Skip to main content
Top
Gepubliceerd in: Mindfulness 5/2015

13-01-2015 | ORIGINAL PAPER

MBCT for Patients with Respiratory Conditions Who Experience Anxiety and Depression: A Qualitative Study

Auteurs: Alice Malpass, David Kessler, Debbie Sharp, Alison Shaw

Gepubliceerd in: Mindfulness | Uitgave 5/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Patients with asthma and chronic obstructive pulmonary disease (COPD) often experience anxiety and depression in relation to their respiratory condition. Anxiety and depression in this population are associated with decreased activity. The aim of this phenomenological study was to carry out in-depth qualitative interviews with a purposive sample of patients with asthma and COPD taking part in an 8-week mindfulness-based cognitive therapy (MBCT) course to explore their experiences of MBCT. In particular, we were interested in how the mindfulness approach helped them, or not, and their awareness of any meaningful changes in relation to their breathlessness, activity levels, anxiety or low mood. Twenty-two patients were recruited from primary and secondary care to receive an 8-week course in MBCT. Two groups of MBCT were taught by qualified MBCT teachers in a community setting. Of the 22 patients who attended the MBCT course, 12 patients were purposively sampled to take part in an in-depth qualitative interview 2 months after completing the MBCT course. Interviews were digitally recorded and transcribed verbatim. Analysis was thematic. The themes that emerged included greater acceptance and reduced sense of disease-related stigma; noticing subtle bodily sensations to detect early warning signs of breathlessness; linking pulmonary rehabilitation advice with mindfulness; developing a new relationship to breathing, activity and associated thoughts; having a greater sense of control; being creative around limitations and removing psychological barriers to being more active. Findings offer, for the first time, qualitative evidence on how MBCT benefits patients with asthma and COPD who experience anxiety and depression. These data provide a useful adjunct to existing quantitative evidence in this area.
Literatuur
go back to reference Affleck, G., Apter, A., Tennen, H., Reisine, S., Barrows, E., Willard, A., Unger, J., & ZuWallack, R. (2000). Mood states associated with transitory changes in asthma symptoms and peak expiratory flow. Psychosomatic Medicine, 62(1), 61–68.CrossRefPubMed Affleck, G., Apter, A., Tennen, H., Reisine, S., Barrows, E., Willard, A., Unger, J., & ZuWallack, R. (2000). Mood states associated with transitory changes in asthma symptoms and peak expiratory flow. Psychosomatic Medicine, 62(1), 61–68.CrossRefPubMed
go back to reference Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research In Psychology, 3(2), 77–101.CrossRef Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research In Psychology, 3(2), 77–101.CrossRef
go back to reference Carmody, J., & Baer, R. (2009). How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. Journal of Clinical Psychology, 65, 1–12.CrossRef Carmody, J., & Baer, R. (2009). How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. Journal of Clinical Psychology, 65, 1–12.CrossRef
go back to reference Coventry, P., Bower, P., Keyworth, C., Kenning, C., Knopp, J., Garrett, C., Hind, D., Malpass, A., & Dickens, C. (2013). The effect of behavioural interventions on depression and anxiety in COPD: systematic review and meta-analysis. PLoS ONE, 8, e60532.PubMedCentralCrossRefPubMed Coventry, P., Bower, P., Keyworth, C., Kenning, C., Knopp, J., Garrett, C., Hind, D., Malpass, A., & Dickens, C. (2013). The effect of behavioural interventions on depression and anxiety in COPD: systematic review and meta-analysis. PLoS ONE, 8, e60532.PubMedCentralCrossRefPubMed
go back to reference Crane, R. (2009). Mindfulness based cognitive therapy. UK: CBT distinctive series. Routledge. Crane, R. (2009). Mindfulness based cognitive therapy. UK: CBT distinctive series. Routledge.
go back to reference de Godoy, D. V., & de Godoy, R. F. (2003). A randomized controlled trial of the effect of psychotherapy on anxiety and depression in chronic obstructive pulmonary disease. Archives of Physical Medicine and Rehabilitation, 84(8), 1154–1157.CrossRefPubMed de Godoy, D. V., & de Godoy, R. F. (2003). A randomized controlled trial of the effect of psychotherapy on anxiety and depression in chronic obstructive pulmonary disease. Archives of Physical Medicine and Rehabilitation, 84(8), 1154–1157.CrossRefPubMed
go back to reference Deshmukh, V., Toelle, B., Usherwood, T., O’Grady, B., & Jenkins, C. (2007). Anxiety, panic and asthma. A cognitive behavioural perspective. Res Medicine, 101(2), 194–202.CrossRef Deshmukh, V., Toelle, B., Usherwood, T., O’Grady, B., & Jenkins, C. (2007). Anxiety, panic and asthma. A cognitive behavioural perspective. Res Medicine, 101(2), 194–202.CrossRef
