Impact of warm mindfulness on emotion regulation: a randomized controlled effectiveness trial
Open accessAbstract
OBJECTIVE: To determine the effects of mindfulness training for primary care (MTPC), an integrated warm mindfulness training program, on emotion regulation and its relationship with health behavior change. Interventions that improve self-regulation, particularly emotion regulation, are needed for the self-management of comorbid chronic physical and mental illnesses. Mindfulness-based interventions (MBIs) may impact self-regulation and facilitate health behavior change. METHOD: A randomized controlled comparative effectiveness trial was conducted in a population of adult primary care patients to evaluate the impact of MTPC versus a low-dose mindfulness comparator (LDC) on self-reported difficulties in emotion regulation (DERS) total score and other assays of self-regulation at baseline, Weeks 8 and 24. Self-reported action plan initiation was reported between Weeks 8 and 10. Participants had diagnoses of anxiety, depression, or stress-related disorders. MTPC is an 8-week insurance-reimbursable warm MBI designed to cultivate mindfulness and self-compassion and to catalyze chronic illness self-management related health behavior change. RESULTS: Compared to LDC, MTPC participants had statistically significant reductions in DERS total score at 8 weeks (d = -0.59, β = -12.98, 95% CI [-23.3 to -2.6]; p = .01) and 24 weeks (d = -0.61, β = -13.35, [-24.3, -2.4]; p = .02). Compared to 38% for LDC, 63% of MTPC participants successfully initiated their action plan within 3 weeks (OR = 2.87, [1.1, 7.9]; p = .04). CONCLUSIONS: This randomized controlled trial demonstrated MTPC enhanced emotion regulation and facilitated initiation of chronic illness self-management and health behavior change among primary care patients with anxiety, depression, and stress-related disorders, replicating previous reports. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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MTPC repeatedly demonstrated effectiveness in improving emotion-regulation, enhancing interoceptive awareness, and helping catalyze health behavior change, especially among people with diagnosed PTSD.
“MTPC to be effective in improving emotion-regulation, enhancing interoceptive awareness, and helping catalyze health behavior change, especially among people with diagnosed PTSD”
From Integrating choice points into mindfulness training for the dissociative subtype of PTSD: A case report (2024) · cites this paper as Gawande et al., 2023
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To, M. N., Beltrán, R., & King, K. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1834789
“The findings align with literature in the contemplative field that has documented the benefits of contemplative practices for supporting emotional regulation (92, 93), promoting interpersonal connection (94), and establishing grounded and authentic spaces of healing (44, 50).”
Embodiment, minority stress, and psychological distress among transgender and gender diverse adults
Broekhuijse, A., Barron, Z., Torres‐Harding, S., Rovner, G., Pardo, S. T., Fekete, E. M., & Skinta, M. D. (2026) · The Journal of LGBTQ+ Mental Health · doi:10.1080/30678935.2026.2689029
Liu, P., Wang, X., Duan, X. R., Situ, M., Tao, Y., Yang, Z., Zhao, S., Li, L., Li, S., Jiang, Y., et al. (2026) · JMIR mhealth and uhealth · doi:10.2196/86134
Abazari, L., Abazari, A., Kazemy, H., Iranmanesh, M., & Bagherian, B. (2026) · Journal of Holistic Nursing · doi:10.1177/08980101261476487
Caring Stress Management: A Qualitative Study of Strategies Used by Iranian Nurses
Goudarzian, A. H., Navab, E., Nia, H. S., Lehto, R. H., Nasrabadi, A. N., Kaveh, O., Alavi, S., & Farzami, P. (2026) · Nursing Open · doi:10.1002/nop2.70778
(2026) · Elsevier eBooks · doi:10.1016/b978-0-443-29821-9.16001-7
- Authors
- Gawande, R., Smith, L., Comeau, A., Creedon, T. B., Wilson, C. L., Griswold, T., Cook, B. L., Loucks, E. B., & Schuman-Olivier, Z.
- Affiliations
- Cambridge Health Alliance (US)
- ORCID
- Venue
- Health Psychology
- Published
- 2023-10
- Volume
- 42
- Issue
- 10
- Pages
- 699-711
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- PMC
- PMC10529078
- OpenAlex
- W4383302878
- Semantic Scholar
- 8ad5d397a46ef0888da280e936c9296ee5377144
- Cited by
- 24
- References
- 77
- Citations by year
- 2026: 10 · 2025: 9 · 2024: 4 · 2023: 1
- FWCI
- 6.97
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Health Psychology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Center for Complementary and Integrative Health (UH3AT009145)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- mindfulness training, emotion regulation, self-regulation, chronic disease self-management, health behavior change, primary care patients, anxiety, depression, stress-related disorders, self-compassion
- MeSH terms
- Self-Management, Emotional Regulation, Adult, Anxiety, Anxiety Disorders, Humans, Mindfulness
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