Objective: the aim of this multiple case study was to to evaluate the applicability of the group protocol of an 8-week Mindfulness-Based Cognitive Therapy program adapted for the individual clinical care of patients with symptoms of depression. Method: the method used was to study multiple cases, in which 11 cases of patients with a diagnosis of mild to moderate depression who underwent intervention adapted from this protocol were evaluated in the results of measures of depression, anxiety, stress and mindfulness. Results: the results indicated a significant reduction in these symptoms, as well as an increase in mindfulness in everyday life. Conclusion: the benefits of the Mindfulness-Based Cognitive Therapy intervention can be presented both in the context of group clinical care, as well as in the individual. In this study, all study participants had significant improvement in the symptoms of depression, as well as in the levels of anxiety and stress, consistent with the data presented in the literature. There is an urgent need for a greater number of studies of this nature. Future research, especially those of an empirical nature, controlled and randomized, will consolidate the external validity of the results found by studies with nature such as this one

Authors

DOI:

https://doi.org/10.11606/issn.1806-6976.smad.2020.165509

Keywords:

Mindfulness, Meditation, Depression, Anxiety

Abstract

Objective: the aim of this multiple case study was to to evaluate the applicability of the group protocol of an 8-week Mindfulness-Based Cognitive Therapy program adapted for the individual clinical care of patients with symptoms of depression. Method: the method used was to study
multiple cases, in which 11 cases of patients with a diagnosis of mild to moderate depression who
underwent intervention adapted from this protocol were evaluated in the results of measures of depression, anxiety, stress and mindfulness. Results: the results indicated a significant reduction in these symptoms, as well as an increase in mindfulness in everyday life. Conclusion: the benefits of the Mindfulness-Based Cognitive Therapy intervention can be presented both in the context of group clinical care, as well as in the individual. In this study, all study participants had significant improvement in the symptoms of depression, as well as in the levels of anxiety and stress, consistent with the data presented in the literature. There is an urgent need for a greater number of studies of this nature. Future research, especially those of an empirical nature, controlled and randomized, will consolidate the external validity of the results found by
studies with nature such as this one.

Downloads

Download data is not yet available.

References

Barber RM, Fullman N, Sorensen RJD, Bollyky T, McKee M, Nolte E, et al. Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories; 1990–2015: a novel analysis from the Global Burden of Disease Study 2015. Lancet. [Internet]. 2017; 390(10091):31–66. https://doi.org/10.1016/S0140-6736(17)30818-8

Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. 2nd ed. New York (NY): Guilford Press; 2012.

Beck AT, Rush AJ, Shaw BF, Emery G. Cognitive therapy of depression. New York; NY: Guilford Press; 1979.

Kabat-Zinn J. Full catastrophe living: Using the wisdom of your mind to face stress; pain; and illness. New York(NY): Bantam Dell; 1990.

Kuyken W, Watkins E, Holden E, White K, Taylor RS, Byford S, et al. How does mindfulness-based cognitive therapy work? Behav Res Therapy. [Internet]. 2010; 48(11):1105-12. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20810101.

Williams JM, Kuyken W. Mindfulness-based cognitive therapy: a promising new approach to preventing depressive relapse. The British Journal of psychiatry: The Journal of Mental Science. [Internet]. 2012; 200(5):359-60. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22550328.

Kuyken W, Warren F, Taylor R, Whalley B, Crane C, Bondolfi G. Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse. JAMA Psychiatry. [Internet]. 2016; 73(6):565-74. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27119968.

National Institute of Health and Clinical Excellence. http://www.nice.org.uk/.jsp [cited Mar 12, 2009].

Piet J, Wurtzen H, Zachariae R. The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: a systematic review and meta-analysis. J Consult Clin Psychol. [Internet]. 2012; 80(6):1007-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22563637.

Fjorback LO, Arendt M, Ornbol E, Fink P, Walach H. Mindfulness-based stress reduction and mindfulness-based cognitive therapy—a systematic review of randomized controlled trials. Acta Psychiatr Scand. [Internet]. 2011; 124(2):102–19. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21534932.

Hofmann SG, Sawyer AT, WittAA, Oh D. The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. J Consult Clin Psychol. [Internet]. 2010; 78(2):169-83. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20350028.

Beltman MW, Voshaar RC, Speckens AE. Cognitive-behavioural therapy for depression in people with a somatic disease: meta-analysis of randomised controlled trials. Br J Psychiatr. [Internet]. 2010; 197(1):11–9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20592427.

Chiesa A, Serretti A. Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. J Alternative Complem Medicine. [Internet]. 2009; 15(5):593-600. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19432513.

Schroevers MJ, Tovote KA, Keers JC, Links TP, Sanderman R, Fleer J. Individual mindfulness-based cognitive therapy for people with diabetes: a pilot randomized controlled trial. Mindfulness. [Internet]. 2015; 6(1):99–110. Available from: https://link.springer.com/article/10.1007/s12671-013-0235-5.

