{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T23:02:27Z","timestamp":1789686147077,"version":"4.0.1"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,5,13]],"date-time":"2018-05-13T00:00:00Z","timestamp":1526169600000},"content-version":"vor","delay-in-days":132,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008460","name":"National Center for Complementary and Integrative Health","doi-asserted-by":"publisher","award":["K99 AT004945"],"award-info":[{"award-number":["K99 AT004945"]}],"id":[{"id":"10.13039\/100008460","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K23 MH087754"],"award-info":[{"award-number":["K23 MH087754"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evidence-Based Complementary and Alternative Medicine"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:p>Mindfulness\u2010Based Stress Reduction (MBSR) is an 8\u2010week meditation program known to improve anxiety, depression, and psychological well\u2010being. Other health\u2010related effects, such as sleep quality, are less well established, as are the psychological processes associated with therapeutic change. This prospective, observational study (<jats:italic>n<\/jats:italic> = 213) aimed to determine whether perseverative cognition, indicated by rumination and intrusive thoughts, and emotion regulation, measured by avoidance, thought suppression, emotion suppression, and cognitive reappraisal, partly accounted for the hypothesized relationship between changes in mindfulness and two health\u2010related outcomes: sleep quality and stress\u2010related physical symptoms. As expected, increased mindfulness following the MBSR program was directly correlated with decreased sleep disturbance (<jats:italic>r<\/jats:italic> = \u22120.21, <jats:italic>p<\/jats:italic> = 0.004) and decreased stress\u2010related physical symptoms (<jats:italic>r<\/jats:italic> = \u22120.38, <jats:italic>p<\/jats:italic> &lt; 0.001). Partial correlations revealed that pre\u2010post changes in rumination, unwanted intrusive thoughts, thought suppression, experiential avoidance, emotion suppression, and cognitive reappraisal each uniquely accounted for up to 32% of the correlation between the change in mindfulness and change in sleep disturbance and up to 30% of the correlation between the change in mindfulness and change in stress\u2010related physical symptoms. Results suggest that the stress\u2010reducing effects of MBSR are due, in part, to improvements in perseverative cognition and emotion regulation, two \u201ctransdiagnostic\u201d mental processes that cut across stress\u2010related disorders.<\/jats:p>","DOI":"10.1155\/2018\/4505191","type":"journal-article","created":{"date-parts":[[2018,5,13]],"date-time":"2018-05-13T23:31:09Z","timestamp":1526254269000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Mindfulness Meditation Targets Transdiagnostic Symptoms Implicated in Stress\u2010Related Disorders: Understanding Relationships between Changes in Mindfulness, Sleep Quality, and Physical Symptoms"],"prefix":"10.1155","volume":"2018","author":[{"given":"Jeffrey M.","family":"Greeson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haley","family":"Zarrin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moria J.","family":"Smoski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey G.","family":"Brantley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas R.","family":"Lynch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel M.","family":"Webber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martica H.","family":"Hall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward C.","family":"Suarez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2899-218X","authenticated-orcid":false,"given":"Ruth Q.","family":"Wolever","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,13]]},"reference":[{"key":"e_1_2_8_1_2","volume-title":"Stress in America: Our Health at Risk","author":"American Psychological Association","year":"2012"},{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-007-0322-1"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pop.2007.05.012"},{"key":"e_1_2_8_4_2","volume-title":"Manifesto for a New Medicine: Your Guide to Healing Partnerships and the Wise Use of Alternative Therapies","author":"Gordon J.","year":"1997"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.50.3.571"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.explore.2015.10.002"},{"key":"e_1_2_8_7_2","volume-title":"Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness","author":"Kabat-Zinn J.","year":"1990"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.13018"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.01.006"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2013.05.005"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2008.0495"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2005.06.074"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.5127\/jep.009110"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1155\/2009\/791017"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.11.004"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/med:psych\/9780198528883.001.0001"},{"key":"e_1_2_8_17_2","volume-title":"Emotion Regulation and Psychopathology: A Transdiagnostic Approach to Etiology and Treatment","author":"Kring A. 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