Positive Impact of Mindfulness Meditation on Mental Health of Female Teachers during the COVID-19 Outbreak in Italy
Open accessAbstract
The Covid-19 pandemic and subsequent public health measures were shown to impact negatively on people’s mental health. In particular, women were reported to be at higher risk than men of developing symptoms of stress/anxiety/depression, and resilience was considered a key factor for positive mental health outcomes. In the present study, a sample of Italian female teachers (n = 66, age: 51.5 ± 7.9 years) was assessed with self-report instruments one month before and one month after the start of the Covid-19 lockdown: mindfulness skills, empathy, personality profiles, interoceptive awareness, psychological well-being, emotional distress and burnout levels were measured. Meanwhile, they received an 8-week Mindfulness-Oriented Meditation (MOM) course, through two group meetings and six individual video-lessons. Based on baseline personality profiles, analyses of variance were performed in a low-resilience (LR, n = 32) and a high-resilience (HR, n = 26) group. The LR and HR groups differed at baseline in most of the self-report measures. Pre–post MOM significant improvements were found in both groups in anxiety, depression, affective empathy, emotional exhaustion, psychological well-being, interoceptive awareness, character traits and mindfulness levels. Improvements in depression and psychological well-being were higher in the LR vs. HR group. We conclude that mindfulness-based training can effectively mitigate the psychological negative consequences of the Covid-19 outbreak, helping in particular to restore well-being in the most vulnerable individuals.
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TL;DR
In 66 Italian female teachers assessed before and after Italy’s COVID-19 lockdown, an 8-week Mindfulness-Oriented Meditation (MOM) course was associated with pre–post improvements in anxiety, depression, affective empathy, emotional exhaustion, psychological well-being, interoceptive awareness, character traits, and mindfulness. Improvements in depression and psychological well-being were greater in the low-resilience group than in the high-resilience group, but the study lacked a control group.
Key findings
- At baseline, the low-resilience (LR, n = 32) and high-resilience (HR, n = 26) groups differed on most self-report measures: HR had higher mindfulness facets (AWA, NJU, NRE), higher MAIA NWO and SRE, higher PWB scores, lower HADS anxiety/depression, and lower MBI emotional exhaustion.
- From pre- to post-MOM, both groups improved significantly in mindfulness skills (Time: F(1,56) = 9.7, p = 0.003, ηP² = 0.303), anxiety (F(1,56) = 8.7, p = 0.005, ηP² = 0.135), depression (F(1,56) = 13.8, p < 0.001, ηP² = 0.198), and emotional exhaustion (F(1,56) = 6.7, p = 0.01, ηP² = 0.108).
- LR participants showed greater improvement than HR participants in depression (Group × Time: F(1,56) = 5.3, p = 0.03, ηP² = 0.086) and in the positive relations with others PWB scale (F(1,56) = 8.7, p = 0.005, ηP² = 0.134).
- Adherence was 1307.7 ± 22.5 min of meditation during the course (about 26 min/day; 88% of assigned amount), and satisfaction was generally high: enjoyment M = 4.1, usefulness M = 4.0, instructor competence M = 4.5, and meditation helped during isolation M = 3.6.
Methods
- Pre–post design with a between-subject resilience group factor; 66 female Italian teachers (age 51.5 ± 7.9 years) were assessed one month before and one month after the national lockdown, with 58 completing the course (age 50.8 ± 8.0 years; 11.9% dropout).
- Participants received an 8-week MOM course: two initial group meetings and six video lessons, with 30 min daily home meditation; measures included FFMQ, QCAE, TCI, MAIA, PWB, HADS, and MBI-ES.
- Participants were classified into LR and HR groups by k-means clustering on baseline TCI harm avoidance and self-directedness z-scores; analyses used independent-sample t tests and ANOVAs with Time and Group factors, Holm–Bonferroni post-hoc contrasts, and R 3.6.3.
Limitations
- The paper states: no control group was employed; future studies should include younger participants; only self-report measures were used; the MOM course evaluation questions were not from a validated instrument; and spirituality was not explicitly tested beyond the TCI self-transcendence scale.
- Evident from the text: the planned control group was not assessed because of the COVID-19 outbreak, so improvements cannot be attributed to the MOM course; assessment mode changed from paper-and-pencil at T0 to internet-based questionnaires at T1; and no long-term follow-up was reported.
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- Findingown data
Pre-post Mindfulness-Oriented Meditation training significantly improved psychological well-being in both the low-resilience and high-resilience groups.
“Pre–post MOM significant improvements were found in both groups in anxiety, depression, affective empathy, emotional exhaustion, psychological well-being, interoceptive awareness, character traits and mindfulness levels.”
Quote in the paperSubstantial claim - Findingown data
Participants in the HR group had higher baseline scores in the NWO and SRE scales of the MAIA.
“Moreover, participants in the HR had significantly higher baseline scores in the AWA, NJU and NRE facets of the FFMQ, lower AE scores in the QCAE, higher scores in the NWO and SRE scales of the MAIA, higher scores in all scales of the PWB, lower anxiety and depression scores in the HADS, and lower EE and higher DP and PA scores in the MBI (Hypothesis H1).”
Quote in the paperNot a substantial claim - Findingown data
Improvements in depression were higher in the low-resilience group compared to the high-resilience group.
“Improvements in depression and psychological well-being were higher in the LR vs. HR group.”
Quote in the paperNot a substantial claim - Findingown data
The ANOVA on normalized FFMQ scores showed a significant Time × Scale interaction due to different improvements over time in the five scales.
“A significant interaction effect between Time and Scale was found (F(4,224) = 2.8, p[GG] = 0.03, ηP2 = 0.048), due to different improvements over time in the five scales.”
Quote in the paperNot a substantial claim - Findingown data
Pre-post Mindfulness-Oriented Meditation training significantly improved affective empathy in both the low-resilience and high-resilience groups.
“Pre–post MOM significant improvements were found in both groups in anxiety, depression, affective empathy, emotional exhaustion, psychological well-being, interoceptive awareness, character traits and mindfulness levels.”
Quote in the paperSubstantial claim
- Findingown data
Participants in the HR group had lower baseline AE scores in the QCAE.
“Moreover, participants in the HR had significantly higher baseline scores in the AWA, NJU and NRE facets of the FFMQ, lower AE scores in the QCAE, higher scores in the NWO and SRE scales of the MAIA, higher scores in all scales of the PWB, lower anxiety and depression scores in the HADS, and lower EE and higher DP and PA scores in the MBI (Hypothesis H1).”
Quote in the paperNot a substantial claim - Findingown data
Improvements in psychological well-being were higher in the low-resilience group compared to the high-resilience group.
“Improvements in depression and psychological well-being were higher in the LR vs. HR group.”
Quote in the paperNot a substantial claim - Findingown data
There were no other significant main effects or interactions in the AE or CE scores.
“There were no other significant main effects or interactions in the AE or in the CE scores (all F(1,56) < 1.6, p > 0.21, ηP2 < 0.028).”
Quote in the paperNot a substantial claim - Findingown data
Pre-post Mindfulness-Oriented Meditation training significantly improved depression in both the low-resilience and high-resilience groups.
“Pre–post MOM significant improvements were found in both groups in anxiety, depression, affective empathy, emotional exhaustion, psychological well-being, interoceptive awareness, character traits and mindfulness levels.”
Quote in the paperSubstantial claim - Findingown data
The low-resilience and high-resilience groups differed at baseline in most of the self-report measures.
“The LR and HR groups differed at baseline in most of the self-report measures.”
Quote in the paperNot a substantial claim - Findingown data
Pre-post Mindfulness-Oriented Meditation training significantly improved anxiety in both the low-resilience and high-resilience groups.
“Pre–post MOM significant improvements were found in both groups in anxiety, depression, affective empathy, emotional exhaustion, psychological well-being, interoceptive awareness, character traits and mindfulness levels.”
Quote in the paperSubstantial claim - Findingown data
Pre-post Mindfulness-Oriented Meditation training significantly improved emotional exhaustion in both the low-resilience and high-resilience groups.
“Pre–post MOM significant improvements were found in both groups in anxiety, depression, affective empathy, emotional exhaustion, psychological well-being, interoceptive awareness, character traits and mindfulness levels.”
Quote in the paperSubstantial claim - Findingown data
Pre-post Mindfulness-Oriented Meditation training significantly improved interoceptive awareness in both the low-resilience and high-resilience groups.
“Pre–post MOM significant improvements were found in both groups in anxiety, depression, affective empathy, emotional exhaustion, psychological well-being, interoceptive awareness, character traits and mindfulness levels.”
Quote in the paperSubstantial claim - Findingown data
The HA and SD scores of the 8 teachers who dropped out mainly fell in between those of the HR and LR groups.
“When comparing the resilience profiles of the 58 teachers who completed the MOM course with those of the 8 teachers who dropped out (HA: z = −0.20 ± 0.58; SD: z = 0.25 ± 0.40), it was observed that the HA and SD scores of the drop-outs mainly fell in between those of the teachers in the HR group (HA: z = −0.26 ± 0.82; SD: z = 0.64 ± 0.51) and those of the LR group (HA: z = 1.25 ± 0.56; SD: z = −0.”
Quote in the paperNot a substantial claim - Findingown data
Participants in the HR group had significantly higher baseline scores in the AWA, NJU and NRE facets of the FFMQ.
