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The Role of Mindfulness in Positive Reappraisal
Open accessAbstract
Mindfulness meditation is increasingly well known for therapeutic efficacy in a variety of illnesses and conditions, but its mechanism of action is still under debate in scientific circles. In this paper, we propose a hypothetical causal model that argues for the role of mindfulness in positive reappraisal coping. Positive reappraisal is a critical component of meaning-based coping that enables individuals to adapt successfully to stressful life events. Mindfulness, as a metacognitive form of awareness, involves the process of decentering, a shifting of cognitive sets that enables alternate appraisals of life events. We review the concept of positive reappraisal in transactional stress and coping theory, then describe research and traditional literature related to mindfulness and positive reappraisal, and detail the central role of mindfulness in the reappraisal process. With this understanding, we present a causal model explicating the proposed mechanism. The discussion has implications for clinical practice, suggesting how mindfulness-based integrative medicine interventions can be designed to support adaptive coping processes.
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“For example, mindfulness may allow one to clear the contents of working memory in preparation for positively reappraising a distressing situation”
From Mindfulness Training Alters Emotional Memory Recall Compared to Active Controls: Support for an Emotional Information Processing Model of Mindfulness (2012) · cites this paper as Garland et al., 2009
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“Earlier, we (2007; Garland et al., 2009) asserted that disengagement from negative appraisals of aversive stimuli in favor of attending to the raw sensorium of present moment experience allows for the generation of new, more adaptive appraisals rather than reprocessing an existing cognitive set already tainted by negative emotional judgments.”
From Therapeutic mechanisms of a mindfulness-based treatment for IBS: effects on visceral sensitivity, catastrophizing, and affective processing of pain sensations. (2012) · cites this paper as Garland et al., 2009
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“According to the mindfulness-to-meaning theory [81, 82], this observational stance fosters an expanded attentional space, facilitating reframing situations from novel perspectives through reappraisal [34].”
From Emotion Regulation as a Mechanism of Mindfulness in Individual Cognitive-Behavioral Therapy for Depression and Anxiety Disorders (2024) · cites this paper as [82]
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“Based on this framework, the decentered perspective inherent in mindfulness facilitates a shift from automatic, habitual appraisals to more adaptive and flexible interpretations.”
From Emotion Regulation as a Mechanism of Mindfulness in Individual Cognitive-Behavioral Therapy for Depression and Anxiety Disorders (2024) · cites this paper as [82]
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“Further, disengaging from the emotional response elicited by these ways of thinking might be eased by the practice of mindfulness [70].”
From At the Peak of the Second Wave of COVID-19, Did Millennials Show Different Emotional Responses from Older Adults? (2022) · cites this paper as [70]
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Qualitative Approaches to the Study of Substance and Behavioral Addictions
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“Therefore, mindfulness clears working memory and provides opportunities for perspective taking and cognitive flexibility, thereby laying the foundation for reappraisal as an important secondary mechanism (Garland et al., 2009).”
Diamond, K. (2024) · Mindfulness · doi:10.1007/s12671-024-02408-4 · Cited by 10
“…processing in the promotion of resilience, a key factor in self-regulation and focused attention, and which can lead to an increased ability to learn from past experiences, resulting in positive reappraisal and self-efficacy (Garland et al., 2009; Raffone & Srinivasan, 2017; Yao & Hsieh, 2019).”
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“According to the mindful coping model (Garland et al., 2009), when a given event is appraised as a threat, harm, or loss that exceeds one’s capabilities, the individual may decenter from this stress appraisal into the mode of mindfulness, wherein one attends to the dynamic process of consciousness…”
BackgroundPervez, A., Lowman, G. H., & Mills, M. J. (2022) · Management International Review · doi:10.1007/s11575-022-00471-4 · Cited by 10
“This includes enhanced social relationships, greater sensitivity to one’s environment, enhanced openness to new information, creation of new categories for structuring perception, ability to reappraise stressful circumstances as benign or meaningful, ability to recover from negative emotional events, and enhanced awar…”
BackgroundHope and Academic Procrastination in Adolescents: A Moderated Mediation Model
Wang, S., Shi, J., Sheng, R., Yu, S., & Xu, W. (2022) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2022.023083 · Cited by 8
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“Yet, there are other avenues to affect appraisal, such as cognitive reappraisal or mindfulness (Garland, Gaylord, & Park, 2009) 6.”
