{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T16:28:28Z","timestamp":1789057708181,"version":"build-2803163510"},"reference-count":44,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100000890","name":"National Multiple Sclerosis Society","doi-asserted-by":"publisher","award":["PP2183"],"award-info":[{"award-number":["PP2183"]}],"id":[{"id":"10.13039\/100000890","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100013995","name":"Sanofi Genzyme","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013995","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","msard-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Multiple Sclerosis and Related Disorders"],"published-print":{"date-parts":[[2022,3]]},"DOI":"10.1016\/j.msard.2022.103651","type":"journal-article","created":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T22:14:52Z","timestamp":1643753692000},"page":"103651","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"special_numbering":"C","title":["Trait mindfulness, emotion dysregulation, and depression in individuals with multiple sclerosis"],"prefix":"10.1016","volume":"59","author":[{"given":"Elizabeth Jean","family":"Duraney","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittney","family":"Schirda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline A.","family":"Nicholas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruchika Shaurya","family":"Prakash","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.msard.2022.103651_bib0001","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1177\/1073191105283504","article-title":"Using self-report assessment methods to explore facets of mindfulness","volume":"13","author":"Baer","year":"2006","journal-title":"Assessment"},{"key":"10.1016\/j.msard.2022.103651_bib0002","series-title":"Manual for the Beck Depression Inventory-II","author":"Beck","year":"1996"},{"issue":"24","key":"10.1016\/j.msard.2022.103651_bib0003","doi-asserted-by":"crossref","first-page":"e2216","DOI":"10.1212\/WNL.0000000000008617","article-title":"Disability worsening among persons with multiple sclerosis and depression: a Swedish cohort study","volume":"93","author":"Binzer","year":"2019","journal-title":"Neurology"},{"issue":"9","key":"10.1016\/j.msard.2022.103651_bib0004","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1177\/1352458515576261","article-title":"Distress improves after mindfulness training for progressive MS: a pilot randomised trial","volume":"21","author":"Bogosian","year":"2015","journal-title":"Mult. Scler. J"},{"issue":"1","key":"10.1016\/j.msard.2022.103651_bib0005","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1002\/ab.20327","article-title":"Could mindfulness decrease anger, hostility, and aggression by decreasing rumination?","volume":"36","author":"Borders","year":"2010","journal-title":"Aggressive Behav"},{"key":"10.1016\/j.msard.2022.103651_bib0006","doi-asserted-by":"crossref","DOI":"10.1016\/j.cpr.2019.101785","article-title":"The relationship between trait mindfulness and affective symptoms: a meta-analysis of the Five Facet Mindfulness Questionnaire (FFMQ)","volume":"74","author":"Carpenter","year":"2019","journal-title":"Clin. Psychol. Rev"},{"issue":"2","key":"10.1016\/j.msard.2022.103651_bib0007","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1177\/1533210108316307","article-title":"Mechanisms of action in the inverse relationship between mindfulness and psychological distress","volume":"13","author":"Coffey","year":"2008","journal-title":"Complement Health Pract. Rev"},{"issue":"7","key":"10.1016\/j.msard.2022.103651_bib0008","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1002\/da.22124","article-title":"Mindfulness and emotion regulation in depression and anxiety: common and distinct mechanisms of action","volume":"30","author":"Desrosiers","year":"2013","journal-title":"Depress. Anxiety"},{"key":"10.1016\/j.msard.2022.103651_bib0009","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.appet.2017.07.019","article-title":"Dispositional mindfulness and reward motivated eating: the role of emotion regulation and mental habit","volume":"118","author":"Fisher","year":"2017","journal-title":"Appetite"},{"issue":"9","key":"10.1016\/j.msard.2022.103651_bib0010","first-page":"333","article-title":"Relationship between symptoms of depression and anxiety and the quality of life in multiple sclerosis","volume":"113","author":"Fr\u00fchwald","year":"2001","journal-title":"Wien. Klin. Wochenschr"},{"issue":"5","key":"10.1016\/j.msard.2022.103651_bib0011","doi-asserted-by":"crossref","first-page":"225","DOI":"10.7224\/1537-2073.2015-095","article-title":"Mindfulness in motion for people with multiple sclerosis: a feasibility study","volume":"19","author":"Gilbertson","year":"2017","journal-title":"Int. J. MS Care"},{"key":"10.1016\/j.msard.2022.103651_bib0012","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1023\/B:JOBA.0000007455.08539.94","article-title":"Multidimensional assessment of emotion regulation and Dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale","volume":"26","author":"Gratz","year":"2004","journal-title":"J Psychopathol. Behav. Assess"},{"issue":"13","key":"10.1016\/j.msard.2022.103651_bib0013","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1212\/WNL.0b013e3181f4d80d","article-title":"MS quality of life, depression, and fatigue improve after mindfulness training A randomized