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This study tested whether a mindfulness-enhanced psychoeducational intervention lowers caregiver stress by reducing rumination, a repetitive pattern of negative thinking, in a randomized trial of 142 veteran caregivers. Rumination related to greater depressive symptoms and perceived stress, and stronger anxiety-to-rumination effects emerged in the mindfulness-enhanced group, indicating benefit for caregivers with higher anxiety.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/mindfulness-and-rumination-uncovering-stress-pathways-in-caregivers-of-persons-living-with-dementia/423798/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/mindfulness-and-rumination-uncovering-stress-pathways-in-caregivers-of-persons-living-with-dementia/423798.png","ImageObject",300,407,{"name":92,"@type":93},"Maya Linwood","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What was the main goal of the study?","Question",{"text":113,"@type":114},"To determine whether a mindfulness-enhanced psychoeducational intervention can reduce stress in dementia caregivers by lowering rumination.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How was rumination assessed and what did it predict?",{"text":118,"@type":114},"Rumination was measured using the Rumination Reflection Questionnaire and predicted higher depressive symptoms and perceived stress, but not caregiver burden.",{"name":120,"@type":111,"acceptedAnswer":121},"What role did anxiety play in the mindfulness-enhanced intervention?",{"text":122,"@type":114},"Moderated mediation showed that the link between anxiety and rumination was significantly stronger in the mindfulness-enhanced intervention group.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},423798,1790789523,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81,"preview_page_count":4},962084928432,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","782 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.2655  \nMINDFULNESS AND RUMINATION: UNCOVERING  \nSTRESS PATHWAYS IN CAREGIVERS OF PERSONS  \nLIVING WITH DEMENTIA  \nJyoti Savla1, Marrium Mansoor2, Lauren Hagemann3, Katherine Lucci3, and Mamta Sapra3, 1. Dept. of Human Development and Family Science, Blacksburg, Virginia, United States, 2. Virginia Tech, Blacksburg, Virginia, United States, 3.  \nSalem VA Healthcare System, Salem, Virginia, United States  \nMindfulness techniques, which encourage focusing on the present moment, have shown promise in reducing stress.  \nHowever, the mechanisms through which mindfulness-based interventions alleviate stress in family caregivers, particularly those caring for persons living with dementia, remain less understood. This study aimed to determine whether a mindfulness-enhanced psychoeducational intervention could lower stress among caregivers of persons living with dementia by reducing rumination – a repetitive pattern of negative thinking. Data were drawn from a randomized controlled trial involving 142 family caregivers of veterans living with dementia (Mage = 67.2, SD = 9.8; 85% women; 82% White; 70% spouse caregivers; 90% co-residing) . Participants were randomly assigned to either a standard REACH-VA multi-component skill-building intervention (n = 66) or a mindfulness-enhanced skill-building intervention, named PAACC (n = 67) . Data were collected at baseline and at the end of the study. Rumination predicted higher depressive symptoms (using the Patient Health Questionnaire) and perceived stress (using the Perceived Stress Scale), but not caregiver burden (using the Zarit Burden Interview). Additionally, moderated mediation analysis showed that the relationship between anxiety (on the Generalized Anxiety Disorder Screener) and rumination (Rumination Reflection Questionnaire) was significantly stronger in the mindfulness-enhanced intervention group. These findings suggest that the mindfulness-enhanced intervention may be particularly beneficial for caregivers with higher anxiety levels by interrupting the cycle of negative, repetitive thinking, thereby reducing emotional stress even if caregiving burden remains unchanged. Incorporating mindfulness techniques may, therefore, provide meaningful benefits for caregivers by specifically targeting anxiety-driven rumination and improving emotional well-being.","cbCaibZijhAjEcu8","https://ap.wps.com/l/cbCaibZijhAjEcu8","pdf",719273,"English","# Abstract\n## Study aim\n## Intervention and participants\n## Key findings\n## Implications","[{\"question\":\"What was the main goal of the study?\",\"answer\":\"To determine whether a mindfulness-enhanced psychoeducational intervention can reduce stress in dementia caregivers by lowering rumination.\"},{\"question\":\"How was rumination assessed and what did it predict?\",\"answer\":\"Rumination was measured using the Rumination Reflection Questionnaire and predicted higher depressive symptoms and perceived stress, but not caregiver burden.\"},{\"question\":\"What role did anxiety play in the mindfulness-enhanced intervention?\",\"answer\":\"Moderated mediation showed that the link between anxiety and rumination was significantly stronger in the mindfulness-enhanced intervention group.\"}]","MINDFULNESS AND RUMINATION - UNCOVERING STRESS PATHWAYS IN CAREGIVERS OF PERSONS LIVING WITH DEMENTIA | PDF",1790631949]