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Mindfulness-Based Cognitive Therapy pp 83–103Cite as

Mindfulness-Based Cognitive Therapy application for People Living with Chronic Disease: the case of HIV

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Abstract

People living with HIV (PLWH) must face a wide variety of stress factors, both physical and psychological, that interact with each other, depleting their resources to cope with the ensuing challenges. As a result, depression and psychological stress are very common among those in this population. The aim of this chapter is to show the potential therapeutic effects that mindfulness-based cognitive therapy (MBCT) has on promoting their well-being. To accomplish this, first we briefly describe the current issues that this population, as well as their caretakers, must face. Also, we will present the rationale for applying MBCT in PLWH and the specific modifications that will help to make the program successful. Next, in order to illustrate the way in which the program can be adapted to the challenges of PLWH, we present two clinical cases. Subsequently, we review the special considerations surrounding the implementation of MBCT. With the goal of incorporating all of the research that has been carried out so far, we propose a meta-model that identifies a common structure that attempts to explain the mechanisms of change that underlie the effects on well-being of mindfulness-based interventions (MBIs). The model identifies three mechanisms of change: attention, meta-awareness, and self-regulation, along with their main brain-related areas, and explains how they are interrelated. Finally, we suggest future directions to continue expanding MBCT research.

The real voyage of discovery consists not in seeking new landscapes,

but in having new eyes

Marcel Proust

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Abbreviations

AIDS:

Acquired immune deficiency syndrome

ART:

Antiretroviral therapy

HIV:

Human immunodeficiency virus

MBCT:

Mindfulness-based cognitive therapy

MBIs:

Mindfulness-based interventions

MSM:

Men who have sex with men

PLWH:

People who live with HIV

RCT:

Randomized controlled trial

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Authors and Affiliations

  1. Department of Psychology, European University of the Atlantic, Santander, Spain

    Marian González-García Ph.D.

  2. BalanCe Center for Psychology & Mindfulness, Santander, Spain

    Marian González-García Ph.D. & Javier González López M.S.

  3. Stress and Health Research Group (GIES), Faculty of Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain

    Xavier Borràs Ph.D.

  4. Department Chair of Translation and Interpretation, European University of the Atlantic, Santander, Spain

    Kim Griffin McNeil M.S.

Authors
  1. Marian González-García Ph.D.
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  2. Xavier Borràs Ph.D.
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  3. Javier González López M.S.
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  4. Kim Griffin McNeil M.S.
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Corresponding author

Correspondence to Marian González-García Ph.D. .

Editor information

Editors and Affiliations

  1. The UCSF Dep.Cent.,Langley Porter Psy.In, University of California, San Franc, San Francisco, California, USA

    Stuart J. Eisendrath

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González-García, M., Borràs, X., López, J.G., McNeil, K.G. (2016). Mindfulness-Based Cognitive Therapy application for People Living with Chronic Disease: the case of HIV. In: Eisendrath, S. (eds) Mindfulness-Based Cognitive Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-29866-5_8

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  • DOI: https://doi.org/10.1007/978-3-319-29866-5_8

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