The effect of mindfulness group therapy on a broad range of psychiatric symptoms : A randomised controlled trial in primary health care
(2017) In European Psychiatry 43. p.19-27- Abstract
Background The need for psychotherapy in primary health care is on the increase but individual-based treatment is costly. The main aim of this randomised controlled trial (RCT) was to compare the effect of mindfulness-based group therapy (MGT) with treatment as usual (TAU), mainly individual-based cognitive behavioural therapy (CBT), on a broad range of psychiatric symptoms in primary care patients diagnosed with depressive, anxiety and/or stress and adjustment disorders. An additional aim was to compare the effect of MGT with TAU on mindful attention awareness. Methods This 8-week RCT took place in 2012 at 16 primary care centres in southern Sweden. The study population included both men and women, aged 20–64 years (n = 215). A broad... (More)
Background The need for psychotherapy in primary health care is on the increase but individual-based treatment is costly. The main aim of this randomised controlled trial (RCT) was to compare the effect of mindfulness-based group therapy (MGT) with treatment as usual (TAU), mainly individual-based cognitive behavioural therapy (CBT), on a broad range of psychiatric symptoms in primary care patients diagnosed with depressive, anxiety and/or stress and adjustment disorders. An additional aim was to compare the effect of MGT with TAU on mindful attention awareness. Methods This 8-week RCT took place in 2012 at 16 primary care centres in southern Sweden. The study population included both men and women, aged 20–64 years (n = 215). A broad range of psychiatric symptoms were evaluated at baseline and at the 8-week follow-up using the Symptom Checklist-90 (SCL-90). Mindful attention awareness was also evaluated using the Mindful Attention Awareness Scale (MAAS). Results In both groups, the scores decreased significantly for all subscales and indexes in SCL-90, while the MAAS scores increased significantly. There were no significant differences in the change in psychiatric symptoms between the two groups. The mindfulness group had a somewhat larger change in scores than the control group on the MAAS (P = 0.06, non-significant). Conclusions No significant differences between MGT and TAU, mainly individual-based CBT, were found in treatment effect. Both types of therapies could be used in primary care patients with depressive, anxiety and/or stress and adjustment disorders, where MGT has a potential to save limited resources. Trial registration ClinicalTrials.gov identifier: NCT01476371.
(Less)
- author
- Sundquist, J. LU ; Palmér, K. LU ; Johansson, L. M. LU and Sundquist, K. LU
- organization
- publishing date
- 2017-06-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Affective disorders, Anxiety disorders, Cognitive behaviour therapy (CBT), Other psychotherapy
- in
- European Psychiatry
- volume
- 43
- pages
- 19 - 27
- publisher
- Elsevier Masson SAS
- external identifiers
-
- scopus:85016427991
- pmid:28365464
- wos:000406391700004
- ISSN
- 0924-9338
- DOI
- 10.1016/j.eurpsy.2017.01.328
- language
- English
- LU publication?
- yes
- id
- 24eb211a-c7b4-42e0-adec-536f653a0ec6
- date added to LUP
- 2017-04-18 16:15:25
- date last changed
- 2025-01-07 11:32:10
@article{24eb211a-c7b4-42e0-adec-536f653a0ec6, abstract = {{<p>Background The need for psychotherapy in primary health care is on the increase but individual-based treatment is costly. The main aim of this randomised controlled trial (RCT) was to compare the effect of mindfulness-based group therapy (MGT) with treatment as usual (TAU), mainly individual-based cognitive behavioural therapy (CBT), on a broad range of psychiatric symptoms in primary care patients diagnosed with depressive, anxiety and/or stress and adjustment disorders. An additional aim was to compare the effect of MGT with TAU on mindful attention awareness. Methods This 8-week RCT took place in 2012 at 16 primary care centres in southern Sweden. The study population included both men and women, aged 20–64 years (n = 215). A broad range of psychiatric symptoms were evaluated at baseline and at the 8-week follow-up using the Symptom Checklist-90 (SCL-90). Mindful attention awareness was also evaluated using the Mindful Attention Awareness Scale (MAAS). Results In both groups, the scores decreased significantly for all subscales and indexes in SCL-90, while the MAAS scores increased significantly. There were no significant differences in the change in psychiatric symptoms between the two groups. The mindfulness group had a somewhat larger change in scores than the control group on the MAAS (P = 0.06, non-significant). Conclusions No significant differences between MGT and TAU, mainly individual-based CBT, were found in treatment effect. Both types of therapies could be used in primary care patients with depressive, anxiety and/or stress and adjustment disorders, where MGT has a potential to save limited resources. Trial registration ClinicalTrials.gov identifier: NCT01476371.</p>}}, author = {{Sundquist, J. and Palmér, K. and Johansson, L. M. and Sundquist, K.}}, issn = {{0924-9338}}, keywords = {{Affective disorders; Anxiety disorders; Cognitive behaviour therapy (CBT); Other psychotherapy}}, language = {{eng}}, month = {{06}}, pages = {{19--27}}, publisher = {{Elsevier Masson SAS}}, series = {{European Psychiatry}}, title = {{The effect of mindfulness group therapy on a broad range of psychiatric symptoms : A randomised controlled trial in primary health care}}, url = {{https://lup.lub.lu.se/search/files/31349506/24136399.pdf}}, doi = {{10.1016/j.eurpsy.2017.01.328}}, volume = {{43}}, year = {{2017}}, }