For Whom May Participation in a Mindfulness-Based Stress Reduction Program be Contraindicated?
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Mindfulness-Based Stress Reduction (MBSR) programs are offered worldwide. To date, there has been little discussion about for whom participation may not be appropriate. We reviewed the literature pertaining to attrition and adverse effects following participation in MBSR; relatively little was learned in this search. A few clinical trials from Mindfulness-Based Cognitive Therapy (MBCT) provide ideas concerning who may not benefit from this program and who is likely to drop out. There are some case studies of individuals who manifested various mental health issues following experiences with various forms of meditation, but often specifics are missing such that it is not known what type of meditation was practiced or if the individuals in question had previous psychiatric disorders or preexisting conditions that could predispose them to negative outcomes. While we could not provide an empirically based answer to our question, we open the discussion and offer recommendations, especially with regard to preprogram screening, to guide instructors when they form a new group for an MBSR course so that the risk of harm is reduced. We trust that this paper will prompt our colleagues to examine the issue of risk and report adverse events should they occur.
KeywordsMindfulness-Based Stress Reduction Attrition Adverse effects
The authors would like to thank Ms. Angelica Todireanu for her administrative assistance, our Research Assistant, Ms. Qinyi Zhao, for her dedication to our mindfulness programs, and Ms. Sonia Osorio, a friend, colleague, and yoga and meditation teacher for her feedback and editing assistance.
- Center for the Mindfulness in Medicine. (2006). Issues in the administration of a mindfulness-based stress reduction program 2006. Unpublished Manual, University of Massachusetts WorcesterGoogle Scholar
- Chadwick, P., Taylor, K. N., & Abba, N. (2005). Mindfulness groups for people with psychosis. Behavioural and Cognitive Psychotherapy, 33, 351–359.Google Scholar
- Cohen, J. M., & Phipps, J. F. (1992). The common experience: Signposts on the path to enlightenment (1st ed.). Illinois: Quest Books.Google Scholar
- Germer, C. K. (2005). Teaching mindfulness in therapy. In C. K. Germer, R. D. Siegel, & P. R. Fulton (Eds.), Mindfulness and psychotherapy (pp. 113–129). New York: Guilford Press.Google Scholar
- Irving, J.A., Park, J., Fitzpatrick, M., Dobkin, P. L., Chen, A., & Hutchinson, T. (2011). Experiences of healthcare professionals enrolled in mindfulness-based medical practice: A grounded theory model. Unpublished ManuscriptGoogle Scholar
- Irving, J.A., Dobkin, P. L., Park, J., Fitzpatrick, M., & Hutchinson, T. (2011). Mindfulness-based medical practice: Understanding the link between mindfulness and wellness in healthcare professionals. Unpublished ManuscriptGoogle Scholar
- Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte Press.Google Scholar
- Lynch, G. V. (2004). Patient variables associated with treatment completion in a mindfulness meditation-based stress reduction (MBSR) treatment for fibromyalgia: implications for prescriptive matching and participation enhancement. Unpublished doctoral dissertation, University of Louisville, Kentucky, U.S.A.Google Scholar
- Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., & Beasley, E. (2010). Mindfulness-based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice. Journal of Psychosomatic Research, 68, 29–36.PubMedCrossRefGoogle Scholar
- Salmon, P. G., Santorelli, S. F., Kabat-Zinn, J., Shumaker, S. A., Schron, E. B., Ockene, J. K., et al. (1998). Intervention elements promoting adherence to mindfulness-based stress reduction programs in the clinical behavioral medicine setting. In The handbook of health behavior change (2nd ed., pp. 239–266). New York: Springer.Google Scholar
- Yorston, G. A. (2001). Mania precipitated by meditation: A case report and literature review. Mental Health, Religion and Culture, 4, 209–213.Google Scholar