BackgroundPriore, L. B. D., Perez, V. O., Briani, R. V., Farinelli, L. A. L. B., da Silva, J. D. C. P., Martins, O. M. G., Lopes, F. A., Amorim, A. B., Pappas, E., & de Azevedo, F. M. (2023) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-023-06491-x · Cited by 7
Mindfulness and the Addictive Process: Psychological Models and Neurobiological Mechanisms
Brewer, J. A., Dam, N. T. V., & Davis, J. H. (2015) · Springer eBooks · doi:10.1007/978-1-4939-2263-5_14 · Cited by 7
Nataraj, B. M., & Reddy, K. J. (2013) · International Journal of Indian Psychology · doi:10.25215/0903.093 · Cited by 6
Feize, L., Faver, C. A., & Gorabi, V. (2021) · Journal of Teaching in Social Work · doi:10.1080/08841233.2020.1846668 · Cited by 7
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“…mental health will be empowered and enhanced by such new and positive appraisals as they are considered to be essential workings of coping through understanding meaning, which in turn allows individuals to successfully adapt to the stresses in their lives (Garland, 2007; Garland et al., 2009).”
Hu, X., Zhang, Y., & Xia, M. (2024) · Humanities and Social Sciences Communications · doi:10.1057/s41599-024-03989-0 · Cited by 9
“Employees with trait mindfulness generally have a curious, open, and accepting attitude at the experiential level (Garland et al., 2009), which inspires innovative thinking.”
Zhao, J., Chen, S.-S., Wei, H., & Hu, Y. (2025) · Behavioral Science · doi:10.3390/bs15030346 · Cited by 5
“The mindfulness coping model points out that positive cognitive reassessment can effectively alleviate the negative effects of stressful events, in which mindfulness plays a central role in that positive cognitive reassessment (Garland et al., 2009).”
Yan-ping, R., Zhang, Y. C., & Jin, H. (2025) · BMC Psychology · doi:10.1186/s40359-025-02827-5 · Cited by 10
“…i.e., the mindful coping theory, the broaden-and-build theory, and the resilience theory, attested the close relationships among mindfulness, positive emotions, and resilience [15, 17, 76], alluding to the possibility that the mediating role of positive emotions between mindfulness and resilience.”
InfluentialRuini, C., & Ottolini, F. (2013) · EXPLORE · doi:10.1016/j.explore.2013.12.003 · Cited by 7
Emotion regulation and evaluative understanding
Madjar, S. (2020) · Philosophical Psychology · doi:10.1080/09515089.2020.1751102 · Cited by 6
“For discussion, see Garland et al. (2009); and Garland et al. (2015a, 2015b).”
BackgroundExploring the Emotional Experiences and Coping Strategies of Sustainability Change Agents
Russell, S., & Victoria, S. (2022) · Research on emotion in organizations · doi:10.1108/s1746-979120210000017009 · Cited by 7
Akbarpor, M., Ghazijahani, M. S., & Akbarinejhad, H. S. (2021) · The Neuroscience Journal of Shefaye Khatam · doi:10.52547/shefa.9.4.60 · Cited by 6
Najem, C., Meeus, M., Cagnie, B. J., Ayoubi, F., Achek, M. A., van Wilgen, P., Oosterwijck, J. V., & Meulemeester, K. D. (2022) · Journal of Religion and Health · doi:10.1007/s10943-022-01714-2 · Cited by 6
“Positive reappraisal involves cognitively reframing an event as more positive or valuable allowing individuals to adapt successfully to stressful life events (Garland et al., 2009).”
BackgroundStudent Motivation for Academic Performance in Higher Education in Nepal
Devkota, B., & Giri, S. (2020) · Education and Development · doi:10.3126/ed.v30i1.49401 · Cited by 6
Yang, Y., Su, F., Liu, H., & Li, X. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1071078 · Cited by 6
“According to the broaden-and-build theory (Fredrickson, 2004), the state of mindfulness appears to have a positive valence impact on how we interpret our daily events and could be viewed as the initial phase in the reappraisal process (Garland et al., 2009).”
BackgroundXu, C. L., Shen, Z., Lin, N., Xie, Z., Xie, L., Wang, Z., Li, Z., Qiao, Q., & Yan, W. (2023) · Applied Research in Quality of Life · doi:10.1007/s11482-023-10213-9 · Cited by 7
“The Mindful Coping Model suggests that individuals with higher levels of mindfulness can face negative life events with a more peaceful attitude and use cognitive reappraisal strategies to reduce the impact of stressful events when faced with stress (Garland et al., 2009).”
Aliche, C. J., Ifeagwazi, C. M., Nwamarah, J. U., Okechukwu, F. O., & Ngwu, E. C. (2023) · Current Psychology · doi:10.1007/s12144-023-04563-8 · Cited by 6
“…positive reappraisal abilities found in this research is clear evidence on the potential benefits of greater awareness, acceptance, and the redefinition of mental illness conditions as meaningful, consistent with our aforementioned theoretical framework: Mindful coping model (Garland et al., 2009).”
