, Volume 5, Issue 3, pp 268–275 | Cite as

Mindfulness-Based Cognitive Therapy for Mental Health Professionals: a Long-Term Quantitative Follow-up Study

  • Nicole de Zoysa
  • Florian A. Ruths
  • James Walsh
  • Jane Hutton


The authors investigated whether the psychological benefits and meditation practice identified 3 months after attending a mindfulness-based cognitive therapy (MBCT) programme were maintained in a group of mental health professionals at 18 months follow-up. Of the 23 participants who attended the original MBCT programme, 18 agreed to participate. A repeated measures design was employed with the following measures taken: mindfulness; psychological well-being; life satisfaction; trait worry; trait and state anxiety; and an index of weekly meditation practice. A measure of life events and perceived stress was also included. Participants (N = 10) who provided data at each of the three time points—baseline, 3 months follow-up and 18 months follow-up—were included in the repeated measures ANOVAs. Compared to baseline, a significant improvement in levels of mindfulness, trait anxiety and trait worry was noted at 18 months follow-up. Three quarters of the current sample maintained some form of meditation practice although weekly amounts of meditation practice were found to be unrelated to psychological well-being. Contrary to prediction, life events and related levels of perceived stress correlated positively with levels of mindfulness. Attending a MBCT group as a mental health professional appears to have a positive impact on psychological well-being and ongoing meditation practice which persists long after the end of the intervention. Reasons for a lack of association between length of weekly practice and psychological well-being, as well as the positive relationship between perceived stress and mindfulness, are discussed.


Mindfulness Mindfulness-based cognitive therapy (MBCT) Mental health professionals Meditation Follow-up 


  1. Astin, J. A. (1997). Stress reduction through mindfulness meditation. Effects on psychological symptomatology, sense of control, and spiritual experiences. Psychotherapy and Psychosomatics, 66(2), 97–106.PubMedCrossRefGoogle Scholar
  2. Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report: the Kentucky inventory of mindfulness skills. Assessment, 11(3), 191–206.PubMedCrossRefGoogle Scholar
  3. Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45.PubMedCrossRefGoogle Scholar
  4. Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., et al. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342.PubMedCrossRefGoogle Scholar
  5. Benson, H., Beary, J. F., & Carol, M. P. (1974). The relaxation response. Psychiatry: Journal for the Study of Interpersonal Processes, 37(1), 37–46.Google Scholar
  6. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241.Google Scholar
  7. Brennan, J. (2001). Adjustment to cancer—coping or personal transition? Psycho-Oncology, 10(1), 1–18.PubMedCrossRefGoogle Scholar
  8. Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.PubMedCrossRefGoogle Scholar
  9. Cohen-Katz, J., Wiley, S., Capuano, T., Baker, D. M., Deitrick, L., & Shapiro, S. (2005). The effects of mindfulness-based stress reduction on nurse stress and burnout: a qualitative and quantitative study, part III. Holistic Nursing Practice, 19(2), 78–86.PubMedCrossRefGoogle Scholar
  10. De Zoysa, N., Ruths, F., Walsh. J., & Hutton, J. (2012). Mindfulness-based cognitive therapy for mental health professionals: a long-term qualitative follow-up. Mindfulness. doi: 10.1007/s12671-012-0141-2.
  11. Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.PubMedCrossRefGoogle Scholar
  12. Eysenck, M. W. (1992). Anxiety: the cognitive perspective. Hillsdale: Lawrence Erlbaum Associates, Inc.Google Scholar
  13. Eysenck, M. W., & Keane, M. T. (2002). Attention and performance limitations. Foundations of cognitive psychology: core readings (pp. 363–398). Cambridge: MIT Press.Google Scholar
  14. Farber, B. A., & Heifetz, L. J. (1982). The process and dimensions of burnout in psychotherapists. Professional Psychologist, 13, 293–301.CrossRefGoogle Scholar
  15. Goldberg, D., & Williams, P. (1988). A user’s guide to the general health questionnaire. Windsor: NFER-Nelson.Google Scholar
  16. Hayes, S. C., & Shenk, C. (2004). Operationalizing mindfulness without unnecessary attachments. Clinical Psychology: Science and Practice, 11(3), 249–254.Google Scholar
  17. Holmes, T., & Rahe, R. (1967). The social readjustment rating scale. Journal of Psychosomatic Research, 11(2), 213–218.PubMedCrossRefGoogle Scholar
  18. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte.Google Scholar
  19. Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future [comment/reply]. Clinical Psychology: Science and Practice, 10(2), 144–156.Google Scholar
  20. Kabat-Zinn, J., Lipworth, L., Burney, R., & Sellers, W. (1987). Four-year follow up of a meditation based program for the self-regulation of chronic pain: treatment outcome and compliance. The Clinical Journal of Pain, 2, 159–173.CrossRefGoogle Scholar
  21. Ma, S., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40.PubMedCrossRefGoogle Scholar
  22. Margison, F. (1987). Stress in psychiatrists. In R. Payne & J. Frith-Cozens (Eds.), Stress in health professional. Chichester: Wiley.Google Scholar
  23. Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28(6), 487–495 [Research Support, U.S. Gov’t, P.H.S.].PubMedCrossRefGoogle Scholar
  24. Miller, J. J., Fletcher, K., & Kabat-Zinn, J. (1995). Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry, 17(3), 192–200.PubMedCrossRefGoogle Scholar
  25. Pavot, W., Diener, E., Colvin, C. R., & Sandvik, E. (1991). Further validation of the satisfaction with life scale: evidence for the cross-method convergence of well-being measures. Journal of Personality Assessment, 57(1), 149–161.PubMedCrossRefGoogle Scholar
  26. Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9(1), 54–68.Google Scholar
  27. Ruths, F., DeZoysa, N., Frearson, S., Hutton, J., Williams, J.M.G., & Walsh, J. (2012). Mindfulness-based cognitive therapy for mental health professionals: a pilot study. Mindfulness. DOI  10.1007/s12671-012-127-0
  28. 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: Guilford Press.Google Scholar
  29. Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: results from a randomised trial. International Journal of Stress Management, 12(2), 164–176.CrossRefGoogle Scholar
  30. Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1(2), 105–115.CrossRefGoogle Scholar
  31. Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21(6), 581–599.PubMedCrossRefGoogle Scholar
  32. Smith, J. C. (2004). Alterations in brain and immune function produced by mindfulness meditation: three caveats. Psychosomatic Medicine, 66(1), 148–149 [Comment/Reply].PubMedCrossRefGoogle Scholar
  33. Spielberger, C. D., Gorsuch, A. L., Lushene, R. E., Vagg, P. R., & Jacobs, P. A. (1983). Manual for the state-trait anxiety inventory. Palo Alto: Consulting Psychologists.Google Scholar
  34. Teasdale, J. D., Segal, Z. V., Williams, J., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615–623.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Nicole de Zoysa
    • 1
  • Florian A. Ruths
    • 2
  • James Walsh
    • 3
  • Jane Hutton
    • 1
  1. 1.Department of Psychological MedicineKing’s College HospitalLondonUK
  2. 2.Maudsley Psychotherapy DepartmentLondonUK
  3. 3.School of PsychologyUniversity of East LondonLondonUK

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