Cited by 2Mindfulness and Compassion InterventionsCOVID-19 and Mental HealthReligion, Spirituality, and Psychology

The association between facets of mindfulness and COVID-19 related distress: A cross-sectional study

Open access
Boekhorst, Myrthe G.B.M., Duijndam, Stefanie·2023·Acta Psychologica

Abstract

Objectives: Trait mindfulness could function as a protective factor against distress. The current study investigated the relationship of the five distinct facets of mindfulness and COVID-19 related distress. Methods: An online self-report study was conducted in a Dutch sample (N = 811; Mage = 49 ± 17; 54.5 % female) in February 2021. Dispositional mindfulness was assessed with the Five Facet Mindfulness Questionnaire, and the COVID Stress Scale was used to assess COVID-19 related distress. Results: Multivariate regression analyses showed that describing and non-judging were inversely related to COVID-19 related distress. Specifically, describing was related to fewer socioeconomic worries, while describing and non-judging were negatively associated with traumatic stress symptoms. Non-judging was negatively associated with COVID-19-related compulsive checking. Conclusions: The results indicate that individuals high in mindfulness traits describing and non-judging, experience less distress during the pandemic. Teaching mindfulness skills and practice could be helpful in global situations like pandemics. © 2023

Integrity signals

Registry

Crossref · 10.1016/j.actpsy.2023.103826

Cites

56 of 56 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

18 of 26 cited sources checked · 12 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    During the early months of the pandemic, greater COVID-19 related distress was associated with higher anxiety, stress, and depression.

    “Several studies showed that during the early months of the pandemic, increased COVID-19 related distress was associated with increased levels of anxiety, stress, and depression (Bitan et al., 2020; Gallagher et al., 2020).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Bitan et al., 2020

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Gallagher et al., 2020 source
  • Premisecitation

    In a Belgian sample of adolescents, non-reactive decentering was especially associated with lower stress and worry during the pandemic.

    “Nonetheless, in a Belgian sample of adolescents, it was found that non-reactive decentering was especially associated with lower levels of stress and worry during the pandemic (Kock et al., 2021).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Kock et al., 2021 source
  • Premisecitation

    Acting with awareness, non-judging, and non-reacting have been most consistently associated with lower psychological distress.

    “Acting with awareness (focusing attention to the current moment), non-judging (not criticizing personal thoughts and feelings) and non-reacting (non-reactivity towards thoughts and feelings without being carried away by them) have been most consistently associated with lower levels of psychological distress in previous research (Baer et al., 2006; Bohlmeijer et al., 2011).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Baer et al., 2006 source
    • cites Bohlmeijer et al., 2011 source
  • Premisecitation

    Trait mindfulness was negatively associated with overall psychological distress during the early COVID-19 pandemic in Italian adults and American college students.

    “Studies have found that trait mindfulness was negatively associated with overall psychological distress (including depression and anxiety) during the early period of the COVID-19 pandemic (March–April 2020) in Italian adults (Conversano et al., 2020), as well as in American college students (Dillard & Meier, 2021).”
    Quote in the paperSubstantial claim2 of 2 sources checked
    • cites Conversano et al., 2020 source
    • cites Dillard & Meier, 2021 source

      The General discussion reports that higher trait mindfulness was associated with less distress, and the Method > Procedure places the American college-student study between March 30 and April 15, 2020. However, the Abstract > Methods says depressive symptoms were assessed only in Study 2, which involved U.S. adults rather than the college students. Thus, the depression component is not supported for the population attributed to Dillard and Meier. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Findingown data

    In the total CSS model, lower education was associated with more COVID-19 distress (β=-0.10, p=.003).

    “age (β = 0.16, p < .001) and level of education (β = −0.10, p = .003) were significant predictors of total CSS scores with higher age and a lower level of education related to more distress”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. 22
  • May combine two claims. 13
  • Borderline: one of the tests for a substantial claim is unclear. 1
  • The quote only partly states this claim. 1
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Enhanced fear of the virus may be a risk factor for the mental health consequences of COVID-19.

    “A potential risk factor for the mental health consequences of COVID-19 could be enhanced fear related to the virus (Mertens, Gerritsen, et al., 2020; Taylor et al., 2020b).”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Mertens, Gerritsen, et al., 2020 source
    • cites Taylor et al., 2020b

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    During the COVID-19 pandemic, uncertainty and government restrictions contributed to increased mental health problems, including stress and anxiety.

