Mindfulness-based cognitive therapy for psycho-oncology patients: an exploratory study

2015 ◽  
Vol 32 (3) ◽  
pp. 265-274 ◽  
Author(s):  
T. Kingston ◽  
S. Collier ◽  
D. Hevey ◽  
M. M. McCormick ◽  
C. Besani ◽  
...  
Keyword(s):  
Cognitive Therapy ◽  
Cancer Patients ◽  
Stress Reduction ◽  
Phase 1 ◽  
Small Pilot Study ◽  
Psychological Variables ◽  
Treatment As Usual ◽  
Self Compassion ◽  
Distress Symptoms ◽  
Anxiety Depression

ObjectivesMindfulness-based cognitive therapy (MBCT) is a group-based intervention similar to mindfulness-based stress reduction, but which includes cognitive therapy techniques. This study investigates its usefulness in the treatment of depressive, anxiety and stress/distress symptoms in cancer patients referred to a psycho-oncology service. It also examines whether effect on depression is mediated by self-compassion.MethodIn phase 1 of this study, 16 cancer patients with mild/moderate psychological distress were randomised to MBCT (n=8) or treatment as usual (TAU;n=8), and assessed pre- and post-treatment. Analysis of variance was performed to examine the effect of treatment on anxiety and depression. In phase 2, the TAU group received the intervention, and results of pre- and post-MBCT assessments were combined with those receiving MBCT in phase 1. Finally, both groups were followed up at 3 months.ResultsIn phase 1, the MBCT group had a significant improvement in mindfulness and a decrease in anxiety. Statistically significant improvements in both depression and anxiety were found at 3 month follow-up. Self-compassion appeared to mediate the effect on anxiety/depression.ConclusionThis small pilot study suggests that MBCT may have a beneficial effect on psychological variables often adversely affected in cancer in a heterogeneous cancer population.

scholarly journals Mindfulness-Based Stress Reduction (MBSR) and Self Compassion (SC) Training for Parents of Children with Autism Spectrum Disorders: A Pilot Trial in Community Services in Spain

Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 316
Author(s):  
Liliana Paulina Rojas-Torres ◽  
Yurena Alonso-Esteban ◽  
María Fernanda López-Ramón ◽  
Francisco Alcantud-Marín
Keyword(s):  
Stress Reduction ◽  
Community Intervention ◽  
Pilot Trial ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Community Services ◽  
Self Compassion ◽  
Mindful Attention ◽  
Mindfulness Based Stress Reduction ◽  
Anxiety Depression

This study aims to develop a clinical trial to test the efficacy of a mindfulness-based stress reduction (MBSR) and self-compassion (SC) program on self-reported values of anxiety, depression, and stress in parents of children with autism spectrum disorder (ASD) in primary school, in order to assess their integration into the framework of community intervention programs in Spain. Methods: A brief 8-week training program using mindfulness-based intervention (MBSR) and self-compassion (SC) has been applied to twelve Valencian ASD parents, ten of whom completed the program. Participants were assigned to two groups; both groups received the same treatment but at two different measurement moments. Depression, anxiety, stress, satisfaction with life and mindful attention awareness measurements were performed, in all participants, in three testing stages. Results: Analysis of variance results suggested that MBSR and SC training reduces stress and anxiety and increases mindful attention awareness. No significant changes were found in life satisfaction measurements. Conclusions: The small number of participants prevents us from generalizing the results found. More MBSR and SC clinical trials are needed in parents of ASD with results on anxiety, depression and stress in order to demonstrate the relevance of the inclusion of these programs in community-based early intervention services.

scholarly journals Mindfulness-Based Stress Reduction (MBSR) and Self Compassion (SC) Training for Parents of Children with Autism Spectrum Disorders: A Pilot Trial in Community Services in Spain

2021 ◽  
Author(s):  
Liliana Rojas-Torres ◽  
Yurena Alonso-Esteban ◽  
Maria Fernanda López-Ramón ◽  
Francisco Alcantud-Marín
Keyword(s):  
Stress Reduction ◽  
Satisfaction With Life ◽  
Community Intervention ◽  
Pilot Trial ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Community Services ◽  
Early Intervention Services ◽  
Self Compassion ◽  
Anxiety Depression