“Moreover, participants in the HR had significantly higher baseline scores in the AWA, NJU and NRE facets of the FFMQ, lower AE scores in the QCAE, higher scores in the NWO and SRE scales of the MAIA, higher scores in all scales of the PWB, lower anxiety and depression scores in the HADS, and lower EE and higher DP and PA scores in the MBI (Hypothesis H1).”
Quote in the paperNot a substantial claim - Findingown data
Pre-post Mindfulness-Oriented Meditation training significantly improved mindfulness levels in both the low-resilience and high-resilience groups.
“Pre–post MOM significant improvements were found in both groups in anxiety, depression, affective empathy, emotional exhaustion, psychological well-being, interoceptive awareness, character traits and mindfulness levels.”
Quote in the paperSubstantial claim - Findingown data
The LR and HR groups were significantly different in most of the baseline measurements.
“The LR and HR groups were significantly different in most of the baseline measurements (see Table 2).”
Quote in the paperNot a substantial claim - Findingown data
Participants in the HR group had higher baseline scores in all scales of the PWB.
“Moreover, participants in the HR had significantly higher baseline scores in the AWA, NJU and NRE facets of the FFMQ, lower AE scores in the QCAE, higher scores in the NWO and SRE scales of the MAIA, higher scores in all scales of the PWB, lower anxiety and depression scores in the HADS, and lower EE and higher DP and PA scores in the MBI (Hypothesis H1).”
Quote in the paperNot a substantial claim - Findingown data
Participants in the HR group had lower baseline anxiety and depression scores in the HADS.
“Moreover, participants in the HR had significantly higher baseline scores in the AWA, NJU and NRE facets of the FFMQ, lower AE scores in the QCAE, higher scores in the NWO and SRE scales of the MAIA, higher scores in all scales of the PWB, lower anxiety and depression scores in the HADS, and lower EE and higher DP and PA scores in the MBI (Hypothesis H1).”
Quote in the paperNot a substantial claim - Findingown data
Pre-post Mindfulness-Oriented Meditation training significantly improved character traits in both the low-resilience and high-resilience groups.
“Pre–post MOM significant improvements were found in both groups in anxiety, depression, affective empathy, emotional exhaustion, psychological well-being, interoceptive awareness, character traits and mindfulness levels.”
Quote in the paperSubstantial claim - Findingown data
The pre/post MOM change in Anxiety scores was predicted by Q9 responses differently in the two groups (b = −0.81, p = 0.02).
“The pre/post MOM change in the Anxiety scores was predicted, by Q9 responses, differently in the two groups (b = −0.81, p = 0.02)”
Quote in the paperNot a substantial claim - Findingown data
Participants reported that the absence of the practice would have made the period a little worse (M = 1.9, SD = 0.6).
“that the absence of the practice would have made the period a little worse (M = 1.9, SD = 0.6)”
Quote in the paperNot a substantial claim - Findingown data
In the temperament scales of TCI, a significant main effect of Time was observed in the HA scale, with an overall decrease in HA scores from T0 to T1.
“A significant main effect of Time was also observed in the HA scale (F(1,56) = 28.6, p < 0.001, ηP2 = 0.338), with an overall decrease in HA scores from T0 to T1.”
Quote in the paperNot a substantial claim - Findingown data
Participants reported that thinking about Covid-19 distracted them slightly during practice sessions (M = 2.5, SD = 0.9).
“the participants reported that thinking about Covid-19 distracted them slightly during practice sessions (M = 2.5, SD = 0.9)”
Quote in the paperNot a substantial claim - Findingown data
The scores for the personality traits used to define resilience in the study (i.e., harm avoidance and self-directedness) also improved in both LR and HR groups.
“It is important to underline that the scores for the personality traits used to define resilience in our study (i.e., harm avoidance and self-directedness) also improved in both LR and HR groups in the present study.”
Quote in the paperNot a substantial claim - Findingown data
All other main effects and interactions in the MBI ANOVA were not significant.
“All other main effects and interactions were not significant (for all F(1,56) < 2.6, p > 0.11, ηP2 < 0.044).”
Quote in the paperNot a substantial claim - Findingown data
No significant between-group differences were found in the questions about the course in the context of the Covid-19 lockdown (Q7-Q10).
“No significant between-group differences were found in these questions (for all, Fisher’s exact test p > 0.26).”
Quote in the paperNot a substantial claim - Findingown data
In the HR group, changes in Anxiety scores were negatively related to Q9 responses (r = −0.53, p = 0.005).
“while in the HR group these changes were negatively related to Q9 responses (r = −0.53, p = 0.005).”
Quote in the paperNot a substantial claim - Findingown data
The ANOVA on the character scales of TCI highlighted a main effect of Group, with higher scores in the HR group vs. LR.
“The ANOVA on the character scales of TCI highlighted three significant main effects: a main effect of Group (F(1,56) = 12.8, p < 0.001, ηP2 = 0.186), with higher scores in the HR group (vs. LR)”
Quote in the paperNot a substantial claim - Findingown data
For most of the measurements where the improvements were observed, the rate of change over time was generally similar in the two groups of teachers differing in terms of resilience.
“In our study, for most of the measurements where the improvements were observed, the rate of change over time was generally similar in the two groups of teachers differing in terms of resilience.”
Quote in the paperNot a substantial claim - Findingown data
Participants reported that the practice of meditation helped them very much during the particular period of isolation related to the emergency (M = 3.6, SD = 0.7).
“that the practice of meditation helped them very much during the particular period of isolation related to the emergency (M = 3.6, SD = 0.7)”
Quote in the paperSubstantial claim - Findingown data
All other main effects and interactions in the MAIA ANOVA were not significant.
“All other main effects and interactions were not significant (for all F(1,56) < 2.7, p > 0.11, ηP2 < 0.046).”
Quote in the paperNot a substantial claim - Findingown data
A significant main effect of Time was observed in the EE component of burnout, with an overall decrease in scores from T0 to T1.
“A significant main effect of Time was observed in the EE component (F(1,56) = 6.7, p = 0.01, ηP2 = 0.108), with an overall decrease in scores from T0 to T1.”
Quote in the paperSubstantial claim - Findingown data
Significant main effects of Time were found in six of the eight MAIA scales (NOT, ARE, EAW, SRE, BLI, TRU), with an increase of scores from T0 to T1.
“Significant main effects of Time were found in six of the eight MAIA scales (NOT, ARE, EAW, SRE, BLI, TRU) (for all F(1,56) > 7.6, p < 0.008, ηP2 > 0.120), with an increase of scores from T0 to T1.”
Quote in the paperSubstantial claim - Findingown data
In the LR group, changes in Anxiety scores were not related to Q9 responses (r = 0.10, p = 0.57).
“in the LR group the changes in the Anxiety scores were not related to Q9 responses (r = 0.10, p = 0.57)”
Quote in the paperSubstantial claim - Findingown data
The ANOVA on the character scales of TCI highlighted a main effect of Time, with an overall increase in scores from T0 to T1.
“a main effect of Time (F(1,56) = 23.7, p < 0.001, ηP2 = 0.298), with an overall increase in scores from T0 to T1”
Quote in the paperSubstantial claim - Findingown data
A significant between-group difference was found only in the question about the usefulness of the course, with LR group M = 3.81, SD = 0.69 and HR group M = 4.15, SD = 0.73 (Fisher's exact test p = 0.046).
“A significant between-group difference was found only in the question about the usefulness of the course (in the LR group: M = 3.81, SD = 0.69; in the HR group: M = 4.15, SD = 0.73; Fisher’s exact test p = 0.046).”
Quote in the paperNot a substantial claim - Findingown data
A significant result was found only for question Q9 in relationship with the HADS Anxiety change scores.
“A significant result was found only for question Q9 (“How do you think you would have lived this period without the practice?”), the responses to which were dichotomized with ‘0’ for “much worse” responses and ‘1’ for responses from “somewhat worse” to “much better”, in relationship with the HADS Anxiety change scores.”
Quote in the paperNot a substantial claim - Findingown data
Significant main effects of Group were found in the EE component of burnout, with higher scores in the LR vs. HR group.
“Significant main effects of Group were found in the EE component of burnout (F(1,56) = 17.7, p < 0.001, ηP2 = 0.240), with higher scores in the LR (vs. HR) group”
Quote in the paperNot a substantial claim - Findingown data
The ANOVA on the character scales of TCI highlighted a Group × Time interaction, with scores improving over time more in the LR group than in the HR group.
“and an interaction effect between Group and Time (F(1,56) = 5.6, p = 0.02, ηP2 = 0.090), with scores improving over time more in the LR (χ²(1) = 29.1, p < 0.001) than in the HR group (χ²(1) = 2.9, p = 0.09).”
Quote in the paperSubstantial claim - Findingown data
Those in the low-resilience group reported significantly lower scores than their colleagues in the high-resilience group when asked about the usefulness of the course.
“Although teachers generally appreciated the course and actively engaged in it, those in the low-resilience group reported significantly lower scores than their colleagues in the high-resilience group when asked about the usefulness of the course.”
Quote in the paperSubstantial claim - Premisecitation
Teaching evidence-based self-help methods is a viable option to address the need for psychological support when in-person services are suspended.
“Teaching evidence-based self-help methods often represents a viable option to address the urgent need of psychological support for large numbers of people, when in-person services are suspended [18,19].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [18] Yang, L., Yin, J., Wang, D., Rahman, A., and Li, X. (2020). Urgent need to develop evidence-based self-help interventions for mental health of healthcare workers in COVID-19 pandemic. Psychol. Med., 1–2. source
Not checked in the free run.
