title: Linking dispositional mindfulness and positive psychological processes in cancer survivorship: a multivariate path analytic test of the mindfulness-to-meaning theory.
abstract: Research indicates that dispositional mindfulness is associated with positive psychological functioning. Although this disposition has been linked with beneficial outcomes in the broader mental health literature, less is known about dispositional mindfulness in cancer survivors and how it may be linked with indices of psychological and physical health relevant to cancer survivorship.
  
  
  
  We conducted a multivariate path analysis of data from a heterogeneous sample of cancer patients (N = 97) to test the Mindfulness-to-Meaning Theory, an extended process model of emotion regulation linking dispositional mindfulness with cancer-related quality of life via positive psychological processes.
  
  
  
  We found that patients endorsing higher levels of dispositional mindfulness were more likely to pay attention to positive experiences (β = .56), a tendency which was associated with positive reappraisal of stressful life events (β = .51). Patients who engaged in more frequent positive reappraisal had a greater sense of meaning in life (β = .43) and tended to savor rewarding or life affirming events (β = .50). In turn, those who engaged in high levels of savoring had better quality of life (β = .33) and suffered less from emotional distress (β = -.54).
  
  
  
  Findings provide support for the Mindfulness-to-Meaning Theory and help explicate the processes by which mindfulness promotes psychological flourishing in the face of cancer.
  
  
  
  Cancer survivors may benefit from enhancing mindfulness, reappraisal, and savoring. Copyright © 2016 John Wiley & Sons, Ltd.
authors.affiliation: Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.|College of Social Work, University of Utah, Salt Lake City, UT, USA.
authors.forename: Eric L
authors.initials: EL
authors.lastname: Garland
authors.affiliation: Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Thielking
authors.affiliation: College of Social Work, University of Utah, Salt Lake City, UT, USA.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Thomas
authors.affiliation: College of Social Work, University of Utah, Salt Lake City, UT, USA.
authors.forename: Mary
authors.initials: M
authors.lastname: Coombs
authors.affiliation: Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
authors.forename: Shelley
authors.initials: S
authors.lastname: White
authors.affiliation: Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
authors.forename: Joy
authors.initials: J
authors.lastname: Lombardi
authors.affiliation: Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
authors.forename: Anna
authors.initials: A
authors.lastname: Beck
mesh_terms: D000328:Adult; D001288:Attention; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D064866:Mindfulness; D015999:Multivariate Analysis; D009369:Neoplasms / Q000523:psychology*; D010551:Personality; D011788:Quality of Life / Q000523:psychology*; D013315:Stress, Psychological / Q000523:psychology; D000073859:Survivorship