go back to reference Egede, L. (2007). Major depression in chronic disorders. General Hospital Psychiatry, 29, 409–416.CrossRefPubMed Egede, L. (2007). Major depression in chronic disorders. General Hospital Psychiatry, 29, 409–416.CrossRefPubMed
go back to reference Eisner, M., Blanc, P., Yelin, E., Katz, P., Sanchez, G., & Iribarren, C. (2010). Influence of anxiety on health outcomes in COPD. Thorax, 65(3), 229–234.PubMedCentralCrossRefPubMed Eisner, M., Blanc, P., Yelin, E., Katz, P., Sanchez, G., & Iribarren, C. (2010). Influence of anxiety on health outcomes in COPD. Thorax, 65(3), 229–234.PubMedCentralCrossRefPubMed
go back to reference Epstein, G., Halper, J., Barret, E., Birdsall, C., McGee, M., & Baron, D. (2004). A pilot study of mind-body changes in adults with asthma who practice mental imagery. Alternat Therap Health Med, 14(4), 66–71. Epstein, G., Halper, J., Barret, E., Birdsall, C., McGee, M., & Baron, D. (2004). A pilot study of mind-body changes in adults with asthma who practice mental imagery. Alternat Therap Health Med, 14(4), 66–71.
go back to reference Hynninen, M., Bjerke, N., Pallesen, S., Bakke, P., & Nordhus, I. (2010). A randomized controlled trial of cognitive behavioral therapy for anxiety and depression in COPD. Respiratory Medicine, 104(7), 986–994.CrossRefPubMed Hynninen, M., Bjerke, N., Pallesen, S., Bakke, P., & Nordhus, I. (2010). A randomized controlled trial of cognitive behavioral therapy for anxiety and depression in COPD. Respiratory Medicine, 104(7), 986–994.CrossRefPubMed
go back to reference Kabat-Zinn, J. (2011). Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. New York: Hatchette Books. Kabat-Zinn, J. (2011). Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. New York: Hatchette Books.
go back to reference Kapella, M., Herdegen, J., Perlis, M., Shaver, J., Larson, J., Law, J., & Carley, D. (2011). Cognitive behavioral therapy for insomnia comorbid with COPD is feasible with preliminary evidence of positive sleep and fatigue effects. International Journal of Chronic Obstructive Pulmonary Disease, 6, 625–634.PubMedCentralCrossRefPubMed Kapella, M., Herdegen, J., Perlis, M., Shaver, J., Larson, J., Law, J., & Carley, D. (2011). Cognitive behavioral therapy for insomnia comorbid with COPD is feasible with preliminary evidence of positive sleep and fatigue effects. International Journal of Chronic Obstructive Pulmonary Disease, 6, 625–634.PubMedCentralCrossRefPubMed
go back to reference Kessler, R., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K., & Wang, P. (2003). The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). Jama, 289(23), 3095–3105.CrossRefPubMed Kessler, R., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K., & Wang, P. (2003). The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). Jama, 289(23), 3095–3105.CrossRefPubMed
go back to reference Kunik, M., Veazey, C., Cully, J., Souchek, J., Graham, D., Hopko, D., et al. (2008). COPD education and cognitive behavioral therapy group treatment for clinically significant symptoms of depression and anxiety in COPD patients: a randomized controlled trial. Psychological Medicine, 38(3), 385–396.CrossRefPubMed Kunik, M., Veazey, C., Cully, J., Souchek, J., Graham, D., Hopko, D., et al. (2008). COPD education and cognitive behavioral therapy group treatment for clinically significant symptoms of depression and anxiety in COPD patients: a randomized controlled trial. Psychological Medicine, 38(3), 385–396.CrossRefPubMed
go back to reference Lamers, F., Jonkers, C., Bosma, H., Diederiks, J., & Eijk, J. (2006). Effectiveness and cost effectiveness of a minimal psychological intervention to reduce non-severe depression in chronically ill elderly patients: the design of a randomized controlled trial. BMC Public Health, 6, 161–170.PubMedCentralCrossRefPubMed Lamers, F., Jonkers, C., Bosma, H., Diederiks, J., & Eijk, J. (2006). Effectiveness and cost effectiveness of a minimal psychological intervention to reduce non-severe depression in chronically ill elderly patients: the design of a randomized controlled trial. BMC Public Health, 6, 161–170.PubMedCentralCrossRefPubMed
go back to reference Lamers, F., Jonkers, C., Bosma, H., Chavannes, N., Knottnerus, J., & van Eijk, J. (2010). Improving quality of life in depressed COPD patients: effectiveness of a minimal psychological intervention. COPD, 7(5), 315–322.CrossRefPubMed Lamers, F., Jonkers, C., Bosma, H., Chavannes, N., Knottnerus, J., & van Eijk, J. (2010). Improving quality of life in depressed COPD patients: effectiveness of a minimal psychological intervention. COPD, 7(5), 315–322.CrossRefPubMed
go back to reference Livermore, N., Sharpe, L., & McKenzie, D. (2010). Prevention of panic attacks and panic disorder in COPD. European Respiratory Journal, 35(3), 557–563.CrossRefPubMed Livermore, N., Sharpe, L., & McKenzie, D. (2010). Prevention of panic attacks and panic disorder in COPD. European Respiratory Journal, 35(3), 557–563.CrossRefPubMed
