The relationship between mindfulness and psychological well-being with the mediating role of resilience in people with migraine

Subject Areas :

محمد  بی ریا ¹ (کارشناس ارشد روانشناسی، گروه روانشناسی، واحد رشت، گروه روانشناسی، دانشگاه آزاد اسلامی، رشت، ایران)
سیده مریم  موسوی ² (استادیار روانشناسی سلامت، گروه پرستاری و مامایی، واحد رشت، دانشگاه آزاد اسلامی، رشت، ایران)
سجاد  سعادت ³ (نویسنده مسئول: دکتری روانشناسی، مرکز تحقیقات علوم اعصاب، دانشگاه علوم پزشکی گیلان، رشت، ایران .)

Received: 2022-06-05 Accepted : 2022-09-14 Published : 2022-12-21

Keywords: migraine, resilience, mindfulness, Keywords: Psychological well-being,

Abstract :

AbstractThe present study was conducted with the aim of investigating the relationship between mindfulness and psychological well-being with the mediating role of resilience in people with migraine. The design of the research was descriptive kind of correlational study. The statistical population of this study was people suffering from migraine in Rasht city in 2022, whose approximate number is estimated to be 3000 people. In this research, 216 people were selected by convenience sampling method. Freiburg Mindfulness Questionnaire-Short Form (FMI-SF) (Wallach et al., 2006), Riff Psychological Well-Being Questionnaire (RSPWB) (Ryff and Keyes, 1995) and Resilience Scale-Connor Davidson (CD-RISC) (Connor and Davidson, 2003). Data analysis was done using SPSS and Amos software versions 24 and structural equation modeling test. The proposed model had a good fit. The direct effects of mindfulness on resilience, mindfulness on psychological well-being and resilience on psychological well-being were significant; Also, the results showed that resilience played a mediating role between mindfulness and psychological well-being (P<0.05). In general, it can be concluded that resilience is one of the underlying mechanisms of the relationship between mindfulness and psychological well-being in people with migraine; Based on this, it is suggested to implement educational and therapeutic programs focused on mindfulness and resilience in order to improve the psychological well-being of these people.

References:

منابع
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Bajaj, B., Khoury, B., & Sengupta, S. (2022). Resilience and Stress as Mediators in the Relationship of Mindfulness and Happiness. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.771263
Bakhshayesh Eghbali, B., Pourramzani, A., Bahadivand Chegini, A. H., Mirniam, L., Hasanzadeh, K., & Saadat, S. (2022). Validity and Reliability of Connor-Davidson Resilience Scale in Patients with Multiple Sclerosis: A Psychometric Study in Iran. Avicenna Journal of Neuro Psycho Physiology, 9(2), 45-50. http://ajnpp.umsha.ac.ir/article-1-404-en.html
Black, D. S., Semple, R. J., Pokhrel, P., & Grenard, J. L. (2011). Component processes of executive function—mindfulness, self-control, and working memory—and their relationships with mental and behavioral health. Mindfulness, 2, 179-185. https://doi.org/10.1007/s12671-011-0057-2
Buse, D. C., Armand, C. E., Charleston IV, L., Reed, M. L., Fanning, K. M., Adams, A. M., & Lipton, R. B. (2021). Barriers to care in episodic and chronic migraine: Results from the Chronic Migraine Epidemiology and Outcomes Study. Headache: The Journal of Head and Face Pain, 61(4), 628-641. https://doi.org/10.1111/head.14103
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113
Cusinato, M., Iannattone, S., Spoto, A., Poli, M., Moretti, C., Gatta, M., & Miscioscia, M. (2020). Stress, resilience, and well-being in Italian children and their parents during the COVID-19 pandemic. International journal of environmental research and public health, 17(22), 8297. https://doi.org/10.3390/ijerph17228297
Davis, D. M., & Hayes, J. A. (2011). What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy, 48(2), 198–208. https://doi.org/10.1037/a0022062
Fletcher, D., & Sarkar, M. (2012). A grounded theory of psychological resilience in Olympic champions. Psychology of sport and exercise, 13(5), 669-678. https://doi.org/10.1016/j.psychsport.2012.04.007
Grabbe, L., Nguy, S. T., & Higgins, M. K. (2012). Spirituality development for homeless youth: A mindfulness meditation feasibility pilot. Journal of Child and Family Studies, 21, 925-937. https://doi.org/10.1007/s10826-011-9552-2
Hays-Grudo, J., Morris, A. S., Beasley, L., Ciciolla, L., Shreffler, K., & Croff, J. (2021). Integrating and synthesizing adversity and resilience knowledge and action: The ICARE model. American Psychologist, 76(2), 203. https://doi.org/10.1037/amp0000766
فصلنامه پژوهش های کاربردی در علوم رفتاری/ 85
Henepola, G. B. (2002). Mindfulness in plain English. Buddhist Research Society.
