Mindfulness Training in Dialectical Behavior Therapy Investigation on Brain Activity by NIRS [article]

Friederike Gundel, Universitaet Tuebingen, Hautzinger, Martin (Prof. Dr.)
2021
In the last years, mindfulness as a therapeutic tool has proven clinical effectiveness on psychiatric patients and in the field of psychotherapy. First research on mindfulness revealed positive effects on chronic pain and stress reduction and mindfulness to be suitable and effective in treating psychiatric patients (Y. Tang & Leve, 2016). So far, it is still unknown if mindfulness skills are more effective than other therapeutic skills. Dialectical behavior therapy (DBT) integrates mindfulness
more » ... grates mindfulness skills (taken from Zen Buddhism) into cognitive behavioral therapy. DBT was developed in the 1980s by Marsha Linehan to treat suicidal patients with emotion regulation problems. Today, this treatment is known to be evidence based for treating borderline patients (Bohus & Schmahl, 2006). Linehan describes mindfulness as the basic ingredient of DBT. There is still no evidence on the effectiveness of mindfulness skills and the underlying neuronal correlates, and it is still unknown if mindfulness can be successfully learned in an eight-week inpatient setting. This thesis will test this question. We conducted three studies to get first insights in this topic: In study 1 we tested meditation experts against a group of subjects without meditation experience. We used a paradigm using mindful listening to a sound of a swinging meditation bell. This paradigm used near-infrared spectroscopy (NIRS) as an functional imaging technique and was taken from a pilot study of Erb et al. (2011). The second study measured executive function and underlying neuronal correlates in both groups of study 1 with a verbal fluency task (VFT) and an emotional Stroop test (EST). Since borderline patients suffer from severe impulse and emotion control issues, we wanted to know if mindfulness would have positive effects on impulsivity and emotion regulation. The results of study 1 and study 2 should give us first insights for study 3. There, we tested borderline patients with the mindfulness paradigm. We tested psychopathology and underlying neurona [...]
doi:10.15496/publikation-56965 fatcat:nlrfwdafdzbldodnnz64hhbiwe