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Article

Disentangling the Effects of Mindfulness, Savoring, and Depressive Symptoms among Emerging Adults

by
Rebecca Y. M. Cheung
1,2,* and
Melody C. Y. Ng
3
1
School of Psychology and Clinical Language Sciences, University of Reading, Reading RG6 6ES, UK
2
Centre for Child and Family Science, The Education University of Hong Kong, Hong Kong SAR, China
3
Department of Psychology, The Chinese University of Hong Kong, Hong Kong SAR, China
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(8), 5568; https://doi.org/10.3390/ijerph20085568
Submission received: 1 March 2023 / Revised: 9 April 2023 / Accepted: 13 April 2023 / Published: 18 April 2023

Abstract

:
The links between mindfulness, savoring positive experiences, and depressive symptoms have been well established in the literature. Nevertheless, little has been done to disentangle the prospective relations among these constructs. Clarifying the longitudinal relations is crucial, as it enables researchers and practitioners to discern potential trajectories of mental health interventions. In this study, 180 emerging adults between 18 and 27 years old were recruited twice at 3 months apart to complete self-reported measures including mindfulness, savoring positive experiences, and depressive symptoms. Cross-lagged path analysis indicated that savoring the moment was predictive of mindfulness three months later, whereas depressive symptoms were predictive of both mindfulness and savoring the moment three months later, above and beyond the effects of age, gender, and family income. Additionally, mindfulness, savoring positive experiences, and depressive symptoms were significantly correlated at baseline. The present study evidenced short-term inverse effects of depressive symptoms on mindfulness and savoring the moment, as well as a positive effect of savoring the moment on mindfulness. Hence, interventions geared towards reducing symptoms of depression are likely to carry concurrent and prospective benefits for psychological functioning, namely the ability to be present in the moment and to savor.

1. Introduction

The study of mindfulness and mental health has flourished in psychological science over the recent decade [1,2,3,4]. According to Kabat-Zinn [5], mindfulness refers to the arising awareness of paying attention to the present moment without judgment and on purpose. In the mindfulness-to-meaning theory, Garland et al. [1] postulate that mindfulness is associated with psychological well-being and meaning in life through a spiral of processes, including reduced habitual and autopilot reactions to stress, greater cognitive reappraisal, and greater savoring of positive experiences. Recent studies have also suggested that trait mindfulness and mindfulness-based practices are associated with fewer symptoms of depression and anxiety [6,7,8,9,10,11]. Thus, the relations between mindfulness, psychological distress, and mental well-being have been well established in the literature.
While ample evidence suggests that mindfulness is beneficial to psychological health [6,7,8,9,10,11], a handful of studies have also shown that psychological health, as reflected by fewer depressive symptoms, is predictive of mindfulness [12,13,14]. Nevertheless, these findings appear to be inconsistent, especially on the bidirectional relation between mindfulness and depressive symptoms. In terms of significant findings, a study showed that depression severity was related to a lower level of mindfulness and that mindfulness mediated the longitudinal relation between the severity of depression and problematic smartphone use [12]. However, another study indicated that mindfulness and depressive symptoms did not predict one another from baseline to 3-month follow up but did show predictions of one another from 3-month to 6-month follow up [14]. In a third study [13], depressive symptoms consistently predicted mindfulness facets, including nonjudgment and nonreactivity to inner experiences, from baseline to 6-month follow up and from 6-month to 12-month follow up. Though depressive symptoms also predicted describing from baseline to 6-month follow up, they did not predict the rest of the facets, including observing and acting with awareness over time. As for the predictability of mindfulness on depressive symptoms, a significant effect was found for acting with awareness, but not other mindfulness facets, on depressive symptoms from 6-month to 12-month follow up (see also [15] for a meta-analytic review). As such, while depressive symptoms appear to be crucial for the worsening of some mindfulness facets, mindfulness facets are not always predictive of worsened depression in cross-lagged models. Given the mixed findings in the literature, the present study aims to disentangle the longitudinal relation between mindfulness and depressive symptoms among emerging adults.
Consistent with the mindfulness-to-meaning theory, recent findings have demonstrated that mindfulness is associated with a greater savoring of positive experiences [16,17,18]. Savoring refers to people’s propensity to be appreciative of the past (reminiscing), the present (savoring the moment), and the future (anticipation) [19,20]. Indeed, mindfulness is central to savoring, particularly to savoring the moment, as an awareness of the present is essential for the appreciation of it [21]. Not surprisingly, behavioral interventions have integrated components of mindfulness, savoring, and cognitive reappraisal techniques to reduce autopilot tendencies and foster behavior change [22,23,24,25,26].
While previous studies have demonstrated a direct association between mindfulness and savoring positive experiences, most of them are cross-sectional [3,27]. The studies that are longitudinal, however, did not examine the link between mindfulness and specific types of savoring, such as anticipation, savoring the moment, and reminiscing [18,28,29]. In terms of the directionality of effects, even though mindfulness and mindful decentering foster savoring [21,29], savoring the present moment may serve as a reward for people to be more mindful of the here and now. As such, this study aims to unravel the longitudinal relation between mindfulness and different types of savoring, including anticipation, savoring the moment, and reminiscing.
The association between savoring and psychological distress has also been well established in the literature [30,31,32], with a majority of the findings showing the prediction of savoring on lower distress, including depressive symptoms [3,33,34]. For instance, in a sample of older adults, a savoring intervention was found to reduce depression and negative affect and increase life satisfaction, subjective happiness, resilience, and positive affect [35]. Similarly, another study involving older adults showed that people who completed a savoring intervention with high fidelity had a greater reduction in depressive symptoms and greater improvements in happiness and resilience [36]. In a cross-sectional study involving undergraduate students, savoring, mindfulness, and self-compassion all mediated the relation between social support and depressive symptoms [3]. Interestingly, when the types of savoring were distinguished, only savoring the moment, not anticipation or reminiscing, mediated the cross-sectional relation between positive and negative affectivity and depressive symptoms among undergraduate students [37].
In terms of the opposite directionality of effects, a handful of studies have also suggested that people’s health, including fewer depressive symptoms and better-perceived health, were predictive of savoring [29,38,39]. However, the findings were somewhat mixed. For example, in a sample of parents of 8- to 12-year-old children, parental depressive symptoms longitudinally predicted lower relational savoring, i.e., parents’ ability to attend to, re-experience, recall, and process instances of positive connections with their child. Relational savoring was further associated with children’s greater physiological regulation [40]. As such, parental depression has direct implications for parents’ relational savoring as well as their child’s adjustment. In another study involving community-dwelling older adults, perceived health at baseline predicted anticipation and reminiscing but not savoring the moment 2.5 years later [38]. Hence, the predictive effects of health on savoring varied depending on the type of savoring. To further illuminate the directionality of effects between savoring and depressive symptoms, the present study tested the longitudinal relations between different types of savoring and depressive symptoms among emerging adults.
Situated in the developmental period of emerging adulthood, the present study examined cross-lagged relations between mindfulness, savoring, and depressive symptoms in a Chinese sample from Hong Kong. Emerging adulthood is a transition period in between adolescence and adulthood, characterized by identity exploration, instability, and possibilities [41,42]. Of note, people in this developmental period are prone to mental health problems including depression (e.g., [42,43]). As a result, identifying mental health correlates during this period is tremendously important. Based on the literature, we hypothesized that mindfulness would predict greater savoring, including reminiscing, savoring the moment, and anticipation, as well as fewer depressive symptoms. We also hypothesized that savoring would predict fewer depressive symptoms. Finally, we hypothesized that depressive symptoms would predict lower levels of mindfulness and savoring. However, we did not set an a priori hypothesis for the effects of savoring on mindfulness, given the lack of evidence in the literature.