    “Beyond the impact on physical health, the ongoing uncertainty related to the pandemic and the restrictions imposed by the governments of the world has also led to increased mental health related problems, including increased rates of stress and anxiety (Killgore et al., 2021; Magalhaes et al., 2021; Raihan, 2021).”
    Quote in the paperNot a substantial claim2 of 3 sources checked
    • cites Killgore et al., 2021 source

      The Abstract reports elevated anxiety and acute stress during the first three weeks of U.S. lockdowns, and the Introduction links pandemic uncertainty and restrictions to mental-health concerns. The paper does not establish that restrictions caused the increases worldwide or over the ongoing course of the pandemic; its findings concern the United States in the first weeks and are largely associational. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites Magalhaes et al., 2021 source

      The Discussion (page not provided) links uncertainty with stress and anxiety, and the Introduction describes how distancing and isolation disrupted life in the United States. But the study does not establish that government restrictions caused increased rates of these problems worldwide; the Discussion says stronger causal conclusions require further research. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
    • cites Raihan, 2021 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Mindfulness-based stress reduction training improved mindfulness skills and psychological well-being during the first COVID-19 lockdown.

    “In addition, a mindfulness based stress reduction training was found to improve mindfulness skills and enhance psychological well-being during the first lockdown of the COVID-19 pandemic (Accoto et al., 2021).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Accoto et al., 2021 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Individuals with a strong general tendency to worry are more likely to experience COVID-19 related fear during the pandemic.

    “For example, individuals who have a high tendency to worry in general, have an increased chance of fear related to COVID-19 during the pandemic (Baiano et al., 2020).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Baiano et al., 2020 source

      The Discussion reports that participants with high pre-lockdown trait worry had greater increases in anxiety sensitivity and fear about their own mental health during quarantine than low worriers. The claim broadens this specific finding to COVID-19-related fear generally and to individuals beyond the small university-student sample; the Discussion explicitly cautions against generalizing to the broader population. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    During the COVID-19 pandemic, present-moment attention was associated with more engagement coping, while non-judgement and acceptance was associated with less disengagement coping.

    “In particular, being attentive to the present moment has been associated with more engagement coping during the COVID-19 pandemic, while non-judgement and acceptance was associated with less disengagement coping (Götmann & Bechtoldt, 2021).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Götmann & Bechtoldt, 2021 source
  • May combine two claims.

    Premisecitation

    People vary in their COVID-19 concerns and in their vulnerability to the pandemic's psychosocial effects.

    “In addition, individual differences exist in the level of COVID-19 related concerns and therefore in the vulnerability to the psychosocial effects of the pandemic (Mertens, Gerritsen, et al., 2020; Taylor et al., 2021; Vos et al., 2021).”
    Quote in the paperSubstantial claim3 of 3 sources checked
    • cites Mertens, Gerritsen, et al., 2020 source

      The Discussion (page not specified in our copy) reports a wide range of coronavirus concerns and finds that anxiety-related individual differences were associated with greater fear. It does not establish that differing levels of concern cause differing vulnerability to the pandemic’s broader psychosocial effects; the Discussion also cautions that the cross-sectional study cannot establish directionality. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites Taylor et al., 2021 source
    • cites Vos et al., 2021 source
  • May combine two claims.

    Premisecitation

    Trait mindfulness is related to better coping strategies and can buffer against negative psychological outcomes from stressful life events.

    “Studies also showed that trait mindfulness is related to use of better coping strategies and can act as a buffer against negative psychological outcomes from stressful life events (Bergomi et al., 2013; Sirois & Tosti, 2012; van Son et al., 2015; Weinstein et al., 2009).”
    Quote in the paperSubstantial claim1 of 3 sources checked
    • cites Bergomi et al., 2013 source
    • cites Sirois & Tosti, 2012 source

      The ‘Mindfulness, Stress, and Well-being’ section describes mindfulness as a stable tendency associated with self-regulation, reduced stress, and enhanced well-being. The Discussion also links mindfulness with acceptance of difficult thoughts and reports that low mindfulness accounts for the association between procrastination and stress. These passages do not establish that trait mindfulness leads to better coping strategies or buffers psychological outcomes specifically following stressful life events; no page numbers were available in our copy. (LLM, conf=0.83)

      Experimental — accuracy not yet measured
    • cites van Son et al., 2015 source
  • Classified as probably not a substantial claim.

    Premisecitation

    Trait mindfulness can moderate the relationship between fear of the coronavirus and psychological distress.

    “Moreover, trait mindfulness can also moderate the relationship between fear of the coronavirus and psychological distress (Vos et al., 2021).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Vos et al., 2021 source
  • Classified as probably not a substantial claim.

