1 - (SYM 19) Getting in Touch: Exploring the Effects of Mindful Taekwondo in High-level Treatment Settings

Alterations in interoception (the ability to perceive bodily states) have been documented in borderline personality disorder (BPD) and eating disorders (EDs) and linked to increased risk for suicide and self-injury. Interoceptive deficits (IDs) are a viable treatment target and improve in response to mindful movement interventions. This highlights the need for adaptable mindful movement protocols within clinical settings. In two pilot studies, we have demonstrated the acceptability and feasibility of Taekwondo (TKD) as a candidate for mindful movement in high-level treatment settings. TKD is a Korean martial art emphasizing mind-body connections, and can accommodate individuals with varied physical abilities, increasing its accessibility. We have found that a group-based intervention integrating foundational TKD movements with core Dialectical Behavior Therapy mindfulness skills was well-received by adults in both inpatient and intensive outpatient (IOP) settings, receiving positive feedback and high satisfaction and effectiveness ratings (3.6-4.7/5 in IOP). Moreover, we have observed changes in patients’ reports of anxiety, sadness, relaxation, and happiness following engagement in the TKD and Mindfulness Intervention (p’s=.002-001; d’s=0.74-0.96; N=34), with stronger relationships for those with disordered eating (d=1.2). In a separate sample of diagnostically similar adults (e.g., BPD), direct links were observed between IDs and disordered eating. Lower levels of body trust were correlated with eating concerns (r(9)=-.71, p=.034), binge eating was linked to noticing bodily sensations less frequently (r(18)=.57, p=.014), and attentional regulation of body sensations was linked to confidence in one’s ability to reduce restriction (r(9)=.72, p=.03). Thus, we aim to determine whether the TKD and Mindfulness Intervention leads to decreased IDs in this population. In this presentation, we will describe development and implementation of the TKD and Mindfulness Intervention and summarize findings from our pilot studies. We will present a preliminary examination of changes in affective states and interoception (immediate and over time) following engagement in the TKD and Mindfulness Intervention as part of an IOP. We will highlight participants’ qualitative feedback on group experience. These data will be available by the conference date. Finally, this presentation will include experiential components to allow audience members to gain direct exposure to central practices of the TKD and Mindfulness Intervention.