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Gepubliceerd in: Mindfulness 4/2013

01-12-2013 | ORIGINAL PAPER

Mindfulness-Based Cognitive Therapy for Mental Health Professionals—a Pilot Study

Auteurs: Florian A. Ruths, Nicole de Zoysa, Sonya J. Frearson, Jane Hutton, J. Mark G. Williams, James Walsh

Gepubliceerd in: Mindfulness | Uitgave 4/2013

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Abstract

We investigated the adherence of mental health professionals to a Mindfulness-Based Cognitive Therapy (MBCT) programme as well as the impact of MBCT on mindful awareness and attention, psychological well-being and distress, state and trait anxiety, worry and satisfaction with life. The design comprised of a prospective uncontrolled intervention study with pre- and post-measurements of meditation adherence and measures of psychological well-being. Twenty-seven mental health professionals participated in an 8-week MBCT programme for relapse prevention of depression, modified for healthy individuals. Their homework, mindful awareness and attention (Mindful Awareness and Attention Scale), general psychological well-being (General Health Questionnaire), state and trait anxiety (State-Trait Anxiety Inventory), satisfaction with life (Satisfaction with Life Scale), general psychopathology (Brief Symptom Inventory) as well as worry (Penn State Worry Questionnaire) were measured at week 1 and 8 during the intervention and at week 20 as follow-up. Twenty four of 27 (88 %) mental health professionals completed the course and were included in the analysis. Of these, 75 % (18 of 24) were female with a mean age of 36 years and a mean experience in cognitive behavioural therapy (CBT) of 6 years. Sixty-three per cent (15 of 24) reported continued practice at 20-week follow-up. A statistically significant improvement of mindful awareness and psychological well-being, with significant reduction in worry, trait anxiety and general psychopathology, was observed in participants who continued some form of meditation practice during the follow-up period. The majority of mental health professionals adhered to the MBCT meditation practice, and the more they practised mindfulness meditation, the more they experienced an increase in mindful awareness and attention, general psychological well-being and a decrease in general psychopathology, trait anxiety and worry.
Literatuur
go back to reference Astin, J. A. (1997). Stress reduction through mindfulness meditation. Effects on psychological symptomatology, sense of control, and spiritual experiences. Psychotherapy and Psychosomatics, 66(2), 97–106. PubMedCrossRef Astin, J. A. (1997). Stress reduction through mindfulness meditation. Effects on psychological symptomatology, sense of control, and spiritual experiences. Psychotherapy and Psychosomatics, 66(2), 97–106. PubMedCrossRef
go back to reference Baer, R. A. (2006). Mindfulness-based treatment approaches: clinician's guide to evidence base and applications. San Diego: Elsevier. Baer, R. A. (2006). Mindfulness-based treatment approaches: clinician's guide to evidence base and applications. San Diego: Elsevier.
go back to reference Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
go back to reference Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571. PubMedCrossRef Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571. PubMedCrossRef
go back to reference Beddoe, A. E., & Murphy, S. O. (2004). Does mindfulness decrease stress and foster empathy among nursing students? Journal of Nursing Education, 43(7), 305–312. PubMed Beddoe, A. E., & Murphy, S. O. (2004). Does mindfulness decrease stress and foster empathy among nursing students? Journal of Nursing Education, 43(7), 305–312. PubMed
go back to reference Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848. PubMedCrossRef Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848. PubMedCrossRef
go back to reference Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. Journal of Alternative and Complementary Medicine, 15(5), 593–600. doi: 10.​1089/​acm.​2008.​0495. CrossRef Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. Journal of Alternative and Complementary Medicine, 15(5), 593–600. doi: 10.​1089/​acm.​2008.​0495. CrossRef
go back to reference Cohen-Katz, J., Wiley, S., Capuano, T., Baker, D. M., Deitrick, L., & Shapiro, S. (2005). The effects of mindfulness-based stress reduction on nurse stress and burnout: a qualitative and quantitative study, part III. Holistic Nursing Practice, 19(2), 78–86. PubMedCrossRef Cohen-Katz, J., Wiley, S., Capuano, T., Baker, D. M., Deitrick, L., & Shapiro, S. (2005). The effects of mindfulness-based stress reduction on nurse stress and burnout: a qualitative and quantitative study, part III. Holistic Nursing Practice, 19(2), 78–86. PubMedCrossRef