Hülsheger, U. R., Alberts, H. J., Feinholdt, A., & Lang, J. W. (2013). Benefits of mindfulness at work: the role of mindfulness in emotion regulation, emotional exhaustion, and job satisfaction. Journal of applied psychology, 98(2), 310–325. https://doi.org/10.1037/a0031313
Jain, S., & Cohen, A. K. (2013). Behavioral adaptation among youth exposed to community violence: A longitudinal multidisciplinary study of family, peer and neighborhood-level protective factors. Prevention science, 14, 606-617. https://doi.org/10.1007/s11121-012-0344-8
Jimenez, S. S., Niles, B. L., & Park, C. L. (2010). A mindfulness model of affect regulation and depressive symptoms: Positive emotions, mood regulation expectancies, and self-acceptance as regulatory mechanisms. Personality and individual differences, 49(6), 645-650. https://doi.org/10.1016/j.paid.2010.05.041
Jimenez, S. S., Niles, B. L., & Park, C. L. (2010). A mindfulness model of affect regulation and depressive symptoms: Positive emotions, mood regulation expectancies, and self-acceptance as regulatory mechanisms. Personality and individual differences, 49(6), 645-650. https://doi.org/10.1016/j.paid.2010.05.041
Kline, R. B. (2005). Principles and practice of structural equation modeling (2 nd ed). New York: Guilford. https://psycnet.apa.org/record/2005-03476-000
Klussman, K., Curtin, N., Langer, J., & Nichols, A. L. (2020). Examining the effect of mindfulness on well-being: self-connection as a mediator. Journal of Pacific Rim Psychology, 14, e5. https://doi.org/10.1017/prp.2019.29
Larsson, B., Dragioti, E., Gerdle, B., & Björk, J. (2019). Positive psychological well-being predicts lower severe pain in the general population: a 2-year follow-up study of the SwePain cohort. Annals of General Psychiatry, 18, 1-11. https://doi.org/10.1186/s12991-019-0231-9
Ledford, A., Luning, C. R., Dixon, D. P., Miles, P., & Lynch, S. M. (2022). The role of mindfulness and resilience in Navy SEAL training. Military Psychology, 1-15. https://doi.org/10.1080/08995605.2022.2062973
Liu, X., Wang, Q., & Zhou, Z. (2022). The association between mindfulness and resilience among university students: a meta-analysis. Sustainability, 14(16), 10405. https://doi.org/10.3390/su141610405
Martínez-Martí, M. L., & Ruch, W. (2017). Character strengths predict resilience over and above positive affect, self-efficacy, optimism, social support, self-esteem, and life satisfaction. The Journal of Positive Psychology, 12(2), 110-119. https://doi.org/10.1080/17439760.2016.1163403
McEwen, B. S. (2016). In pursuit of resilience: stress, epigenetics, and brain plasticity. Annals of the New York Academy of Sciences, 1373(1), 56-64. https://doi.org/10.1111/nyas.13020
Pagnini, F., Cavalera, C., Rovaris, M., Mendozzi, L., Molinari, E., Phillips, D., & Langer, E. (2019). Longitudinal associations between mindfulness and well-being in people with multiple sclerosis. International Journal of Clinical and Health Psychology, 19(1), 22-30. https://doi.org/10.1016/j.ijchp.2018.11.003
Pidgeon, A. M., & Keye, M. (2014). Relationship between resilience, mindfulness, and pyschological well-being in University students. International Journal of Liberal Arts and Social Science, 2(5), 27-32. http://www.ijlass.org/data/frontImages/gallery/Vol._2_No._5/3.pdf
