Posted 04.15.2019 | by AMRA
Most patients with mild-to-moderate psychological problems are diagnosed and treated in primary care rather than mental health settings. Many of these patients also suffer from physical disorders, or from physical symptoms caused or made worse by psychological factors. Mindfulness-based programs that reduce anxiety and depression and promote self-care are useful supplements to primary care treatments; however, existing barriers hinder their successful implementation. These barriers include limitations on staff time and training, staff unfamiliarity with mindfulness, and problems with insurance reimbursement.
Gawande et al [Mindfulness] studied the feasibility, acceptability, and effectiveness of a mindfulness-based primary care program in reducing symptoms and improving self-care for patients with mild-to-moderate psychological problems.
The researchers randomly assigned 81 primary care patients (69% female; average age = 44; 78% Caucasian; 44% meditation naive) with anxiety, depressive, stress- or trauma-related disorders to either a Mindfulness Training for Primary Care (MTPC) program or a low-dose comparison group. If participants were already receiving psychological help in the primary care setting, they continued to receive it as usual.
MTPC is an 8-week group program based on Mindfulness-Based Cognitive Therapy that incorporates elements of self-compassion training, values clarification, and relapse prevention. MTPC and low dose comparison group participants were asked to develop a self-care plan together with their primary care providers during the sixth week of the program. MTPC group leaders were either appropriately trained mental health clinicians or primary care physicians, with the groups being tailored to meet the insurance requirements of each discipline.
The low dose comparison control consisted of a one-hour didactic/experiential introduction to mindfulness with information on how to access community and digital mindfulness resources. Low dose comparison participants were also placed on […]