This study aims to develop a clinical trial to test the efficacy of a Mindfulness Based Stress Re-duction (MBSR) and Self Compassion (SC) Program on self-reported values of anxiety, depres-sion, and stress in parents of children with Autism Spectrum Disorder (ASD) in primary school, in order to assess their integration into the framework of community intervention programs in Spain. Methods: A brief 8-week training program using Mindfulness based intervention (MBSR) and self-compassion (SC) has been applied to ten parents from the Valencian ASD parents’. Partici-pants were assigned to two groups, both groups received the same treatment but at two different measurement moments. Depression, Anxiety, Stress, Satisfaction with Life and Mindful Atten-tion Awareness measurements were assessed, in all participants, in three testing moments. Results: Analysis of Variance results suggested that MBSR and SC training reduces stress and anxiety and increases Mindful Attention Awareness. No significant changes were found in Life Satisfaction measurements. Conclusions: The small number of participants prevents us from generalising the results found. More MBSR and SC clinical trials are needed in parents of ASD with results on anxiety, depression and stress in order to demonstrate the relevance of the inclusion of these programmes in community-based early intervention services.

The eye of the storm: a feasibility study of an adapted Mindfulness-based Cognitive Therapy (MBCT) group intervention to manage NHS staff stress

2014 ◽  
Vol 7 ◽  
Author(s):  
Robert Marx ◽  
Clara Strauss ◽  
Cleo Williamson ◽  
Karunavira ◽  
Taravajra
Keyword(s):  
Cognitive Therapy ◽  
Feasibility Study ◽  
Stress Reduction ◽  
Group Intervention ◽  
Quantitative Methods ◽  
Emotional Health ◽  
Self Compassion ◽  
Stress At Work ◽  
Post Therapy

AbstractA feasibility study evaluated five adapted Mindfulness-based Cognitive Therapy (MBCT) groups that were delivered to staff in a National Health Service (NHS) mental health Trust as part of a staff health and wellbeing initiative. Using an uncontrolled design typical of a feasibility study, recruitment, retention and acceptability of the groups were assessed. Effectiveness was also measured at pre- and post-therapy, and at 3-month follow-up, using quantitative methods. In addition, qualitative methods were used to explore staff experiences of the groups. Results demonstrated high levels of feasibility, and significant improvements in staff perceived stress and self-compassion at both post-therapy and follow-up. Qualitative data suggested many staff felt the groups had improved their physical and emotional health, their ability to manage stress at work and the quality of their work with patients and of their relationships with colleagues. Although Mindfulness-based Stress Reduction (MBSR) has typically been used to help manage staff stress, these results are promising for the use of an adapted MBCT with this population. Challenges and factors contributing to these outcomes are discussed.

scholarly journals Efficacy of Mindfulness-Based Cognitive Therapy and Cognitive Behavioral Therapy for Anxiety, Depression, and Fatigue in Cancer Patients: A Randomized Clinical Trial

2021 ◽  
Author(s):  
Masoume Sheikhzadeh ◽  
Zahra Zanjani ◽  
Alireza Baari
Keyword(s):  
Clinical Trial ◽  
Cognitive Behavioral Therapy ◽  
Cognitive Therapy ◽  
Randomized Clinical Trial ◽  
Cancer Patients ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Anxiety And Depression ◽  
Significant Difference ◽  
Anxiety Depression

