Mindfulness-based cognitive therapy (MBCT) for patients with medically unexplained symptoms: Process of change
| Autor: | Esther Muskens, Peter Lucassen, Hiske van Ravesteijn, Fred Wester, Anne E. M. Speckens, Chris van Weel, Yvonne B. Suijkerbuijk, Jasmijn A. Langbroek |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Psychotherapist Mindfulness medicine.medical_treatment Emotions Population Stress-related disorders Donders Center for Medical Neuroscience [Radboudumc 13] Social issues Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Young Adult Stress-related disorders Radboud Institute for Health Sciences [Radboudumc 13] medicine Humans Somatoform Disorders education Aged Mindfulness-based cognitive therapy education.field_of_study Primary Health Care Other Research Radboud Institute for Health Sciences [Radboudumc 0] Behavioral pattern Awareness Middle Aged Self Care Psychiatry and Mental health Clinical Psychology Meditation Treatment Outcome Cognitive therapy Female Psychology Self-compassion Clinical psychology Qualitative research |
| Zdroj: | Journal of Psychosomatic Research, 77, 1, pp. 27-33 Journal of Psychosomatic Research, 77, 27-33 |
| ISSN: | 0022-3999 |
| DOI: | 10.1016/j.jpsychores.2014.04.010 |
| Popis: | Item does not contain fulltext BACKGROUND: A recent randomized controlled trial provided preliminary evidence for the effectiveness of mindfulness based cognitive therapy (MBCT) for the top 10% frequent attenders in primary care with persistent medically unexplained symptoms (MUS). This qualitative study aims to explore working mechanisms and possible barriers of MBCT in this population. METHODS: Twelve participants of the trial were interviewed about their experiences. This was done before and after the MBCT course, and 12months later. Written evaluations of participants and notes of participant observers were used for data-triangulation. RESULTS: In total, 35 qualitative interviews were conducted. MBCT initiated a process of change, starting with awareness of the present moment, the associated sensory experiences, thoughts and emotions and accepting rather than resisting these. Participants started to recognize their own behavioral patterns and change them, thus improving self-care. Self-compassion seemed to result from and facilitate this process. Main barriers were concurrent social problems and the inability or unwillingness to accept symptoms. CONCLUSIONS: MBCT can start a process of change in patients with persistent MUS. Awareness and acceptance of painful symptoms and emotions are key factors in this process. Change of unhelpful behavioral patterns and increased self-care and self-compassion can result from this process. |
| Databáze: | OpenAIRE |
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