Increasing Awareness and Acceptance Through Mindfulness and Somatic Education Movements

Context • The main feature of mindfulness-based interventions (MBI) is the encouragement of present moment awareness and of self-regulation, which are associated with health benefits. Meditating with the body in movement has been referred to as one of the most accessible ways of reaching such awareness. An MBI program, Mindfulness and Movements of Integration (MMI), has the same structure as mindfulness-based stress reduction (MBSR) but puts more emphasis on the body and uses somatic education (SE) movements instead of yoga postures. Objectives • The study aimed to explore and describe the implementation of an MMI group and evaluate the effects on the main skills of mindfulness (ie, present moment awareness and acceptance). Design • The study used a pretest-posttest design. Setting • The study took place at the clinic of the Department of Psychiatry at the Federal University of São Paulo in São Paulo, Brazil. Participants • Participants were individuals 18 y old or older living in the city of São Paulo, Brazil. Intervention • The intervention was structured to have 8 weekly sessions of 2.5 h each and a 1-d retreat. Participants were taught the formal meditation practices derived of MBSR: (1) the body scan and (2) awareness of different focuses-breathing, body sensations, sounds, thoughts, feelings, and open awareness. From the third session until the end of the study, 4 SE series of movements were added. Outcome Measures • The Brazilian adapted and validated versions of both the Mindful Attention Awareness Scale (MAAS) and the Philadelphia Mindfulness Scale (PHLMS) were used to assess present moment awareness, and acceptance was assessed using only the latter scale. Results • Significant improvements were observed in the mean score on the MAAS for present moment awareness (Cohen's d = 1.58). The PHLMS mean scores also showed significant improvements related to the Awareness (Cohen's d = 0.85) and Acceptance (Cohen's d = 0.63) subscales. However, the correlation between the changes in scores in those subscales was not significant (r = .29; P = .29). Conclusions • The results point to the MMI program as a potentially acceptable and useful MBI by increasing awareness and acceptance through mindfulness and SE movements.