go back to reference Malpass, A., Carel, H., Ridd, M., Shaw, A., Kessler, D., Sharp, D., Bowden, M., & Wallond, J. (2012). Transforming the perceptual situation: a meta-ethnography of qualitative work exploring patients’ experiences of the therapeutic process of mindfulness based approaches. Mindfulness, 3(1), 60–75.CrossRef Malpass, A., Carel, H., Ridd, M., Shaw, A., Kessler, D., Sharp, D., Bowden, M., & Wallond, J. (2012). Transforming the perceptual situation: a meta-ethnography of qualitative work exploring patients’ experiences of the therapeutic process of mindfulness based approaches. Mindfulness, 3(1), 60–75.CrossRef
go back to reference NICE. (2009). Depression with a chronic physical health problem-full guideline. Clinical Guidance 91, 316. Accessed from guidance.nice.org.uk/cg91. NICE. (2009). Depression with a chronic physical health problem-full guideline. Clinical Guidance 91, 316. Accessed from guidance.nice.org.uk/cg91.
go back to reference Pbert, L., Madison, J. M., Druker, S., Olendzki, N., Magner, R., Reed, G., & Carmody, J. (2012). Effect of mindfulness training on asthma quality of life and lung function: a randomised controlled trial. Thorax, 67(9), 769–776.PubMedCentralCrossRefPubMed Pbert, L., Madison, J. M., Druker, S., Olendzki, N., Magner, R., Reed, G., & Carmody, J. (2012). Effect of mindfulness training on asthma quality of life and lung function: a randomised controlled trial. Thorax, 67(9), 769–776.PubMedCentralCrossRefPubMed
go back to reference Ross, C., Davis, T., & MacDonald, G. (2005). Cognitive behavioral treatment combined with asthma education for adults with asthma and coexisting panic disorder. Clinical Nursing Research, 14(2), 131–157.CrossRefPubMed Ross, C., Davis, T., & MacDonald, G. (2005). Cognitive behavioral treatment combined with asthma education for adults with asthma and coexisting panic disorder. Clinical Nursing Research, 14(2), 131–157.CrossRefPubMed
go back to reference Segal, Z., Williams, M., & Teasdale, J. (2002). Mindfulness based cognitive therapy: a new approach to preventing relapse. UK: Guildford Press. Segal, Z., Williams, M., & Teasdale, J. (2002). Mindfulness based cognitive therapy: a new approach to preventing relapse. UK: Guildford Press.
go back to reference Spruit, M., Watkins, M., Edwards, L., Vestbo, J., Calverley, P., & Pinto-Plata, V. (2010). Determinants of poor 6-min walking distance in patients with COPD: the ECLIPSE cohort. Respiratory Medicine, 104(6), 849–857.CrossRefPubMed Spruit, M., Watkins, M., Edwards, L., Vestbo, J., Calverley, P., & Pinto-Plata, V. (2010). Determinants of poor 6-min walking distance in patients with COPD: the ECLIPSE cohort. Respiratory Medicine, 104(6), 849–857.CrossRefPubMed
go back to reference Tedlock, B. (1991). From participant observation to the observation of participation: the emergence of narrative ethnography. Journal of Anthropological Research, 47(1), 69–94. Tedlock, B. (1991). From participant observation to the observation of participation: the emergence of narrative ethnography. Journal of Anthropological Research, 47(1), 69–94.
go back to reference Wilhelm, K., Mitchell, P., Slade, T., Brownhill, S., & Andrews, G. (2003). Prevalence and correlates of DSM-IV major depression in an Australian national survey. Journal of Affective Disorders, 75(2), 155–162.CrossRefPubMed Wilhelm, K., Mitchell, P., Slade, T., Brownhill, S., & Andrews, G. (2003). Prevalence and correlates of DSM-IV major depression in an Australian national survey. Journal of Affective Disorders, 75(2), 155–162.CrossRefPubMed
go back to reference Yellowless, P., & Kalvey, R. (1990). Psychobiological aspects of asthma and consequent research implications. Chest, 97(3), 628–635.CrossRef Yellowless, P., & Kalvey, R. (1990). Psychobiological aspects of asthma and consequent research implications. Chest, 97(3), 628–635.CrossRef
go back to reference Yorke, J., Fleming, S., & Shuldham, C. (2007). Psychological interventions for adults with asthma: a systematic review. Respiratory Medicine, 101(1), 1–14.CrossRefPubMed Yorke, J., Fleming, S., & Shuldham, C. (2007). Psychological interventions for adults with asthma: a systematic review. Respiratory Medicine, 101(1), 1–14.CrossRefPubMed
go back to reference Zigmond, A., & Snaith, R. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.CrossRefPubMed Zigmond, A., & Snaith, R. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.CrossRefPubMed
Metagegevens
Titel
MBCT for Patients with Respiratory Conditions Who Experience Anxiety and Depression: A Qualitative Study
Auteurs
Alice Malpass
David Kessler
Debbie Sharp
Alison Shaw
Publicatiedatum
13-01-2015
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 5/2015
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-014-0370-7

Andere artikelen Uitgave 5/2015

Mindfulness 5/2015 Naar de uitgave