- cites [19] Zhou, 2020, The role of telehealth in reducing the mental health burden from COVID-19, Telemed. E Health source
Not checked in the free run.
- Premisecitation
Women are at higher risk than men of developing symptoms of stress, anxiety, or depression during the Covid-19 pandemic.
“In particular, women were reported to be at higher risk than men of developing symptoms of stress/anxiety/depression”
- Also stated in: § 1. Introduction · boosted
“many studies have indeed frequently shown that being a woman is one of the risk factors for poor mental health outcomes during the Covid-19 pandemic [5,6,39,40,41,42].”
Quote in the paperSubstantial claim0 of 6 sources checked- cites [5] Favieri, F., Forte, G., Tambelli, R., and Casagrande, M. (2020). The Italians in the time of coronavirus: Psychosocial aspects of unexpected COVID-19 pandemic. Lancet, preprint. source
Not checked in the free run.
- cites [6] Davico, C., Ghiggia, A., Marcotulli, D., Ricci, F., Amianto, F., and Vitiello, B. (2020). Psychological impact of the COVID-19 pandemic on adults and their children in Italy. Lancet, preprint. source
Not checked in the free run.
- cites [39] Casagrande, 2020, The enemy who sealed the world: Effects quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population, Sleep Med. source
Not checked in the free run.
- cites [40] Broche-Pérez, Y., Fernández-Fleites, Z., Jiménez-Puig, E., Fernández-Castillo, E., and Rodríguez-Martin, B.C. (2020). Gender and fear of COVID-19 in a Cuban population sample. Int. J. Ment. Health Addict. source
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- cites [41] Mazza, C., Ricci, E., Biondi, S., Colasanti, M., Ferracuti, S., Napoli, C., and Roma, P. (2020). A Nationwide survey of psychological distress among Italian people during the COVID-19 pandemic: Immediate psychological responses and associated factors. Int. J. Environ. Res. Public Health, 17. source
Not checked in the free run.
- cites [42] Liu, 2020, Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter, Psychiatry Res. source
Not checked in the free run.
- Also stated in: § 1. Introduction · boosted
- Premisecitation
Resilience is a key factor for positive mental health outcomes.
“resilience was considered a key factor for positive mental health outcomes.”
- Also stated in: § 1. Introduction · plain
“Individual adaptive or non-adaptive responses to adverse events depend on a variety of biological, cultural, social and psychological components, which can be encompassed in the concept of psychological resilience [43].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [43] Southwick, S.M., and Charney, D.S. (2018). Resilience: The Science of Mastering Life’s Greatest Challenges, Cambridge University Press. source
Not checked in the free run.
- Also stated in: § 1. Introduction · plain
- Interpretationcitation
The sample of 66 female teachers is representative of Italian teachers in age.
“The sample considered is representative of the Italian teachers, which are on average older than in most other developed countries (average age of teachers in Italy—48.6 years; average for countries of the Organization for Economic Cooperation and Development—44.1 years) [61].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [61] OECD (2020). TALIS 2018 Results (Volume II): Teachers and School Leaders as Valued Professionals, OECD Publishing.
Not checked in the free run.
- Study design and conductcitation
The Psychological Well-being Scales showed Cronbach's α values ranging from 0.60 to 0.70.
“PWB Scales showed Cronbach’s α values ranging from 0.60 to 0.70 [76], which appears to be a sufficient level of internal consistency based on the fact that each subscale comprised only three items.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [76] Viola, 2016, Psychological well-being and career indecision in emerging adulthood: The moderating role of hardiness, Career Dev. Q. source
Not checked in the free run.
- Interpretationreasoning
The greater improvement in LR individuals could be due, at least in part, to ceiling effects, because highly resilient individuals already showed healthy profiles at baseline for these measures.
“This could be due, at least in part, to ceiling effects, because highly resilient individuals already showed healthy profiles at baseline for these measures.”
Quote in the paperNot a substantial claim - Interpretationcitation
The findings could also be linked to different levels of motivation, across HR and LR participants, to commit themselves to the mindfulness intervention, which is usually presented as a way to alleviate one's psychological suffering.
“The findings could also be linked to different levels of motivation, across HR and LR participants, to commit themselves to the mindfulness intervention, which is usually presented as a way to alleviate one’s psychological suffering [103]”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [103] Hayes, 2007, Mindfulness from the bottom up: Providing an inductive framework for understanding mindfulness processes and their application to human suffering, Psychol. Inq. source
Not checked in the free run.
- Interpretationcitation
The results confirm the possibility of effectively delivering MBIs via the internet.
“our results therefore confirm the possibility of effectively delivering MBIs via the internet [37,38].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [37] Spijkerman, 2016, Effectiveness of online mindfulness-based interventions in improving mental health: A review and meta-analysis of randomised controlled trials, Clin. Psychol. Rev. source
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- cites [38] Pryor, 2018, Web-based mindfulness interventions for mental health treatment: Systematic review and meta-analysis, JMIR Ment. Health source
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- Interpretationcitation
The teachers' satisfaction with the course itself can also be expressed by the number of teachers who dropped out (11.9% of drop-out in the study), which can be classified as medium-to-low when compared to the corresponding past literature.
“In addition to these positive responses from the teachers who completed the course, the teachers’ satisfaction with the course itself can also be expressed by the number of teachers who dropped out (11.9% of drop-out in our study), which, in the present study, can be classified as medium-to-low when compared to the corresponding past literature [30,107,108,109].”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [30] Lamothe, 2016, Outcomes of MBSR or MBSR-based interventions in health care providers: A systematic review with a focus on empathy and emotional competencies, Complement. Ther. Med. source
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- cites [107] Khoury, 2013, Mindfulness-based therapy: A comprehensive meta-analysis, Clin. Psychol. Rev. source
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- cites [108] Abbott, 2014, Effectiveness of mindfulness-based stress reduction and mindfulness based cognitive therapy in vascular disease: A systematic review and meta-analysis of randomised controlled trials, J. Psychosom. Res. source
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- cites [109] Nam, 2016, The influence of attrition in evaluating the efficacy and effectiveness of mindfulness-based interventions, Int. J. Ment. Health Addict. source
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- Interpretationown data
For the HR group only, the more the Anxiety scores decreased, the more participants felt that they would have had more difficulty living through the lockdown period without the meditation practice.
“This means that, for the HR group only, the more the Anxiety scores decreased, the more participants felt that they would have had more difficulty living through the lockdown period without the meditation practice.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Participants' active daily engagement in meditation may have determined the success of the mindfulness intervention.
“The factors that, in our case, may have determined this success were as follows: (1) a consolidated and evidence-based program that was provided by institutional services, (2) the intervention started before the beginning of the pandemic (i.e., in a preventive approach) [114] and (3) the participants actively engaged daily in the practice of meditation to protect and promote their mental health.”
Quote in the paperSubstantial claim - Interpretationreasoning
A consolidated, evidence-based program provided by institutional services may have determined the success of the mindfulness intervention.
“The factors that, in our case, may have determined this success were as follows: (1) a consolidated and evidence-based program that was provided by institutional services, (2) the intervention started before the beginning of the pandemic (i.e., in a preventive approach) [114] and (3) the participants actively engaged daily in the practice of meditation to protect and promote their mental health.”
Quote in the paperSubstantial claim - Interpretationcitation
The intervention starting before the pandemic (a preventive approach) may have determined the success of the mindfulness intervention.
“The factors that, in our case, may have determined this success were as follows: (1) a consolidated and evidence-based program that was provided by institutional services, (2) the intervention started before the beginning of the pandemic (i.e., in a preventive approach) [114] and (3) the participants actively engaged daily in the practice of meditation to protect and promote their mental health.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [114] Galea, 2020, The mental health consequences of COVID-19 and physical distancing: The need for prevention and early intervention, JAMA Int. Med. source
Not checked in the free run.
- Study design and conductown data
Sensitivity power analyses showed that, except for the small main effect of Group in the RD dimension of TCI, the significant effects of interest in this study were greater than the Minimum Detectable Effect's size.
“These analyses showed that, except for the small main effect of Group in the RD dimension of TCI, the significant effects of interest in this study were greater than the Minimum Detectable Effect’s size (for the main effects of Group, all ηP2 > 0.109, average MDE ηP2 = 0.104; for the main effects of Time, all ηP2 > 0.108, average MDE ηP2 = 0.025; for interaction effects between Time and Group, all”
Quote in the paperNot a substantial claim - Interpretationreasoning
Both aspects that emerged from the answers to these questions suggest that less resilient individuals could have been less able to explicitly recognize the positive changes following the MOM training during the emergency situation.
“Both aspects that emerged from the answers to these questions suggest that less resilient individuals could have been less able to explicitly recognize the positive changes following the MOM training during the emergency situation.”
Quote in the paperSubstantial claim
- May combine two claims. 60
- Classified as probably not a substantial claim. 49
May combine two claims.
Findingown dataParticipants in the HR group had lower baseline EE and higher DP and PA scores in the MBI.
“Moreover, participants in the HR had significantly higher baseline scores in the AWA, NJU and NRE facets of the FFMQ, lower AE scores in the QCAE, higher scores in the NWO and SRE scales of the MAIA, higher scores in all scales of the PWB, lower anxiety and depression scores in the HADS, and lower EE and higher DP and PA scores in the MBI (Hypothesis H1).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe k-means algorithm classified 26 of the 58 participants who completed the MOM course into the high-resilience (HR) profile group and the remaining 32 into the low-resilience (LR) profile group.