go back to reference Derogatis, L. R., & Melisaratos, N. (1983). The Brief Symptom Inventory: an introductory report. Psychological Medicine, 13(3), 595–605. PubMedCrossRef Derogatis, L. R., & Melisaratos, N. (1983). The Brief Symptom Inventory: an introductory report. Psychological Medicine, 13(3), 595–605. PubMedCrossRef
go back to reference De Zoysa, N., Ruths, F. A., Walsh, J., & Hutton, J. (2012). Mindfulness-based cognitive therapy for mental health professionals: a long-term qualitative follow-up study. Mindfulness (in press). De Zoysa, N., Ruths, F. A., Walsh, J., & Hutton, J. (2012). Mindfulness-based cognitive therapy for mental health professionals: a long-term qualitative follow-up study. Mindfulness (in press).
go back to reference Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75. PubMedCrossRef Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75. PubMedCrossRef
go back to reference Farber, B. A. (1983). Dysfunctional aspects of the therapeutic role. In B. A. Farber (Ed.), Stress and burnout in the human service professions. New York: Pergamon. Farber, B. A. (1983). Dysfunctional aspects of the therapeutic role. In B. A. Farber (Ed.), Stress and burnout in the human service professions. New York: Pergamon.
go back to reference Farber, B. A., & Heifetz, L. J. (1982). The process and dimensions of burnout in psychotherapists. Professional Psychologist, 13, 293–301. CrossRef Farber, B. A., & Heifetz, L. J. (1982). The process and dimensions of burnout in psychotherapists. Professional Psychologist, 13, 293–301. CrossRef
go back to reference Firth-Cozens, J., & Payne, R. L. (1999). Stress in health professionals: psychological and organizational causes and interventions. London: Wiley. Firth-Cozens, J., & Payne, R. L. (1999). Stress in health professionals: psychological and organizational causes and interventions. London: Wiley.
go back to reference Fletcher, L., & Hayes, S. C. (2005). Relational frame theory, acceptance and commitment therapy, and the functional analytic definition of mindfulness. Journal of Rational-Emotive and Cogntive Behavior Therapy, 23(4), 315–336. CrossRef Fletcher, L., & Hayes, S. C. (2005). Relational frame theory, acceptance and commitment therapy, and the functional analytic definition of mindfulness. Journal of Rational-Emotive and Cogntive Behavior Therapy, 23(4), 315–336. CrossRef
go back to reference Goldberg, D. P., & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9(1), 139–145. PubMedCrossRef Goldberg, D. P., & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9(1), 139–145. PubMedCrossRef
go back to reference Goldberg, D. P., & Williams, P. (1988). A user's guide to the general health questionnaire. Windsor: NFER-Nelson. Goldberg, D. P., & Williams, P. (1988). A user's guide to the general health questionnaire. Windsor: NFER-Nelson.
go back to reference Guy, J., & Liaboe, G. (1986). Personal therapy for the experienced psychotherapist: a discussion of its usefulness and utilisation. Clinical Psychologist, 39(1), 20–23. Guy, J., & Liaboe, G. (1986). Personal therapy for the experienced psychotherapist: a discussion of its usefulness and utilisation. Clinical Psychologist, 39(1), 20–23.
go back to reference Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., & Schwartz, G. E. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33(1), 11–21. doi: 10.​1207/​s15324796abm3301​_​2. PubMedCrossRef Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., & Schwartz, G. E. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33(1), 11–21. doi: 10.​1207/​s15324796abm3301​_​2. PubMedCrossRef
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte.
go back to reference Kabat-Zinn, J., Massion, A. O., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., & Santorelli, S. F. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. The American Journal of Psychiatry, 149(7), 936–943. PubMed Kabat-Zinn, J., Massion, A. O., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., & Santorelli, S. F. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. The American Journal of Psychiatry, 149(7), 936–943. PubMed
go back to reference Margison, F. (1987). Stress in psychiatrists. In R. Payne & J. Frith-Cozens (Eds.), Stress in health professional. Chichester: Wiley. Margison, F. (1987). Stress in psychiatrists. In R. Payne & J. Frith-Cozens (Eds.), Stress in health professional. Chichester: Wiley.
