citation
- Authors
- Hsiao, Y.-Y., Tofighi, D., Kruger, E. S., Lee Van Horn, M., MacKinnon, D. P., & Witkiewitz, K.
- Affiliations
- University of New Mexico (US)
- Arizona State University (US)
- Corresponding author
- Witkiewitz, Katie
- Venue
- Mindfulness
- Published
- 2018-09-05
- Volume
- 10
- Issue
- 4
- Pages
- 724-736
- ISSN
- 1868-8527 (ISSN-L)
- 1868-8535
- PMC
- PMC6435335
- OpenAlex
- W2892130028
- Cited by
- 23
- References
- 89
- Citations by year
- 2024: 3 · 2023: 4 · 2022: 5 · 2021: 7 · 2020: 3 · 2019: 1
- FWCI
- 3.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Mindfulness (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01 AA025539)
- National Institute on Drug Abuse (R37 DA09757)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- mindfulness-based relapse prevention, substance use disorders, craving, replication, mediation, robustness of results, secondary analysis
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