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Perspective on Thoughts and Feelings as a Predictor of Psychological Well-being in Daily Life, in a Community Sample

Decentering in Daily Life: Underlying Mechanisms and Impact on Well-Being

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03336710
Enrollment
380
Registered
2017-11-08
Start date
2017-07-06
Completion date
2018-12-17
Last updated
2019-07-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Mental Health, Mindfulness

Keywords

Self-control, Ecological Momentary Assessment, Attentional bias, Respiratory Sinus Arrhythmia, Affect, Emotion Regulation, Well-being, Decentering, Affective disorders

Brief summary

This project examines the psychological construct of decentering - a mindfulness-related construct marked by an observer perspective on one's ongoing mental processes. Specifically, this project seeks to explore the extent to which decentering modulates the relationship between people's affective states and their momentary mental health and well-being, and to test the psychological processes by which decentering might exert these effects. This study includes a baseline assessment followed by a 7-day study completed from home where participants respond to brief surveys about their current experiences six times per day (i.e., an Ecological Momentary Assessment \[EMA\] design). The investigators hypothesize that decentering moderates the association of extreme affect with related symptoms (i.e., elevated negative affect with depression and anxiety; elevated positive affect with mania, narcissism, and histrionic traits) and well-being, such that the association is attenuated at high levels of decentering. This will be examined using the EMA data, analyzing between-person levels (i.e., trait) as well as momentary within-person processes (i.e., concurrent and prospective states). Further, the investigators predict that broadened attentional focus and improved self-regulation are mechanisms that contribute to the beneficial effects of decentering in daily life. This hypothesis will be examined in two ways: 1. as individual differences, wherein greater self-regulatory abilities (e.g., higher heart rate variability) and less attentional biases towards emotional stimuli mediate the association between trait decentering and subsequent daily well-being/symptoms, and 2. as within-person momentary levels, wherein broader attentional processes and greater self-regulation in daily life mediate the concurrent and prospective association between momentary decentering and well-being/symptoms. Note that the study uses a multimodal assessment of each of the proposed processes. For attentional processes, a variety of parameters extracted from an emotional eye tracking paradigm will be examined. For self-regulatory abilities, assessments will include self-report, physiological (heart rate variability), and behavioral (go / no-go task) measures of such abilities.

Interventions

None listed

Sponsors

National Center for Complementary and Integrative Health (NCCIH)
CollaboratorNIH
State University of New York at Buffalo
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* age 18-65, fluency in English

Exclusion criteria

* current cognitive impairments (i.e., intellectual disability, dementia, current psychotic symptoms) that preclude giving informed consent and accurately answering study questions

Design outcomes

Primary

MeasureTime frameDescription
Momentary psychological distress6 x daily for 7 days following the baseline assessment2 items (developed new for this study) assessing the presence and impact of idiographic symptoms identified at baseline, and 4 items assessing dysphoria adapted from the Inventory of Depression and Anxiety Symptoms (IDAS)
Momentary eudaimonic well-being6 x daily for 7 days following the baseline assessment2 items assessing eudaimonic well-being adapted from Breines et al. (2008) and Lambert et al. (2013)
Momentary hedonic well-being (state positive and negative affect)6 x daily for 7 days following the baseline assessment8 items assessing hedonic well-being (positive and negative affect), taken from the Positive and Negative Affect Schedule (PANAS).
State Decentering6 x daily for 7 days following the baseline assessment4 items assessing current decentering, adapted from Fresco et al. (2007), Gillanders et al. (2014), and Shoham et al. (2017)
Trait Decentering: Experiences QuestionnaireBaseline session onlyExperiences Questionnaire is a trait measure of decentering, which assesses the Observer Perspective aspect of decentering. From Fresco et al., (2007)
Trait decentering: Valence free decentering measureBaseline session onlyThis is an in-development measure of decentering that measures the construct of decentering without explicitly referring to negative thoughts and feelings.
Trait decentering: Cognitive Fusion QuestionnaireBaseline session onlyThe Cognitive Fusion Questionnaire is a decentering measure that assesses the Reduced Struggle with Inner Experiences aspect of decentering. From Gillanders et al., (2014).
Trait decentering: Toronto Mindfulness Scale-Decentering SubscaleBaseline session onlyThe Toronto Mindfulness Scale-Decentering subscale is a decentering measure that assesses the Observer Perspective aspect of decentering. From Davis, Lau, & Cairns (2009).

Secondary

MeasureTime frameDescription
Self-reported momentary self-regulation6 x daily for 7 days following the baseline assessment3 questions assessing current perceived willpower & mental exhaustion, adapted from Davisson (2013) and Milyavskaya & Inzlicht (2017).
Baseline attentional breadth: Ruminative Responses ScaleBaseline session onlySelf-report measure corresponding to various emotion regulation strategies (negative rumination)
Self-reported momentary attentional focus6 x daily for 7 days following the baseline assessment4 attentional emotion regulation items (distraction, positive rumination, negative rumination, and reappraisal) adapted from Brans et al. (2013), Feldman et al. (2008), and Nolen-Hoeksema & Morrow (1991)
Baseline self-regulation: Go/no-go taskBaseline session onlyGo/no-go task asks people to respond to a large number of go trials (80%) and a smaller number of no go trials. The ability to inhibit the dominant go response is seen as an operative measure of self-regulatory abilities, consequently the number of no go signals responded to is one measure of self-regulatory abilities.
Baseline self-regulation: Resting heart rate variabilityBaseline session onlyAssessed with a Polar V800 athletic watch during a 5-minute vanilla baseline and a 5-minute paced breathing task.
Baseline self-regulation: Self-Control Scale (short form)Baseline session onlyA self-report measure of people's perceived self-control abilities and outcomes, developed by Tangney, Baumeister, & Boone (2004).
Baseline attentional breadth: Emotional eye-tracking paradigmBaseline session onlyParticipants will view a series of emotionally expressive versus neutral faces, and the fixation time and number of fixations towards emotionally evocative (angry, sad, happy) faces will serve as indicators of attentional bias
Baseline attentional breadth: Thought Control QuestionnaireBaseline session onlySelf-report measure corresponding to various emotion regulation strategies (distraction and reappriasal)
Baseline attentional breadth: Responses to Positive Affect ScaleBaseline session onlySelf-report measure corresponding to various emotion regulation strategies (positive rumination)

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026