go back to reference Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. [Research Support, U.S. Gov't, P.H.S.]. Behaviour Research and Therapy, 28(6), 487–495. PubMedCrossRef Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. [Research Support, U.S. Gov't, P.H.S.]. Behaviour Research and Therapy, 28(6), 487–495. PubMedCrossRef
go back to reference National Institute for Clinical Excellence. (2009). The treatment and management of depression in adults. NICE Clinical Guidelines(CG90). National Institute for Clinical Excellence. (2009). The treatment and management of depression in adults. NICE Clinical Guidelines(CG90).
go back to reference Pavot, W., Diener, E., Colvin, C. R., & Sandvik, E. (1991). Further validation of the satisfaction with life scale: evidence for the cross-method convergence of well-being measures. Journal of Personality Assessment, 57(1), 149–161. PubMedCrossRef Pavot, W., Diener, E., Colvin, C. R., & Sandvik, E. (1991). Further validation of the satisfaction with life scale: evidence for the cross-method convergence of well-being measures. Journal of Personality Assessment, 57(1), 149–161. PubMedCrossRef
go back to reference Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9(1), 54–68. CrossRef Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9(1), 54–68. CrossRef
go back to reference Schenstroem, A., Roennberg, S., & Bodlund, O. (2006). Mindfulness-based cognitive attitude training for primary care staff: a pilot study. Complementary Health Practice Review, 11, 144. Schenstroem, A., Roennberg, S., & Bodlund, O. (2006). Mindfulness-based cognitive attitude training for primary care staff: a pilot study. Complementary Health Practice Review, 11, 144.
go back to reference Segal, Z., Williams, J., & Teasdale, J. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press. Segal, Z., Williams, J., & Teasdale, J. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press.
go back to reference Shapiro, S., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1(2), 105–115. CrossRef Shapiro, S., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1(2), 105–115. CrossRef
go back to reference Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: results from a randomised trial. International Journal of Stress Management, 12(2), 164–176. CrossRef Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: results from a randomised trial. International Journal of Stress Management, 12(2), 164–176. CrossRef
go back to reference Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21(6), 581–599. PubMedCrossRef Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21(6), 581–599. PubMedCrossRef
go back to reference Smith, J. C. (2004). Alterations in brain and immune function produced by mindfulness meditation: three caveats. Psychosomatic Medicine, 66(1), 148–149 [Comment/reply]. PubMed Smith, J. C. (2004). Alterations in brain and immune function produced by mindfulness meditation: three caveats. Psychosomatic Medicine, 66(1), 148–149 [Comment/reply]. PubMed
go back to reference Spielberger, C. D. (1985). Assessment of state and trait anxiety: conceptual and methodological issues. Southern Psychologist, 2(4), 6–16. Spielberger, C. D. (1985). Assessment of state and trait anxiety: conceptual and methodological issues. Southern Psychologist, 2(4), 6–16.
go back to reference Spielberger, C. D., Gorsuch, A. L., Lushene, R. E., Vagg, P. R., & Jacobs, P. A. (1983). Manual for the state-trait anxiety inventory. Palo Alto: Consulting Psychologists. Spielberger, C. D., Gorsuch, A. L., Lushene, R. E., Vagg, P. R., & Jacobs, P. A. (1983). Manual for the state-trait anxiety inventory. Palo Alto: Consulting Psychologists.
go back to reference Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615–623. PubMedCrossRef Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615–623. PubMedCrossRef
go back to reference Vetesse, L. C., Toneatto, T., Stea, J. N., Nguyen, L., & Wang, J. J. (2009). Do mindfulness meditation participants do their homework? And does it make a difference? A review of the empirical evidence. Journal of Cognitive Psychotherapy, 23(3), 198–225. CrossRef Vetesse, L. C., Toneatto, T., Stea, J. N., Nguyen, L., & Wang, J. J. (2009). Do mindfulness meditation participants do their homework? And does it make a difference? A review of the empirical evidence. Journal of Cognitive Psychotherapy, 23(3), 198–225. CrossRef
Metagegevens
Titel
Mindfulness-Based Cognitive Therapy for Mental Health Professionals—a Pilot Study
Auteurs
Florian A. Ruths
Nicole de Zoysa
Sonya J. Frearson
Jane Hutton
J. Mark G. Williams
James Walsh
Publicatiedatum
01-12-2013
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 4/2013
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-012-0127-0