“The k-means algorithm included 26 of the 58 participants who completed the MOM course in the high-resilience (HR) profile group and the remaining 32 participants in the low-resilience (LR) profile group (Figure 2).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataOther two- or three-way interactions in the FFMQ ANOVA were not significant.
“Other two- or three-way interactions were not significant (all F < 2.4, p > 0.12, ηP2 < 0.041).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe ANOVA on normalized FFMQ scores showed a significant main effect of Group, with increased scores in the HR group vs. LR.
“a main effect of Group (F(1,56) = 13.6, p[GG] < 0.001, ηP2 = 0.195) with increased scores in the HR group (vs. LR)”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe ANOVA on normalized FFMQ scores showed a significant main effect of Time, with increased scores at Time T1 vs. T0.
“The ANOVA on the normalized FFMQ scores highlighted three significant main effects: a main effect of Time (F(1,56) = 9.7, p = 0.003, ηP2 = 0.303) with increased scores at Time T1 (vs. T0)”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn the AE scores, the ANOVA revealed a significant main effect of Time, with an overall decrease in scores from T0 to T1.
“In the AE scores, the ANOVA revealed a significant main effect of Time (F(1,56) = 17.5, p < 0.001, ηP2 = 0.238) with an overall decrease in scores from T0 to T1”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe ANOVA on normalized FFMQ scores showed a significant main effect of Scale, with significant differences between-scale scores.
“and a main effect of Scale (F(4,224) = 5.4, p[GG] = 0.001, ηP2 = 0.203), with significant differences in between-scale scores.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn the AE scores, the ANOVA revealed a significant main effect of Group, with higher scores in the LR group vs. HR.
“and a significant main effect of Group (F(1,56) = 9.9, p = 0.003, ηP2 = 0.150), with higher scores in the LR group (vs. HR).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe data on pre-post MOM change showed that both groups significantly improved in mindfulness skills, affective empathy, harm avoidance, character traits (with greater improvements in the low-resilience group) and interoceptive awareness, supporting Hypothesis H2.
“In sum, the data on the pre–post MOM change showed that both groups significantly improved in terms of mindfulness skills, affective empathy, harm avoidance, character traits (with greater improvements in the low-resilience group) and interoceptive awareness, supporting Hypothesis H2.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThis pattern was different in the positive relation with others (PR) scale of psychological well-being, in character traits, in depression scores and in the total score of emotional distress, wherein the low-resilience individuals showed greater improvement than the high-resilience individuals.
“This pattern was different in the “positive relation with others” (PR) scale of psychological well-being, in character traits, in depression scores and in the total score of emotional distress, wherein the low-resilience individuals showed greater improvement than the high-resilience individuals (see the Time X Group interactions reported in Table 3).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSignificant main effects of Group were found in the PA component of burnout, with higher scores in the HR vs. LR group.
“and in the PA component of burnout (F(1,56) = 10.4, p = 0.002, ηP2 = 0.157), with higher scores in the HR (vs. LR) group.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataBoth groups had significantly improved scores in mindfulness skills, affective empathy, harm avoidance, character traits (especially participants in the low-resilience group) and interoceptive awareness (H2), as well as in psychological well-being (in the scales of autonomy, environmental mastery and positive relations with others), anxiety, depression (especially in the low-resilience group) and
“Both groups had significantly improved scores in mindfulness skills, affective empathy, harm avoidance, character traits (especially participants in the low-resilience group) and interoceptive awareness (H2), as well as in psychological well-being (in the scales of autonomy, environmental mastery and positive relations with others), anxiety, depression (especially in the low-resilience group) and”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataDue to the different decrease of depression scores in the two groups, the between-group difference in depression scores was significant at T0 but not at T1.
“Due to the different decrease of depression scores in the two groups, the between-group difference in depression scores was significant at T0 (χ²(1) = 13.6, p < 0.001), but not at T1 (χ²(1) = 3.2, p = 0.07).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataSince the two groups were different at baseline in most of the measurements, the final data generally showed that the low-resilience and the high-resilience groups were still different after the MOM course in the dimensions in which they differed at baseline and still similar in the dimensions for which they were comparable at baseline.
“Since the two groups were different at baseline in most of the measurements, the final data generally showed that the low-resilience and the high-resilience groups were still different after the MOM course in the dimensions in which they differed at baseline (mindfulness skills, affective empathy, harm avoidance, the self-regulation scale of interoceptive awareness, the autonomy and environmental”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe instructors' competence was very good (M = 4.5, SD = 0.6).
“and that the instructors’ competence was very good (M = 4.5, SD = 0.6).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataThe teachers in the HR group reportedly meditated more than teachers in the LR group, but this difference was not significant.
“The teachers in the HR group reportedly meditated more than teachers in the LR group, but this difference was not significant (average meditation practice during the MOM course in the LR group: 1277.4 ± 220.9 min; in the HR group: 1338.4 ± 224.2 min).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe ANOVA on the character scales of TCI highlighted a Group × Scale interaction, with a between-group difference in SD scores but not in C and ST scores.
“an interaction effect between Group and Scale (F(2,112) = 8.2, p[GG] < 0.001, ηP2 = 0.127), with a between-group difference in SD scores but not in C and ST scores”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn the temperament scales of TCI, the ANOVAs revealed a main effect of Group in the HA and RD scales, with participants in the LR group having higher scores than participants in the HR group in both scales.
“In the temperament scales of TCI, the ANOVAs revealed a main effect of Group in the HA and RD scales (F(1,56) = 65.7, p < 0.001, ηP2 = 0.540 for HA; F(1,56) = 6.0, p = 0.02, ηP2 = 0.097 for RD). Participants of the LR group had higher scores than participants in the HR group in both scales.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataSignificant main effects of Group were found in the NWO and SRE scales of MAIA, where scores were higher in the HR than in the LR group.
“Significant main effects of Group were found in the NWO and SRE scales (F(1,56) = 8.2, p = 0.006, ηP2 = 0.128; F(1,56) = 9.0, p = 0.004, ηP2 = 0.138, respectively), where scores were higher in the HR than in the LR group.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingreasoningLR individuals made better progresses than HR participants, although both groups reported the same amount of home meditation practice.
“LR individuals therefore made better progresses than HR participants, although both groups reported the same amount of home meditation practice.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe ANOVA on the character scales of TCI highlighted a main effect of Scale, with C and ST scores being greater than SD scores.
“and a main effect of Scale (F(2,112) = 6.8, p[GG] = 0.003, ηP2 = 0.108), with the C and ST scores being greater than the SD scores (z = 4.9, p < 0.001 and z = 5.2, p < 0.001, respectively).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataParticipants reported that the distance learning methods of the last six meetings of the MOM course somewhat reduced the effectiveness of the course (M = 2.1, SD = 0.7).
“and that the distance learning methods of the last six meetings of the MOM course somewhat reduced the effectiveness of the course (M = 2.1, SD = 0.7).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataEach teacher reportedly meditated on average for 1307.7 ± 22.5 min during the MOM course (about 26 min per day).
“Each teacher reportedly meditated on average for 1307.7 ± 22.5 min during the MOM course (i.e., about 26 min per day).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataSignificant main effects of Group were found in the anxiety and depression scores of HADS, with scores in the LR higher than in the HR group.
“Significant main effects of Group were found in the anxiety and depression scores (F(1,56) = 14.2, p < 0.001, ηP2 = 0.202; F(1,56) = 9.1, p = 0.004, ηP2 = 0.139, respectively): scores in the LR were higher than in the HR group.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAt the end of the training course the two groups in the study remained significantly different in terms of the two aforementioned personality traits, and therefore in terms of resilience.
“However, as observed in other measures of the present research, at the end of the training course the two groups in our study remained significantly different in terms of the two aforementioned personality traits, and therefore in terms of resilience.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataBoth groups significantly improved in psychological well-being (in the scales of autonomy, environmental mastery and positive relations with others), anxiety, depression (with greater improvements in the low-resilience group), and in the emotional exhaustion scale of burnout.
“Both groups significantly improved also in terms of psychological well-being (in the scales of autonomy, environmental mastery and positive relations with others), anxiety, depression (with greater improvements in the low-resilience group), and in the emotional exhaustion scale of burnout.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataA significant Group × Time interaction was observed in depression scores of HADS, corresponding to a significant decrease in scores in the LR group from T0 to T1 but not in the HR group.
“A significant interaction effect between Group and Time was observed in depression scores (F(1,56) = 5.3, p = 0.03, ηP2 = 0.086), corresponding to a significant decrease in scores in the LR group from T0 to T1 (χ²(1) = 20.1, p < 0.001), but not in the HR group.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataParticipants considerably engaged in the course (M = 3.9, SD = 0.6).
“that they considerably engaged in it (M = 3.9, SD = 0.6)”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataSignificant main effects of Time were observed in the AU, EM and PR scales of PWB, with an increase of scores from T0 to T1.
“Significant main effects of Time were observed in the AU, EM and PR scales (for all F(1,56) > 7.9, p < 0.007, ηP2 > 0.124), with an increase of scores from T0 to T1.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSignificant main effects of Time were observed in the anxiety and depression scores of HADS, with an overall decrease in scores from T0 to T1.
