Jon Kabat-Zinn, one of the well-known mindfulness teachers defines mindfulness as “awareness that arises through paying attention, on purpose, in the present moment, non-judgmentally.”
The roots of mindfulness come from ancient Buddhist traditions approximately 2500 years ago (Zhao et al., 2019). In more recent years it has become more well known through western yoga classes, and through Jon Kabat-Zinn’s work as a meditation teacher, author, researcher, and clinician in mind/body medicine. Kabat-Zinn defines mindfulness as, maintaining awareness of the present moment experience with a non-judgmental attitude of openness and curiosity (Kabat-Zinn, 2003 as cited by Zhao et al., 2019).
While mindfulness was originally introduced as a collaborative treatment with cognitive therapy for depression relapse, it is also utilized in treating recurrent mood disorders including GAD. Both depression and GAD have similarity in symptoms of rumination. Rumination is a common and spontaneous response to induced stress, and increases depressed and anxious affect (Ruscio et al., 2015). Rumination is also associated with social withdrawal, inactivity, and behavioural avoidances (Ruscio et al., 2015). Likewise, comorbid disorders are often found with anxiety disorders and GAD, with 66% of people frequently experiencing major depression (Harrison, 2012). With that said, mindfulness is a highly effective treatment for people with GAD and other chronic mental health issues because it treats multiple conditions.
Mindfulness works by helping to alleviate symptoms of anxiety by balancing and harmonizing the sympathetic and parasympathetic nervous systems (Harrison, 2012). By focusing attention on the present moment, moving away from the past or present, one can see thoughts as mental events and not facts (UCTV, 2012). The process becomes a metacognition, where instead of paying attention to thoughts, one is turning their attention to their thought process, which creates a distance for a response, instead of a reaction towards thoughts.
Zhao, X-R., Chen, Z., Kang, C., Liu, R., Bai, J., Cao, Y., Cheng, Y., Xu, X., Zhang, Y. (2019). Mindfulness-based cognitive therapy is associated with distinct resting-state neural patterns in patients with generalized anxiety disorder. Asia-Pacific Psychiatry, 11 (4), 1-12, https://doi.org/10.1111/appy.12368
Harrison, R. (2012). Anxiety Disorder. Annals of Psychotherapy & Integrative Health, 15 (2), 48-57, Retrieved from https://web.s.ebscohost.com/ehost/detail/detail?vid=8&sid=8bc372e0-5a64-4fa9-971e-c90d0692d28c%40redis&bdata=JkF1dGhUeXBlPXNzbw%3d%3d#AN=85782521&db=a9h
Rubel, J.A. Hilpert, P., Wolfer, C., Held, J., Visla, A., and Fluckiger, C. (2019). The working alliance in manualized CBT for generalized anxiety disorder: Does it lead to change and does the effect vary depending on manual implementation flexibility? Journal of Consulting and Clinical Psychology, 87 (11), 989-1002, http://dx.doi.org/10.1037/ccp0000433
Ruscio, A.M., Gentes, E.L., Jones, J.D., Hallion, L.S., and Coleman, E.S. (2015). Rumination Predicts Heightened Responding to Stressful Life Events in Major Depressive Disorder and Generalized Anxiety Disorder. Journal of Abnormal Psychology, 124 (1), 17-26
http://dx.doi.org/10.1037/abn0000025