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The effect of mindfulness group therapy on a broad range of psychiatric symptoms: A randomised controlled trial in primary health care

Published online by Cambridge University Press:  23 March 2020

J. Sundquist ,
K. Palmér ,
L.M. Johansson  and
K. Sundquist
J. Sundquist*
Affiliation:
Center for Primary Health Care Research, Clinical Research Centre (CRC), Skåne University Hospital, Lund University, Building 28, Floor 11, Jan Waldenströms gata 35, 205 02Malmö, Sweden
K. Palmér
Affiliation:
Center for Primary Health Care Research, Clinical Research Centre (CRC), Skåne University Hospital, Lund University, Building 28, Floor 11, Jan Waldenströms gata 35, 205 02Malmö, Sweden
L.M. Johansson
Affiliation:
Center for Primary Health Care Research, Clinical Research Centre (CRC), Skåne University Hospital, Lund University, Building 28, Floor 11, Jan Waldenströms gata 35, 205 02Malmö, Sweden
K. Sundquist
Affiliation:
Center for Primary Health Care Research, Clinical Research Centre (CRC), Skåne University Hospital, Lund University, Building 28, Floor 11, Jan Waldenströms gata 35, 205 02Malmö, Sweden
*
*Corresponding author. E-mail address:jan.sundquist@med.lu.se (J. Sundquist).
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Abstract

Background:

The need for psychotherapy in primary health care is on the increase but individual-based treatment is costly. The main aim of this randomised controlled trial (RCT) was to compare the effect of mindfulness-based group therapy (MGT) with treatment as usual (TAU), mainly individual-based cognitive behavioural therapy (CBT), on a broad range of psychiatric symptoms in primary care patients diagnosed with depressive, anxiety and/or stress and adjustment disorders. An additional aim was to compare the effect of MGT with TAU on mindful attention awareness.

Methods:

This 8-week RCT took place in 2012 at 16 primary care centres in southern Sweden. The study population included both men and women, aged 20–64 years (n = 215). A broad range of psychiatric symptoms were evaluated at baseline and at the 8-week follow-up using the Symptom Checklist-90 (SCL-90). Mindful attention awareness was also evaluated using the Mindful Attention Awareness Scale (MAAS).

Results:

In both groups, the scores decreased significantly for all subscales and indexes in SCL-90, while the MAAS scores increased significantly. There were no significant differences in the change in psychiatric symptoms between the two groups. The mindfulness group had a somewhat larger change in scores than the control group on the MAAS (P = 0.06, non-significant).

Conclusions:

No significant differences between MGT and TAU, mainly individual-based CBT, were found in treatment effect. Both types of therapies could be used in primary care patients with depressive, anxiety and/or stress and adjustment disorders, where MGT has a potential to save limited resources.

Trial registration:

ClinicalTrials.gov identifier: NCT01476371.

Keywords

Affective disordersAnxiety disordersCognitive behaviour therapy (CBT)Other psychotherapy
Type
Original article
Information
European Psychiatry , Volume 43 , June 2017 , pp. 19 - 27
Copyright
Copyright © European Psychiatric Association 2017

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