Saturday, August 23, 2014

A mindfulness-based therapy for depression has the added benefit of reducing health-care visits among patients who often see their family doctors, according to a new study by the Centre for Addiction and Mental Health (CAMH) and the Institute for Clinical Evaluative Sciences (ICES)

The research showed that frequent health service users who received mindfulness-based cognitive therapy showed a significant reduction in non-mental health care visits over a one-year period, compared with those who received other types of group therapy. "We speculate that mindfulness-based cognitive therapy has elements that could help people who are high health-care utilizers manage their distress without needing to go to a doctor," says Dr. Paul Kurdyak, lead author and Director of Health Systems Research at CAMH and Lead of the Mental Health and Addictions Research Program at ICES. Mindfulness-based cognitive therapy is a structured form of psychotherapy that combines elements of cognitive-behaviour therapy with mindfulness meditation. It is delivered in a group setting for eight weekly sessions. The therapy was originally developed to prevent relapse of symptoms among people with recurring depression, as an alternative to ongoing medication treatment. It has been proven effective in multiple studies, and has been applied to other conditions such as anxiety and chronic pain. "Primary care physicians play a large role in managing patients with distress, and they often report feeling overwhelmed and unable to effectively deal with cases of medically unexplained symptoms," says Dr. Kurdyak. "This study shows the potential of mindfulness-based cognitive therapy to help both patients and their doctors."

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