InfluentialCheng, X., Duan, J., Wu, W., & Lu, L. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1287217 · Cited by 5
“The Mindful Coping Model also believes that when individuals with high mindfulness face stressful events, they will make positive cognitive evaluations and re-evaluate stressful events, thereby reducing the negative impact of stress (46).”
BackgroundKastner, C. T. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1324329 · Cited by 5
Liu, L., Jia, H., Qiu, B., Zhang, A., & Zhang, Q. (2025) · BMC Psychology · doi:10.1186/s40359-025-02774-1 · Cited by 5
“According to the Mindful Coping Model, adopting a mindful approach to face stressful events in the social environment can help individuals positively face negative emotions and release stress [39].”
Li, T., Zhou, D., Zhang, W., & Ju, C. (2025) · Psychology in the Schools · doi:10.1002/pits.70074 · Cited by 8
“More importantly, mindfulness plays a key role in cognitive reappraisal (Garland et al. 2009).”
Kou, H., Luo, W., Wang, Y., Wu, J., Li, X., Wu, Y., Xiao, Q., & Bi, T. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1622626 · Cited by 6
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“According to the mindfulness-based stress reduction model, after engaging in positive cognitive evaluation, individuals experience an expanded attentional scope, reframe their understanding of stressful events, and ultimately increase their resilience levels (84).”
Chen, J., Zhang, C., Zhou, Y., & Xu, W. (2023) · Psychology in the Schools · doi:10.1002/pits.23057 · Cited by 5
Zhang, Y., Wang, Q., & Zhang, Y. (2023) · Mindfulness · doi:10.1007/s12671-023-02278-2 · Cited by 5
“Second, positive reappraisal, as a meaning-based coping strategy, refers to an adaptive process in which stressful events are reconstructed or referred to as benign, valuable, or beneficial (Garland et al., 2009).”
Experienced meditators show greater forward traveling cortical alpha wave strengths
Bailey, N. W., Hill, A. T., Godfrey, K. E. M., Perera, M. P. N., Hohwy, J., Corcoran, A. W., Rogasch, N. C., Fitzgibbon, B. M., & Fitzgerald, P. B. (2025) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.15401 · Cited by 7
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ter Avest, M. J., Greven, C. U., Huijbers, M. J., Wilderjans, T. F., Speckens, A. E. M., & Spinhoven, P. (2020) · Mindfulness · doi:10.1007/s12671-020-01453-z · Cited by 5
“This is in accordance with existing theories (e.g., Garland et al. 2009, 2015) suggesting positive (reciprocal) associations between mindfulness and positive affect.”
ResultMindfulness and posttraumatic response patterns among adolescents following the tornado
Liu, X., Shi, S., Wen, X., Chen, J., & Xu, W. (2022) · Children and Youth Services Review · doi:10.1016/j.childyouth.2022.106375 · Cited by 6
Sifelani, I., Matsikure, M., Songo, S., Kwembeya, M., & Kudejira, D. (2022) · South African Journal of Psychology · doi:10.1177/00812463221077608 · Cited by 5
“For example, positive reappraisal is a coping strategy that reinterprets stressful events as beneficial (Garland et al., 2009).”
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The role of mindfulness in alleviating ostracism
Chen, J., Yuzheng, W. A. N. G., Jinyan, W. A. N. G., & Fei, L. U. O. (2022) · Advances in Psychological Science · doi:10.3724/sp.j.1042.2022.01294 · Cited by 5
Using PhotoVoice to understand mindfulness in health care practitioners
Osman, I., & Singaram, V. S. (2022) · Health SA Gesondheid · doi:10.4102/hsag.v27i0.1942 · Cited by 7
Ye, H., Wang, D., Chen, X., Chen, M., Ouyang, H., Chen, C., Chen, S., Ding, J., & Fan, F. (2023) · Journal of Public Health · doi:10.1007/s10389-023-01881-w · Cited by 5
“When a disaster is assessed as posing a threat or causing a loss that transcends one’s capacity, survivors with high levels of mindfulness can shift from this stressful appraisal to a mindful mode (Garland et al. 2009).”
Cloonan, S., Fowers, R., Huberty, J., & Stecher, C. D. (2023) · Mindfulness · doi:10.1007/s12671-023-02217-1 · Cited by 5
“…can also facilitate more adaptive coping responses and mitigate the use of maladaptive coping behaviors by increasing distress tolerance and positive reappraisal, and reducing rumination and worry (de Vibe et al., 2018 ; Edenfield & Saeed, 2012; Garland et al., 2009, 2015; Liu et al., 2020).”
