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Lo sviluppo nel paziente di attitudini mindful tramite la pratica di mindfulness può costituire un valido strumento per aiutare le persone con DOC a gestire le proprie esperienze interne, vale a dire pensieri, sensazioni, immagini mentali, e a imparare a rispondere in modo funzionale alla comparsa di questi elementi, anziché reagire automaticamente. La pratica della mindfulness può, infatti, intervenire nel passaggio da pensiero intrusivo (o immagine mentale) a ruminazione ossessiva/compulsione/rituale. Le compulsioni, di qualsiasi natura, rappresentano reazioni a un'intrusione e possono essere considerate un meccanismo per diminuire la discrepanza tra lo stato reale del mondo e quello desiderato, il quale è tuttavia destinato ad auto-perpetuarsi e a non trovare mai una soluzione o via d'uscita. In questo senso, la mindfulness può essere la via d'uscita da circoli viziosi auto-perpetuantisi, poiché addestra le persone alla non-reattività alle intrusioni ossessive, consentendo di passare dalla modalità del fare alla modalità dell'essere, in cui ci si rapporta con le esperienze interne in modo diretto, non spinti da uno scopo particolare, ma accettando ciò che si presenta momento dopo momento (Segal, Williams, Teasdale, 2014). In questo capitolo viene dapprima, brevemente, presentata la mindfulness, in secondo luogo si illustra come la mente ossessiva presenti una caratteristica modalità di "fusione" con le ossessioni, successivamente si presenta l'adattamento delle pratiche di mindfulness al trattamento del DOC. Infine, si riportano gli studi disponibili sull’applicazione della mindfulness alla terapia del disturbo ossessivo-compulsivo

Mindfulness and forgiveness can contribute to decreased rumination, which in turn has been found to play an important role in sleep problems, such as insomnia and poor sleep quality. The authors explored rumination as a potential explanatory variable underlying the association of mindfulness with insomnia and sleep quality, with a model encompassing different mindfulness facets and controlling for interpersonal dispositional forgiveness. One hundred adults (74% females, Mage = 27.62, SD = 8.11) completed measures of Mindfulness, Forgivingness, Rumination, Sleep Quality, and Insomnia. Nonjudging was the main mindfulness facet contributing to better sleep quality. Rumination completely mediated the associations of nonjudgmental attitude with insomnia and sleep quality, and partially mediated the associations of dispositional forgiveness with the outcomes. These findings suggest that a mindful nonjudgmental attitude toward the self and a forgiving interpersonal disposition may reduce rumination by helping individuals let go of thoughts, mental images, and emotions, thus promoting better sleep.

Objectives Mindfulness, positive self-related attitudes and secure attachment have been shown to protect against psychopathology during adolescence, but it is unknown how these factors are related to each other and which are most strongly linked to psychopathology symptoms. Methods A cross-sectional research design was used with a large sample of adolescents (aged 14 to 18 years; n = 1660) that completed validated measures of mindfulness, self-related attitudes, attachment, depression, anxiety and anger. We employed network analytic methods in order to better understand associations among these variables. Results Mindfulness was linked to lower levels of depression and anxiety while self-reassurance was linked to lower levels of anxiety and higher levels of anger. Self-hate was linked to depression. In turn, self-reassurance and self-hate were differentially linked to facets of attachment, particularly trust in parents. Conclusions Interventions combining mindfulness practice and clinical techniques based on attachment theory, which operate on different psychological levels, may improve self-related attitudes, which in turn can help ameliorate depression and anxiety in adolescents. Alternatively, interventions directly targeting self-related attitudes, particularly self-reassurance and self-inadequacy, hold promise to achieve positive effects on mental health among adolescents.

Literature reviews have shown that trait-mindfulness is significantly correlated to emotional wellbeing, both in adults and in children. Particularly, being judgemental towards one's inner thoughts, feelings and sensations, and acting unawares, is associated with higher maladjustment. In the present cross-sectional study, we explored the role of the different facets of mindfulness in both anxiety and depression, controlling for the effects of gender, age, rumination, and worry, and analysed which facets of mindfulness have the strongest effect in predicting depression and anxiety. Two-hundred seventy-four community adults were assessed in the domains of depression, anxiety, rumination, worry, and mindfulness. Regression analyses showed that, among the facets of mindfulness, a judgemental attitude towards one's thoughts and feelings is the strongest predictor of both depression and anxiety. Our study highlights the importance of a normalising, accepting, non-judgemental attitude to decrease anxiety and depression, and to foster wellbeing.