Objective: Cancer is associated with some psychological problems that play an important role in the severity and continuity of cancer. Cancer may lead to maladaptive psychological reactions such as anxiety, depression, and fatigue. Depression and anxiety are highly prevalent in cancer patients. This study aimed to compare the efficacy of mindfulness-based cognitive therapy (MBCT) and cognitive behavioral therapy (CBT) for anxiety, depression, and fatigue in cancer patients. Method: The present study was a randomized clinical trial (RCT). Of the 100 patients diagnosed with cancer, 60 patients were eligible to participate in this study according to the inclusion / exclusion criteria. They were randomly assigned into 3 groups: MBCT, CBT, and wait-list group (WLG). Afterward, the experimental groups received 8 weekly treatment sessions. All the participants fulfilled the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Cancer-Related Fatigue Scale (CFS) before and after the intervention. Data were analyzed using SPSS-16 software by Analysis of Covariance (ANCOVA). Results: The results indicated a significant reduction in depression, anxiety, and fatigue scores in CBT and MBCT groups. There was a significant difference between both treatment groups with WLG in the anxiety and depression, but no significant difference was found between MBCT and CBT groups. Additionally, there was only a significant difference between the CBT group and WLG in terms of fatigue (P = 0.01). Conclusion: CBT and MBCT performed equally well in decreasing anxiety and depression in cancer patients, and they were significantly better than WLG. It seems that MBCT is a good alternative to CBT for decreasing emotional symptoms in cancer patients. As a result, CBT and MBCT could be considered a good addition to pharmacological treatment of cancer patients with comorbid psychological symptoms. However, CBT was preferable to MBCT in decreasing fatigue. The study was registered at the irct.ir database under registration number IRCT20180503039509N1.

scholarly journals Effectiveness of mindfulness-based stress reduction and attachment-based compassion therapy for the treatment of depressive, anxious and adjustment disorders in mental health settings: A randomized controlled trial

2021 ◽  
Author(s):  
Carlos Collado-Navarro ◽  
Adrian Perez-Aranda ◽  
Mayte Navarro-Gil ◽  
Yolanda López del Hoyo ◽  
Javier Garcia-Campayo ◽  
...  
Keyword(s):  
Mental Health ◽  
Stress Reduction ◽  
Controlled Trial ◽  
Post Treatment ◽  
Adjustment Disorders ◽  
Affective Distress ◽  
Treatment As Usual ◽  
Self Compassion ◽  
Mindfulness Based Stress Reduction

Objectives: To study the effectiveness of Attachment-Based Compassion Therapy (ABCT) for reducing affective distress in a sample of outpatients with depressive, anxiety or adjustment disorders, and to explore its action mechanisms.Methods: This randomised controlled trial involved assessment time points of pre-treatment, post-treatment, and 6-months follow-up. A total of 90 patients from three mental health units in Castellón (Spain) were recruited and randomly assigned to ‘ABCT + treatment as usual (TAU)’, ‘Mindfulness-based stress reduction (MBSR) + TAU’, or ‘TAU’ alone. Affective distress, as measured by the ‘Depression, Anxiety and Stress Scales’ (DASS-21) was the main outcome; self-compassion and mindfulness were also assessed. Multilevel mixed-effects models were performed to estimate the efficacy of the programme, and path analysis were conducted to study the potential mechanistic role of mindfulness and self-compassion.Results: ABCT was not superior to MBSR in any outcome or assessment point. ABCT was superior to TAU both post-treatment (B=-13.20; 95% CI: -19.57, -6.84) and at 12-month follow-up (B=-7.20; 95% CI: -13.63, -0.76) for reducing DASS-21, and MBSR was superior to TAU both post-treatment (B=-11.51; 95% CI: -17.97, -5.05) and at 12-month follow-up (B=-8.59; 95% CI -15.09, -2.10), with large effects (d≥0.90). Changes produced in DASS-21 by ABCT were mediated by self-compassion, while changes produced by MBSR were mediated by both mindfulness and self-compassion.Conclusion: ABCT is efficacious for reducing affective distress in patients with anxiety, depressive or adjustment disorders, although its effect is not superior to MBSR’s. Self-compassion seems to be a significant mediator of the effects of ABCT.

scholarly journals Effects of cognitive therapy on the longitudinal development of psychotic experiences in people at high risk of developing psychosis

2007 ◽  
Vol 191 (S51) ◽  
pp. s82-s87 ◽  
Author(s):  
P. French ◽  
N. Shryane ◽  
R. P. Bentall ◽  
S. W. Lewis ◽  
A. P. Morrison
Keyword(s):  
At Risk ◽  
High Risk ◽  
Cognitive Therapy ◽  
Controlled Trial ◽  
Psychotic Experiences ◽  
Treatment As Usual ◽  
Psychological Treatments ◽  
Emotional Dysfunction ◽  
Randomised Controlled ◽  
Anxiety Depression