2. Materials and Methods

2.1. Participants

One hundred and eighty Chinese university students of 18–27 years old (M = 21.12, SD = 2.02; 89.44% female) were recruited via online platforms and mass emailing. The retention rate was 92.78% (nT3 = 167) from Time 1 (T1) to Time 2 (T2), with each time spanning three months. The present study was approved by the Human Research Ethics Committee of The Education University of Hong Kong. Informed consent was sought prior to the administration of the study. Upon completion of all time points, participants received HKD 200.00 supermarket coupons (~USD 25.64) as compensation.

2.2. Measures

2.2.1. Mindfulness

The 10-item Cognitive and Affective Mindfulness Scale-Revised (CAMS-R; [44]) was used to assess mindfulness. Sample items included “It is easy for me to concentrate on what I am doing.” and “I am able to accept the thoughts and feelings I have.” Participants responded on a 4-point scale from 1 (rarely/not at all) to 4 (almost always). The items were averaged to form a composite score of mindfulness, with higher scores indicating a greater level of mindfulness. The CAMS-R was previously validated in a Chinese community sample [45]. Cronbach’s alpha = 0.86 at T1 and 0.89 at T2.

2.2.2. Savoring

The 24-item Savoring Beliefs Inventory (SBI; [46]) was used to measure savoring positive experiences on a 5-point scale from 1 (strongly disagree) to 5 (strongly agree). The SBI has three subscales, including Anticipation, Savoring the Moment, and Reminiscing. The 8-item Anticipation subscale included sample items, such as “I feel a joy of anticipation when I think about upcoming good things” and “For me, anticipating what upcoming good events will be like is basically a waste of time.” The item scores were averaged to form a composite score of anticipation, with higher scores indicating greater anticipation. The 8-item Savoring the Moment subscale included sample items, such as “I know how to make the most of good time.” and “I feel fully able to appreciate good things that happen to me.” The item scores were averaged to form a composite score of savoring the moment, with higher scores indicating greater present focus. The 8-item Reminiscing subscale included sample items, such as “I can make myself feel good by remembering pleasant events from my past.” and “I like to store memories of fun times that I go through so that I can recall them later.” The item scores were averaged to form a composite score of reminiscing, with higher scores indicating greater reminiscing. The measures had been used previously with Chinese samples with adequate reliability [47]. Cronbach’s alpha = 0.77 at T1 and 0.81 at T2 for Anticipation, 0.81 at T1 and 0.83 at T2 for Savoring the Moment, and 0.83 at T1 and 0.80 at T2 for Reminiscing.

