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Searching for existential security: A prospective qualitative study on the influence of mindfulness therapy on experienced stress and coping strategies among patients with somatoform disorders
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- 자료유형학술지논문
- 저자명Lind, A. B.,Delmar, C.,Nielsen, K.
- 학회/출판사/기관명Elsevier Science B.V., Amsterdam.
- 출판년도2014
- 언어영어
- 학술지명/학위논문주기Journal of psychosomatic research
- 발행사항Vol.77No.6[2014]_x000D_
- ISBN/ISSN0022-3999
- 소개/요약Objective The aim was to explore how mindfulness group therapy for somatoform disorders influenced the patients' stress experiences, coping strategies and contextual psychosocial processes. Methods A longitudinal pre- and post-treatment design, using 22 semi-structured individual pre- and post-treatment interviews. Data-analysis was based on a thematic methodology. Results Pre-treatment patients were struggling in an existential crisis, feeling existentially insecure about their social identity, the causes, consequences and management of their illness; experiencing difficulties identifying and expressing stress-related cognitions, emotions and feelings, and low bodily and emotional self-contact; often leading to avoidant coping, making these individuals highly stress-vulnerable. Post-treatment, the overall change was conceptualized as increased existential security, defined by patients being more self-confident; more clarified with their social identity, the nature, management and future prospects of their illness; generally using more flexible coping strategies to reduce their daily stress experiences. Four related subthemes were identified contributing to increased existential security: 1) more secure illness perceptions — feeling existentially recognized as “really” ill, 2) enhanced relaxation ability — using mindfulness techniques, 3) increased awareness — connecting differently to mind and body 4) improved ability to identify and express needs and feelings of distress — more active communicating. Patients suggested that mindfulness therapy could be expanded with more time for group-discussions followed by additional individual therapy. Conclusion Generally, treatment positively influenced the patients' illness perceptions, stress-experiences, body- and self-awareness, coping strategies, self-image, social identity and social functioning. However, patients identified potentials for treatment improvements, and they needed further treatment to fully recover.
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