Feasibility and Acceptability of Mindfulness-based Cognitive Therapy Compared with Mindfulness-based Stress Reduction and Treatment as Usual in People with Depression and Cardiovascular Disorders: a Three-Arm Randomised Controlled Trial

Depression co-occurs in 20% of people with cardiovascular disorders, can persist for years and predicts worse physical health outcomes. While psychosocial treatments have been shown to treat acute depression effectively in those with comorbid cardiovascular disorders, to date, there has been no eval...

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Bibliographic Details
Published in:Mindfulness 2020, Vol.11 (1), p.30-50
Main Authors: Alsubaie, Modi, Dickens, Chris, Dunn, Barnaby D., Gibson, Andy, Ukoumunne, Obioha C., Evans, Alison, Vicary, Rachael, Gandhi, Manish, Kuyken, Willem
Format: Article
Language:English
Subjects:
Anxiety
Behavioral Science and Psychology
Blood pressure
Cardiovascular disease
Child and School Psychology
Cognition & reasoning
Cognitive Psychology
Cognitive therapy
Comorbidity
Feasibility
Heart
Hypertension
Intervention
Mental depression
Mindfulness
Original Paper
Pediatrics
Psychology
Public Health
Quality of life
Self-efficacy
Social Sciences
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Summary:Depression co-occurs in 20% of people with cardiovascular disorders, can persist for years and predicts worse physical health outcomes. While psychosocial treatments have been shown to treat acute depression effectively in those with comorbid cardiovascular disorders, to date, there has been no evaluation of approaches aiming to prevent relapse and treat residual depression symptoms in this group. Consequently, the current study aimed to examine the feasibility and acceptability of a randomised controlled trial design evaluating an adapted version of mindfulness-based cognitive therapy (MBCT) designed specifically for people with comorbid depression and cardiovascular disorders. A three-arm feasibility randomised controlled trial was conducted, comparing MBCT adapted for people with cardiovascular disorders plus treatment as usual (TAU), mindfulness-based stress reduction (MBSR) plus TAU and TAU alone. Participants completed a set of self-report measures of depression severity, anxiety, quality of life, illness perceptions, mindfulness, self-compassion and affect and had their blood pressure taken immediately before, after and 3 months following the intervention. Those in the adapted-MBCT arm additionally underwent a qualitative interview to gather their views about the adapted intervention. Three thousand four hundred potentially eligible participants were approached when attending an outpatient appointment at a cardiology clinic or via a GP letter following a case note search. Two hundred forty-two (7.1%) were interested in taking part, 59 (1.7%) were screened as being suitable and 33 (
ISSN:1868-8527
1868-8535
DOI:10.1007/s12671-018-0999-8