2.2.3. Depressive Symptoms

The 10-item Patient Health Questionnaire-9 (PHQ-9; [48]) was used to measure the severity of depression over the past two weeks on a 4-point scale from 0 (not at all) to 3 (nearly every day). Sample items included “Feeling down, depressed, or hopeless” and “Poor appetite or overeating”. The item scores were summed to form a composite score of depressive symptoms, with higher scores indicating higher severity. The measure has previously been validated in a Chinese community sample ([49]). The measure demonstrated adequate internal consistency with Cronbach’s alpha = 0.89 at T1 and 0.91 at T2.

2.2.4. Sociodemographic Information

Participants’ ages and genders were obtained from the questionnaire. Participants’ family income per month was measured on a 7-point scale (1 = 10,000 RMB or less; 2 = 10,001–20,000 RMB; 3 = 20,001–30,000 RMB; 4 = 30,001–40,000 RMB; 5 = 40,001–50,000 RMB; 6 = 50,001 RMB or above).

2.3. Data Analysis

Correlations, means, and standard deviations were examined in the preliminary analyses. A cross-lagged panel model using MPLUS, Version 8 [50], was conducted to investigate the changes in mindfulness, anticipation, savoring the moment, reminiscing, and depressive symptoms, respectively. The changes in variables were modeled by the stability coefficients between time-adjacent measures, e.g., T1 mindfulness was used to predict Time 2 (T2) mindfulness. Cross-lagged associations were modeled by predictions between the variables, e.g., T1 mindfulness was used to predict T2 depressive symptoms. Residual variance was allowed to covary to account for shared measurement variance. Sex, age, and monthly family income were included as covariates for all variables under study. Maximum likelihood method was used to investigate the model fit to the observed matrices of variance and covariance. Full information maximum likelihood estimation was used to handle missing data, given that the data were missing completely at random (MCAR), as indicated by Little’s MCAR test: χ2 (2495) = 2595.22, p = 0.08.

3. Results

Table 1 shows the zero-order correlations, means, and standard deviations. Specifically, the core variables under study were significantly associated with one another over time, with ps < 0.05. As for the demographic variables, being female was associated with greater mindfulness at T1 and T2 (r = 0.19, p = 0.01 and r = 0.17, p = 0.03, respectively). Being younger was associated with lower anticipation at T1 and T2 (r = −23, p = 0.002 and r = −0.22, p = 0.01, respectively). Finally, greater family income was associated with greater mindfulness at T1 (r = 0.19, p = 0.04).
In testing the cross-lagged analysis, the path model fit adequately to the data, with χ2(8) = 8.32, p = 0.40, CFI = 1.00, TLI = 1.00, RMSEA = 0.01; SRMR = 0.03 (see Figure 1). The core findings indicated that T1 savoring the moment positively predicted T2 mindfulness (β = 0.25, p = 0.02). T1 depressive symptoms negatively predicted T2 mindfulness (β = −0.21, p = 0.01) and T2 savoring the moment (β = −0.15, p = 0.03). The autoregressive control variables of mindfulness, anticipation, savoring the moment, reminiscing, and depressive symptoms were significant, with ps < 0.001 (see Table 2 for details).

4. Discussion

The present study broadens the literature by disentangling the effects between mindfulness, savoring, and depressive symptoms among emerging adults. Importantly, the longitudinal findings lend support to the significance of savoring the moment in enhancing mindfulness. They also indicate that depressive symptoms are crucial for diminishing mindfulness and savoring the moment. Contrary to previous research indicating that mindfulness and savoring are both beneficial to psychological functioning [1,23,24,25], the cross-lagged analysis revealed, instead, an opposite directionality of effect, after controlling for age, gender, and family income. Consequently, the findings brought forth unique implications for prevention and intervention in emerging adulthood.
Somewhat surprisingly, mindfulness did not predict different types of savoring. The null findings contradicted the mindfulness-to-meaning theory [1] and existing studies that show a positive effect of mindfulness on savoring [18,51]. Conversely, savoring the present moment, but not anticipation or reminiscing, was predictive of greater mindfulness. While this finding is new to the literature, it is consistent with our speculation that savoring the present moment can serve as a reward for people to be more mindful of the here and now. To add specificity to the relation between mindfulness and savoring, or the lack thereof, researchers should recruit a larger sample to conduct cross-lagged analyses between different types of savoring and mindfulness facets, including nonjudgment and nonreactivity to inner experiences and describing, observing, and acting with awareness.
Unique to the present findings is that depressive symptoms were predictive of mindfulness and savoring the moment, over and above autoregressive effects, age, gender, and family income. These findings partially agree with previous research that showed that depressive symptoms were predictive of some but not all facets of mindfulness among adolescents [13]. They also corroborate the mindfulness-to-meaning theory [1], which suggests that correlates of depression such as cognitive vulnerabilities and negative stress appraisal [52,53] reduce the state of mindfulness. Future research is, again, necessary to examine the longitudinal associations between depression and mindfulness facets across developmental periods. Importantly, identifying why, when, and how depression is predictive of mindfulness can inform existing theories of mindfulness and mental health [1]. As for savoring, the present findings contradicted another study involving community-dwelling older adults, which showed that perceived health at baseline predicted anticipation and reminiscing but not savoring the moment 2.5 years later [38]. Given that the present research examined depressive symptoms as a predictor (instead of general health) during emerging adulthood (instead of older adulthood) at a 3-month time lag (instead of a 2.5-year lag), the discrepancies between the findings might have been due to a range of variables. Hence, further studies are necessary to identify the moderators between health and savoring. Based on the present findings, the major implication is that, upon reductions in depression severity, people are likely to also experience a greater awareness of paying attention to and appreciating the present moment without judgment and on purpose. In addition, this study informs clinicians and practitioners of the importance of lowering the severity of depression such that people can have a greater capacity for present-moment awareness and appreciation.
In contrast to previous studies [2,3,4,37], neither mindfulness nor savoring predicted depressive symptoms in the cross-lagged model. The null findings were surprising, as they contradicted intervention studies showing the benefits of mindfulness [54,55,56] and savoring [35,36] in reducing depressive symptoms. Given that depressive symptoms are stable over a three-month period [57], the null findings might have been due to the stability of depression over a short period of time. Hence, future studies are necessary to replicate the present study by increasing the lag between time points.
The present findings must be interpreted in light of several limitations that point to future research directions. First of all, the present study included self-report measures to assess the variables of interest. Some of the variables, such as the ability to be present in the moment and to savor, should not be measured by a questionnaire alone due to self-report bias. To reduce self-report bias, future research should employ a multi-method, multi-reporter approach. Second, the majority of the participants were female (89.44%). As such, researchers should collect a more gender-balanced sample to further investigate the gender effect. Third, the time lag was short between assessment points at three months apart. Importantly, we might have underestimated the stability over the short time lag, potentially leading to attenuated relations between different variables. To examine the long-term effects among these variables, researchers should consider increasing the lag to 6 or 12 months. They should also collect additional data for multiple time points to examine the trajectories of mindfulness, savoring, and depressive symptoms. Fourth, an a priori power analysis should have been conducted before the start of the study to justify the sample size.
Ample theories and evidence to date have suggested that interventions involving mindfulness and savoring are beneficial to psychological functioning [1,23,24,25,33,35,54,55,58]. Through cross-lagged analysis, the present study showed that a lower level of depression can also foster greater mindfulness and savoring the moment, particularly among emerging adults in the Chinese context. This study informs clinicians and practitioners of the implications of reducing the severity of depression. Prevention and intervention studies merit future investigations.

