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Unformatted text preview: e same time it is also plausible that some patients
may benefit more from a course that placed less of an
emphasis on mindfulness training (at least initially) and
more of an emphasis on cognitive behavioural strategies
(problem solving, assertiveness training, challenging
maladaptive beliefs, etc.). Further research in the form of Page 12 of 14
(page number not for citation purposes) BMC Psychiatry 2006, 6:14 randomised controlled trials comparing group CBT to
group MBCT would help address these important issues.
Implications of this study and relationship to other work
A number of questions remain unanswered. 1) For individuals with affective disorders how does
MBCT compare with group or individual CBT in terms of
efficacy, acceptability and cost-effectiveness? A randomised controlled trial using both qualitative and quantitative research methods would be especially helpful in
determining which elements of both mindfulness training
and CBT clients use as antidotes to emotional distress.
2) When is the best time to introduce mindfulness training for patients with depression and anxiety? Should brief
mindfulness training be introduced to patients with
severe depression/anxiety right from the start of therapy
or is it more effective for these patients to engage in individual/group cognitive behavioural therapy, deferring
mindfulness training until some improvement in their
3) Does long-term training in mindfulness meditation
confer additional benefits for mental health compared
Strengths and limitations of the study
A strength of the present study was that it was conducted
in a routine primary care setting, involving patients from
a range of socio-economic backgrounds. Most of the participants had not practiced mindfulness meditation previously, and did not have fixed ideas about what to expect.
The use of mixed methods in the evaluation of the study
was also a strength. However, there are several limitations to this exploratory
study. This was a small study with no control group.
Because there was no control group reductions in mean
depression and anxi...
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