An Exploratory Study of Group Mindfulness-Based Cognitive Therapy for Older People with Depression
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The benefits of a Mindfulness-Based Cognitive Therapy (MBCT) group for older people with recurrent and/or chronic depression were explored using a measure of mood (DASS-21) and well-being (Ryff Psychological Well-being Inventory). Thirteen participants started the study and outcome measures were recorded at baseline, post-MBCT group and at a 6-month follow-up. Although there was only a small sample size that had complete pre- and post-group data (n = 9), improvements in depression and anxiety severity were noted and there was a significant improvement on ‘purpose in life’ and marginally significant improvement of ‘personal growth’, two of six domains on a measure of well-being. Participants were satisfied with the structure of the course but were less confident about committing to the daily practice after the group than pre-group. At 6 months follow-up, none of the group had relapsed into a major depressive episode. Further research with larger sample sizes and a control group to control for nonspecific therapeutic group factors is recommended.
KeywordsMindfulness-based cognitive therapy Depression Well-being Older people
We wish to thank the grant benefactors from the Dorothy Allen Legacy Fund and to acknowledge our gratitude to the highly skilled, compassionate and experienced mindfulness tutors, Karunavira and Taravajra, who helped make this project a success. We would also like to thank the staff from the Research and Development Department of the Sussex Partnership NHS Trust for their support and guidance including the Service User Consultants, MIND for running focus groups and the participants who willingly gave up their time to complete the research. The authors are listed in alphabetical order and contributed as follows: SW and CW were the clinical leads on the study and they designed the study and sought ethical approval; FM was a member of the research team who contributed to data collection and analysis; and all the authors contributed to writing the manuscript.
- Age Concern. (2007). Improving services and support for older people with mental health problems: the second report from the UK inquiry into mental health and well-being in later life. London: Age Concern.Google Scholar
- Arch, J. J., Ayers, C., Baker, A., Almklov, E., Dean, D. J., & Craske, M. (2013). Randomized clinical trial of adapted mindfulness-based stress reduction vs. group cognitive behaviour therapy for heterogeneous anxiety disorders. Behaviour Research and Therapy, 51, 185–196.CrossRefPubMedGoogle Scholar
- Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the beck depression inventory—II. San Antonio: Psychological Corporation.Google Scholar
- Finucane, A., & Mercer, S. W. (2006). An exploratory mixed methods study of the acceptability and effectiveness of Mindfulness-Based Cognitive Therapy for patients with active depression and anxiety in primary care. British Medical College Psychiatry, 6, 14.Google Scholar
- Laidlaw, K., Davidson, K., Toner, H., Jackson, G., Clark, S., Law, J., Howley, M., Bowie, G., Connery, H., & Cross, S. (2008). A randomized controlled trial of cognitive behaviour therapy vs. treatment as usual in the treatment of mild to moderate late life depression. International Journal of Geriatric Psychiatry, 23, 843–850.CrossRefPubMedGoogle Scholar
- Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Sydney: Psychology Foundation.Google Scholar
- National Institute for Clinical Excellence. (2004). Depression: management of depression in primary and secondary care. National Clinical Practice Guideline, No 23. London: National Institute for Clinical Excellence.Google Scholar
- National Institute for Clinical Excellence. (2007). Mental well-being and older people. August 2007, Draft guidelines. London: National Institute for Clinical Excellence.Google Scholar
- Osborn, D. P. J., Fletcher, A. E., Smeeth, L., Stirling, S., Nunes, M., Breeze, E., et al. (2002). Geriatric depression scale scores in a representative sample of 14545 people aged 75 and over in the United Kingdom: results from the MRC trial of assessment and management of older people in the community. International Journal of Geriatric Psychiatry, 17, 375–382.CrossRefPubMedGoogle Scholar
- Scogin, F., Floyd, M., & Forde, J. (2000). Anxiety in older adults. In S. K. Whitbourne (Ed.), Psychopathology in later adulthood (pp. 117–140). New York: Wiley.Google Scholar
- 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: Guildford.Google Scholar