Author Contributions

Conceptualization, R.Y.M.C.; methodology, R.Y.M.C.; formal analysis, R.Y.M.C. and M.C.Y.N.; investigation, R.Y.M.C. and M.C.Y.N.; writing—original draft preparation, R.Y.M.C. and M.C.Y.N.; writing—review and editing, R.Y.M.C.; supervision, R.Y.M.C.; funding acquisition, R.Y.M.C. All authors have read and agreed to the published version of the manuscript.

Funding

This work was funded by The Education University of Hong Kong (RG60/2014-2015R and #04190).

Institutional Review Board Statement

The study was approved by the Human Research Ethics Committee of The Education University of Hong Kong (Approval #: 2015-2016-0352) prior to its implementation. All procedures were performed in accordance with the ethical standards of the institutional research committee and the 1964 Helsinki Declaration and its later amendments.

Informed Consent Statement

Informed consent was obtained from all subjects involved in the study.

Data Availability Statement

The data presented in this study are available on request from the corresponding author. The data are not publicly available due to ethical constraints.

Conflicts of Interest

The authors declare no conflict of interest.

References

  1. Garland, E.L.; Farb, N.A.; RGoldin, P.; Fredrickson, B.L. Mindfulness broadens awareness and builds eudaimonic meaning: A process model of mindful positive emotion regulation. Psychol. Inq. 2015, 26, 293–314. [Google Scholar] [CrossRef] [PubMed]
  2. Parmentier, F.B.; García-Toro, M.; García-Campayo, J.; Yañez, A.Ñ.; Andrés, P.; Gili-Planas, M. Mindfulness and symptoms of depression and anxiety in the general population: The mediating roles of worry, rumination, reappraisal and suppression. Front. Psychol. 2019, 10, 506. [Google Scholar] [CrossRef]
  3. Wilson, J.M.; Weiss, A.; Shook, N.J. Mindfulness, self-compassion, and savoring: Factors that explain the relation between perceived social support and well-being. Personal. Individ. Differ. 2020, 152, 109568. [Google Scholar] [CrossRef]
  4. Cheung, R.Y.M.; Ng, M.C.Y. Mindfulness and symptoms of depression and anxiety: The underlying roles of awareness, acceptance, impulse control, and emotion regulation. Mindfulness 2019, 10, 1124–1135. [Google Scholar] [CrossRef]
  5. Kabat-Zinn, J. Mindfulness-based interventions in context: Past, present, and future. Clin. Psychol. Sci. Pract. 2003, 10, 144–156. [Google Scholar] [CrossRef]
  6. Barcaccia, B.; Hartstone, J.M.; Pallini, S.; Petrocchi, N.; Saliani, A.M.; Medvedev, O.N. Mindfulness, social safeness and self-reassurance as protective factors and self-criticism and revenge as risk factors for depression and anxiety symptoms in youth. Mindfulness 2022, 13, 674–684. [Google Scholar] [CrossRef]
  7. Barnes, S.M.; Lynn, S.J. Mindfulness skills and depressive symptoms: A longitudinal study. Imagin. Cogn. Personal. 2010, 30, 77–91. [Google Scholar] [CrossRef]
  8. Cheung, R.Y.M.; Chan, S.K.C.; Chui, H.; Chan, W.M.; Ngai, S.Y.S. Enhancing parental self-care: Initial efficacy of a 21-day online self-help mindfulness-based intervention for parents. Mindfulness 2022, 13, 2812–2826. [Google Scholar] [CrossRef]
  9. Hulsbosch, L.P.; van de Poel, E.; Nyklíček, I.; Boekhorst, M.G. Trait mindfulness facets as a protective factor for the development of postpartum depressive symptoms. J. Psychiatr. Res. 2023, 157, 264–270. [Google Scholar] [CrossRef]
  10. Parsons, D.; Gardner, P.; Parry, S.; Smart, S. Mindfulness-based approaches for managing stress, anxiety and depression for health students in tertiary education: A scoping review. Mindfulness 2022, 13, 1–16. [Google Scholar] [CrossRef]
  11. Sharma, P.K.; Kumra, R. Relationship between mindfulness, depression, anxiety and stress: Mediating role of self-efficacy. Personal. Individ. Differ. 2022, 186, 111363. [Google Scholar] [CrossRef]
