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Mindfulness training supported by a restorative natural setting: Integrating individual and environmental approaches to the management of adaptive resources
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
2019 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis integrates restorative environments research and mindfulness research: two disparate but related approaches to managing the demands of modern living. Both offer ways to improve attention regulation by detaching from routine mental contents and engaging with present experience. However, restoration works bottom-up, from supportive environmental features, while mindfulness meditation works top-down, through effortful training. Complementarities between the two are the foundations of restoration skills training (ReST), a five-week mindfulness-based course that uses mindful sensory exploration in a natural setting to build a meditative state effortlessly. As in conventional mindfulness training (CMT), ReST involves a learning structure to teach versatile adaptive skills.

Data were collected in four rounds, with successively refined versions of ReST given in a botanic garden and formally matched CMT given indoors. Data were collected to test short-term outcomes of practice sessions and long-term course outcomes. Four papers aim to determine whether ReST confers similar health benefits as CMT and has specific advantages related to lower effort and enhanced restoration. Paper I shows that on repeated measurement occasions across the course weeks, attention tests obtained before and after ReST practice sessions showed restorative effects (improved performance) consistently for general attention and increasingly for executive attention. In contrast, CMT practice indoors incurred increasing effort (deteriorated performance) seen in general attention. Despite these different short-term outcomes, ReST and CMT conferred similar generalized improvements over the course weeks. Paper II shows that ReST compared with CMT had higher course completion and better establishment of a regular practice. Compliance was mediated through perceived restorative qualities in the meditation setting and state mindfulness during the classes. Paper III shows that ReST was attended by at least similar benefits for general psychological functioning as CMT. Ratings of dispositional mindfulness and attention problems remained improved six months after ReST. After CMT, only attention problem ratings remained improved. However, chronic stress ratings were not lastingly improved with either course. Paper IV shows that with ReST, participants with higher initial ratings of attention problems subsequently completed more homework practice during the course. Homework practice in turn explained part of the improvement in dispositional mindfulness and attention problems. With CMT, homework practice was unrelated to initial attention problems and improvement. In conclusion, ReST is a promising alternative for people who struggle under heavy attention demands; effortful training is not necessary to improve attention regulation in early stages of mindfulness training. The theoretical and practical integration can guide further exchange between these related research fields.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2019. , p. 159
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 171
Keywords [en]
Mindfulness, Restorative, Environment, Meditation, Setting, Training, Attention, Adaptation, Attention, Resource, Integration, Individual, Environmental
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:uu:diva-391661ISBN: 978-91-513-0735-0 (print)OAI: oai:DiVA.org:uu-391661DiVA, id: diva2:1345479
Public defence
2019-10-18, Sydney Alrutz-salen, Blåsenhus, von Kraemers Allé 1, Uppsala, 10:15 (English)
Opponent
Supervisors
Available from: 2019-09-26 Created: 2019-08-25 Last updated: 2019-10-15
List of papers
1. Building mindfulness bottom-up: Meditation in natural settings supports open monitoring and attention restoration
Open this publication in new window or tab >>Building mindfulness bottom-up: Meditation in natural settings supports open monitoring and attention restoration
2018 (English)In: Consciousness and Cognition, ISSN 1053-8100, E-ISSN 1090-2376, Vol. 59, p. 40-56Article in journal (Refereed) Published
Abstract [en]

 Mindfulness courses conventionally use effortful, focused meditation to train attention. In contrast, natural settings can effortlessly support state mindfulness and restore depleted attention resources, which could facilitate meditation. We performed two studies that compared conventional training with restoration skills training (ReST) that taught low-effort open monitoring meditation in a garden over five weeks. Assessments before and after meditation on multiple occasions showed that ReST meditation increasingly enhanced attention performance. Conventional meditation enhanced attention initially but increasingly incurred effort, reflected in performance decrements toward the course end. With both courses, attentional improvements generalized in the first weeks of training. Against established accounts, the generalized improvements thus occurred before any effort was incurred by the conventional exercises. We propose that restoration rather than attention training can account for early attentional improvements with meditation. ReST holds promise as an undemanding introduction to mindfulness and as a method to enhance restoration in nature contacts.