trial","volume":"75","author":"Grossman","year":"2010","journal-title":"Neurology"},{"key":"10.1016\/j.msard.2022.103651_bib0014","series-title":"Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach","author":"Hayes","year":"2013"},{"issue":"1","key":"10.1016\/j.msard.2022.103651_bib0015","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1037\/a0026355","article-title":"Mindfulness and its relationship to emotional regulation","volume":"12","author":"Hill","year":"2012","journal-title":"Emotion"},{"key":"10.1016\/j.msard.2022.103651_bib0016","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1037\/a0017032","article-title":"Mindful Attention Awareness Scale (MAAS): psychometric properties of the French translation and exploration of its relations with emotion regulation strategies","volume":"21","author":"Jermann","year":"2009","journal-title":"Psychol. Assess"},{"issue":"4","key":"10.1016\/j.msard.2022.103651_bib0017","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1097\/MRR.0b013e32834ad479","article-title":"Quality of life in patients with multiple sclerosis: the impact of depression, fatigue, and disability","volume":"34","author":"Karatepe","year":"2011","journal-title":"Int J of Rehab Res"},{"issue":"11","key":"10.1016\/j.msard.2022.103651_bib44","doi-asserted-by":"crossref","DOI":"10.1212\/WNL.33.11.1444","article-title":"Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS)","volume":"33","author":"Kurtzke","year":"1983","journal-title":"Neurology"},{"key":"10.1016\/j.msard.2022.103651_bib0018","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.paid.2019.03.020","article-title":"The indirect effect of positive affect in the relationship between trait mindfulness and emotion dysregulation","volume":"145","author":"McLaughlin","year":"2019","journal-title":"Pers. Individ. Dif"},{"issue":"3","key":"10.1016\/j.msard.2022.103651_bib0019","doi-asserted-by":"crossref","DOI":"10.1037\/pne0000015","article-title":"Effects of focused meditation on difficulties in emotion regulation and trait anxiety","volume":"8","author":"Menezes","year":"2015","journal-title":"Psychol. Neurosci"},{"issue":"5","key":"10.1016\/j.msard.2022.103651_bib0020","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1017\/cjn.2018.51","article-title":"Trait mindfulness and wellness in multiple sclerosis","volume":"45","author":"Mioduszewski","year":"2018","journal-title":"Can. J. Neurol. Sci"},{"issue":"6","key":"10.1016\/j.msard.2022.103651_bib0021","first-page":"1","article-title":"The power of outliers (and why researchers should always check for them)","volume":"9","author":"Osborne","year":"2004","journal-title":"Pract. Assess Res. Evaluat"},{"issue":"1","key":"10.1016\/j.msard.2022.103651_bib0022","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.ijchp.2018.11.003","article-title":"Longitudinal associations between mindfulness and well-being in people with multiple sclerosis","volume":"19","author":"Pagnini","year":"2019","journal-title":"Int. J. Clin. Health Psychol"},{"key":"10.1016\/j.msard.2022.103651_bib0023","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1007\/s10865-012-9434-0","article-title":"Couples coping with multiple sclerosis: a dyadic perspective on the roles of mindfulness and acceptance","volume":"36","author":"Pakenham","year":"2013","journal-title":"J. Behav. Med"},{"issue":"5","key":"10.1016\/j.msard.2022.103651_bib0024","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1080\/09540261.2017.1322555","article-title":"Depression in multiple sclerosis","volume":"29","author":"Patten","year":"2017","journal-title":"Int. Rev. sychiatry"},{"key":"10.1016\/j.msard.2022.103651_bib0025","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.paid.2015.08.017","article-title":"Mindfulness facets distinctively predict depressive symptoms after two years: the mediating role of rumination","volume":"93","author":"Petrocchi","year":"2016","journal-title":"Pers. Individ Dif"},{"issue":"8","key":"10.1016\/j.msard.2022.103651_bib0026","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1080\/13803395.2014.946891","article-title":"Difficulties with emotion regulation in multiple sclerosis: links to executive function, mood, and quality of life","volume":"36","author":"Phillips","year":"2014","journal-title":"J Clin. Exp. Neuropsychol"},{"key":"10.1016\/j.msard.2022.103651_bib0027","doi-asserted-by":"crossref","DOI":"10.1016\/j.msard.2019.101919","article-title":"Under-treated depression negatively impacts lifestyle behaviors, participation and health-related quality of life among older people with multiple sclerosis","volume":"40","author":"Ploughman","year":"2020","journal-title":"Mult. Scler. Relat. Disord"},{"key":"10.1016\/j.msard.2022.103651_bib0028","doi-asserted-by":"crossref","DOI":"10.1016\/j.msard.2019.101399","article-title":"Emotion dysregulation in multiple sclerosis: impact on symptoms of depression and anxiety","volume":"36","author":"Prakash","year":"2019","journal-title":"Mult. Scler. Relat. Disord"},{"issue":"1","key":"10.1016\/j.msard.2022.103651_bib0029","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1080\/13607863.2015.1100158","article-title":"Mindfulness and emotion regulation in older and young adults","volume":"21","author":"Prakash","year":"2017","journal-title":"Aging Ment. Health"},{"issue":"1","key":"10.1016\/j.msard.2022.103651_bib0030","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12883-021-02120-z","article-title":"Trait