  12. Elhai, J.D.; Levine, J.C.; O’Brien, K.D.; Armour, C. Distress tolerance and mindfulness mediate relations between depression and anxiety sensitivity with problematic smartphone use. Comput. Hum. Behav. 2018, 84, 477–484. [Google Scholar] [CrossRef]
  13. Gómez-Odriozola, J.; Calvete, E. Longitudinal bidirectional associations between dispositional mindfulness, maladaptive schemas, and depressive symptoms in adolescents. Mindfulness 2020, 11, 1943–1955. [Google Scholar] [CrossRef]
  14. Jury, T.K.; Jose, P.E. Does rumination function as a longitudinal mediator between mindfulness and depression? Mindfulness 2019, 10, 1091–1104. [Google Scholar] [CrossRef]
  15. Prieto-Fidalgo, Á.; Gómez-Odriozola, J.; Royuela-Colomer, E.; Orue, I.; Fernández-González, L.; Oñate, L.; Cortazar, N.; Iraurgi, I.; Calvete, E. Predictive Associations of Dispositional Mindfulness Facets with Anxiety and Depression: A Meta-analytic Structural Equation Modeling Approach. Mindfulness 2022, 13, 37–53. [Google Scholar] [CrossRef]
  16. Bryant, F.B.; Smith, J.L. Appreciating life in the midst of adversity: Savoring in relation to mindfulness, reappraisal, and meaning. Psychol. Inq. 2015, 26, 315–321. [Google Scholar] [CrossRef]
  17. Ritchie, T.D.; Bryant, F.B. Positive state mindfulness: A multidimensional model of mindfulness in relation to positive experience. Int. J. Wellbeing 2012, 2, 150–181. [Google Scholar] [CrossRef]
  18. Cheung, R.Y.M.; Ng, M.C.Y. Dispositional mindful awareness and savoring positive experiences: A prospective test of cognitive reappraisal as a mediator. Personal. Individ. Differ. 2020, 163, 110050. [Google Scholar] [CrossRef]
  19. Bryant, F.B. A four-factor model of perceived control: Avoiding, coping, obtaining, and savoring. J. Personal. 1989, 57, 773–797. [Google Scholar] [CrossRef]
  20. Bryant, F.B.; Veroff, J. Savoring: A New Model of Positive Experience; Lawrence Erlbaum Associates Publishers: Mahwah, NJ, USA, 2007. [Google Scholar]
  21. Bryant, F.B. Current progress and future directions for theory and research on savoring. Front. Psychol. 2021, 12, 771698. [Google Scholar] [CrossRef]
  22. Garland, E.L.; Froeliger, B.; Howard, M.O. Mindfulness training targets neurocognitive mechanisms of addiction at the attention-appraisal-emotion interface. Front. Psychiatry 2014, 4, 173. [Google Scholar] [CrossRef] [PubMed]
  23. Garland, E.L.; Atchley, R.M.; Hanley, A.W.; Zubieta, J.K.; Froeliger, B. Mindfulness-Oriented Recovery Enhancement remediates hedonic dysregulation in opioid users: Neural and affective evidence of target engagement. Sci. Adv. 2019, 5, eaax1569. [Google Scholar] [CrossRef] [PubMed]
  24. Hunt, C.; Lerman, S.F.; Smith, K.; Keaser, M.L.; Bingham, C.; Zeidan, F.; Garland, E.L.; Seminowicz, D.; Finan, P.H. Brief training in savoring meditation enhances non-dual awareness in rheumatoid arthritis patients. J. Pain 2022, 23, 55. [Google Scholar] [CrossRef]
  25. Li, W.; Garland, E.L.; McGovern, P.; O’brien, J.E.; Tronnier, C.; Howard, M.O. Mindfulness-oriented recovery enhancement for internet gaming disorder in US adults: A stage I randomized controlled trial. Psychol. Addict. Behav. 2017, 31, 393–402. [Google Scholar] [CrossRef] [PubMed]
  26. Thomas, E.A.; Mijangos, J.L.; Hansen, P.A.; White, S.; Walker, D.; Reimers, C.; Beck, A.C.; Garland, E.L. Mindfulness-oriented recovery enhancement restructures reward processing and promotes interoceptive awareness in overweight Cancer survivors: Mechanistic results from a stage, 2019, 1 randomized controlled trial. Integr. Cancer Ther. 2019, 18, 1534735419855138. [Google Scholar] [CrossRef]
  27. Cheung, R.Y.M.; Lau, E.N.S. Is mindfulness linked to life satisfaction? Testing savoring positive experiences and gratitude as mediators. Front. Psychol. 2021, 12, 591103. [Google Scholar] [CrossRef]
  28. Götmann, A.; Bechtoldt, M.N. Coping with COVID-19–Longitudinal analysis of coping strategies and the role of trait mindfulness in mental well-being. Personal. Individ. Differ. 2021, 175, 110695. [Google Scholar] [CrossRef]
