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The effect of mindfulness group therapy on a broad range of psychiatric symptoms: A randomised controlled trial in primary health care
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- 자료유형학술지논문
- 저자명Sundquist, J.,Palmér, K.,Johansson, L.M.,Sundquist, K.
- 학회/출판사/기관명Elsevier Science B.V., Amsterdam.
- 출판년도2017
- 언어영어
- 학술지명/학위논문주기EUROPEAN PSYCHIATRY
- 발행사항Vol.43No.-[2017]_x000D_
- ISBN/ISSN0924-9338
- 소개/요약Background: 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 20-64years (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.
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