key: cord-0757364-4qqvt04k authors: Lin, Hui-Li; Lin, Fang-Suey; Liu, Ling-Chen; Liu, Wen-Hsin title: The Moderating Effect of Compassionate Mindfulness on the Psychological Needs and Emotions of Generation Y in the 21st Century in Taiwan date: 2022-04-29 journal: Int J Environ Res Public Health DOI: 10.3390/ijerph19095458 sha: ff82eeedef0dc93c8373a2c1cffde91215212c96 doc_id: 757364 cord_uid: 4qqvt04k During the 2020 COVID-19 pandemic in Taiwan, 6.5% of Generation Y required medical treatment for emotional and stress-related mental disorders. This study explores the moderating effect of mindfulness training on psychological needs and emotions to propose effective measures to promote the mental health of Generation Y. This study was carried out by questionnaire, using the data of respondents born in 1980–1999, collected in three different periods for quantitative analysis with compassionate mindfulness as the main variable. The results show that the compassionate mindfulness effect on emotion regulation varies greatly among different educational levels. However, it still plays a positive role in the psychological needs of Generation Y. Most members of Generation Y who receive compassionate mindfulness training have fewer basic needs and more interpersonal trust. They pay more attention to individual-oriented self-realization. Compassionate mindfulness has a greater positive moderating effect on the mental health of women aged 30–39 and those who are highly educated. Compassionate mindfulness has a more positive moderating effect on the psychological needs of members of Generation Y who were born more recently. During the COVID-19 pandemic, providing compassionate mindfulness has a significant positive effect on the prevention of mental disorders of Generation Y in Taiwan. Generation Y is a generation born between about 1980 and 2000 [1-3] that is also known as "digital natives". They are the largest employment group in society and an important contributor to the stable development of society. Most digital natives have grown up with new technologies such as the Internet, smartphones, laptops and social media. They value personal growth, family and friends, and love challenges, but their sense of reality is poor, so they are prone to emotional distress [4] . In recent years, Taiwan's society has been moving towards industrialization, urbanization and modernization, causing tremendous changes in the social order and people's interactions. Generation Y faces various stressors and must constantly adjust themselves to adapt to the society. The psycho-logical pressure they feel is often long-term and overloaded and reflects mental illness. In Taiwan, 225,669 generation Y people took antidepressants in 2009 compared to 325,853 in 2019 [5] . During the 2020 COVID-19 pandemic, the number of Generation Y people seeking medical care due to psychoactive substances, mood and stress-related mental disorders, and other non-psychotic mental disorders was 455,775, accounting for 6.5% of the population of this generation [6, 7] . The mental health of Generation Y is already a major public health problem facing Taiwanese society, which not only seriously affects the lives of Generation Y, ontological knowledge work, which is also knowledge work about how people live. In the deep study of phenomena, it is also the understanding of human existence. Taking mental illness as an example, thinking in phenomenological psychology will note that when we talk about psychology and pathology, we are already within the body of knowledge of a given biomedical reality. Therefore, to leave this system and face the phenomenon directly, one of the necessary skills is to return to the original experience and rethink the sense of closeness to one's own body and the right to speak. And these are in line with the characteristics of mindfulness. Exploring the impact of mindfulness on mental health from a phenomenological perspective can prompt researchers to prioritize the life experience of the research [25] . Phenomenological psychology cares about people's conscious experience (non-subconscious journey) of the world around them, their focus and self-realization motivation, and it emphasizes the development of a stable and harmonious self. These are the core keys to mental health. Phenomenological psychology contains three important viewpoints: "Humanism", "Need theory", and "Positive psychology" [11] . "Humanism" is the belief that when facing mental disorder, individuals need to leave the bio-medical reality knowledge system and directly face their own original phenomena, get close to their own bodies and have self-awareness [26] . Mindfulness teaches practitioners how to be aware and non-judgmental [27] . These concepts are similar to the concepts of "Humanism". Maslow (1971) [28] believes that human beings have biological needs and psychological needs. Psychological needs include safety, love, belonging, respect, self-esteem, self-realization, and super-self-realization. Although the occurrence of mental disorder varies from person to person, according to relevant studies, frustration and distortion of psychological needs are one of the main causes of some mental disorders [29] [30] [31] . In the past, applied psychology mostly focused on how to understand and help people with mental illnesses. Relatively speaking, positive psychology is devoted to correcting this weakness-oriented view, emphasizing that in addition to understanding people's weaknesses, it is more important to explore people's strengths. It attaches great importance to the exposure of various existential characteristics of people in phenomenological psychology [32] . "Positive psychology" expands the focus of clinical psychology, going beyond direct pain relief, focusing on the direct contribution of positive emotion and positive experience to mental health [11, 33] . Based on the theory of phenomenological psychology, this study takes "psychological needs" and "optimistic emotions" as the variables of mental health. Compassion meditation technique is one of the training methods of mindfulness. Meditation and breathing exercise are one of the skills of the compassion meditation technique, which improves physical and mental health by focusing on breathing, awareness and self-compassion. In addition to the characteristics of mindfulness, compassionate mindfulness involves the conscious development of genuine, warm and positive emotions [23] . Some people think that it is an effective way to promote positive emotions. Compassionate mindfulness interventions more generally improve health and well-being, according to research [34] . It also contributes to functional neural plasticity in brain circuits associated with positive affect and empathy. [35, 36] . But the empirical evidence in the compassionate mindfulness literature remains unclear. In this study, the compassion meditation technique is used as a variable of mindfulness and is named compassionate mindfulness. It is also used to understand whether compassionate mindfulness increases or decreases people's daily psychological needs and positive emotional experiences over time. This study uses the investigative data of 2009, 2014, and 2019 to conduct a study and analysis in order to observe the popularization of compassionate mindfulness in Taiwanese Generation Y, and to analyze the effect of compassionate mindfulness on Generation Y's mental health. Further discussing the moderating effect of compassionate mindfulness on Generation Y's mental health is the purpose of this study. According to the study purpose, the following study hypotheses are proposed: The psychological needs performance of Generation Y is different because of compassionate mindfulness. The emotions performance of Generation Y is different because of compassionate mindfulness. The psychological needs performance of different demographic variables in Generation Y is different because of compassionate mindfulness. The emotions performance of different demographic variables in Generation Y is different because of compassionate mindfulness. H5: From a long-term perspective, compassionate mindfulness has a positive moderating effect on the psychological needs of Generation Y. H6: From a long-term perspective, compassionate mindfulness has a positive moderating effect on the emotions of Generation Y. The data source of this study is the data file of the Taiwan Social Change Survey [37] [38] [39] . The Taiwan Social Change Survey is a comprehensive survey of social phenomena in Taiwan, aiming to record the social cultural phenomena in the region. Since 1985, the same survey topic has been repeated every five years to conduct a continual survey, collecting data from two or more time points for comparative analysis, in order to highlight the trend of social change. It used people aged 18 and above in Taiwan as the study objects and adopts geographically stratified sampling to conduct a questionnaire survey. After considering the geographical factors of Taiwan, it is divided into 19 layers, which are called geographic layers. The samples were selected using "stratified multi-stage probability proportional to size (PPS) sampling". PPS equidistant sampling is used in each stratum, and the sampling is gradually carried out from "geographical layers"-"township and urban area"-"first-level release area"-"address"-"person". The questionnaire data has undergone a representative Chi-square test, which indicates that the selected sample is representative. According to the research purpose, this study invites relevant experts to screen the items of the questionnaires of the "Basic Survey Project on Social Changes in Taiwan" in 2009, 2014 and 2019. Then, according to the respondents' answers to the screened questions, an interactive analysis of the cross-sectional data of the three periods was carried out. This study uses respondents who were born in 1980-1999 in the three periods of 2009, 2014, and 2019 as the study sample. After deducting invalid questionnaires, the number of people in each period is 385, 564, and 591, for a total of 1540. The demographic information of this study sample is summarized in Table 1 . Table 1 shows that males of Generation Y respondents, born between 1980-1989, single or separated, college or university, with religious belief, no work, and no mindfulness accounted for more than half of the respondents. Respondents aged 