  29. Sgherza, T.R.; DeMarree, K.G.; Naragon-Gainey, K. Testing the Mindfulness-to-Meaning Theory in Daily Life. Mindfulness 2022, 13, 2324–2336. [Google Scholar] [CrossRef]
  30. Cheung, R.Y.; Leung, M.C.; Chiu, H.T.; Kwan, J.L.; Yee, L.T.; Hou, W.K. Family functioning and psychological outcomes in emerging adulthood: Savoring positive experiences as a mediating mechanism. J. Soc. Pers. Relatsh. 2019, 36, 2693–2713. [Google Scholar] [CrossRef]
  31. Chiu, H.T.; Yee, L.T.S.; Kwan, J.L.Y.; Cheung, R.Y.M.; Hou, W.K. Interactive association between negative emotion regulation and savoring is linked to anxiety symptoms among college students. J. Am. Coll. Health 2020, 68, 494–501. [Google Scholar] [CrossRef]
  32. Irvin, K.M.; Bell, D.J.; Steinley, D.; Bartholow, B.D. The thrill of victory: Savoring positive affect, psychophysiological reward processing, and symptoms of depression. Emotion 2020, 22, 1281–1293. [Google Scholar] [CrossRef] [PubMed]
  33. Hurley, D.B.; Kwon, P. Results of a study to increase savoring the moment: Differential impact on positive and negative outcomes. J. Happiness Stud. 2012, 13, 579–588. [Google Scholar] [CrossRef]
  34. Smith, J.L.; Hollinger-Smith, L. Savoring, resilience, and psychological well-being in older adults. Aging Ment. Health 2015, 19, 192–200. [Google Scholar] [CrossRef] [PubMed]
  35. Salces-Cubero, I.M.; Ramírez-Fernández, E.; Ortega-Martínez, A.R. Strengths in older adults: Differential effect of savoring, gratitude and optimism on well-being. Aging Ment. Health 2019, 23, 1017–1024. [Google Scholar] [CrossRef] [PubMed]
  36. Smith, J.L.; Hanni, A.A. Effects of a savoring intervention on resilience and well-being of older adults. J. Appl. Gerontol. 2019, 38, 137–152. [Google Scholar] [CrossRef] [PubMed]
  37. Kahrilas, I.J.; Smith, J.L.; Silton, R.L.; Bryant, F.B. Savoring the moment: A link between affectivity and depression. Int. J. Wellbeing 2020, 10, 19–36. [Google Scholar] [CrossRef]
  38. Geiger, P.J.; Morey, J.N.; Segerstrom, S.C. Beliefs about savoring in older adulthood: Aging and perceived health affect temporal components of perceived savoring ability. Personal. Individ. Differ. 2017, 105, 164–169. [Google Scholar] [CrossRef]
  39. Palmer, C.A.; Oosterhoff, B.; Gentzler, A.L. Don’t worry, be happy: Associations between worry and positive emotion regulation. Int. J. Cogn. Ther. 2021, 14, 417–435. [Google Scholar] [CrossRef]
  40. Borelli, J.L.; Hong, K.; Kazmierski, K.F.; Smiley, P.A.; Sohn, L.; Guo, Y. Parents’ depressive symptoms and reflective functioning predict parents’ proficiency in relational savoring and children’s physiological regulation. Dev. Psychopathol. 2022, 1–14. [Google Scholar] [CrossRef]
  41. Arnett, J.J. Emerging adulthood: What is it, and what is it good for? Child Dev. Perspect. 2007, 1, 68–73. [Google Scholar] [CrossRef]
  42. Riggs, S.A.; Han, G. Predictors of anxiety and depression in emerging adulthood. J. Adult Dev. 2009, 16, 39–52. [Google Scholar] [CrossRef]
  43. Kuwabara, S.A.; Van Voorhees, B.W.; Gollan, J.K.; Alexander, G.C. A qualitative exploration of depression in emerging adulthood: Disorder, development, and social context. Gen. Hosp. Psychiatry 2007, 29, 317–324. [Google Scholar] [CrossRef] [PubMed]
  44. Feldman, G.; Hayes, A.; Kumar, S.; Greeson, J.; Laurenceau, J.P. Mindfulness and emotion regulation: The development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R). J. Psychopathol. Behav. Assess. 2007, 29, 177–190. [Google Scholar] [CrossRef]
  45. Chan, H.L.; Lo, L.Y.; Lin, M.; Thompson, N. Revalidation of the cognitive and affective mindfulness scale—Revised (CAMS-R) with its newly developed Chinese version (Ch-CAMS-R). J. Pac. Rim Psychol. 2016, 10, e1. [Google Scholar] [CrossRef]
  46. Bryant, F. Savoring Beliefs Inventory (SBI): A scale for measuring beliefs about savouring. J. Ment. Health 2003, 12, 175–196. [Google Scholar] [CrossRef]