Keywords
Attention, Mindfulness, Meditation, Restoration, Training
National Category
Psychology
Identifiers
urn:nbn:se:uu:diva-341717 (URN)10.1016/j.concog.2018.01.008 (DOI)000427810400005 ()
Available from: 2018-02-13 Created: 2018-02-13 Last updated: 2019-08-25Bibliographically approved
2. A natural meditation setting improves compliance with mindfulness training
Open this publication in new window or tab >>A natural meditation setting improves compliance with mindfulness training
2019 (English)In: Journal of Environmental Psychology, ISSN 0272-4944, E-ISSN 1522-9610, Vol. 64, p. 98-106Article in journal (Refereed) Published
Abstract [en]

The setting matters in meditation, but most research has neglected it. Many mindfulness-based health interventions emphasize effortful attention training exercises in sparsely furnished indoor settings. However, many beginners with attention regulation problems struggle with the exercises and drop out. In contrast, restoration skills training (ReST) – a five-week course set in a garden environment – builds on mindfulness practices adapted to draw on restorative processes stimulated effortlessly in nature contacts. Expecting that the ReST approach will facilitate the introduction to mindfulness, we compared drop-out and homework completion records from four rounds of ReST vs. conventional mindfulness training (N = 139). Randomly assigned ReST participants had lower drop-out and more sustained homework completion over the course weeks. Supporting the theoretical assumptions, higher restorative environmental qualities and state mindfulness mediated the compliance differences. The improved acceptability with ReST means that more people can enjoy the long-term benefits of establishing a meditation practice.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Mindfulness, Nature, Restoration, Environment, Compliance, Acceptability
National Category
Psychology
Identifiers
urn:nbn:se:uu:diva-390941 (URN)10.1016/j.jenvp.2019.05.008 (DOI)000484869600010 ()
Available from: 2019-08-16 Created: 2019-08-16 Last updated: 2019-10-17Bibliographically approved
3. Mindfulness-Based Restoration Skills Training (ReST) in a Natural Setting Compared to Conventional Mindfulness Training: Psychological Functioning After a Five-Week Course
Open this publication in new window or tab >>Mindfulness-Based Restoration Skills Training (ReST) in a Natural Setting Compared to Conventional Mindfulness Training: Psychological Functioning After a Five-Week Course
Show others...
2020 (English)In: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 11, article id 1560Article in journal (Refereed) Published
Abstract [en]

Restoration skills training (ReST) is a mindfulness-based course that draws on restorative nature experience to facilitate the meditation practice and teach widely applicable adaptation skills. Previous studies comparing ReST to conventional mindfulness training (CMT) showed that ReST has important advantages: it supports beginning meditators in connecting with restorative environmental qualities and in meditating with less effort; it restores their attention regulation capabilities; and it helps them complete the course and establish a regular meditation habit. However, mindfulness theory indicates that effortful training may be necessary to achieve generalized improvements in psychological functioning. Therefore, this study tests whether the less effortful and more acceptable ReST approach is attended by any meaningful disadvantage compared to CMT in terms of its effects on central aspects psychological functioning. We analyze data from four rounds of development of the ReST course, in each of which we compared it to a parallel and formally matched CMT course. Randomly assigned participants (total course starters = 152) provided ratings of dispositional mindfulness, cognitive functioning, and chronic stress before and after the 5-week ReST and CMT courses. Round 4 also included a separately recruited passive control condition. ReST and CMT were attended by similar average improvements in the three outcomes, although the effects on chronic stress were inconsistent. Moderate to large improvements in the three outcomes could also be affirmed in contrasts with the passive controls. Using a reliable change index, we saw that over one third of the ReST and CMT participants enjoyed reliably improved psychological functioning. The risk of experiencing deteriorated functioning was no greater with either ReST or CMT than for passive control group participants. None of the contrasts exceeded our stringent criterion for inferiority of ReST compared with CMT. We conclude that ReST is a promising alternative for otherwise healthy people with stress or concentration problems who would be less likely to complete more effortful CMT. By adapting the meditation practices to draw on restorative setting characteristics, ReST can mitigate the demands otherwise incurred in early stages of mindfulness training without compromising the acquisition of widely applicable mindfulness skills.

Place, publisher, year, edition, pages
Frontiers Media SA, 2020
Keywords
Mindfulness, Restoration, Meditation, Nature, Environment, Training
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:uu:diva-391656 (URN)10.3389/fpsyg.2020.01560 (DOI)000565337900001 ()32903687 (PubMedID)
Note

Title in thesis list of papers: Mindfulnesss-based restoration skills training (ReST) in a natural setting compared to conventional mindfulness training: A randomized trial with six-month follow-up

Available from: 2019-08-25 Created: 2019-08-25 Last updated: 2022-02-10Bibliographically approved
4. Mindfulness meditation training in a natural setting particularly helps people with attention problems
Open this publication in new window or tab >>Mindfulness meditation training in a natural setting particularly helps people with attention problems
(English)Manuscript (preprint) (Other academic)
Keywords
Mindfulness, Restoration, Attention, Meditation, Nature, Environment
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:uu:diva-391657 (URN)
Available from: 2019-08-25 Created: 2019-08-25 Last updated: 2019-08-25

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