BackgroundThere have been recent advances in the identification of people at high risk of psychosis and psychological treatments have shown promise for preventionAimsTo compare the longitudinal course of psychotic experiences and emotional dysfunction in high-risk participants receiving cognitive therapy with those receiving treatment as usualMethodData from a recent randomised controlled trial of cognitive therapy for people at risk of developing psychosis were utilised to examine three different statistical models that were based on 432 measurements of psychotic experiences and 421 of emotional dysfunction (anxiety–depression) contributed by 57 participants across the 13 measurement occasions (monthly monitoring for a year)ResultsPsychotic experiences and emotional dysfunction were correlated and decreased significantly over the course of the study, with most improvement in the early months. The reduction in positive symptoms, but not emotional dysfunction, was enhanced by allocation to cognitive therapyConclusionsPsychotic experiences and emotional dysfunction appear to interact in people at risk of developing psychosis. There appears to be a specific benefit of cognitive therapy

Do I Need to Be Positive to Be Happy? Considering the Role of Self-Esteem, Life Satisfaction, and Psychological Distress in Portuguese Adolescents’ Subjective Happiness

2019 ◽  
Vol 123 (4) ◽  
pp. 1064-1082 ◽  
Author(s):  
Teresa Freire ◽  
Gabriela Ferreira
Keyword(s):  
Life Satisfaction ◽  
Psychological Distress ◽  
Depressive Symptoms ◽  
Self Esteem ◽  
Subjective Happiness ◽  
Psychological Variables ◽  
Distress Symptoms ◽  
Anxiety Depression ◽  
Lower Life Satisfaction

This study aims to analyze the relationships between gender, age, positive (self-esteem, life satisfaction) and negative/distress psychological variables (anxiety, depression, stress), and subjective happiness. A total of 910 adolescents (51.0% girls, mean age of 13.89 years) answered measures of subjective happiness, life satisfaction, self-esteem, depression, anxiety, and stress. Girls showed lower life satisfaction and self-esteem and greater distress symptoms than boys. Older age was associated with lower subjective happiness, life satisfaction, and self-esteem and greater distress symptoms. Being girl, younger, having lower levels of depressive symptoms, and higher levels of life satisfaction and self-esteem were associated with greater subjective happiness. Self-esteem was a moderator between depressive symptoms and subjective happiness, and stress and subjective happiness. Life satisfaction was a moderator between depression and subjective happiness. Results highlight the role of life satisfaction and self-esteem as a positive functioning dimension for adolescents to manage, regulate, or minimize their psychological distress and to build higher levels of subjective happiness as a source of positive mental health.

Mechanisms of Change in Mindfulness-Based Cognitive Therapy in Adults With ADHD

2020 ◽  
pp. 108705471989686
Author(s):  
Dirk E.M. Geurts ◽  
Melanie P. J. Schellekens ◽  
Lotte Janssen ◽  
Anne E. M. Speckens
Keyword(s):  
Mental Health ◽  
Cognitive Therapy ◽  
Controlled Trial ◽  
Positive Mental Health ◽  
Mechanisms Of Change ◽  
Adhd Symptoms ◽  
Treatment As Usual ◽  
Mindfulness Skills ◽  
Self Compassion

Objective: Mindfulness-based cognitive therapy (MBCT) has been demonstrated to be effective in adults with ADHD. The aim of the current study was to examine its possible working mechanisms. Method: In the context of an randomized controlled trial (RCT), MBCT + TAU (treatment as usual) ( n = 43) versus TAU ( n = 51), we used mediation analyses to examine whether reduction of clinician-rated ADHD symptoms and improvement of positive mental health at 6-month follow-up had been mediated by change in mindfulness skills, self-compassion, and executive functioning over the course of MBCT. Results: Increase of self-compassion mediated improvement of positive mental health at 6-month follow-up. Improvement of mindfulness skills or self-compassion did not mediate the reduction in ADHD symptoms. Additional analyses suggest that self-reported inhibition did. Conclusion: The effect of MBCT on ADHD symptoms and positive mental health thus occurred via different mechanisms of change, that is, by improvements in inhibition and self-compassion, respectively.

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