    Premisecitation

    Trait mindfulness is associated with lower levels of stress, anxiety, and depression.

    “Over the years, research has demonstrated that trait mindfulness is associated with psychological health outcomes, such as lower levels of stress, anxiety and depression (for review see, Tomlinson et al., 2018).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Tomlinson et al., 2018 source
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Trait mindfulness was negatively associated with COVID-19 related worries and fear of COVID-19.

    “Several of these studies have found that trait mindfulness was negatively associated with COVID-19 related worries (Dillard & Meier, 2021) and fear of COVID-19 (Yalcin et al., 2021).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Dillard & Meier, 2021 source
    • cites Yalcin et al., 2021

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Borderline on S1 (asserted), S3 (load-bearing), S4 (based): unclear from the text.

    Findingnone given

    Non-judging was negatively associated with COVID-19-related compulsive checking.

    “Non-judging was negatively associated with COVID-19-related compulsive checking.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The Fear of Coronavirus Questionnaire total score did not correlate with any mindfulness facet and was excluded from the main analyses.

    “The total score of the FCQ did not correlate with any of the mindfulness facets and was therefore excluded from the main analyses.”
    Quote in the paperNot a substantial claim
  • The quote only partly states this claim.

    Findingown data

    In a Dutch adult sample in February 2021, describing and non-judging were inversely related to COVID-19 related distress in multivariate regression analyses.

    “Multivariate regression analyses showed that describing and non-judging were inversely related to COVID-19 related distress.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In the sample, most mindfulness facet scores were significantly negatively correlated with COVID Stress Scale subscales, while observing was not.

    “Most mindfulness facet scores were significantly negatively correlated with the CSS subscales, except for Observing (p's > .05).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Questionnaires contained no explicit identifiers and were coded by number for tracking.

    “The questionnaires did not contain any explicit identifiers but were coded by number for data collection tracking purposes.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Participants were recruited by quota sampling, which may have resulted in a more biased sample.

    “participants were recruited by quota sampling, which may have resulted in a more biased sample.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    The regression analyses used a Bonferroni-adjusted alpha of 0.007 to control for multiple comparisons.

    “Multiple linear regression analyses with a Bonferroni adjusted alpha of 0.007 (0.05/8) were conducted to assess the association between the five facets of mindfulness and the different components of COVID-19 stress, as well as general perceived stress and symptoms of anxiety.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    The Perceived Stress Scale had good internal consistency in this sample, with Cronbach's alpha 0.85.

    “The internal consistency of the PSS was good in this sample (Cronbach's alpha = 0.85).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    The COVID Stress Scale total score had Cronbach's alpha 0.93, and its five subscales had alphas of 0.91, 0.89, 0.89, 0.87, and 0.75.

    “Cronbach's alpha yielded 0.93 for the total score, and 0.91, 0.89, 0.89, 0.87, and 0.75 for subscales 1 to 5, respectively.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Quota sampling was used to include equal numbers of men and women across six age decades.

    “Quota sampling was used to ensure that an equal number of men and women were included in the following six age decades: 18–30, 31–40, 41–50, 51–60, 61–70 and, 71 and above.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    In this sample, the FFMQ-SF total score had a Cronbach's alpha of 0.82, and its five subscales had alphas of 0.74, 0.79, 0.80, 0.75, and 0.66.

    “The Cronbach's alpha was 0.82 for the total score, and 0.74, 0.79, 0.80, 0.75, and 0.66 for subscales 1 to 5, respectively.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    The study received ethics approval from Tilburg University's Social and Behavioral Sciences Ethics Review Board, and all participants gave informed consent according to the Declaration of Helsinki.

    “Approval of this study was obtained from the Ethics Review Board of the school Social and Behavioral Sciences of Tilburg University (Protocol number: RP55), and all participants provided informed consent before participation according to the Declaration of Helsinki.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Researchers at Tilburg University's Medical and Clinical Psychology department checked the data for completeness and correctness.

    “Researchers of the Medical and Clinical Psychology department at Tilburg University checked the data to ensure completeness and correctness.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductreasoning

    Data from 811 participants were included for all study variables.

    “Data from 811 participants were included for all study variables.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Observing and describing have been related to openness and positive mental health.

    “Observing (ability to observe both internal and external experiences) and describing (using words to explain/describe experiences) on the other hand, have been related to other psychological constructs such as openness and positive mental health (Bohlmeijer et al., 2011).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Bohlmeijer et al., 2011 source
  • Classified as probably not a substantial claim.

    Study design and conductown data

    Multicollinearity assumptions were satisfied in all regression models, with acceptable tolerance and variance inflation factor values.

