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Mindfulness

, Volume 3, Issue 1, pp 60–75 | Cite as

Transforming the Perceptual Situation: a Meta-ethnography of qualitative Work Reporting Patients’ Experiences of Mindfulness-Based Approaches

  • Alice Malpass
  • Havi Carel
  • Matthew Ridd
  • Alison Shaw
  • David Kessler
  • Debbie Sharp
  • Mark Bowden
  • Julia Wallond
ORIGINAL PAPER

Abstract

The UK National Institute for Clinical Excellence recommends Mindfulness-based Cognitive Therapy (MBCT) for the prevention of relapse in chronic depression. Since Jon Kabat-Zinn first developed Mindfulness-based Stress Reduction (MBSR) in the 1980s, most research has focused on questions of efficacy, i.e. does mindfulness work? More recently, interest has emerged in how mindfulness-based interventions, such as MBSR and MBCT, are experienced by participants. To evaluate how participants experience the 8-week MBSR/MBCT process, we carried out a meta-ethnography of published qualitative papers since 2001, whose focus is the patient experience of MBCT and MBSR. A systematic search of six databases was carried out. Relevant papers were critically appraised using a modified version of the Critical Appraisal Skills programme tool. Fourteen papers, each representing a unique study, were included in the meta-ethnography. The synthesis describes patients’ experience of the mindfulness process. Linking patient experiences to existing theories of mindfulness and chronic illness, the synthesis conceptualises the way participants develop a new understanding of their illness over time, and the role mindfulness approaches have in helping them manage their difficulties better.

Keywords

MBCT MBSR Meta-ethnography Therapeutic process Chronic illness Patient experience 

Notes

Acknowledgement

This research was supported by a National Institute for Health Research (NIHR) Fellowship awarded to Dr Alice Malpass.

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Alice Malpass
    • 1
  • Havi Carel
    • 2
  • Matthew Ridd
    • 1
  • Alison Shaw
    • 1
  • David Kessler
    • 1
  • Debbie Sharp
    • 1
  • Mark Bowden
    • 3
  • Julia Wallond
    • 4
  1. 1.School of Social and Community MedicineUniversity of BristolBristolUK
  2. 2.Department of History, Philosophy and PoliticsUWE BristolBristolUK
  3. 3.MindbasePlymouthUK
  4. 4.Bristol Insight Meditation GroupBristolUK

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