“Significant main effects of Time were also observed in the anxiety and depression scores (F(1,56) = 8.7, p = 0.005, ηP2 = 0.135; F(1,56) = 13.8, p < 0.001, ηP2 = 0.198, respectively), with an overall decrease in scores from T0 to T1.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataA significant Group × Time interaction was observed in the PR scale of PWB, with scores improving over time significantly in the LR group but not in the HR group.
“A significant interaction effect between Group and Time was observed in the PR scale (F(1,56) = 8.7, p = 0.005, ηP2 = 0.134), with scores improving over time significantly in the LR (χ²(1) = 25.6, p < 0.001) but not in the HR group (χ²(1) = 0.3, p = 0.55).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSignificant main effects of Group were found in all PWB scales except PR, with scores in the SA, AU, EM, PG and PL scales higher in the HR vs. LR group.
“Significant main effects of Group were found in all PWB scales except PR (for all F(1,56) > 5.8, p < 0.02, ηP2 > 0.109): scores in the SA, AU, EM, PG and PL scales were higher in the HR vs. LR group.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataParticipants reported that they generally enjoyed the course (average score: 4.1, SD = 0.7).
“the participants reported that they generally enjoyed the course (average score: 4.1, SD = 0.7)”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe course moderately met participants' professional training needs (M = 3.6, SD = 0.8).
“that the course moderately met their professional training needs (M = 3.6, SD = 0.8)”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataParticipants found the course rather challenging (M = 3.7, SD = 0.9) but quite useful (M = 4.0, SD = 0.7).
“that they found it rather challenging (M = 3.7, SD = 0.9) but quite useful (M = 4.0, SD = 0.7)”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataFor the question on how one would have lived during the Covid-19 lockdown period without practicing mindfulness meditation, only teachers in the high-resilience group gave answers that appeared to be coherent with their self-reported decrease in anxiety levels: the more the anxiety scores decreased after vs. before the MOM course, the more the participants reported that the same period would have
“Moreover, for the question on how one would have lived during the Covid-19 lockdown period without practicing mindfulness meditation, only teachers in the high-resilience group gave answers that appeared to be coherent with their self-reported decrease in anxiety levels: the more the anxiety scores decreased after vs. before the MOM course, the more the participants reported that the same period”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe enhancement of resilience and well-being was observed in female teachers with resilient personality profiles and in those with weaker personality traits.
“This was seen to occur both in female individuals with resilient personality profiles and in female individuals with weaker personality traits.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationBetween 40% and 50% of adults experienced psychological distress following the Covid-19 outbreak.
“Early reports emerging in the literature have shown that between 40% and 50% of adults have experienced psychological distress following the Covid-19 outbreak [4,5]”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [4] Moccia, 2020, Affective temperament, attachment style, and the psychological impact of the COVID-19 outbreak: An early report on the Italian general population, Brain Behav. Immun. source
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- cites [5] Favieri, F., Forte, G., Tambelli, R., and Casagrande, M. (2020). The Italians in the time of coronavirus: Psychosocial aspects of unexpected COVID-19 pandemic. Lancet, preprint. source
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Premisecitation30% of adults and children are at high risk for post-traumatic stress symptoms following the Covid-19 outbreak.
“and that 30% of adults and children are at high risk for post-traumatic stress symptoms [6].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [6] Davico, C., Ghiggia, A., Marcotulli, D., Ricci, F., Amianto, F., and Vitiello, B. (2020). Psychological impact of the COVID-19 pandemic on adults and their children in Italy. Lancet, preprint. source
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Classified as probably not a substantial claim.
PremisecitationThe Covid-19 pandemic and the subsequent lockdown had a serious psychological impact on a large part of the Italian population.
“The Covid-19 pandemic and subsequent public health measures were shown to impact negatively on people’s mental health.”
- Also stated in: § 1. Introduction · plain
“Besides the casualties and the economic loss (with a −9.1% estimated drop in GDP for 2020 [3]) associated with the Covid-19 pandemic, the fear of the virus and the 2-month lockdown had a serious psychological impact on a large part of the Italian population.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [4] Moccia, 2020, Affective temperament, attachment style, and the psychological impact of the COVID-19 outbreak: An early report on the Italian general population, Brain Behav. Immun. source
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- cites [5] Favieri, F., Forte, G., Tambelli, R., and Casagrande, M. (2020). The Italians in the time of coronavirus: Psychosocial aspects of unexpected COVID-19 pandemic. Lancet, preprint. source
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- cites [6] Davico, C., Ghiggia, A., Marcotulli, D., Ricci, F., Amianto, F., and Vitiello, B. (2020). Psychological impact of the COVID-19 pandemic on adults and their children in Italy. Lancet, preprint. source
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- Also stated in: § 1. Introduction · plain
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe Questionnaire of Affective and Cognitive Empathy has acceptable internal consistency for the affective empathy and cognitive empathy components, and the total score (α ≥ 0.77).
“QCAE has acceptable internal consistency for the AE and CE components, and the total score (α ≥ 0.77) [70].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [70] Giromini, 2017, The questionnaire of cognitive and affective empathy: A comparison between paper-and-pencil versus online formats in Italian samples, J. Personal. Assess.
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Study design and conductcitationThe Maslach Burnout Inventory Educators Survey has acceptable internal consistency for each of its components (α ≥ 0.76).
“MBI-ES has acceptable internal consistency for each of its components (α ≥ 0.76) [82].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [82] Maslach, C., Jackson, S.E., and Leiter, M.P. (1986). Maslach Burnout Inventory—Educators Survey (MBI-ES). MBI Study, Consulting Psychologists Press. [3rd ed.].
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Study design and conductown dataThe study was approved by the Ethics Committee of the University of Udine and conducted in accordance with the 1964 Helsinki declaration.
“This study was approved by the Ethics Committee of the University of Udine and all procedures performed in the study were in accordance with the ethical standards of the 1964 Helsinki declaration and its later amendments (ethical code: CGPER-2019-12-09-01).”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
PremisecitationMindfulness-Based Interventions improve job burnout, interoceptive awareness, empathy, character traits, and psychological well-being.
“Other improvements due to MBIs have been reported for job burnout [26], interoceptive awareness [27,28], empathy [29,30], character traits [31,32] and psychological well-being [33,34].”
Quote in the paperSubstantial claim0 of 5 sources checked- cites [26] Luken, 2016, Systematic review of mindfulness practice for reducing job burnout, Am. J. Occup. Ther. source
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- cites [27] Gawande, 2019, Mindfulness training enhances self-regulation and facilitates health behavior change for primary care patients: A randomized controlled trial, J. Gen. Intern. Med. source
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- cites [28] Matiz, 2020, The role of self body brushing vs mindfulness meditation on interoceptive awareness: A non-randomized pilot study on healthy participants with possible implications for body image disturbances, Eur. J. Integr. Med. source
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- cites [29] Birnie, 2010, Exploring self-compassion and empathy in the context of mindfulness-based stress reduction (MBSR), Stress Health source
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- cites [30] Lamothe, 2016, Outcomes of MBSR or MBSR-based interventions in health care providers: A systematic review with a focus on empathy and emotional competencies, Complement. Ther. Med. source
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Study design and conductown dataThe overall sample QCAE score's Cronbach's α was 0.67 at T0 and 0.85 at T1 for AE and 0.76 at T0 and 0.80 at T1 for CE.
“The overall sample QCAE score’s Cronbach’s α was 0.67 (time T0) and 0.85 (time T1) for AE and 0.76 (time T0) and 0.80 (time T1) for CE.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationSelf-guided interventions significantly improve well-being compared to control groups, with smaller effect sizes than traditional guided individual or group therapies.
“A recent review of the meta-analyses of self-guided interventions to alleviate anxiety, depression and stress concluded that such interventions significantly improve well-being in comparison to control groups, albeit with effect sizes smaller than those associated with traditional guided individual or group therapies [20].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [20] Fischer, R., Karl, J.A., Bortolini, T., Zilberberg, M., Robinson, K., Rabelo, A.L.A., and Mattos, P. (2020). Rapid review and meta-meta-analysis of self-guided interventions to address anxiety, depression and stress during COVID-19 social distancing. PsyArXiv, preprint. source
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PremisecitationThe most effective self-guided interventions include cognitive-behavioral therapy, acceptance and commitment therapy, and Mindfulness-Based Interventions.
“The interventions that proved to be the most effective included self-guided cognitive-behavioral therapy, acceptance and commitment therapy, and Mindfulness-Based Interventions (MBIs).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [20] Fischer, R., Karl, J.A., Bortolini, T., Zilberberg, M., Robinson, K., Rabelo, A.L.A., and Mattos, P. (2020). Rapid review and meta-meta-analysis of self-guided interventions to address anxiety, depression and stress during COVID-19 social distancing. PsyArXiv, preprint. source
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationPast research has shown that the most influential TCI scales on self-reported resilience were harm avoidance (negatively correlated) and self-directedness (positively correlated).
“As past research has shown that the most influential TCI scales on self-reported resilience were harm avoidance (HA, negatively correlated to resilience) and self-directedness (SD, positively correlated to resilience) [54,55,56]”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [54] Kim, 2013, Influence of temperament and character on resilience, Compr. Psychiatry source
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- cites [55] Eley, 2013, The relationship between resilience and personality traits in doctors: Implications for enhancing well being, PeerJ source
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- cites [56] Eley, D.S., Leung, J., Hong, B.A., Cloninger, K.M., and Cloninger, C.R. (2016). Identifying the dominant personality profiles in medical students: Implications for their well-being and resilience. PLoS ONE, 11. source
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PremisecitationMindfulness-Based Interventions can be effective in promoting well-being when delivered through a single introductory group meeting or via the internet.
