Modified Mindfulness-Based Cognitive Therapy for Depressive Symptoms in Parkinson's Disease: A Pilot Trial

© British Association for Behavioural and Cognitive Psychotherapies 2019. Background: Mindfulness-based cognitive therapy (MBCT) has evidence of efficacy in a range of populations, but few studies to date have reported on MBCT for treatment of anxious and depressive symptoms in Parkinson's dise...

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Main Authors: Rodgers, S., Sch¿tze, Robert, Gasson, Natalie, Anderson, Rebecca, Kane, Robert, Starkstein, S., Morgan-Lowes, K., Egan, S.
Format: Journal Article
Published: Cambridge University Press 2019
Online Access:http://hdl.handle.net/20.500.11937/74549
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author Rodgers, S.
Sch¿tze, Robert
Gasson, Natalie
Anderson, Rebecca
Kane, Robert
Starkstein, S.
Morgan-Lowes, K.
Egan, S.
author_facet Rodgers, S.
Sch¿tze, Robert
Gasson, Natalie
Anderson, Rebecca
Kane, Robert
Starkstein, S.
Morgan-Lowes, K.
Egan, S.
author_sort Rodgers, S.
building Curtin Institutional Repository
collection Online Access
description © British Association for Behavioural and Cognitive Psychotherapies 2019. Background: Mindfulness-based cognitive therapy (MBCT) has evidence of efficacy in a range of populations, but few studies to date have reported on MBCT for treatment of anxious and depressive symptoms in Parkinson's disease (PD). Aims: The aim of this study was to examine the efficacy of modified MBCT in reducing symptoms of anxiety and depression and improving quality of life in PD. Method: Thirty-six individuals with PD were randomly assigned to either modified MBCT or a waitlist control. Changes in symptoms of anxiety, depression and quality of life were compared at group level using generalized linear mixed models and at individual level using reliable change analysis. Results: At post-treatment, there was a significant reduction in depressive symptoms for people undertaking modified MBCT at both group and individual levels compared with controls. There was no significant effect on anxiety or quality of life at the group level, although significantly more people had reliable improvement in anxiety after modified MBCT than after waitlist. Significantly more waitlist participants had reliable deterioration in symptoms of anxiety and depression than those completing modified MBCT. Most participants stayed engaged in modified MBCT, with only three drop-outs. Discussion: This proof-of-concept study demonstrates the potential efficacy of modified MBCT as a treatment for depressive symptoms in Parkinson's disease and suggests further research is warranted.
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spelling curtin-20.500.11937-745492019-02-19T05:36:19Z Modified Mindfulness-Based Cognitive Therapy for Depressive Symptoms in Parkinson's Disease: A Pilot Trial Rodgers, S. Sch¿tze, Robert Gasson, Natalie Anderson, Rebecca Kane, Robert Starkstein, S. Morgan-Lowes, K. Egan, S. © British Association for Behavioural and Cognitive Psychotherapies 2019. Background: Mindfulness-based cognitive therapy (MBCT) has evidence of efficacy in a range of populations, but few studies to date have reported on MBCT for treatment of anxious and depressive symptoms in Parkinson's disease (PD). Aims: The aim of this study was to examine the efficacy of modified MBCT in reducing symptoms of anxiety and depression and improving quality of life in PD. Method: Thirty-six individuals with PD were randomly assigned to either modified MBCT or a waitlist control. Changes in symptoms of anxiety, depression and quality of life were compared at group level using generalized linear mixed models and at individual level using reliable change analysis. Results: At post-treatment, there was a significant reduction in depressive symptoms for people undertaking modified MBCT at both group and individual levels compared with controls. There was no significant effect on anxiety or quality of life at the group level, although significantly more people had reliable improvement in anxiety after modified MBCT than after waitlist. Significantly more waitlist participants had reliable deterioration in symptoms of anxiety and depression than those completing modified MBCT. Most participants stayed engaged in modified MBCT, with only three drop-outs. Discussion: This proof-of-concept study demonstrates the potential efficacy of modified MBCT as a treatment for depressive symptoms in Parkinson's disease and suggests further research is warranted. 2019 Journal Article http://hdl.handle.net/20.500.11937/74549 10.1017/S135246581800070X Cambridge University Press restricted
spellingShingle Rodgers, S.
Sch¿tze, Robert
Gasson, Natalie
Anderson, Rebecca
Kane, Robert
Starkstein, S.
Morgan-Lowes, K.
Egan, S.
Modified Mindfulness-Based Cognitive Therapy for Depressive Symptoms in Parkinson's Disease: A Pilot Trial
title Modified Mindfulness-Based Cognitive Therapy for Depressive Symptoms in Parkinson's Disease: A Pilot Trial
title_full Modified Mindfulness-Based Cognitive Therapy for Depressive Symptoms in Parkinson's Disease: A Pilot Trial
title_fullStr Modified Mindfulness-Based Cognitive Therapy for Depressive Symptoms in Parkinson's Disease: A Pilot Trial
title_full_unstemmed Modified Mindfulness-Based Cognitive Therapy for Depressive Symptoms in Parkinson's Disease: A Pilot Trial
title_short Modified Mindfulness-Based Cognitive Therapy for Depressive Symptoms in Parkinson's Disease: A Pilot Trial
title_sort modified mindfulness-based cognitive therapy for depressive symptoms in parkinson's disease: a pilot trial
url http://hdl.handle.net/20.500.11937/74549