    “Assumptions regarding multicollinearity were met in all regression models, with appropriate tolerance and Variance Inflation Factor values.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    Of 852 participants who gave informed consent, 40 dropped out before completion and one was removed for missing main outcome data.

    “Of the 852 participants who completed informed consent, 40 dropped-out before study completion, and one participant had missing data on the main outcome measure, therefore were removed from the dataset (see Fig. 1 ).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    The Generalized Anxiety Disorder scale had good internal consistency in this sample, with Cronbach's alpha 0.89.

    “Internal consistency was good for this sample (Cronbach's alpha = 0.89).”
    Quote in the paperNot a substantial claim
28 of 28
  • The paper relies on this without support.

    The non-random quota sample is representative of the general Dutch adult population.

    “The participants of this study comprised a non-random selection of 852 adults from the general Dutch population that were included in February 2021. Quota sampling was used to ensure that an equal number of men and women were included in the following six age decades: 18–30, 31–40, 41–50, 51–60, 61–70 and, 71 and above.”
  • The paper relies on this without support.

    The removal of participants with missing data did not bias the estimated associations.

    “Of the 852 participants who completed informed consent, 40 dropped-out before study completion, and one participant had missing data on the main outcome measure, therefore were removed from the dataset (see Fig. 1 ).”
  • The paper relies on this without support.

    The set of covariates included in the regression models adequately controls for confounding of the mindfulness–distress associations.

    “The covariates age, sex, education, marital status, chronic condition, and COVID-19 infection were included in each model.”
  • The paper relies on this without support.

    The mode of questionnaire administration, digital or paper, did not affect participants' responses.

    “participants received an informed consent form and a questionnaire in Dutch, either digitally (www.qualtrics.com) or on paper.”
  • The authors state this as an assumption.

    Mindfulness can be enhanced with practice.

    “Given that mindfulness can be enhanced with practice”
  • The paper relies on this without support.

    The COVID-19 pandemic is a specific source of stress.

    “Given that the COVID-19 pandemic is a specific source of stress”
6 of 6

Statistics recomputed

Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.

  • ConsistentF(10, 789) = 9.96reported p < .001 · recomputed p < .001

    “F (10, 789) = 9.96, p < .001”

  • ConsistentF(10, 793) = 7.07reported p < .001 · recomputed p < .001

    “F (10, 793) = 7.07, p < .001”

  • ConsistentF(10, 793) = 6.77reported p < .001 · recomputed p < .001

    “F (10, 793) = 6.77, p < .001”

  • ConsistentF(10, 790) = 6.88reported p < .001 · recomputed p < .001

    “F (10, 790) = 6.88, p < .001”

  • ConsistentF(10, 793) = 8.56reported p < .001 · recomputed p < .001

    “F (10, 793) = 8.56, p < .001”

  • ConsistentF(10, 792) = 4.81reported p < .001 · recomputed p < .001

    “F (10, 792) = 4.81, p < .001”

  • ConsistentF(10, 791) = 60.34reported p < .001 · recomputed p < .001

    “F (10, 791) = 60.34, p < .001”

  • ConsistentF(10, 789) = 48.25reported p < .001 · recomputed p < .001

    “F (10, 789) = 48.25, p < .001”

8 of 8

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Xenophobia score range conflicts with the stated item scale

    Minor

    The xenophobia subscale has six items rated from 1 to 5, making its possible total range 6-30. The discussion instead gives a 0-24 range and says participants scored 2 or less.

1 of 1

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Cited by

Sorted by citations

Authors
Boekhorst, M. G. B. M., & Duijndam, S.
Affiliations
Tilburg University (NL)
Corresponding author
Duijndam, Stefanie
Venue
Acta Psychologica
Publisher
Elsevier BV
Published
2023-03
Volume
233
Pages
103826
ISSN
0001-6918 (ISSN-L)
OpenAlex
W4313647331
Cited by
2
References
65
Citations by year
2023: 2
FWCI
0.58
Type
journal article
Language
en
Open access
Locations
  • Acta Psychologica (publishedVersion, cc-by)
  • PubMed Central (publishedVersion)
  • Research portal (Tilburg University) (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Social Sciences › Health › Religion, Spirituality, and Psychology
Keywords
trait mindfulness, Five Facet Mindfulness Questionnaire, description, non-judgment, traumatic stress symptoms, compulsive checking, COVID-19 pandemic, protective factors
MeSH terms
COVID-19, Adult, Aged, Anxiety, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Mindfulness

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-09-28.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-09-28.

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Statistics and arithmetic are recomputed, not judged.

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