Richter, N., & Hunecke, M. (2021). The mindful hedonist? Relationships between well-being orientations, mindfulness and well-being experiences. Journal of Happiness Studies, 22(7), 3111-3135. https://doi.org/10.1007/s10902-021-00358-5
86 / رابطه ذهن آگاهی و بهزیستی روانشناختی با نقش میانجی تاب آوری در افراد مبتلا به میگرن…
Roemer, A., Sutton, A., Grimm, C., & Medvedev, O. N. (2021). Differential contribution of the five facets of mindfulness to well-being and psychological distress. Mindfulness, 12, 693-700. https://doi.org/10.1007/s12671-020-01535-y
Ruggeri, K., Garcia-Garzon, E., Maguire, Á., Matz, S., & Huppert, F. A. (2020). Well-being is more than happiness and life satisfaction: a multidimensional analysis of 21 countries. Health and quality of life outcomes, 18(1), 1-16. https://doi.org/10.1186/s12955-020-01423-y
Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of personality and social psychology, 69(4), 719. https://doi.org/10.1037/0022-3514.69.4.719
Steptoe, A., Deaton, A., & Stone, A. A. (2015). Subjective wellbeing, health, and ageing. The Lancet, 385(9968), 640-648. https://doi.org/10.1016/S0140-6736(13)61489-0
Sullivan, A., Cousins, S., & Ridsdale, L. (2016). Psychological interventions for migraine: a systematic review. Journal of neurology, 263, 2369-2377. https://doi.org/10.1007/s00415-016-8126-z
Sünbül, Z. A., & Güneri, O. Y. (2019). The relationship between mindfulness and resilience: The mediating role of self compassion and emotion regulation in a sample of underprivileged Turkish adolescents. Personality and Individual Differences, 139, 337-342. https://doi.org/10.1016/j.paid.2018.12.009
Walach, H., Buchheld, N., Buttenmüller, V., Kleinknecht, N., & Schmidt, S. (2006). Measuring mindfulness—the Freiburg mindfulness inventory (FMI). Personality and individual differences, 40(8), 1543-1555. https://doi.org/10.1016/j.paid.2005.11.025
Wang, Y., Zheng, Z., Duan, X., Li, M., & Li, Y. (2022). The Relationship between Mindfulness and Social Adaptation among Migrant Children in China: The Sequential Mediating Effect of Self-Esteem and Resilience. International Journal of Environmental Research and Public Health, 19(23), 16241. https://doi.org/10.3390/ijerph192316241
Wills, T. A., & Bantum, E. O. C. (2012). Social support, self-regulation, and resilience in two populations: General-population adolescents and adult cancer survivors. Journal of Social and Clinical Psychology, 31(6), 568-592. https://doi.org/10.1521/jscp.2012.31.6.568
Yang, F. H., Tan, S. L., & Lin, Y. L. (2022). The relationships among mindfulness, self-compassion, and subjective well-being: The case of employees in an international business. Sustainability, 14(9), 5266. https://doi.org/10.3390/su14095266
Yousefi Afrashteh, M., Abbasi, M., & Abbasi, M. (2023). The relationship between meaning of life, perceived social support, spiritual well-being and pain catastrophizing with quality of life in migraine patients: j, 11(1), 1-10. https://doki.org/10.1186/s40359-023-01053-1
Zenner, C., Herrnleben-Kurz, S., & Walach, H. (2014). Mindfulness-based interventions in schools—a systematic review and meta-analysis. Frontiers in psychology, 5, 603. https://doi.org/10.3389/fpsyg.2014.00603