  47. Lin, C.W.; Chen, S.L.; Wang, R.Y. Savouring and perceived job performance in positive psychology: Moderating role of positive affectivity. Asian J. Soc. Psychol. 2011, 14, 165–175. [Google Scholar] [CrossRef]
  48. Kroenke, K.; Spitzer, R.L.; Williams, J.B. The PHQ-9: Validity of a brief depression severity measure. J. Gen. Intern. Med. 2001, 16, 606–613. [Google Scholar] [CrossRef]
  49. Xiong, N.; Fritzsche, K.; Wei, J.; Hong, X.; Leonhart, R.; Zhao, X.; Zhang, L.; Zhu, L.; Tian, G.; Nolte, S.; et al. Validation of patient health questionnaire (PHQ) for major depression in Chinese outpatients with multiple somatic symptoms: A multicenter cross-sectional study. J. Affect. Disord. 2015, 174, 636–643. [Google Scholar] [CrossRef]
  50. Muthén, L.K.; Muthén, B.O. Mplus User’s Guide, 8th ed.; Muthén & Muthén: Los Angeles, CA, USA, 2017. [Google Scholar]
  51. Garland, E.L.; Thielking, P.; Thomas, E.A.; Coombs, M.; White, S.; Lombardi, J.; Beck, A. Linking dispositional mindfulness and positive psychological processes in cancer survivorship: A multivariate path analytic test of the mindfulness-to-meaning theory. Psycho-Oncology 2017, 26, 686–692. [Google Scholar] [CrossRef]
  52. Chen, L.; Qu, L.; Hong, R.Y. Pathways linking the big five to psychological distress: Exploring the mediating roles of stress mindset and coping flexibility. J. Clin. Med. 2022, 11, 2272. [Google Scholar] [CrossRef]
  53. Hankin, B.L.; Abramson, L.Y. Development of gender differences in depression: An elaborated cognitive vulnerability–transactional stress theory. Psychol. Bull. 2001, 127, 773–796. [Google Scholar] [CrossRef] [PubMed]
  54. Kuyken, W.; Byford, S.; Taylor, R.S.; Watkins, E.; Holden, E.; White, K.; Barrett, B.; Byng, R.; Evans, A.; Mullan, E.; et al. Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. J. Consult. Clin. Psychol. 2008, 76, 966–978. [Google Scholar] [CrossRef] [PubMed]
  55. Shahar, B.; Britton, W.B.; Sbarra, D.A.; Figueredo, A.J.; Bootzin, R.R. Mechanisms of change in mindfulness-based cognitive therapy for depression: Preliminary evidence from a randomized controlled trial. Int. J. Cogn. Ther. 2010, 3, 402–418. [Google Scholar] [CrossRef]
  56. Teasdale, J.D.; Segal, Z.V.; Williams, J.M.G.; Ridgeway, V.A.; Soulsby, J.M.; Lau, M.A. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J. Consult. Clin. Psychol. 2000, 68, 615–623. [Google Scholar] [CrossRef]
  57. Wong, J.L.; Whitaker, D.J. The stability and prediction of depressive mood states in college students. J. Clin. Psychol. 1994, 50, 715–722. [Google Scholar] [CrossRef]
  58. Teper, R.; Segal, Z.V.; Inzlicht, M. Inside the mindful mind: How mindfulness enhances emotion regulation through improvements in executive control. Curr. Dir. Psychol. Sci. 2013, 22, 449–454. [Google Scholar] [CrossRef]
Figure 1. Path model between mindfulness and savoring. χ2(8) = 8.32, p = 0.40, CFI = 1.00, TLI = 1.00, RMSEA = 0.01; SRMR = 0.03. Age, gender, and family income were analyzed as covariates but are not included in the Figure for clarity. Non-significant paths are depicted in dashed arrows for clarity. * p < 0.05, ** p < 0.01, *** p < 0.001.
Figure 1. Path model between mindfulness and savoring. χ2(8) = 8.32, p = 0.40, CFI = 1.00, TLI = 1.00, RMSEA = 0.01; SRMR = 0.03. Age, gender, and family income were analyzed as covariates but are not included in the Figure for clarity. Non-significant paths are depicted in dashed arrows for clarity. * p < 0.05, ** p < 0.01, *** p < 0.001.
Ijerph 20 05568 g001
Table 1. Zero-order correlations, means, and standard deviations of the variables under study (N = 180).
Table 1. Zero-order correlations, means, and standard deviations of the variables under study (N = 180).
Variable1.2.3.4.5.6.7.8.9.10.11.12.MSD
1. Gender (0 = male; 1 = female)- --
2. Age−0.01- 21.082.02
3. Family Income0.12−0.06- --
4. T1 Mindfulness0.19 *0.020.18 *- 2.800.48
5. T1 Anticipation−0.03−0.23 **0.160.40 ***- 3.210.51
6. T1 Savoring the Moment0.05−0.100.150.63 ***0.71 ***- 3.320.57
