Mindfulness group therapy in primary care patients withdepression, anxiety and stress and adjustment disorders: Randomisedcontrolled trial

BackgroundIndividual-based cognitive–behavioural therapy (CBT) is in short supplyand expensive.AimsThe aim of this randomised controlled trial (RCT) was to comparemindfulness-based group therapy with treatment as usual (primarilyindividual-based CBT) in primary care patients with depressive, anxiety...

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Bibliographic Details
Published in:British journal of psychiatry 2015-02, Vol.206 (2), p.128-135
Main Authors: Sundquist, Jan, Lilja Åsa, Palmér Karolina, Memon, Ashfaque A, Wang, Xiao, Johansson, Leena Maria, Sundquist, Kristina
Format: Article
Language:English
Subjects:
Adjustment disorder
Anxiety
Anxiety-Depression
Cognitive ability
Cognitive behavioral therapy
Cognitive-behavioral factors
Group therapy
Inferiority
Mental depression
Mental disorders
Mindfulness
Patients
Primary care
Psychiatry
Psychotherapy
Questionnaires
Self evaluation
Stress
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Summary:BackgroundIndividual-based cognitive–behavioural therapy (CBT) is in short supplyand expensive.AimsThe aim of this randomised controlled trial (RCT) was to comparemindfulness-based group therapy with treatment as usual (primarilyindividual-based CBT) in primary care patients with depressive, anxietyor stress and adjustment disorders.MethodThis 8-week RCT (ClinicalTrials.gov ID: NCT01476371) was conducted duringspring 2012 at 16 general practices in Southern Sweden. Eligible patients(aged 20–64 years) scored $10 on the Patient Health Questionnaire-9, $7on the Hospital Anxiety and Depression Scale or 13–34 on theMontgomery–åsberg Depression Rating Scale (self-rated version). The powercalculations were based on non-inferiority. In total, 215 patients wererandomised. Ordinal mixed models were used for the analysis.ResultsFor all scales and in both groups, the scores decreased significantly.There were no significant differences between the mindfulness and controlgroups.ConclusionsMindfulness-based group therapy was non-inferior to treatment as usualfor patients with depressive, anxiety or stress and adjustmentdisorders.
ISSN:0007-1250
1472-1465
DOI:10.1192/bjp.bp.114.150243