20-29 accounted for the majority or close to 50% in the three periods, and they are representative of Generation Y respondents in this study. There were no more than 7% of those with compassionate mindfulness in each period, which reached its lowest point in 2019. The variables of mental health were divided into psychological needs and optimistic emotions. Five experts discussed and filtered content of the variables on the data file (2009-2019) and select the main content by exploratory factor analysis. What follows is a description of the variables of the psychological needs: (1) interpersonal trust: The design of the questions of interpersonal trust about safety need were based on the "Interpersonal trust scale" (ITS) [40, 41] . It has six questions, including one about trust in people, which is "Do you think people can be trusted?", and five about trust in society, which are scoring the trustworthiness of "Government Organizations", "Private Enterprises", "Religious Organizations", "Educational Organizations" and "Judicial and Police Organizations". The responses were scored on a 4-point scale as follows: 1 point-very trust; 2 points-kind of trust; 3 points-distrust; 4 points-totally distrust. The principal-component method was used to examine the factors, and one factor was selected by Kaiser's normalized varinmax method and named "interpersonal trust". The characteristic value was greater than 1, the explained variation was 48.93%, and the internal correlation coefficient of the factors was between 0.110-0.375. There was significant correlation, and Cronbach's α was 0.705. (2) The need beyond security need: Considering that the study objects have a Chinese social and cultural background, the design of the questions was based on "Edwards Personal Preference Schedule, EPPS" [42] , the need theory of Maslow, and the "Psychological Characteristics of self-actualizers Schedule" [43] , which is designed for Chinese. There were 13 questions. One question was about "Individual-oriented Self-actualization", which is "Self-growth should include one's spiritual growth", and it was scored on a 4-point scale ranging from "complete agreement"(1 point) to "complete disagreement"(4 points). The other 12 questions asked about the importance of personal life needs for "domestic harmony", "good friends", "love, power", "wealth", "obedience", "tolerance for dissent", "democracy, fairness", "knowledge", and "pursuit of progress", and were scored on a 4-point scale ranging from "unimportant"(0 points) to "Absolutely important"(4 points). The principal-component method was used to examine the factors, and three factors were selected by Kaiser's normalized varinmax method and the characteristic value was greater than 1, and the explained variation was 52.57%. Three factors were named "Social-oriented Self-actualization", "Love and belonging need", and "Esteem need". The internal correlations of each factor were all significantly correlated. The optimistic emotion questions were divided into four parts: happiness, perceived health, ability to adjust to the environment, and negative emotion (reverse question), which were scored on a 4-point scale ranging from1 point: very good; 2 points: good; 3 points: bad; 4 points: very bad. The principal-component method was used to examine the factors, and one factor was selected by Kaiser's normalized varinmax method and named "optimistic emotions". the characteristic value was greater than 1, the explained variation was 46.38%, and the internal correlation coefficient of the factors was between 0.049-0.375, There was significant correlation, and Cronbach's α was 0.338. SPSS 16.0 [44] was employed for calculation and quantitative data analysis. It was divided into two parts: (1) Analysis of the difference between compassionate mindfulness and mental health variables; and (2) Analysis of the difference between demographic variables and compassionate mindfulness on mental health variables. This is shown in Figure 1 . In order to initially understand the difference between compassionate mindfulness and mental health in each period, the study variables were analyzed with a t-test and F-test, and the results are shown in Table 2 . The Scheffe method was used to make multiple comparisons of mental health variables when the long-term effect of mental health variables was significant and the compassionate mindfulness (yes). In order to initially understand the difference between compassionate mindfulness and mental health in each period, the study variables were analyzed with a t-test and F-test, and the results are shown in Table 2 . The Scheffe method was used to make multiple comparisons of mental health variables when the long-term effect of mental health variables was significant and the compassionate mindfulness (yes). In each period, mental health variables had significant difference due to compassionate mindfulness, such as "Optimistic emotions" in 2009, "Love and belonging need" in 2014, "Social-oriented self-actualization" in 2014, "Individual-oriented self-actualization" in 2014 and 2019, and "Interpersonal trust" in 2019. In the long-term trend, "Interpersonal trust" and "Social-oriented self-actualization" were affected by "compassionate mindfulness", and had significant differences. The results of multiple comparisons were that the mean scores of "Interpersonal trust" were 2014 > 2009 > 2019, and the mean scores of "Social-oriented Self-actualization" were 2009 > 2014 > 2019. Note. t test: *** p < 0.001, ** p < 0.01, * p < 0.05; F test: *** p < 0.001, ** p < 0.01, * p < 0.05. Figure 2 presents the estimated mean of "Love and belonging need" and "Individual-oriented Self-actualization". Mindfulness (yes) is lower than Mindfulness (no). The estimated mean of "Optimistic emotions" is that Mindfulness (yes) is higher than Mindfulness (no). The estimated mean of "Interpersonal trust and Esteem need" is that the compassionate mindfulness (yes) is lower than the compassionate mindfulness (no). . The long-term trend is that it changes over time. The Pearson chi-square test shows that the correlation between compassionate mindfulness and Demographic variables is p > 0.05 in each period (2009, 2014, 2019) . It means that Demographic variables and compassionate mindfulness are independent of each other and will not behave differently because of their differences. A t-test and F test show that the effects of compassionate mindfulness on psychological needs and emotions were different in different periods. Thus, we tested the difference between the mental health of the demographic variables and compassionate mindfulness in each pe- Figure 2 presents the estimated mean of "Love and belonging need" and "Individualoriented Self-actualization". Mindfulness (yes) is lower than Mindfulness (no). The estimated mean of "Optimistic emotions" is that Mindfulness (yes) is higher than Mindfulness (no). The estimated mean of "Interpersonal trust and Esteem need" is that the compassionate mindfulness (yes) is lower than the compassionate mindfulness (no). The Pearson chi-square test shows that the correlation between compassionate mindfulness and Demographic variables is p > 0.05 in each period (2009, 2014, 2019) . It means that Demographic variables and compassionate mindfulness are independent of each other and will not behave differently because of their differences. A t-test and F test show that the effects of compassionate mindfulness on psychological needs and emotions were different in different periods. Thus, we tested the difference between the mental health of the demographic variables and compassionate mindfulness in each period (Table 3) . We then drew a trend chart of the estimated mean of the variables of mental health during the interaction of demographic variables and compassionate mindfulness from 2009 to 2019 (Figures 3-9) . Table 3 . Test of Variance for the Effects of period, and 'demographic variable *compassionate mindfulness' on psychological needs and emotions. On the whole, age has the most significant difference in psychological needs variables among demographic variables (seven times), followed by sex (four times). From the long-term trend, "Sex*compassionate mindfulness" had significant differences in love and belonging need, "religion*compassionate mindfulness" had significant differences in individual-oriented self-actualization, and "education*compassionate mindfulness" had significant differences in optimism emotions. Several facts can be determined from the trend graph of the estimated mean of mental health variables when compassionate mindfulness interacts with the demographic variable: (1) Estimated mean of Interpersonal trust: Except female, 20-29-year-olds, 1980-1984, junior college, and none Religious belief, other demographic variables are compassionate mindfulness (yes) < compassionate mindfulness (no);(2) Estimator of mean of Love and belonging need: Except male, 18-19-year-olds, 1995-1999, middle school and below, junior college, and work (no), other demographic variables are compassionate mindfulness (yes) < compassionate mindfulness (no); (3) Estimator of mean of Esteem need: except male, 20-29-year-olds, 1995-1999, middle school and below, and work (yes), other demographic variables are compassionate mindfulness (yes) < compassionate mindfulness (no); (4) Estimator of mean of Social-oriented Self-actualization: except 1990-1994', 1980-1984', single/separated, middle school and below, junior college, and none work, other demographic variables are compassionate mindfulness (yes) > compassionate mindfulness (no); (5) Estimator of mean of Individual-oriented Self-actualization: except Religious belief, other demographic variables are compassionate mindfulness (yes) < compassionate mindfulness (no); (6) Estimator of mean of optimistic emotions: Except female, 18-19-year-olds, 30-39year-olds, and junior college, other demographic variables are compassionate mindfulness (yes) > compassionate mindfulness (no). The results show that in the 21st century, the number of people with compassionate mindfulness in Taiwan's Y generation is less than 10% and there is a gradual decrease, which shows that compassionate mindfulness as a mental health care measure may be ignored. However, from the comparison of various periods, it can be found that people with compassionate mindfulness have a higher sense of trust and pay more attention to self-growth than other