An Uncontrolled Clinical Trial of Guided Respiration Mindfulness Therapy (GRMT) in the Treatment of Depression and Anxiety
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Guided respiration mindfulness therapy (GRMT) is a manualized intervention that synthesizes a sustained focus on self-regulation of respiration, mindfulness, and relaxation. In our previous publication (in Lalande et al. J Contemp Psychother 46(2):107–116, 2016) we reported an evaluation of a manual-based GRMT therapist training program for the treatment of depression and anxiety. Here we report the outcomes of the manualized treatment program for depression and anxiety with clients. Forty-two participants with a primary diagnosis of depression or anxiety disorder participated in an uncontrolled clinical trial evaluating treatment response using standardised outcome measures with data collected on a session-by-session basis. For the majority of participants, treatment led to statistically and clinically significant reduction in symptoms of depression, anxiety and stress, along with reduced anxiety sensitivity and increases in overall wellbeing. Results suggested GRMT shows promise as an effective brief treatment option that does not rely on cognitive or behavioural techniques.
KeywordsAnxiety Depression GRMT Guided respiration mindfulness therapy Mindfulness Psychotherapy Respiration
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143.Google Scholar
- Bolton, C. F., Chen, R., Wijdicks, E., & Zifko, U. A. (2004). Neurology of breathing. Philadelphia: Butterworth Heinemann.Google Scholar
- Bradley, D. (2002). Patterns of breathing dysfunction in hyperventilation syndrome and breathing pattern disorders. In L. Chaitow, D. Bradley & C. Gilbert (Eds.), Multidisciplinary approaches to breathing pattern disorders. London: Churchill Livingstone.Google Scholar
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2 edn.). Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
- Crawford, J., Garthwaite, P., Lawrie, C., Henry, J., MacDonald, M., Sutherland, J., & Sinha, P. (2009). A convenient method of obtaining percentile norms and accompanying interval estimates for self-report mood scales (DASS, DASS-21, HADS, PANAS, and sAD). British Journal of Clinical Psychology, 48, 163–180.CrossRefPubMedGoogle Scholar
- Feldner, M. T., Zvolensky, M. J., & Schmidt, N. B. (2004). Prevention of anxiety psychopathology: A critical review of the empirical literature. Clinical Psychology: Science and Practice, 11(4), 405–424.Google Scholar
- Heck, R. H., Thomas, S. L., & Tabata, L. N. (2014). Multilevel and longitudinal modeling with IBM SPSS (2nd edn.). New York: Routledge.Google Scholar
- Lalande, L. (2007). Guided respiration mindfulness therapy for depression and anxiety: Treatment manual for individual therapy. Unpublished therapy treatment manual.Google Scholar
- Lovibond, S. H., & Lovibond, P. F. (2005). Manual for the depression anxiety stress scales (2 edn.). Sydney: Psychology Foundation.Google Scholar
- Miller, S. D., Duncan, B. L., Brown, J., Sparks, J. A., & Claud, D. A. (2003). The outcome rating scale: A preliminary study of the reliability, validity, and feasibility of a brief visual analog measure. Journal of Brief Therapy, 2, 91–100.Google Scholar
- Ñāṇamoli, B. (1964). Mindfulness of breathing (ānāpānasati); Buddhist texts from the Pali canon and extracts from the Pali commentaries (B. Ñāṇamoli, Trans. 2nd ed.). Kandy, Ceylon: Buddhist Publication Society.Google Scholar
- Rector, N. A., Szacun-Shimizu, K., & Leybman, M. (2006). Anxiety sensitivity within the anxiety disorders: Disorder-specific sensitivities and depression comorbidity. Behaviour Research and Therapy, 9, 17–26.Google Scholar
- Segal, Z. V., Williams, J. M., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York, NY: The Guilford Press.Google Scholar
- Seppala, E., Nitschke, J. B., Tudorascu, D., Hayes, A., Goldstein, M., Nguyen, D., ... Davidson, R. (2014). Breathing-based meditation decreases posttraumatic stress disorder symptoms in US military veterans: A randomized controlled longitudinal study. Journal of Traumatic Stress, 27(4), 397–405. doi: 10.1002/jts.21936.CrossRefPubMedGoogle Scholar
- Sheehan, D., & Lecruier, Y. (1998). MINI international neuropsychiatric interview: English version 5.0. Journal of Clinical Psychology, 59(20), 34–57.Google Scholar
- Smallwood, J., & Schooler, J. W. (2013). The restless mind. Psychology of Consciousness: Theory, Research, and Practice, 1(5), 130–149.Google Scholar
- Streeter, C., Gerbarg, P. L., Whitfield, T., Owen, L., Johnston, J., Silveri, M., ... Jensen, J. (2017). Treatment of major depressive disorder with Iyengar yoga and coherent breathing: A randomized controlled dosing study. Journal of Alternative and Complementary Medicine, 23(3), 201–207.CrossRefPubMedPubMedCentralGoogle Scholar
- Taylor, S. (Ed.). (1999). Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety. Mahwah, NJ: Erlbaum.Google Scholar
- Wang, D. J., Rao, H., Korczykowski, M., Wintering, N., Pluta, J., Khalsa, D. S., & Newberg, A. B. (2011). Cerebral blood flow changes associated with different meditation practices and perceived depth of meditation. Psychiatry Research: Neuroimaging, 191, 61–67. doi: 10.1016/j.pscychresns.2010.09.011.Google Scholar