“Two decades since the introduction of MBIs, research has showed that they could be effective in promoting well-being also when delivered through a single introductory group meeting, during which the meditation practices are taught and participants carry on the program individually [35,36], or when delivered via the internet [37,38].”
Quote in the paperSubstantial claim0 of 4 sources checked- cites [35] Mantzios, 2014, Group vs. single mindfulness meditation: Exploring avoidance, impulsivity, and weight management in two separate mindfulness meditation settings, Appl. Psychol. Health Well Being source
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- cites [36] Matiz, 2017, Single vs. group mindfulness meditation: Effects on personality, religiousness/spirituality, and mindfulness skills, Mindfulness source
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- cites [37] Spijkerman, 2016, Effectiveness of online mindfulness-based interventions in improving mental health: A review and meta-analysis of randomised controlled trials, Clin. Psychol. Rev. source
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- cites [38] Pryor, 2018, Web-based mindfulness interventions for mental health treatment: Systematic review and meta-analysis, JMIR Ment. Health source
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Study design and conductcitationThe Multidimensional Assessment of Interoceptive Awareness scale has Cronbach's α values between 0.53 and 0.80 in its eight scales.
“The Cronbach’s α values for internal consistency varied between 0.53 and 0.80 in the eight MAIA scales [73].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [73] Ambrosini, 2015, Investigating the relationship between interoceptive accuracy, interoceptive awareness, and emotional susceptibility, Front. Psychol.
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Study design and conductcitationThe Hospital Anxiety and Depression Scale showed high internal consistency across studies for anxiety (mean Cronbach's α = 0.83) and depression (mean Cronbach's α = 0.82).
“In a review of the literature, HADS showed a high internal consistency across studies for both anxiety (mean Cronbach’s α = 0.83) and depression measures (mean Cronbach’s α = 0.82) [80].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [80] Bjelland, 2002, The validity of the hospital anxiety and depression scale: An updated literature review, J. Psychosom. Res. source
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Study design and conductnone givenThe MOM courses were held by two authors with more than five years of experience in practicing and teaching mindfulness meditation.
“The MOM courses were held by two of the authors (A.M., a professional socio-health educator, and A.P., a psychologist), who have more than five years of experience in practicing and teaching mindfulness meditation.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataEight teachers could not complete the training, resulting in an 11.9% drop-out rate.
“Eight teachers could not complete the training, and this resulted in an 11.9% drop-out rate.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataThe overall sample total FFMQ score's Cronbach's α was 0.91 at time T0 and 0.93 at time T1.
“The overall sample total FFMQ score’s Cronbach’s α was 0.91 (time T0) and 0.93 (time T1).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe clustering solution was stable, with the same classification invariably obtained by repeating the clustering procedure.
“The solution found was stable (i.e., the same classification was invariably obtained by repeating the clustering procedure).”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationMindfulness-Based Interventions reduce self-reported anxiety, depression, and stress.
“Several studies have highlighted the benefits of MBIs mainly in terms of self-reported reductions in anxiety, depression and stress levels [23,24,25].”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [23] Chiesa, 2006, Mindfulness-based stress reduction for stress management in healthy people: A review and meta-analysis, J. Altern. Complement. Med. source
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- cites [24] Hofmann, 2010, The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review, J. Consult. Clin. Psychol. source
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- cites [25] Goldberg, 2018, Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis, Clin. Psychol. Rev. source
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Study design and conductown dataThe overall sample TCI temperament score's Cronbach's α was 0.74 at T0 and 0.68 at T1 for NS, 0.85 at T0 and 0.82 at T1 for HA, 0.65 at T0 and 0.51 at T1 for RD, and 0.58 at T0 and 0.53 at T1 for P.
“The overall sample TCI temperament score’s Cronbach’s α was 0.74 (time T0) and 0.68 (time T1) for NS, 0.85 (time T0) and 0.82 (time T1) for HA, 0.65 (time T0) and 0.51 (time T1) for RD, and 0.58 (time T0) and 0.53 (time T1) for P.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataMindfulness-based training can effectively mitigate the psychological negative consequences of the Covid-19 outbreak, helping in particular to restore well-being in the most vulnerable individuals.
“We conclude that mindfulness-based training can effectively mitigate the psychological negative consequences of the Covid-19 outbreak, helping in particular to restore well-being in the most vulnerable individuals.”
Quote in the paperSubstantial claim- Rests on an assumption: The pre-post improvements are attributable to the MOM course rather than to other factors such as the passage of time or the Covid-19 lockdown.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe Five-Facet Mindfulness Questionnaire has high internal consistency for the total score (Cronbach's α = 0.86) and acceptable values for its five scales (α ≥ 0.74).
“FFMQ has a high internal consistency for the total score (Cronbach’s α = 0.86) and acceptable values for its five scales (α ≥ 0.74) [68]”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [68] Giovannini, 2014, The Italian five facet mindfulness questionnaire: A contribution to its validity and reliability, J. Psychopathol. Behav. Assess. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenAll data was processed anonymously and data confidentiality was ensured.
“All data was processed anonymously and data confidentiality was ensured.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe 125-item Temperament and Character Inventory has acceptable internal consistency for all scales (α ≥ 0.71).
“TCI in its 125-item version has acceptable internal consistency for all scales (α ≥ 0.71) [71].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [71] Delvecchio, 2016, Normative data and effects of age and gender on temperament and character dimensions across the lifespan in an Italian population: A cross-sectional validation study, J. Affect. Disord. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenWritten informed consent was obtained from all participants during the first assessment session.
“Written informed consent was obtained from all participants during the first assessment session.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationVarious studies reported a deterioration of people's mental health.
“Various studies instead reported a deterioration of people’s mental health [5,6,98,99].”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [5] Favieri, F., Forte, G., Tambelli, R., and Casagrande, M. (2020). The Italians in the time of coronavirus: Psychosocial aspects of unexpected COVID-19 pandemic. Lancet, preprint. source
Not checked in the free run.
- cites [6] Davico, C., Ghiggia, A., Marcotulli, D., Ricci, F., Amianto, F., and Vitiello, B. (2020). Psychological impact of the COVID-19 pandemic on adults and their children in Italy. Lancet, preprint. source
Not checked in the free run.
- cites [98] Bartholomaeus, 2020, Using Internet-based psychological measurement to capture the deteriorating community mental health profile during COVID-19: Observational study, JMIR Ment. Health source
Not checked in the free run.
- cites [99] Vindegaard, N., and Benros, M.E. (2020). COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav. Immun., 30954–30955. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataThe overall sample TCI character score's Cronbach's α was 0.80 at T0 and 0.80 at T1.
“The overall sample TCI character score’s Cronbach’s α was 0.80 (time T0) and 0.80 (time T1).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationreasoningThe research focused on a specific population, namely state school teachers, who might have been less impacted by the emergency than other workers, as their jobs were not at risk and they were not professionally exposed to the risk of the infection.
“At the same time, it should be recognized that our research focused on a specific population, namely state school teachers, who might have been less impacted by the emergency than other workers, as their jobs were not at risk and they were not professionally exposed to the risk of the infection (as were, for example, health care workers).”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataResults largely supported H1: the analysis of data at baseline revealed that the low-resilience group had significantly worse average scores than the high-resilience group in terms of personality profiles, mindfulness skills, affective empathy, interoceptive awareness, psychological well-being, anxiety, depression and burnout levels.
“Results largely supported H1: the analysis of data at baseline revealed that the low-resilience group had significantly worse average scores than the high-resilience group in terms of personality profiles (by the definition of the two groups), mindfulness skills, affective empathy, interoceptive awareness, psychological well-being, anxiety, depression and burnout levels.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThese positive results in the measures used in the study could be related to participants' adherence to practice, which was similar in the two groups and could be classified as good compared to other standard introductory MBIs.
“These positive results in the measures used in our study could be related to participants’ adherence to practice (participants’ home practice in our study was about 88% of the assigned amount), which was similar in the two groups and could be classified as good compared to other standard introductory MBIs [85,86]”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [85] Ribeiro, 2017, Adherence to practice of mindfulness in novice meditators: Practices chosen, amount of time practiced, and long-term effects following a mindfulness-based intervention, Mindfulness source
Not checked in the free run.
- cites [86] Forbes, 2017, Investigating adherence to an online introductory mindfulness program, Mindfulness source
Not checked in the free run.
May combine two claims.
Interpretationown dataThe results also supported H2; at the end of the course, one month after the lockdown was imposed, significant improvements were observed in both groups in most of the self-report measures.
“The results also supported H2; at the end of the course, one month after the lockdown was imposed, significant improvements were observed in both groups in most of the self-report measures.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationResilience is considered a modifiable characteristic and, during the Covid-19 pandemic, it has been related to modifiable factors such as physical exercise and interpersonal relationships.
“Resilience is indeed considered a modifiable characteristic [105] and, during the Covid-19 pandemic, it has been related to modifiable factors such as physical exercise and interpersonal relationships [106].”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataThe overall sample PWB score's Cronbach's α was 0.85 at T0 and 0.85 at T1.
“The overall sample PWB score’s Cronbach’s α was 0.85 (time T0) and 0.85 (time T1).”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe answers to the questions about general satisfaction with the MOM course supported H3a; teachers generally enjoyed the course, found it challenging but useful, engaged in it and appreciated the work of the instructors and the course content for their professional training needs.