BackgroundBartos, L. J., Posadas, M. P., Wrapson, W., & Krägeloh, C. (2024) · Journal of Humanistic Psychology · doi:10.1177/00221678241233991 · Cited by 9
“Drawing from Shapiro et al. (2006) and Garland et al. (2009, 2015), it could be argued that through the practice of open-monitoring meditations, CRAFT participants may not only have potentiated their reframing and cognitive reappraisal skills but also eudaimonic qualities and resilience.”
Freedom from Within: A Meta-Analytic Review of Mindfulness Meditation-Based Interventions in Prisons
Pankovics, N., & Martinovic, M. (2024) · European journal of behavioral sciences · doi:10.33422/ejbs.v7i2.1251 · Cited by 7
“…2000; Perelman et al., 2012) Nonetheless, corresponding research comparing incarcerated MMBI groups and active controls recognized an increase in psychological well-being, such as optimism (Garland et al., 2009), subjective mood states (Samuelson et al., 2007) and self-compassion (Morley, 2017).”
BackgroundPidgeon, A. M., O’Brien, B., Hanna, A. S. H., & Klaassen, F. (2014) · GSTF Journal of Psychology · doi:10.5176/2345-7872_1.2.13 · Cited by 5
“Such skills have the capacity to assist individuals to respond to adversity with increased awareness and intentionality, reducing stress and psychological distress (16).”
BackgroundMethodMindfulness - det oppmerksomme nærvær
Sandvik, B. A. (2011) · Sykepleien Forskning · doi:10.4220/sykepleienf.2011.0169 · Cited by 5
Beath, A., Mcdonald, K., Osborn, T. C., & Jones, M. P. (2018) · Mindfulness · doi:10.1007/s12671-018-1019-8 · Cited by 5
Duan, W.-J., & Wang, Z. (2018) · Mindfulness · doi:10.1007/s12671-018-1039-4
“This metacognitive process enables these individuals to pay attention to the consciousness itself rather than the unbearable contents (Garland et al. 2009), which further attenuates automatic evaluation and avoidant coping and eventually enables constructive and positive reappraisal.”
BackgroundInfluentialSubstance and Behavioral Addictions Assessment Instruments
Grigsby, T. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.012 · Cited by 6
Complementary Approaches for Military Women with Chronic Pelvic Pain: A Randomized Trial
Crisp, C. D., Baldi, R., Fuller, M., de Abreu, E. L., & Nackley, A. G. (2022) · Journal of Integrative and Complementary Medicine · doi:10.1089/jicm.2022.0616 · Cited by 5
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Kwok, G., Sharma, A., Mandato, I., & Devine, K. A. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21050584 · Cited by 4
Kupferberg, A., & Hasler, G. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1372650 · Cited by 5
“Mindful decentering, a core element of mindfulness, plays a pivotal role in facilitating positive reappraisal (228).”
BackgroundWang, Y. J., Qiao, T., & Liu, C. (2025) · Scientific Reports · doi:10.1038/s41598-025-94326-1 · Cited by 7
“…proposed by Garland et al., posits that individuals use mindfulness as an inherent element to deal with stimuli brought about by situations or events they face, decentering situations, forming positive reappraisals 54 , thereby promoting adaptive physical and mental responses of individuals 55 .”
Does Mindfulness Support the Status Quo? The Role of Neoliberal Orientation and Emotion Regulation
Chachignon, P., Suchier, J., Dany, L., & Barbenchon, E. L. (2025) · European Journal of Social Psychology · doi:10.1002/ejsp.70007 · Cited by 5
Başa Çıkma: Bütüncül Bir Gözden Geçirme
ZÜMBÜL, S. (2021) · İnönü Üniversitesi Eğitim Fakültesi Dergisi · doi:10.17679/inuefd.688844 · Cited by 4
Chen, J., Fu, G., Zhou, Y., & Xu, W. (2022) · Psychology Health & Medicine · doi:10.1080/13548506.2022.2079689 · Cited by 5
“According to the mindful coping model, when a given event is appraised as a threat or harm, individuals will cope with the stress evaluation in the way of mindfulness, adopt the decentralized adaptive response, and pay attention to the dynamic process of consciousness, rather than its content, which will extend the sc…”
Dussault, É., Fernet, M., Guyon, R., & Godbout, N. (2024) · The Canadian Journal of Human Sexuality · doi:10.3138/cjhs-2023-0006 · Cited by 4
“Mindfulness allows them to step back and de-center themselves from the experience, even if only momentarily, which, in turn, allows for perspective-taking and reappraisal, thereby fostering PTG (Garland et al., 2009; Tedeschi & Blevins, 2015).”
