An An Individually Delivered Mindfulness Based Intervention Protocol: Efficacy in Panic Disorder
Keywords:
Mindfulness, mindfulness base interventions, anxiety disorder, panic disorder, qualitative analysis, mixed methodsAbstract
Abstract
Aims/Objectives
Mindfulness based interventions (MBIs) are group based intervention programs applied on a variety of Psychological conditions such as anxiety disorders, mood disorders, substance use and eating disorders. However, there is hardly any literature on MBI following an individually tailored protocol. The present study tries to see the effectiveness of an individually tailored MBI protocol on patients with Panic disorder
Methods
15 participants were enrolled with the primary diagnosis of Panic Disorder for the study. The participants completed an individually tailored MBI program spanning over 12 weeks approximately. They were evaluated at 4 time points using Hamilton Anxiety Rating scale (HAM-A), Beck depression Inventory (BDI) and Panic Severity Scale (PSS) from baseline to follow up. Further, seven of them were interviewed after 6 months of completion of MBI to understand the mechanism of change that MBI brought in them.
Result
A Mixed method analysis was undertaken. Trend Analysis revealed a significant linear decrease of symptoms (p< 0.01) across the different time points for all the three measures. A between group repeated measure ANOVA revealed a significant difference between the time points of intervention (p<0.01). The semi structured interview was analyzed using a Framework approach and revealed that the participants could overcome their habits of rumination and handle their distress in a better way. They also accepted that the individually conducted MBI was beneficial for them.
Conclusion: This study revealed that the individually tailored MBI was effective for patients with Panic Disorder. Such a program could help those participants who are not ready to join a group based program and clinicians who can implement MBI on a daily basis in their clinical setting.
References
Beck., A,T, Emery., G, & Greenberg., R,L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Guilford Press
Beck., A,T, Steer., R,A.( 1993). Beck Depression Inventory. The Psychological Corporation, San Antonio, TX,.
Brown., K,W, Ryan., R,M, Creswell., J,D.(2007). Mindfulness: Theoretical foundations and evidence for its salutary effects. Psychological Inquiry. 18, 4, 211–237
Clark., D,M. (1986). A cognitive model of panic. Behaviour Research and Therapy, 24, 461-470
Finucane., A and Mercer., A, W.( 2006). An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care. BMC Psychiatry, 6,14
Gloucester., A, Klotsche., J, Gerlach., A, Hamm., A, Strole., A, Gauggel., S, & Wittchen., H. (2014). Timing Matters: Change Depends on the Stage of Treatment in Cognitive Behavioral Treatment for Panic Disorder. Journal of Consulting and Clinical Psychology, 82, 141-153. http://dx.doi.org/10.1037/a0034555
Ham., P, Water., D,B, Oliver., M,N. (2005). Treatment of panic Disorder. American Family Physician. 71,4, 733-739
Hamilton., M. (1959). The assessment of anxiety states by rating. British Journal of Medical Psychology. 32(1),50–55
Hofmann., S,G, Sawyer., A,T, Witt., A,A, Oh D.(2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology. 78(2),169–183. DOI: 10.1037/a0018555 [PubMed: 20350028]
Hofman., S,G, Gomez., A, F. (2017). Mindfulness Based Intervention for Anxiety and Depression. Psychiatric Clinics of North America. 40(4) 739–749 doi:10.1016/j.psc.2017.08.008
Kabat-Zinn J. (1982) An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry. 4(1),33–47. [PubMed: 7042457]
Khoury., B, Lecomte., T, Fortin., G, Masse., M, et al. (2013) Mindfulness- based therapy: A Comprehensive Meta Analysis. Clinical. Psychology. Review, Aug 33(6):763-71. DOI: 10.1016/j.cpr.2013.05.005.
Kim., Y,W, Lee., S, H, Choi., T, K, Suh., S, Y, Kim., B, Kim, C. M., ... Yook, K. H. (2009).Effectiveness of mindfulness-based cognitive therapy as an adjuvant to pharmacotherapy in patients with panic disorder or generalized anxiety disorder. Depression and Anxiety, 26, 601–606.
Ledesma., D, Kumano., H.(2009) Mindfulness-based stress reduction and cancer: a meta-analysis. 18(6):571–579. DOI: 10.1002/pon.1400
Martin., J, R.( 1997). Mindfulness: A proposed common factor. Journal of Psychotherapy Integration. 7, 291–312.
NHS Centre for Reviews and Dissemination. (2002). Improving the recognition and management of depression in primary care. Effective Health Care Bulletin, 7(5),1-12.
Segal., Z,V, Williams., J,M,G, Teasdale., J,D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York, London: Guilford Press
Shah., A. (1992). The burden of psychiatric disorder in primary care.International Review of Psychiatry. 1, 4,243-250.
Shapero., B,G, Greenberg., J, Pedrelli., P, Jong., M, Desbordes., G.(2018). Mindfulness based interventions in psychiatry. American Psychiatry Association Publishing. 16(1), 32–39
Shear., M,K, Brown., T,A, Barlow., D,H, Money., R, Sholomskas., D,E, Woods., S,W, et al. (1997). Multicenter collaborative panic disorder severity scale. American Journal of Psychiatry. 154,1571–5.
Teasdale., J, Williams., M, Segal., Z,V. (2014).The Mindful Way Workbook: An 8-week program to Free Yourself From Depression and Emotional Distress. Guilford Press
White., K, Payne., L, Gorman., J, Shear., K, Woods., S, Saksa., J, & Barlow., D. (2012). Does Maintenance CBT Contribute to Long-Term Treatment Response of Panic Disorder with or without Agoraphobia? A Randomized Controlled ClinicalTrial. Journal of Consulting and Clinical Psychology, 81, 47-57. http://dx.doi.org/10.1037/a0030666
World Health Organization ICD-10.(1992). Classification of Mental and Behavioral Disorders. Clinical description and diagnostic guidelines. Geneva: Switzerland.
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