people. From the long-term trend chart, it can be observed that Generation Y, with compassionate mindfulness, has increased trust, lowered basic needs, and valued self-actualization. But the optimistic emotion is affected by the period and is inferior to people without compassionate mindfulness. Related research shows that people who put too much emphasis on happiness have poorer mental health [45] . In contrast, those who deliberately sought out activities and environments that might naturally generate optimistic emotions to promote optimistic emotions showed better mental health [46] . A survey related to the spiritual life of Generation Y in Taiwan shows that Generation Y is a generation that actively pursues a better quality of life and bears more pressure. They attach great importance to the maintenance and awareness of personal emotions. When Generation Y realizes that personal negative emotions can affect their lives, they usually take some natural interventions to keep their mind and body in balance [47] . Compassionate mindfulness is a way of prioritizing positivity in their daily life, so people with compassionate mindfulness may be less optimistic than others. Generation Y people with compassionate mindfulness may be more pessimistic, but they value spiritual growth, so they choose compassionate mindfulness as a preventive and health care measures for personal mental health. Additionally, recent research has shown that compassionate mindfulness only enhances specific types of optimistic emotions, such as other-focused (but not self-focused) optimistic emotions [48] . Several individual studies have reported that the nature of optimistic emotions and individual differences also affected the results [49] . So despite looking at long-term trends, people with compassionate mindfulness are less optimistic than those without. However, in terms of demographic variables, there are significant differences. For example, men with compassionate mindfulness, 20-29year-olds are more optimistic than those without compassionate mindfulness. But females between 18-19 and 30-39-year-olds were less optimistic than those without compassionate mindfulness. Therefore, the latter group will be the subject of future research on the impact of compassionate mindfulness on optimistic emotions. Through the interaction of demographic variables and compassionate mindfulness, it can be found that the moderation effect of compassionate mindfulness on psychological needs and optimistic emotions is possible. In the analysis of the difference of psychological needs variables, it was found that there were 18 changes from significance (demographic variables) to non-significance (demographic variables*Mindfulness), and each demographic variable occurred at least one time because of the compassionate mindfulness that caused the significance to change. The demographic variable from non-significance (demographic variables) to significance (demographic variables*compassionate mindfulness) is sex and education. And before and after the moderation effect of compassionate mindfulness, they are all demographic variables of significance. Except for cohort, age and marital status, other demographic variables are significant differences at least once. These indicate that the psychological needs of different demographic variables are affected by compassionate mindfulness. In each period, the psychological needs of Generation Y are affected by demographic characteristics and compassionate mindfulness to varying degrees. Individual-oriented selfactualization is the most susceptible to demographic variables and also the most important psychological needs variable for Generation Y with compassionate mindfulness. People with compassionate mindfulness value individual-oriented self-actualization more than those without compassionate mindfulness. Sex, age, and education level are the main demographic variables that cause differences in mental health. The main demographic variable difference in psychological needs and optimistic emotions caused by the interaction of demographic variables and compassionate mindfulness is education level. People aged 30-39 are important economic creators in society. Compared with people without compassionate mindfulness training, people with compassionate mindfulness have lower basic needs, are more willing to trust people, have better optimistic emotions, value personal growth and social realization, and are the best performers in mental health among Generation Y. It is also the group that has the most obvious difference in mental health through compassionate mindfulness. The reason for this difference may be that compassionate mindfulness has a positive moderating effect on the mental health of people aged 30-39. The psychological needs and optimistic emotions of people whose education level is middle school and below is inferior to those without compassionate mindfulness. Born in the late Generation Y (1995-1999), middle school and below males with mindfulness are the groups with poor mental health performance. The current penetration rate of those with higher education in Taiwan is 46.47% [50] . According to the age of education in Taiwan, this group of