Mechanisms of change of traditional mindfulness practice in Thai adolescent students: a cross-sectional mediation study.

Given the substantial evidence for the efficacy of secular mindfulness-based interventions (MBIs) for reducing psychological distress and increasing wellbeing, research attention has more recently turned to investigating the mechanisms by which this is achieved and has revealed that MBI works not only directly on reducing distress, but also indirectly through a reduction in mediating problems such as rumination and emotional regulation difficulty. However, to the best of the authors' knowledge, no studies have yet been undertaken to evaluate the effect on such mediating conditions, of traditional Buddhist mindfulness meditation, as practiced in Eastern cultures and increasingly in the West, from which MBIs have been derived but remain distinctly different. The current study was therefore designed to examine the effect of traditional mindfulness on mediating conditions in participants who were born into and were experienced in this approach. Specifically, the study examines the relationship between traditional mindfulness and distress, and between traditional mindfulness and the mediating conditions of rumination and emotional regulation difficulty, in Thai adolescent students experienced in Buddhist meditation practices. The results resonate well with the findings from MBI studies, showing significant negative correlations between rumination and distress and emotional regulation difficulty and distress, and significant positive correlations between mindfulness and the mediators. The implications of the benefits of traditional mindfulness for reducing non-clinical distress, rumination and difficulties in emotion regulation are discussed.