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Theme: CLAHRC - Mental Health & Dementia
Depression: With depression an individual has a low mood and other symptoms each day for at least two weeks. Other symptoms include changes in patterns of sleep, eating, energy, concentration and may include feelings of worthlessness, inappropriate guilt and suicidal thoughts. Symptoms have become severe enough to interfere with normal day-to-day activities.
MBCT/MBSR: Mindfulness-based stress reduction (MBSR) is an 8-week, class-based program in which people learn mindfulness practices; recognise patterns of thinking and feeling that cause distress and exacerbate symptoms; improve self-awareness and learn to step out of patterns of reactivity. Over time and with practice, people typically report being better able to cope both with their chronic health problems but also with their lives more generally. Mindfulness-based cognitive therapy is a derivative of MBSR tailored specifically for people with recurrent depression. MBSR/MBCT is based on the premise that the mind is known to be a factor in stress and stress-related disorders, and meditation has been shown to positively effect a range of autonomic physiological processes, such as lowering blood pressure and reducing overall arousal and emotional reactivity. The program brings meditation and yoga together so that the virtues of both can be experienced simultaneously.
MBCT/MBSR in either a primary care or specialist medical outpatient clinic. The intervention will be delivered to mixed illness groups with weekly 2 hour sessions for 8 weeks.
The research also aims to investigate the processes via which necessary changes to MBSR/CT are identified for different patient groups and how they are incorporated into treatment, thereby developing a blue print by which treatment services and individual practitioners can adapt treatment for the needs of individual patients.
Panagioti M, Bower P, Kontopantelis E, Lovell K, Gilbody S, Waheed W, Dickens C, Archer J, Simon G, Ell K, Huffman JC, Richards DA, van der Feltz-Cornelis C, Adler DA, Bruce M, Buszewicz M, Cole MG, Davidson KW, de Jonge P, Gensichen J, Huijbregts K, Menchetti M, Patel V, Rollman B, Shaffer J, Zijlstra-Vlasveld MC, Coventry PA. Association Between Chronic Physical Conditions and the Effectiveness of Collaborative Care for DepressionAn Individual Participant Data Meta-analysis. JAMA Psychiatry (2016), 73(9):978-989