mindfulness is primarily associated with depression and not with fatigue in multiple sclerosis (MS): implications for mindfulness-based interventions","volume":"21","author":"Sauder","year":"2021","journal-title":"BMC Neurol"},{"key":"10.1016\/j.msard.2022.103651_bib0031","doi-asserted-by":"crossref","DOI":"10.1037\/rep0000324","article-title":"Mindfulness training for emotion dysregulation in multiple sclerosis: a pilot randomized controlled trial","author":"Schirda","year":"2020","journal-title":"Rehab. Psych"},{"issue":"11","key":"10.1016\/j.msard.2022.103651_bib0032","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1037\/hea0000215","article-title":"Examining trait mindfulness, emotion dysregulation, and quality of life in multiple sclerosis","volume":"34","author":"Schirda","year":"2015","journal-title":"Health Psychol"},{"issue":"1","key":"10.1016\/j.msard.2022.103651_bib0033","doi-asserted-by":"crossref","first-page":"28","DOI":"10.7224\/1537-2073.2016-076","article-title":"Association between pain and mindfulness in multiple sclerosis: a cross-sectional survey","volume":"20","author":"Senders","year":"2018","journal-title":"Int. J. MS Care"},{"issue":"2","key":"10.1016\/j.msard.2022.103651_bib0034","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1177\/2156587214523291","article-title":"Perceived stress in multiple sclerosis: the potential role of mindfulness in health and well-being","volume":"19","author":"Senders","year":"2014","journal-title":"J. Evid-Based Complement Altern. Med"},{"issue":"3\/4","key":"10.1016\/j.msard.2022.103651_bib0035","doi-asserted-by":"crossref","first-page":"591","DOI":"10.2307\/2333709","article-title":"An analysis of variance test for normality (complete samples)","volume":"52","author":"Shapiro","year":"1965","journal-title":"Biometrika"},{"key":"10.1016\/j.msard.2022.103651_bib0036","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.msard.2019.06.012","article-title":"Association between suicide and multiple sclerosis: an updated meta-analysis","volume":"34","author":"Shen","year":"2019","journal-title":"Mult. Scler. Relat. Disord"},{"issue":"1","key":"10.1016\/j.msard.2022.103651_bib0037","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1186\/s12883-017-0880-8","article-title":"Mindfulness-based stress reduction for people with multiple sclerosis\u2013a feasibility randomised controlled trial","volume":"17","author":"Simpson","year":"2017","journal-title":"BMC Neurol"},{"key":"10.1016\/j.msard.2022.103651_bib0038","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.cpr.2017.09.002","article-title":"Emotion regulation as a transdiagnostic treatment construct across anxiety, depression, substance, eating and borderline personality disorders: a systematic review","volume":"57","author":"Sloan","year":"2017","journal-title":"Clin. Psychol. Rev"},{"issue":"3","key":"10.1016\/j.msard.2022.103651_bib0039","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1002\/jclp.21939","article-title":"Trait mindfulness, repression, suppression, and self-reported mood and stress symptoms among women with breast cancer","volume":"69","author":"Tamagawa","year":"2013","journal-title":"J. Clin. Psych"},{"key":"10.1016\/j.msard.2022.103651_bib0040","doi-asserted-by":"crossref","DOI":"10.1155\/2011\/271321","article-title":"The impact of comorbid depression on adherence to therapy for multiple sclerosis","author":"Tarrants","year":"2011","journal-title":"Mult. Scler. Int"},{"issue":"1","key":"10.1016\/j.msard.2022.103651_bib0041","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s12671-017-0762-6","article-title":"Dispositional mindfulness and psychological health: a systematic review","volume":"9","author":"Tomlinson","year":"2018","journal-title":"Mindfulness"},{"key":"10.1016\/j.msard.2022.103651_bib0042","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1016\/j.jrp.2008.12.008","article-title":"A multi-method examination of the effects of mindfulness on stress attribution, coping, and emotional well-being","volume":"43","author":"Weinstein","year":"2009","journal-title":"J. Res. Pers"},{"issue":"4","key":"10.1016\/j.msard.2022.103651_bib0043","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1016\/j.dhjo.2019.06.003","article-title":"Health-related quality of life in multiple sclerosis: links to acceptance, coping strategies and disease severity","volume":"12","author":"Wilski","year":"2019","journal-title":"Disabil. Health J"}],"container-title":["Multiple Sclerosis and Related Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2211034822001663?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2211034822001663?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T08:57:40Z","timestamp":1761901060000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2211034822001663"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":44,"alternative-id":["S2211034822001663"],"URL":"https:\/\/doi.org\/10.1016\/j.msard.2022.103651","relation":{},"ISSN":["2211-0348"],"issn-type":[{"value":"2211-0348","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Trait mindfulness, emotion dysregulation, and depression in individuals with multiple sclerosis","name":"articletitle","label":"Article Title"},{"value":"Multiple Sclerosis and Related Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.msard.2022.103651","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}],"article-number":"103651"}}