BackgroundThreat to the self at the heart of depression: Mediating role and depressogenic prism hypothesis
Stinus, C., & Berjot, S. (2024) · Revista de Psicopatología y Psicología Clínica · doi:10.5944/rppc.41391 · Cited by 4
“…Gordillo Rodríguez et al., 2024), are recognized for their direct impact on dysfunctional attitudes (Britton et al., 2021), as well as for fostering cognitive decentering (Moore et al., 2022), promoting reappraisal (Garland et al., 2009), and enhancing mental clarity (Vago & Silbersweig, 2012).”
Mindful Coping and Mental Health among Adolescents
Tharaldsen, K. B., Bru, E., & Wilhelmsen, I. (2011) · International Journal of Mental Health Promotion · doi:10.1080/14623730.2011.9715653 · Cited by 6
“Decentring and positive reappraisals are thus distinct, yet related, constructs (Garland et al, 2009).”
BackgroundInfluentialFeasibility of a Mindfulness-Based Intervention for Caregivers of Veterans: A Pilot Study
Lara-Cinisomo, S., Fujimoto, E. M., & Santens, R. L. (2019) · Journal of Holistic Nursing · doi:10.1177/0898010119831580 · Cited by 4
Saranjam, R., Forouzanfar, A., & Samavi, S. A. (2019) · Journal of Research and Health · doi:10.29252/jrh.9.4.363 · Cited by 5
Prevention and Treatment of Sex Addiction
Reid, R. C., Grubbs, J. B., & Kraus, S. W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.025 · Cited by 4
I am a Survivor: Experiences, Impacts and Coping Mechanisms of Filipino Victims of Sexual Violence
Quing, K. A. C. (2021) · Journal of Education Management and Development Studies · doi:10.52631/jemds.v1i1.18 · Cited by 4
The importance of yoga and mindfulness during pregnancy
Vaamonde, D., Algar‐Santacruz, C., Pettit, J. R., Chacon, B., & Dillard, D. M. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-818309-0.00018-6 · Cited by 5
Lafarge, C., Milani, R. M., Cahill, S., & Görzig, A. (2022) · Adversity and Resilience Science · doi:10.1007/s42844-022-00079-5 · Cited by 5
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“While practicing mindfulness is used to relax or reduce stress (Kabat-Zinn 2003), practicing mindfulness can also be a cognitively taxing event because of how much cognitive attention it takes to remain grounded in the present (Garland et al. 2009).”
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“This enhanced flexibility facilitates the reappraisal of stressful life events, allowing individuals to break free from their usual automatic reactive modes and initiate more adaptive responses (Garland 2007; Garland, Gaylord, and Park 2009).”
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“The mindful coping model also argues that highly mindful individuals actively re-evaluate and redefine stressors, reassessing the stress events to reduce the negative impact of stress [51].”
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“Mindfulness also emphasizes the non-evaluation of conscious experiences (Garland et al., 2009).”
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Metadata
- Authors
- Garland, E., Gaylord, S., & Park, J.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Garland, Eric
- Venue
- EXPLORE
- Publisher
- Elsevier BV
- Published
- 2009-01
- Volume
- 5
- Issue
- 1
- Pages
- 37-44
- ISSN
- 1550-8307 (ISSN-L)
- PMC
- PMC2719560
- OpenAlex
- W2073980075
- Cited by
- 595
- References
- 78
- Citations by year
- 2026: 25 · 2025: 54 · 2024: 47 · 2023: 46 · 2022: 56 · 2021: 48 · 2020: 78 · 2019: 32 · 2018: 26 · 2017: 37 · 2016: 32 · 2015: 23 · 2014: 21 · 2013: 16 · 2012: 24
- FWCI
- 1.66
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- EXPLORE (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- Triangle Community Foundation
- National Institutes of Health
- University of North Carolina at Chapel Hill
- National Center for Complementary and Alternative Medicine (AT003378)
- National Center for Complementary and Integrative Health (T32AT003378)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- mindfulness meditation, positive reappraisal, meaning-based coping, decentering, metacognition, causal models, stress adaptation, mindfulness-based interventions, integrative medicine
- MeSH terms
- Humans, Internal-External Control, Models, Psychological, Psychotherapy, Group, Quality of Life, Cognitive Behavioral Therapy, Meditation, Mind-Body Relations, Metaphysical
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