Mindfulness-Based Cognitive Therapy Delivered in Primary Care: a Naturalistic, Mixed-Methods Study of Participant Characteristics and Experiences

Gárriz, Miguel; Elices, Matilde; Peretó, Mar; Martín-López, Luis Miguel; Justicia, Azucena; Pérez, Ví­ctor

doi:10.1007/s12671-019-01166-y

Cited by 8 publications

(8 citation statements)

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“…In line with Sundquist’s findings, a previous study (Gárriz et al, 2020 ) reported that MBCT was effectively delivered for individuals that were treated in primary care and presented a wide range of diagnoses, including adjustment (41.6%), mood (22.7%), and anxiety (14.1%) disorders. MBCT was associated with an improvement of depressive and anxiety symptoms, regardless of the specific diagnosis.…”

supporting

confidence: 67%

“…Many patients requiring psychological assistance do not fit into a specific diagnosis, presenting mild forms of mood disorders, including anxiety and depressive symptoms often associated with stressful life events (Gárriz et al, 2020 ; O’donnell et al, 2019 ). Having data in real-world community samples is crucial to understand whether the treatments being delivered are adequate for the populations who are receiving them.…”

Section: Discussionmentioning

confidence: 99%

“…Participants presenting either of these diagnoses were referred to specialized mental health services for treatment. A detailed description of the care pathway can be found elsewhere (Gárriz et al, 2020 ). Within this primary care support program, psychological treatments were delivered in GP practices.…”

Section: Methodsmentioning

confidence: 99%

“…Participant’s experiences collected through in-depth interviews revealed a high level of satisfaction with the program, related to the understanding of human distress and suffering and the development of a more present-focused, decentered, and acceptance-based relationship with the experience, which is believed to be a crucial aspect of MBIs (Crane et al, 2017 ). Participants also pointed out that learning was progressive during the 8 weeks, suggesting a sort of inflection point at session five (Gárriz et al, 2020 ). This finding is interesting, as it sheds light on the importance of sessions’ attendance as a predictor of outcomes.…”

mentioning

confidence: 99%

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The Effectiveness of Mindfulness-Based Cognitive Therapy in Primary Care and the Role of Depression Severity and Treatment Attendance

et al. 2021

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Objectives Evidence suggests the efficacy of mindfulness-based cognitive therapy (MBCT) to prevent depression relapse and decrease depressive symptoms during the acute phase. However, the effectiveness of MBCT in real-world heterogeneous samples treated in clinical health settings, including primary care, has received little attention. This study had two aims: (1) to evaluate the effectiveness of MBCT delivered in primary care considering pre-treatment depression scores and (2) to explore the role of participants’ characteristics on symptom improvement. Methods Data were obtained from 433 individuals who received MBCT. Participants completed the Personality Inventory for ICD-11 (PiCD) pretreatment and the Beck Depression Inventory (BDI-II) pre- and post-treatment. Results Sixty percent presented moderate-to-severe depression according to scores on the BDI-II, 18.1% presented mild depression, and 21.7% were in the non-depressed range. The severity of pre-treatment depressive symptoms was associated with outcomes. Most individuals who lacked depressive symptoms at baseline remained in the non-clinical range after the treatment. Those in the severe group benefited the most from the intervention, since 35.6% were considered recovered. Rates of deterioration ranged from 2.1 to 2.7%, depending on the depression-baseline scores. Depression severity at the entrance, attendance, and age, but not personality traits, appear to be related to symptom improvement. Conclusions According to our results, MBCT can be effectively and safely delivered in primary care.

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confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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The Effectiveness of Mindfulness-Based Cognitive Therapy in Primary Care and the Role of Depression Severity and Treatment Attendance

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“…The authors concluded that MBCT is being delivered effectively and safely in routine UK clinical settings. Gárriz et al (2019) examined the benefits of MBCT delivered in a primary care setting in Spain. MBCT was delivered as part of an innovative primary care support program in Barcelona developed to increase access to mental health care services.…”

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confidence: 99%

Implementation and Dissemination of Mindfulness-Based Interventions

2019

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Building a More Diverse and Inclusive Science: Mindfulness-Based Approaches for Latinx Individuals

et al. 2022

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Objectives This article represents a call to action for the mindfulness field to be more diverse and inclusive of Latinx individuals. Building a diverse and inclusive science around mindfulness-based approaches (MBAs) that considers important group-level cultural and contextual information is an important public health challenge in need of innovative solutions. Methods We describe ways that the Latinx population is poised to benefit from MBAs. We further elucidate challenges, describe potential solutions, and outline a research agenda that may hold promise for building a more inclusive mindfulness movement. Results Our recommendations center around developing nuanced cultural adaptations to MBAs, engaging Latinx individuals in research, increasing the rigor of scientific studies pertaining to Latinx individuals, relying on implementation science to develop innovative methods for disseminating MBAs to Latinx individuals, developing training and certification mechanisms to increase diversity and representation of Latinx mindfulness teachers, and creating mechanisms for the oversight of MBAs within this group. Conclusions There has been a lack of inclusivity of Latinx individuals in the field of MBAs with regards to research studies, barriers to access for economically disadvantaged groups, and lack of diversity in its workforce. Considering the recognition of adverse social drivers of health that generate chronic stress and health disparities, the Latinx population is especially poised to benefit greatly from MBAs. A diverse and inclusive mindfulness science holds promise to enhance the effectiveness, acceptability, feasibility, and wide-scale dissemination and implementation of MBAs.

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Mindfulness-Based Cognitive Therapy Delivered in Primary Care: a Naturalistic, Mixed-Methods Study of Participant Characteristics and Experiences

Cited by 8 publications

References 32 publications

The Effectiveness of Mindfulness-Based Cognitive Therapy in Primary Care and the Role of Depression Severity and Treatment Attendance

The Effectiveness of Mindfulness-Based Cognitive Therapy in Primary Care and the Role of Depression Severity and Treatment Attendance

Implementation and Dissemination of Mindfulness-Based Interventions

Building a More Diverse and Inclusive Science: Mindfulness-Based Approaches for Latinx Individuals

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