Zhang, Q., Wang, Z., Wang, X., Liu, L., Zhang, J., & Zhou, R. (2019). The effects of different stages of mindfulness meditation training on emotion regulation. Frontiers in human neuroscience, 13, 208. https://doi.org/10.3389/fnhum.2019.00208
Zhou, Z. K., Liu, Q. Q., Niu, G. F., Sun, X. J., & Fan, C. Y. (2017). Bullying victimization and depression in Chinese children: A moderated mediation model of resilience and mindfulness. Personality and individual differences, 104, 137-142. https://doi.org/10.1016/j.paid.2016.07.040

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Antonini Philippe, R., Schwab, L., & Biasutti, M. (2021). Effects of physical activity and mindfulness on resilience and depression during the first wave of COVID-19 pandemic. Frontiers in Psychology, 12, 700742. https://doi.org/10.3389/fpsyg.2021.700742
Bajaj, B., Khoury, B., & Sengupta, S. (2022). Resilience and Stress as Mediators in the Relationship of Mindfulness and Happiness. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.771263
Bakhshayesh Eghbali, B., Pourramzani, A., Bahadivand Chegini, A. H., Mirniam, L., Hasanzadeh, K., & Saadat, S. (2022). Validity and Reliability of Connor-Davidson Resilience Scale in Patients with Multiple Sclerosis: A Psychometric Study in Iran. Avicenna Journal of Neuro Psycho Physiology, 9(2), 45-50. http://ajnpp.umsha.ac.ir/article-1-404-en.html
Black, D. S., Semple, R. J., Pokhrel, P., & Grenard, J. L. (2011). Component processes of executive function—mindfulness, self-control, and working memory—and their relationships with mental and behavioral health. Mindfulness, 2, 179-185. https://doi.org/10.1007/s12671-011-0057-2
Buse, D. C., Armand, C. E., Charleston IV, L., Reed, M. L., Fanning, K. M., Adams, A. M., & Lipton, R. B. (2021). Barriers to care in episodic and chronic migraine: Results from the Chronic Migraine Epidemiology and Outcomes Study. Headache: The Journal of Head and Face Pain, 61(4), 628-641. https://doi.org/10.1111/head.14103
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113
Cusinato, M., Iannattone, S., Spoto, A., Poli, M., Moretti, C., Gatta, M., & Miscioscia, M. (2020). Stress, resilience, and well-being in Italian children and their parents during the COVID-19 pandemic. International journal of environmental research and public health, 17(22), 8297. https://doi.org/10.3390/ijerph17228297
Davis, D. M., & Hayes, J. A. (2011). What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy, 48(2), 198–208. https://doi.org/10.1037/a0022062
Fletcher, D., & Sarkar, M. (2012). A grounded theory of psychological resilience in Olympic champions. Psychology of sport and exercise, 13(5), 669-678. https://doi.org/10.1016/j.psychsport.2012.04.007
Grabbe, L., Nguy, S. T., & Higgins, M. K. (2012). Spirituality development for homeless youth: A mindfulness meditation feasibility pilot. Journal of Child and Family Studies, 21, 925-937. https://doi.org/10.1007/s10826-011-9552-2
Hays-Grudo, J., Morris, A. S., Beasley, L., Ciciolla, L., Shreffler, K., & Croff, J. (2021). Integrating and synthesizing adversity and resilience knowledge and action: The ICARE model. American Psychologist, 76(2), 203. https://doi.org/10.1037/amp0000766
فصلنامه پژوهش های کاربردی در علوم رفتاری/ 85
Henepola, G. B. (2002). Mindfulness in plain English. Buddhist Research Society.
