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conducted the interviews.
Ethics approval was obtained from Ayrshire and Arran
local ethics committee and informed consent was
obtained from all participants prior to inclusion in the
Information governing selection criteria was distributed
to participating GPs (table 1). GPs gave patients who met
these criteria an information leaflet about the MBCT
study. Those who expressed an interest in taking part were
assessed prior to enrolment. The assessment process took 1–1.5 hours and involved a detailed history in order to
establish a provisional ICD-10 diagnosis (table 2).
In total 16 patients were offered pre course interviews.
Three people were excluded from the study, leaving 13 to
participate; one because her symptoms were attributable
to sleep apnoea syndrome, one because he was actively
suicidal and one because she scored greater than 7 or
more on the combined BDI-II items for energy, concentration difficulty and tiredness.
Intervention : The MBCT course
The structure and format of the mindfulness course
closely followed that of the original 8-week MBCT course,
found in Williams, Segal and Teasdale's book "Mindfulness
Based Cognitive Therapy; a new approach for relapsing depression" (2000). This course teaches a variety of methods for
developing mindfulness: a) The body-scan – becoming aware of bodily sensations.
Table 2: ICD 10 definition of depression Typical symptoms are
• Depressed mood – varies little from day to day, often unresponsive to circumstances. May show diurnal variation. Can be masked by added
features such as irritability, alcohol, and histrionic behaviour.
• Loss of interest and enjoyment.
• Reduced energy leading to increased fatigability and diminished activity.
Other symptoms are
a) reduced concentration and attention
b) reduced self-esteem and self-confidence
c) ideas of guilt and unworthiness
d) bleak and pessimistic views of the future
e) ideas of self harm
f) disturbed sleep
g) diminished appetite
Mild Depressive Episode...
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This note was uploaded on 03/12/2013 for the course ECON 101 taught by Professor H during the Spring '11 term at ENGECON University.
- Spring '11