Mindfulness group therapy in primary care patients with depression, anxiety and stress and adjustment disorders: Randomised controlled trial. (February 2015)

• Record Type: Journal Article
• Authors: Sundquist, Jan; Lilja, Åsa; Palmér, Karolina; Memon, Ashfaque A.; Wang, Xiao; Johansson, Leena Maria; Sundquist, Kristina
• Is Part Of: British journal of psychiatry. Volume 206:Number 2(2015)
• Page Start: 128
• Page End: 135
• Publication Date: 2015-02
• Subjects: Psychiatry -- Periodicals; Psychology, Pathological -- Periodicals; 616.89005
• DOI: 10.1192/bjp.bp.114.150243
• Languages: English
• ISSNs: 0007-1250

Abstract

Abstract : Background: Individual-based cognitive–behavioural therapy (CBT) is in short supply and expensive. Aims: The aim of this randomised controlled trial (RCT) was to compare mindfulness-based group therapy with treatment as usual (primarily individual-based CBT) in primary care patients with depressive, anxiety or stress and adjustment disorders. Method: This 8-week RCT (ClinicalTrials.gov ID: NCT01476371) was conducted during spring 2012 at 16 general practices in Southern Sweden. Eligible patients (aged 20–64 years) scored $10 on the Patient Health Questionnaire-9, $7 on the Hospital Anxiety and Depression Scale or 13–34 on the Montgomery–åsberg Depression Rating Scale (self-rated version). The power calculations were based on non-inferiority. In total, 215 patients were randomised. Ordinal mixed models were used for the analysis. Results: For all scales and in both groups, the scores decreased significantly. There were no significant differences between the mindfulness and control groups. Conclusions: Mindfulness-based group therapy was non-inferior to treatment as usual for patients with depressive, anxiety or stress and adjustment disorders.