Hülsheger, U. R., Alberts, H. J., Feinholdt, A., & Lang, J. W. (2013). Benefits of mindfulness at work: the role of mindfulness in emotion regulation, emotional exhaustion, and job satisfaction. Journal of applied psychology, 98(2), 310–325. https://doi.org/10.1037/a0031313
Jain, S., & Cohen, A. K. (2013). Behavioral adaptation among youth exposed to community violence: A longitudinal multidisciplinary study of family, peer and neighborhood-level protective factors. Prevention science, 14, 606-617. https://doi.org/10.1007/s11121-012-0344-8
Jimenez, S. S., Niles, B. L., & Park, C. L. (2010). A mindfulness model of affect regulation and depressive symptoms: Positive emotions, mood regulation expectancies, and self-acceptance as regulatory mechanisms. Personality and individual differences, 49(6), 645-650. https://doi.org/10.1016/j.paid.2010.05.041
Jimenez, S. S., Niles, B. L., & Park, C. L. (2010). A mindfulness model of affect regulation and depressive symptoms: Positive emotions, mood regulation expectancies, and self-acceptance as regulatory mechanisms. Personality and individual differences, 49(6), 645-650. https://doi.org/10.1016/j.paid.2010.05.041
Kline, R. B. (2005). Principles and practice of structural equation modeling (2 nd ed). New York: Guilford. https://psycnet.apa.org/record/2005-03476-000
Klussman, K., Curtin, N., Langer, J., & Nichols, A. L. (2020). Examining the effect of mindfulness on well-being: self-connection as a mediator. Journal of Pacific Rim Psychology, 14, e5. https://doi.org/10.1017/prp.2019.29
Larsson, B., Dragioti, E., Gerdle, B., & Björk, J. (2019). Positive psychological well-being predicts lower severe pain in the general population: a 2-year follow-up study of the SwePain cohort. Annals of General Psychiatry, 18, 1-11. https://doi.org/10.1186/s12991-019-0231-9
Ledford, A., Luning, C. R., Dixon, D. P., Miles, P., & Lynch, S. M. (2022). The role of mindfulness and resilience in Navy SEAL training. Military Psychology, 1-15. https://doi.org/10.1080/08995605.2022.2062973
Liu, X., Wang, Q., & Zhou, Z. (2022). The association between mindfulness and resilience among university students: a meta-analysis. Sustainability, 14(16), 10405. https://doi.org/10.3390/su141610405
Martínez-Martí, M. L., & Ruch, W. (2017). Character strengths predict resilience over and above positive affect, self-efficacy, optimism, social support, self-esteem, and life satisfaction. The Journal of Positive Psychology, 12(2), 110-119. https://doi.org/10.1080/17439760.2016.1163403
McEwen, B. S. (2016). In pursuit of resilience: stress, epigenetics, and brain plasticity. Annals of the New York Academy of Sciences, 1373(1), 56-64. https://doi.org/10.1111/nyas.13020
Pagnini, F., Cavalera, C., Rovaris, M., Mendozzi, L., Molinari, E., Phillips, D., & Langer, E. (2019). Longitudinal associations between mindfulness and well-being in people with multiple sclerosis. International Journal of Clinical and Health Psychology, 19(1), 22-30. https://doi.org/10.1016/j.ijchp.2018.11.003
Pidgeon, A. M., & Keye, M. (2014). Relationship between resilience, mindfulness, and pyschological well-being in University students. International Journal of Liberal Arts and Social Science, 2(5), 27-32. http://www.ijlass.org/data/frontImages/gallery/Vol._2_No._5/3.pdf
Richter, N., & Hunecke, M. (2021). The mindful hedonist? Relationships between well-being orientations, mindfulness and well-being experiences. Journal of Happiness Studies, 22(7), 3111-3135. https://doi.org/10.1007/s10902-021-00358-5
