There has been increasing scientific and clinical interest in studying psychedelic and meditation-based interventions in recent years, both in the context of improving mental health and as tools for understanding the mind. Several authors suggest neurophysiological and phenomenological parallels and overlaps between psychedelic and meditative states and suggest synergistic effects of both methods. Both psychedelic-assisted therapy and meditation training in the form of mindfulness-based interventions have been experimentally validated with moderate to large effects as alternative treatments for a variety of mental health problems, including depression, addictions, and anxiety disorders. Both demonstrated significant post-acute and long-term decreases in clinical symptoms and enhancements in well-being in healthy participants, in addition. Postulated shared salutogenic mechanisms, include, among others the ability to alter self-consciousness, present-moment awareness and antidepressant action via corresponding neuromodulatory effects. These shared mechanisms between mindfulness training and psychedelic intervention have led to scientists theorizing, and recently demonstrating, positive synergistic effects when both are used in combination. Research findings suggest that these two approaches can complement each other, enhancing the positive effects of both interventions. However, more theoretical accounts and methodologically sound research are needed before they can be extended into clinical practice. The current review aims to discuss the theoretical rationale of combining psychedelics with mindfulness training, including the predictive coding framework as well as research findings regarding synergies and commonalities between mindfulness training and psychedelic intervention. In addition, suggestions how to combine the two modalities are provided.

Fear of evaluation and a negative view of the self are the core aspects of social anxiety. Self-compassion and self-esteem are two distinct positive attitudes toward the self, which are positively related to each other, well-being and good psychological functioning. It is less clear, however, how they interplay in socially anxious individuals and if self-compassion may reduce the negative effect of low self-esteem on social anxiety. The current research aimed at evaluating the directional links between those constructs to check if self-compassion mediates the effect of self-esteem on social anxiety. In this study, 388 adult participants with elevated social anxiety completed measures of self-compassion, self-esteem and social anxiety. As expected, both self-esteem and self-compassion correlated negatively with social anxiety and positively with one another, with lower self-esteem being a stronger predictor of social anxiety. Importantly, self-compassion partially mediated the relationship between self-esteem and social anxiety. These findings suggest that self-compassion partially explains the negative effects of deficits in self-esteem on social anxiety. Practical implications of the research are discussed.

Background and aims: Compulsive sexual behaviour disorder (CSBD) is a medical condition that can impair social and occupational functioning and lead to severe distress. To date, treatment effectiveness studies of CSBD are under-developed; typically, treatment for CSBD is based on guidelines for substance or other behavioural addictions. Mindfulness-based relapse prevention (MBRP) is an evidence-based treatment for substance addiction aimed at, among other things, reducing craving and negative affect—i.e. processes that are implicated in the maintenance of problematic sexual behaviours. However, to our knowledge no prior research has been published evaluating mindfulness-based intervention (MBI) in the treatment of CSBD, except two clinical case reports. Therefore, the aim of the current pilot study was to examine whether MBRP can lead to clinical improvement in CSBD. Methods: Participants were 13 adult males with a diagnosis of CSBD. Before and after the eight-week MBRP intervention, participants completed a booklet of questionnaires including measurements of porn viewing, masturbation and emotional distress. Results: As expected, we found that after MBRP participants spent significantly less time engaging in problematic pornography use and exhibited a decrease in anxiety, depression and obsessive-compulsive (OC) symptoms. Discussion and Conclusions: The findings indicate that MBRP could be beneficial for CSBD individuals. Further clinical effectiveness studies with bigger sample sizes, delayed post-training measurements and randomised control trial design are warranted. In conclusion, MBRP leads to a decrease in time spent watching porn and a decrease in emotional distress in CSBD patients.

Objectives: Attention switching is postulated in many theories as a crucial executive function related to mindfulness. However, the existing literature does not provide convincing support for this claim. Based on the attentional control theory, the presented experiment tested the hypothesis that brief mindfulness training improves attention switching in the presence of anxiety. Methods: Seventy-four undergraduates (53 women) with an average age of 22.25 years (SD = 2.42) performed a pre-test switching task, watched an emotional film clip, and then were randomly assigned to three conditions: brief mindfulness training, worry induction, and free mind-wandering, followed by a post-test switching task. Results: We found reduced overall reaction times (i.e., for both switch and no-switch trials) in mindfulness compared with worry and free mind-wandering conditions (F[2,68.9] = 5.09, p = .009, η² = .13), but no differences between conditions with regard to the switch cost. Conclusions: The results are discussed in the context of working memory capacity and processing speed theory. We suggest that mindfulness may release attentional resources otherwise engaged in the inhibition of task-irrelevant thinking associated with anxiety and thus facilities the general efficiency of cognitive processes. Suggestions for future research are proposed.

Objectives: Mindfulness-based cognitive therapy (MBCT) is an evidence-based treatment to prevent relapse in individuals with recurrent major depressive disorder (MDD). It is not clear if MBCT is an effective therapy for current depression, and it is not clear what mechanisms are responsible for the effectiveness of MBCT. Theoretically, MBCT is believed to modify the processing of emotional information and reduce cognitive vulnerability to depression; however, it is not clear if MBCT leads to normalization of attentional biases in depressed individuals. The aim of the current study was to determine if MBCT can modify some of the attentional biases underlying depression in MDD. Methods: Participants were 53 individuals with diagnosis of current MDD. They were randomly assigned to either MBCT (n = 25) or wait list control group (n = 28) condition. Before and after the 8-week MBCT intervention participants completed the Center for Epidemiological Studies Depression scale (CESD), they viewed slides presenting sad, angry, happy, and neutral facial expressions, and their eye movements were recorded during the viewing task. Results: As expected, compared to participants in the control group, the CESD scores of participants who received MBCT decreased following treatment, their attention to sad faces decreased, and their attention to happy faces increased. Moreover, cross-lagged analysis suggested a causal link from changes in attentional bias to changes in depression. Conclusions: We found that MBCT can modify the attentional processing of emotional facial stimuli and that attentional bias modification may translate into clinical improvement in currently depressed individuals.

Background: Complementing the development of evidence-based psychological therapies, practice-based evidence has developed from patient samples collected in routine care, addressing questions relevant to patients and practitioners, and thereby expanding our knowledge of psychological therapies and their impact. Implementation of assessments in routine care allows for timely clinical decision support and the collection of multiple practice-based data sets by addressing the needs of patients and clinicians (e.g., routine outcome monitoring) and the needs of researchers (e.g., identifying the impact of therapist variables on outcomes). Method: In this article we describe an initiative developed in Europe, through the European Chapter of the Society for Psychotherapy Research, aimed at creating a consortium that has the potential for collecting data on tens of thousands of patients per year. Results: A survey identified one of the main problems in the development of a common data set to be the heterogeneity of measures used by members (e.g., 87 different pre-post outcomes). We report on the results of the survey and the initial stage of identifying a single-item – the Emotional and Psychological Outcome (EPO-1) – measure and the process of its translation into multiple European languages. Conclusions: We conclude this first stage of the overall project by discussing the future potential of the Consortium in relation to the development of procedures that allow crosswalks of outcome measures and the creation of a task force that may be consulted when new data sets are collected, aiming for new common measures to be implemented and shared.