7. T1 Reminiscing0.12−0.120.090.43 ***0.61 ***0.66 ***- 3.450.53
8. T1 Depressive Symptoms−0.050.13−0.07−0.48 ***−0.37 ***−0.45 ***−0.22 **- 6.185.00
9. T2 Mindfulness0.17 *−0.130.160.57 ***0.30 ***0.47 ***0.31 ***−0.43 ***- 2.790.51
10. T2 Anticipation0.02−0.22 **0.150.32 ***0.64 ***0.53 ***0.43 ***−0.32 ***0.29 ***- 3.240.53
11. T2 Savoring the Moment0.06−0.060.070.50 ***0.53 ***0.69 ***0.49 ***−0.42 ***0.50 ***0.69 ***- 3.300.54
12. T2 Reminiscing0.09−0.490.080.35 ***0.43 ***0.48 ***0.70 ***−0.19 *0.31 ***0.57 ***0.65 ***-3.410.54
13. T2 Depressive Symptoms−0.16 *0.11−0.12−0.45 ***−0.31 ***−0.42 ***−0.20 *0.67 ***−0.60 ***−0.38 ***−0.50 ***−0.26 **6.615.53
Note. * p ≤ 0.05, ** p ≤ 0.01, *** p ≤ 0.001.
Table 2. Parameter estimates of the hypothesized pathways.
Table 2. Parameter estimates of the hypothesized pathways.
Parameter Unstandardized B (SE)Standardized β
T1 Mindfulness
     → T2 Savoring: Anticipation0.03 (0.08)0.03
     → T2 Savoring: Savoring the Moment0.12 (0.09)0.11
     → T2 Savoring: Reminiscing0.05 (0.08)0.05
     → T2 Depressive Symptoms−1.14 (0.93)−0.10
T1 Savoring: Anticipation
     → T2 Mindfulness−0.17 (0.10)−0.17
     → T2 Depressive Symptoms0.78 (0.92)0.07
T1 Savoring: Savoring the Moment
     → T2 Mindfulness0.23 (0.10) *0.25 *
     → T2 Depressive Symptoms−1.52 (0.96)−0.15
T1 Savoring: Reminiscing
     → T2 Mindfulness0.02 (0.08)0.02
     → T2 Depressive Symptoms0.69 (0.81)0.07
T1 Depressive Symptoms
     → T2 Mindfulness−0.02 (0.01) **−0.21 **
     → T2 Savoring: Anticipation−0.01 (0.01)−0.06
     → T2 Savoring: Savoring the Moment−0.02 (0.01) *−0.15 *
     → T2 Savoring: Reminiscing−0.01 (0.01)−0.06
Sex (0 = male; 1 = female)
     → T2 Mindfulness0.14 (0.11)0.08
     → T2 Savoring: Anticipation0.03 (0.11)0.02
     → T2 Savoring: Savoring the Moment0.04 (0.10)0.02
     → T2 Savoring: Reminiscing0.03 (0.10)0.01
     → T2 Depressive Symptoms−2.27 (1.06) *−0.12 *
Age
     → T2 Mindfulness−0.02 (0.02)−0.09
     → T2 Savoring: Anticipation−0.03 (0.02)−0.10
     → T2 Savoring: Savoring the Moment0.01 (0.02)0.02
     → T2 Savoring: Reminiscing0.00 (0.02)0.02
     → T2 Depressive Symptoms0.08 (0.16)0.03
Family Income
     → T2 Mindfulness0.02 (0.03)0.05
     → T2 Savoring: Anticipation0.02 (0.03)0.04
     → T2 Savoring: Savoring the Moment−0.02 (0.03)−0.04
     → T2 Savoring: Reminiscing0.01 (0.03)0.02
     → T2 Depressive Symptoms−0.17 (0.31)−0.04
Autoregressive Control
     T1 → T2 Mindfulness0.39 (0.09) ***0.36 ***
     T1 → T2 Savoring: Anticipation0.59 (0.06) ***0.57 ***
     T1 → T2 Savoring: Savoring the Moment0.52 (0.06) ***0.55 ***
     T1 → T2 Savoring: Reminiscing0.64 (0.05) ***0.64 ***
     T1 → T2 Depressive Symptoms0.68 (0.08) ***0.60 ***
Note. * p =/< 0.05, ** p =/< 0.01, *** p =/< 0.001.
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Cheung, R.Y.M.; Ng, M.C.Y. Disentangling the Effects of Mindfulness, Savoring, and Depressive Symptoms among Emerging Adults. Int. J. Environ. Res. Public Health 2023, 20, 5568. https://doi.org/10.3390/ijerph20085568

AMA Style

Cheung RYM, Ng MCY. Disentangling the Effects of Mindfulness, Savoring, and Depressive Symptoms among Emerging Adults. International Journal of Environmental Research and Public Health. 2023; 20(8):5568. https://doi.org/10.3390/ijerph20085568

Chicago/Turabian Style

Cheung, Rebecca Y. M., and Melody C. Y. Ng. 2023. "Disentangling the Effects of Mindfulness, Savoring, and Depressive Symptoms among Emerging Adults" International Journal of Environmental Research and Public Health 20, no. 8: 5568. https://doi.org/10.3390/ijerph20085568

APA Style

Cheung, R. Y. M., & Ng, M. C. Y. (2023). Disentangling the Effects of Mindfulness, Savoring, and Depressive Symptoms among Emerging Adults. International Journal of Environmental Research and Public Health, 20(8), 5568. https://doi.org/10.3390/ijerph20085568

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