86 / رابطه ذهن آگاهی و بهزیستی روانشناختی با نقش میانجی تاب آوری در افراد مبتلا به میگرن…
Roemer, A., Sutton, A., Grimm, C., & Medvedev, O. N. (2021). Differential contribution of the five facets of mindfulness to well-being and psychological distress. Mindfulness, 12, 693-700. https://doi.org/10.1007/s12671-020-01535-y
Ruggeri, K., Garcia-Garzon, E., Maguire, Á., Matz, S., & Huppert, F. A. (2020). Well-being is more than happiness and life satisfaction: a multidimensional analysis of 21 countries. Health and quality of life outcomes, 18(1), 1-16. https://doi.org/10.1186/s12955-020-01423-y
Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of personality and social psychology, 69(4), 719. https://doi.org/10.1037/0022-3514.69.4.719
Steptoe, A., Deaton, A., & Stone, A. A. (2015). Subjective wellbeing, health, and ageing. The Lancet, 385(9968), 640-648. https://doi.org/10.1016/S0140-6736(13)61489-0
Sullivan, A., Cousins, S., & Ridsdale, L. (2016). Psychological interventions for migraine: a systematic review. Journal of neurology, 263, 2369-2377. https://doi.org/10.1007/s00415-016-8126-z
Sünbül, Z. A., & Güneri, O. Y. (2019). The relationship between mindfulness and resilience: The mediating role of self compassion and emotion regulation in a sample of underprivileged Turkish adolescents. Personality and Individual Differences, 139, 337-342. https://doi.org/10.1016/j.paid.2018.12.009
Walach, H., Buchheld, N., Buttenmüller, V., Kleinknecht, N., & Schmidt, S. (2006). Measuring mindfulness—the Freiburg mindfulness inventory (FMI). Personality and individual differences, 40(8), 1543-1555. https://doi.org/10.1016/j.paid.2005.11.025
Wang, Y., Zheng, Z., Duan, X., Li, M., & Li, Y. (2022). The Relationship between Mindfulness and Social Adaptation among Migrant Children in China: The Sequential Mediating Effect of Self-Esteem and Resilience. International Journal of Environmental Research and Public Health, 19(23), 16241. https://doi.org/10.3390/ijerph192316241
Wills, T. A., & Bantum, E. O. C. (2012). Social support, self-regulation, and resilience in two populations: General-population adolescents and adult cancer survivors. Journal of Social and Clinical Psychology, 31(6), 568-592. https://doi.org/10.1521/jscp.2012.31.6.568
Yang, F. H., Tan, S. L., & Lin, Y. L. (2022). The relationships among mindfulness, self-compassion, and subjective well-being: The case of employees in an international business. Sustainability, 14(9), 5266. https://doi.org/10.3390/su14095266
Yousefi Afrashteh, M., Abbasi, M., & Abbasi, M. (2023). The relationship between meaning of life, perceived social support, spiritual well-being and pain catastrophizing with quality of life in migraine patients: j, 11(1), 1-10. https://doki.org/10.1186/s40359-023-01053-1
Zenner, C., Herrnleben-Kurz, S., & Walach, H. (2014). Mindfulness-based interventions in schools—a systematic review and meta-analysis. Frontiers in psychology, 5, 603. https://doi.org/10.3389/fpsyg.2014.00603
Zhang, Q., Wang, Z., Wang, X., Liu, L., Zhang, J., & Zhou, R. (2019). The effects of different stages of mindfulness meditation training on emotion regulation. Frontiers in human neuroscience, 13, 208. https://doi.org/10.3389/fnhum.2019.00208
Zhou, Z. K., Liu, Q. Q., Niu, G. F., Sun, X. J., & Fan, C. Y. (2017). Bullying victimization and depression in Chinese children: A moderated mediation model of resilience and mindfulness. Personality and individual differences, 104, 137-142. https://doi.org/10.1016/j.paid.2016.07.040