people should be from high school to university level, so it is inferred that they are under more pressure than their contemporaries. Choosing compassionate mindfulness training may be a choice to relieve stress. Limited by the fact that this is a cross-sectional study, it is not possible to judge whether compassionate mindfulness has a moderating effect for this group of people. Compared with the mental health of middle schools and below, the opposite is the with graduate-level educations with compassionate mindfulness. They are the Y generation with the lowest basic needs, the highest sense of trust, and the most emphasis on selfactualization. This is further proof that compassionate mindfulness brings a positive moderating effect to psychological needs. The long-term trend in socially oriented self-actualization needs of compassionate minders is gradually increasing, but will slow down after a certain increase. The longterm trend of individual-oriented self-actualization needs is increasingly valued, and most people with compassionate mindfulness value it more than those who don't. This shows that Generation Y attaches great importance to the socially oriented self-actualization, and pays more and more attention to the spiritual growth of individuals. The relevant research points out that, compared with the people in mainland China who attach importance to the values of economic work achievement, people in Taiwan began to regard the richness and fulfillment of their personal lives as a kind of ability. They value spiritual healing and repair, self-value creation and the ability to influence others [50] . The results of this study show that Generation Y people who have compassionate mindfulness are practicing this value. Overall, Generation Y with compassionate mindfulness, who were less optimistic than other generation Ys, after developing compassionate mindfulness, the basic needs of most Y generations will be reduced and the sense of trust will be increased. They will pay more attention to Individual-oriented self-actualization and social-oriented self-actualization to promote the improvement of overall mental health. Compassionate mindfulness is not popular among Generation Y in Taiwan, and its effect on emotion regulation varies greatly among Generation Y with different sex, age and educational levels. But it still plays a positive role in the psychological needs of Generation Y. Men and 20-29-year-olds were more optimistic than those without compassionate mindfulness. And in women, 18-19 and 30-39- year-olds, with junior college are less optimistic than those without compassion and mindfulness, which is seen as a stressreduction technique in pursuit of body-mind balance. Individual-oriented self-actualization is the most important psychological needs variable for Generation Y with compassionate mindfulness, and the value that contemporary Generation Y values most. Furthermore, compassionate mindfulness has the greatest positive moderating effect on the Psychological needs of women aged 30-39 and graduate school, and also has a positive moderating effect on the emotions of 30-39-year-olds and junior college graduates of Generation Y in Taiwan. In a long-term observation, most Generation Ys with compassionate mindfulness training have higher levels of pessimism, but their psychological needs perform better than those without compassionate mindfulness. They have lower basic needs, higher interpersonal trust and more emphasis on self-actualization. In addition, compassionate mindfulness is more likely to have a positive moderating effect when the psychological needs of Generation Y are closer to modern times. The study results confirmed that compassionate mindfulness is a way for Generation Y to maintain mental health, and the positive moderation effect of compassionate mindfulness on the psychological needs of Generation Y is possible. It also proves that compassionate mindfulness has better applicability to modern Generation Y. For Generation Y, who are most often exposed to dangerous environments in the COVID-19 pandemic, providing compassionate mindfulness can relieve stress and promote personal growth. This is of positive significance to the prevention of mental disorders of Generation Y in Taiwan. The data in this study is not long-term tracking data, but cross-sectional study data of three periods. Whether the respondent has a compassionate mindfulness is the result of random sampling, which reflects the possible relevance between the compassionate mindfulness and psychological needs and emotions of the Y generation. It is not possible to test the mental state and causality of the same interviewee before and after compassionate mindfulness, which is the limitation of this study. Questions related to how compassionate mindfulness affects Generation Y's mental health in this study point to further research avenues. For example, broader and in-depth studies of specific populations with significant differences in demographic variables such as gender, age, education, and religious beliefs may be more helpful in providing evidence for compassionate mindfulness as a mental health enhancer. 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