“The answers to the questions about general satisfaction with the MOM course supported H3a; teachers generally enjoyed the course, found it challenging but useful, engaged in it and appreciated the work of the instructors and the course content for their professional training needs.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataThe overall sample HADS score's Cronbach's α was 0.84 at T0 and 0.81 at T1.
“The overall sample HADS score’s Cronbach’s α was 0.84 (time T0) and 0.81 (time T1).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataThe overall sample MAIA score's Cronbach's α was 0.90 at T0 and 0.90 at T1.
“The overall sample MAIA score’s Cronbach’s α was 0.90 (time T0) and 0.90 (time T1).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThere is evidence that certain occupations, such as front-line nurses, were indeed more psychologically affected by Covid-19 than others.
“there is evidence that certain occupations, such as front-line nurses, were indeed more psychologically affected by Covid-19 than others [101,102].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [101] Lai, 2020, Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019, JAMA Netw. Open. source
Not checked in the free run.
- cites [102] Du, 2020, Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan, Gen. Hosp. Psychiatry
Not checked in the free run.
Classified as probably not a substantial claim. May combine two claims.
InterpretationreasoningAlthough the improvements reported in the present study cannot be attributed to the MOM course given the absence of a control group, the results seem remarkable, as the authors are not aware of any studies reporting improved psychological well-being when comparing persons during the Covid-19 outbreak with their precedent condition.
“Although the improvements reported in the present study cannot be attributed to the MOM course given the absence of a control group, the results seem remarkable, as we are not aware of any studies reporting improved psychological well-being when comparing persons during the Covid-19 outbreak with their precedent condition.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataThe overall sample MBI score's Cronbach's α was 0.88 at T0 and 0.87 at T1.
“The overall sample MBI score’s Cronbach’s α was 0.88 (time T0) and 0.87 (time T1).”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationThe three character scales of TCI globally measure three aspects of the maturity and development of the self.
“the three character scales of TCI are considered to globally measure three aspects of the maturity and development of the self [31]”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [31] Campanella, 2014, Mindfulness-oriented meditation improves self-related character scales in healthy individuals, Compr. Psychiatry source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenIn the case of violations of the sphericity assumption, the degrees of freedom in the ANOVA were corrected by applying the Greenhouse-Geisser procedure.
“In the case of violations of the sphericity assumption, the degrees of freedom in the ANOVA were corrected by applying the Greenhouse–Geisser procedure (indicated by [GG] in the results).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenOnly self-report measures were used, which can be susceptible to socially desirable responding.
“Third, only self-report measures were used, which can be susceptible to socially desirable responding.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe assumptions of normality and homogeneity of variance were checked for each group of data using a significance threshold of 0.01.
“The assumptions of normality and homogeneity of variance were checked for each group of data (using a significance threshold of 0.01 to avoid alpha-inflation).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductreasoningBoth LR and HR groups received the same intervention; for the generalizability of the findings, a control group should have been employed.
“First, both LR and HR groups received the same intervention; for the generalizability of our findings, a control group should have been employed.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductreasoningSpirituality was not explicitly tested in the study (beyond the self-transcendence scale included in the TCI).
“Considering the strong connections between spirituality and healthcare (e.g., [112]), it might have been useful to explicitly test spirituality in our study (beyond the self-transcendence scale included in the TCI”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [112] Cobb, M., Puchalski, C.M., and Rumbold, B. (2012). Oxford Textbook of Spirituality in Healthcare, Oxford University Press. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenAll post-hoc pairwise contrasts were performed using the Holm-Bonferroni procedure.
“All post-hoc pairwise contrasts were performed using the Holm–Bonferroni procedure.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataMindfulness meditation can enhance resilience and improve the well-being of female school teachers during critical events such as the COVID-19 lockdown in Italy.
“We have shown that it is possible through mindfulness meditation to enhance the resilience and improve the well-being of school teacher participants during critical events, such as the Covid-19 lockdown in Italy.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationThe five facets of mindfulness can be considered parts of the unique construct of mindfulness.
“as these facets can be considered parts of the unique construct of mindfulness [63].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [63] Crescentini, 2018, Effect of mindfulness meditation on personality and psychological well-being in patients with multiple sclerosis, Int. J. MS Care source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenData transformation or robust tests were used in the case of violations of the normality assumption.
“Data transformation or robust tests were used in the case of violations of the normality assumption.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe questions about the evaluation of the MOM course were not taken from a validated instrument.
“Moreover, the questions about the evaluation of the MOM course were not taken from a validated instrument”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe answers to the questions about the course in the context of the Covid-19 outbreak supported H3b; participants in general reported that the practice of meditation helped them during the particular period of isolation related to the health emergency, and that the absence of the practice would have made the period a little worse.
“The answers to the questions about the course in the context of the Covid-19 outbreak supported H3b; participants in general reported that the practice of meditation helped them during the particular period of isolation related to the health emergency, and that the absence of the practice would have made the period a little worse.”
Quote in the paperSubstantial claim
The paper relies on this without support.
The pre-post improvements are attributable to the MOM course rather than to other factors such as the passage of time or the Covid-19 lockdown.
“We conclude that mindfulness-based training can effectively mitigate the psychological negative consequences of the Covid-19 outbreak, helping in particular to restore well-being in the most vulnerable individuals.”
The authors state this as an assumption.
The four temperament scales of TCI measure relatively independent aspects of temperament.
“While the four temperament scales of TCI are assumed to measure relatively independent aspects of the temperament”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The relationship between mindfulness and anxiety is direct.
“The relationship between mindfulness and anxiety is direct, as was suggested by previous studies [59,60].”
From Examining the associations between psychological flexibility, mindfulness, psychosomatic functioning, and anxiety during the covid-19 pandemic: A path analysis (2020) · cites this paper as [59]
The Results (sections 3.2.1 and 3.2.6; page unavailable) report increased mindfulness scores and decreased anxiety scores after the meditation course. They do not establish a direct relationship between the two measures, so the claim goes beyond what this study shows. (LLM, conf=0.82)
Experimental — accuracy not yet measuredMBSR courses are effective in managing psychological suffering when face-to-face meetings are suspended during the COVID-19 pandemic.
“more recently, the effectiveness of MBSR courses in managing psychological suffering when face-to-face meetings are suspended were reported during the COVID-19 pandemic [68,69,70].”
From Beneficial effects of mindfulness-based stress reduction training on the well-being of a female sample during the first total lockdown due to covid-19 pandemic in italy (2021) · cites this paper as [68]
The Discussion (section 4.2; page not provided) reports improved anxiety, depression and well-being after a course that continued by video lessons during the COVID-19 lockdown. But the Methods (section 2.3; page not provided) identify the course as Mindfulness-Oriented Meditation (MOM), structurally similar to MBSR—not an MBSR course. The findings therefore support the broader point about mindfulness interventions, but not the specific claim about MBSR courses. (LLM, conf=0.87)
Experimental — accuracy not yet measuredThe TCI questionnaires are reliable clinical tools and have been used to investigate changes in character following educational trainings in emotion regulation and mindfulness meditation.
“In addition to being reliable clinical tools, they have been used to investigate changes in character following various educational trainings in emotion regulation and in mindfulness meditation (Campanella et al., 2014;Crescentini et al., 2015Crescentini et al., , 2018;;Matiz et al., 2020).”
From The Role of Personality in Language Learning (2026) · cites this paper as Matiz et al., 2020
Studies assessing the practice of mindfulness meditation during COVID-19 showed positive results on the psychological distress of the population, suggesting that mindfulness meditation might be a viable intervention for the impact of the pandemic on mental health.
“Studies assessing the practice of mindfulness meditation during COVID-19 showed positive results on the psychological distress of the population, suggesting that mindfulness meditation might be a viable intervention for the impact of the pandemic on mental health (Matiz et al., 2020; Bursky et al., 2021; Zhu et al., 2021).”
From Does the practice of mindfulness reduce somatic symptoms and COVID-19-related anxiety? A community-based survey (2022) · cites this paper as Matiz et al., 2020
Mindfulness is a stable protector against pandemic-related distress and reduces levels of anxiety, depression, and emotional exhaustion and improves harm avoidance, especially in vulnerable, less resilient groups.
“Mindfulness is a stable protector against pandemic-related distress [61]; it also reduces levels of anxiety, depression, and emotional exhaustion and improves harm avoidance, especially in the most vulnerable, less resilient groups [59].”
A recent study using an MBI during COVID-19 found promising evidence that this training effectively promotes mental health during the outbreak.
“Moreover, one recent study utilizing a MBI during COVID-19 has found promising evidence of this kind of training to effectively promote mental health during the COVID-19 outbreak (Matiz et al., 2020).”
