an exploratory mixed methods study of the acceptability and effectiveness of mindfulness

Implications of this study and relationship to other

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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 Further research in the form of Page 12 of 14 (page number not for citation purposes) BMC Psychiatry 2006, 6:14 randomised controlled trials comparing group CBT to group MBCT would help address these important issues.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 mood? 3) Does long-term training in mindfulness meditation confer additional benefits for mental health compared with CBT? 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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