Tovote KA, Fleer J, Snippe E, Peeters ACTM, Emmelkamp PMG, Sanderman R, et al. Individual mindfulness-based cognitive therapy and cognitive behavior therapy for treating depressive symptoms in patients with diabetes: results of a randomized controlled trial. Diabetes Care. [Internet]. 2014; 37(9):2427-34. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24898301

Tovote KA, Schroevers MJ, Snippe E, Sanderman R, Links TP, Emmelkamp PMG, et al. Long-Term Effects of Individual Mindfulness-Based Cognitive Therapy and Cognitive Behavior Therapy for Depressive Symptoms in Patients with Diabetes: A Randomized Trial. Psychother Psychosom. [Internet]. 2015; 84:186-7 Available from: https://www.ncbi.nlm.nih.gov/pubmed/25832365.

Dwight-Johnson M, Sherbourne C, Liao D, Wells K. Treatment preferences among depressed primary care patients. J Gen Internal Med. [Internet]. 2000; 15(8):527–34. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495573/.

Lau MA, Colley L, Willett BR, Lynd LD. Employee’s preferences for access to mindfulness-based cognitive therapy to reduce the risk of depressive relapse-a discrete choice experiment. Mindfulness. [Internet]. 2012; 3:318-26. Available from: https://link.springer.com/article/10.1007/s12671-012-0108-3.

Wahbeh H, Lane JB Goodrich E, Miller M, Oken BS. One-on-one mindfulness meditation trainings in a research setting. Mindfulness. [Internet]. 2014; 5(1):88-99. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24554970.

Yin RK. Estudo de caso: planejamento e métodos. 2 ed. Porto Alegre(RS): Bookman; 2001.

Fachin O. Fundamentos de metodologia. São Paulo(SP): Saraiva; 2001.

Miles MB, Huberman AM. Qualitative Data Analysis: An Expanded Sourcebook. 2nd.ed. Thousand Oaks/London: Sage; 1994.

First MB, Williams JBW, Spitzer RL. Entrevista clínica estruturada para os transtornos do DSM-5: SCID.SCV versão clínica. Porto Alegre. Artemed; 2017.

Vignola RCB, Tucci AM. Adaptation and validation of the Depression, Anxiety and Stress Scale (DASS) to Brazilian portuguese. J Affect Disord. 2014;155:104-9. Available from: http://repositorio.unifesp.br/handle/11600/37373.

Barros VV, Kozasa EH, Souza IW, Ronzani TM. Validity evidence of the brazilian version of the Mindful Attention Awareness Scale (MAAS). Psicol Reflexão Crít. [Internet]. 2015; 28(1):87-95. Available from: http://www.scielo.br/scielo.php?pid=S0104-11692006000600006&script=sci_arttext&tlng=pt.

Teasdale JD, Segal, ZV, Williams JM, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol. [Internet]. 2000; 68:615-23. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10965637.

Geschwind N, Peeters F, Huibers M, Van OJ, Wichers, M. Efficacy of mindfulness-based cognitive therapy in relation to prior history of depression: randomised controlled trial. The Br J Psychiatr. [Internet]. 2012; 201(4):320-5. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22878133.

Demarzo M, Montero-Marin J, Puebla-Guedea M, Navarro-Gil M, Herrera-Mercadal P, Moreno-González S, et al. Efficacy of 8- and 4-Session Mindfulness-Based Interventions in a Non-clinical Population: A Controlled Study. Frontiers Psychol. [Internet]. 2017; 8:13-43. http://doi.org/10.3389/fpsyg.2017.01343 Available from: https://www.ncbi.nlm.nih.gov/pubmed/28848465.

Tovote KA, Schroevers MJ, Snippe E, Sanderman R, Links TP, Emmelkamp PMG, et al. What works best for whom? Cognitive Behavior Therapy and Mindfulness-Based Cognitive Therapy for depressive symptoms in patients with diabetes. PLoS ONE. [Internet]. 2017; 12(6): e0179941. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28662208.

Segal ZV, Williams JMG, Teasdale JD. The Mindful Way Workbook – An 8-Week Program to Free Yourself from Depression and Emotional Distress. New York (NY): The Guilford Press; 2014.

Published

2020-09-30

How to Cite

de Oliveira Almeida, N., Demarzo, M., & Beatriz Neufeld, C. (2020). Objective: the aim of this multiple case study was to to evaluate the applicability of the group protocol of an 8-week Mindfulness-Based Cognitive Therapy program adapted for the individual clinical care of patients with symptoms of depression. Method: the method used was to study multiple cases, in which 11 cases of patients with a diagnosis of mild to moderate depression who underwent intervention adapted from this protocol were evaluated in the results of measures of depression, anxiety, stress and mindfulness. Results: the results indicated a significant reduction in these symptoms, as well as an increase in mindfulness in everyday life. Conclusion: the benefits of the Mindfulness-Based Cognitive Therapy intervention can be presented both in the context of group clinical care, as well as in the individual. In this study, all study participants had significant improvement in the symptoms of depression, as well as in the levels of anxiety and stress, consistent with the data presented in the literature. There is an urgent need for a greater number of studies of this nature. Future research, especially those of an empirical nature, controlled and randomized, will consolidate the external validity of the results found by studies with nature such as this one. SMAD Revista Eletrônica Saúde Mental Álcool E Drogas (Edição Em Português), 16(3), 55-63. https://doi.org/10.11606/issn.1806-6976.smad.2020.165509