From Feasibility of a Brief Online Mindfulness and Compassion-Based Intervention to Promote Mental Health Among University Students During the COVID-19 Pandemic (2021) · cites this paper as Matiz et al., 2020
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(1, 56) = 9.7reported p = .003 · recomputed p = .003
“F(1,56) = 9.7, p = .003”
- ConsistentF(1, 56) = 17.5reported p < .001 · recomputed p < .001
“F(1,56) = 17.5, p < .001”
- ConsistentF(1, 56) = 9.9reported p = .003 · recomputed p = .003
“F(1,56) = 9.9, p = .003”
- ConsistentF(1, 56) < 1.6reported p > .21 · recomputed p = .211
“F(1,56) < 1.6, p > .21”
- ConsistentF(1, 56) = 65.7reported p < .001 · recomputed p < .001
“F(1,56) = 65.7, p < .001”
- ConsistentF(1, 56) = 6reported p = .02 · recomputed p = .017
“F(1,56) = 6.0, p = .02”
- ConsistentF(1, 56) = 28.6reported p < .001 · recomputed p < .001
“F(1,56) = 28.6, p < .001”
- ConsistentF(1, 56) = 12.8reported p < .001 · recomputed p < .001
“F(1,56) = 12.8, p < .001”
- ConsistentF(1, 56) = 23.7reported p < .001 · recomputed p < .001
“F(1,56) = 23.7, p < .001”
- Consistentz = 4.9reported p < .001 · recomputed p < .001
“(z = 4.9, p < .001”
- Consistentz = 5.2reported p < .001 · recomputed p < .001
“z = 5.2, p < .001”
- ConsistentF(1, 56) = 5.6reported p = .02 · recomputed p = .021
“F(1,56) = 5.6, p = .02”
- Consistentχ²(1) = 29.1reported p < .001 · recomputed p < .001
“χ2(1) = 29.1, p < .001”
- Consistentχ²(1) = 2.9reported p = .09 · recomputed p = .089
“χ2(1) = 2.9, p = .09”
- ConsistentF(1, 56) = 8.2reported p = .006 · recomputed p = .006
“F(1,56) = 8.2, p = .006”
- ConsistentF(1, 56) = 9reported p = .004 · recomputed p = .004
“F(1,56) = 9.0, p = .004”
- ConsistentF(1, 56) > 7.6reported p < .008 · recomputed p = .008
“F(1,56) > 7.6, p < .008”
- ConsistentF(1, 56) < 2.7reported p > .11 · recomputed p = .106
“F(1,56) < 2.7, p > .11”
- ConsistentF(1, 56) > 5.8reported p < .02 · recomputed p = .019
“F(1,56) > 5.8, p < .02”
- ConsistentF(1, 56) > 7.9reported p < .007 · recomputed p = .007
“F(1,56) > 7.9, p < .007”
- ConsistentF(1, 56) = 8.7reported p = .005 · recomputed p = .005
“F(1,56) = 8.7, p = .005”
- Consistentχ²(1) = 25.6reported p < .001 · recomputed p < .001
“χ2(1) = 25.6, p < .001”
- Consistentχ²(1) = 0.3reported p = .55 · recomputed p = .584
“χ2(1) = 0.3, p = .55”
- ConsistentF(1, 56) = 14.2reported p < .001 · recomputed p < .001
“F(1,56) = 14.2, p < .001”
- ConsistentF(1, 56) = 9.1reported p = .004 · recomputed p = .004
“F(1,56) = 9.1, p = .004”
- ConsistentF(1, 56) = 13.8reported p < .001 · recomputed p < .001
“F(1,56) = 13.8, p < .001”
- ConsistentF(1, 56) = 5.3reported p = .03 · recomputed p = .025
“F(1,56) = 5.3, p = .03”
- Consistentχ²(1) = 20.1reported p < .001 · recomputed p < .001
“χ2(1) = 20.1, p < .001”
- Consistentχ²(1) = 13.6reported p < .001 · recomputed p < .001
“χ2(1) = 13.6, p < .001”
- Consistentχ²(1) = 3.2reported p = .07 · recomputed p = .074
“χ2(1) = 3.2, p = .07”
- ConsistentF(1, 56) = 17.7reported p < .001 · recomputed p < .001
“F(1,56) = 17.7, p < .001”
- ConsistentF(1, 56) = 10.4reported p = .002 · recomputed p = .002
“F(1,56) = 10.4, p = .002”
- ConsistentF(1, 56) = 6.7reported p = .01 · recomputed p = .012
“F(1,56) = 6.7, p = .01”
- ConsistentF(1, 56) < 2.6reported p > .11 · recomputed p = .112
“F(1,56) < 2.6, p > .11”
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.
Depression improvement is attributed to both groups despite a nonsignificant HR result
MajorThe paper says both groups improved significantly in depression, but its subgroup analysis reports a significant decrease only in the LR group, not the HR group.
“Both groups significantly improved also in terms of psychological well-being (in the scales of autonomy, environmental mastery and positive relations with others), anxiety, depression (with greater improvements in the low-resilience group), and in the emotional exhaustion scale of burnout.”
“a significant decrease in scores in the LR group from T0 to T1 (χ²(1) = 20.1, p < 0.001), but not in the HR group.”
Character-trait improvement is attributed to both groups despite a nonsignificant HR result
MinorThe paper reports significant improvement in character traits for both groups, whereas its subgroup comparison reports no significant improvement for the HR group (p = 0.09).
“both groups significantly improved in terms of mindfulness skills, affective empathy, harm avoidance, character traits (with greater improvements in the low-resilience group) and interoceptive awareness”
“scores improving over time more in the LR (χ²(1) = 29.1, p < 0.001) than in the HR group (χ²(1) = 2.9, p = 0.09).”
Positive-relations improvement is attributed to both groups despite a nonsignificant HR result
MinorThe summary says both groups improved significantly in positive relations with others. The detailed analysis says that scale improved significantly in the LR group but not in the HR group.
“Both groups significantly improved also in terms of psychological well-being (in the scales of autonomy, environmental mastery and positive relations with others), anxiety, depression (with greater improvements in the low-resilience group), and in the emotional exhaustion scale of burnout.”
“scores improving over time significantly in the LR (χ²(1) = 25.6, p < 0.001) but not in the HR group (χ²(1) = 0.3, p = 0.55).”
Cites
The Hospital Anxiety and Depression Scale
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The psychological impact of quarantine and how to reduce it: Rapid review of the evidence
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30460-8 · Cited by 16,378 · see citing works
Happiness is everything, or is it? Explorations on the meaning of psychological well-being.
Ryff, C. D. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.57.6.1069 · Cited by 14,847 · see citing works
Algorithm AS 136: A K-Means Clustering Algorithm
Hartigan, J. A., & Wong, M. A. (1979) · Applied Statistics · doi:10.2307/2346830 · Cited by 14,523 · see citing works
The measurement of experienced burnout
Maslach, C., & Jackson, S. E. (1981) · Journal of Organizational Behavior · doi:10.1002/job.4030020205 · Cited by 14,496 · see citing works
Depression and quality of life in older persons: A review
Sivertsen, H., Bjørkløf, G. H., Engedal, K., Selbæk, G., & Helvik, A.-S. (2015) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000437299 · Cited by 14,152 · see citing works
The benefits of being present: Mindfulness and its role in psychological well-being
Brown, K. W., & Ryan, R. M. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.84.4.822 · Cited by 13,448 · see citing works
Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC)
Connor, K. M., & Davidson, J. R. T. (2003) · Depression and Anxiety · doi:10.1002/da.10113 · Cited by 11,793 · see citing works
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17051729 · Cited by 9,923 · see citing works
The validity of the Hospital Anxiety and Depression Scale
Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(01)00296-3 · Cited by 9,779 · see citing works
Mindfulness-based interventions in context: Past, present, and future
Kabat-Zinn, J. (2003) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.bpg016 · Cited by 8,615 · cited 1× · see citing works
“These programs are usually delivered over 8 consecutive weeks, with eight group meetings led by a mindfulness instructor and daily individual practice at home [22].”
BackgroundMindfulness-based interventions in context: Past, present, and future.
Kabat-Zinn, J. (2003) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy/bpg016 · Cited by 8,612 · see citing works
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., et al. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.3976 · Cited by 8,015 · see citing works
Using Self-Report Assessment Methods to Explore Facets of Mindfulness
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006) · Assessment · doi:10.1177/1073191105283504 · Cited by 7,511 · cited 1× · see citing works
“Mindfulness skills were assessed with the Italian version of the Five-Facet Mindfulness Questionnaire (FFMQ [67,68]).”
MethodThe psychological impact of the COVID-19 epidemic on college students in China
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“These positive results in the measures used in our study could be related to participants’ adherence to practice (participants’ home practice in our study was about 88% of the assigned amount), which was similar in the two groups and could be classified as good compared to other standard introductory MBIs [85,86]; var…”
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- Authors
- Matiz, A., Fabbro, F., Paschetto, A., Cantone, D., Paolone, A. R., & Crescentini, C.
- Affiliations
- University of Udine (IT)
- Sapienza University of Rome (IT)
- Corresponding author
- Matiz, Alessio
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-09-04
- Volume
- 17
- Issue
- 18
- Pages
- 6450
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7559290
- OpenAlex
- W3083027278
- Cited by
- 204
- References
- 116
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 28 · 2023: 44 · 2022: 59 · 2021: 52 · 2020: 5
- FWCI
- 15.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- Institutional Research Information System (University of Udine) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Regione Autonoma Friuli Venezia Giulia (-)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- mindfulness meditation, women teachers, COVID-19 pandemic, lockdown, mental health, resilience, burnout, anxiety, depression, psychological well-being, interoceptive awareness, empathy, personality traits, emotional exhaustion
- MeSH terms
- School Teachers, Betacoronavirus, COVID-19, SARS-CoV-2, Adult, Anxiety, Depression, Female, Humans, Italy, Mental Health, Middle Aged, Pneumonia, Viral, Stress, Psychological, Coronavirus Infections, Meditation, Pandemics, Mindfulness
About these checks
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 2026-10-07.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-07.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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