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Unformatted text preview: e disorders include goal setting and behavioural activation, techniques to modify unhelpful assumptions,
assertiveness training, and schema work . From this
perspective MBCT can be viewed as one component of a
larger program of treatment. A third possibility is that the
improvements in mood found in the present study were
not specifically related to the MBCT course itself but were
due to a 'regression towards the mean' phenomenon or/
and non -specific group effects. This interpretation however is at odds with theoretical and empirical support for
mindfulness training [2-4,11,18].
In the present study, participants who described improvements in mood not only continued to practice mindfulness meditation on a regular basis, but also made changes
in other areas of their lives. Behavioural changes included
going back to work, giving up smoking and increasing
exercise. Cognitive changes included recognising and disengaging from worrisome, unhelpful and self-critical
thinking. Participants whose depression and anxiety
resolved also had more social support and fewer ongoing
interpersonal problems. Individuals with significant postcourse depression symptoms tended to have decreased
levels of activity (one woman continued to spend much of
her day in bed), were more socially isolated and had significant histories of unresolved trauma such as childhood
sexual abuse, early emotional neglect and domestic violence.
Although participants continued to use the breathing
space to cope with anxiety, there appeared to be a marked
difference in the application of this technique. Two of the http://www.biomedcentral.com/1471-244X/6/14 participants used the breathing space to recognise, welcome and disengage from worrisome thinking. This is in
contrast to some other members of the group who continued to engage in active worry and use the breathing space
as a way to cope with physiological symptoms of anxiety.
This suggests that for these patients mindfulness training
did not change the way they related to unhelpful beliefs
about worry ("worry is protective"/"worry will help me
cope"/"worry is not controllable")...
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