Treatment Engagement and Outcomes of Mindfulness-Based Cognitive Therapy for Veterans with Psychiatric Disorders.
J Altern Complement Med
; 25(9): 902-909, 2019 Sep.
Article
em En
| MEDLINE
| ID: mdl-31328956
ABSTRACT
Objectives:
The aim of this study was to evaluate utilization and outcomes of mindfulness-based cognitive therapy (MBCT) provided to veterans with psychiatric disorders.Design:
Retrospective chart review. Settings Veterans Administration Medical Center (VAMC).Subjects:
Ninety-eight veterans with psychiatric illness who were enrolled in an MBCT class between May of 2012 and January of 2016. Subjects were predominately white (95%), male (81%), and >50 years old (74%). The most common psychiatric conditions were any mood disorder (82%) and post-traumatic stress disorder (54%). Intervention Eight-week MBCT class. Outcomemeasures:
Session attendance and pre- to postintervention changes in numbers of emergency department (ED) visits and psychiatric hospitalizations.Results:
The average number of sessions attended was 4.87 of 8 and only 16% were present for all sessions. Veteran demographic variables did not predict the number of MBCT sessions attended. However, both greater numbers of pre-MBCT ED visits (p = 0.004) and psychiatric admissions (p = 0.031) were associated with attending fewer sessions. Among patients who experienced at least one pre- or post-treatment psychiatric admission in the 2 years pre- or postintervention (N = 26, 27%), there was a significant reduction in psychiatric admissions from pre to post (p = 0.002). There was no significant change in ED visits (p = 0.535).Conclusions:
MBCT may be challenging to implement for veterans with psychiatric illness in, at least some, outpatient VAMC settings due to a high attrition rate. Possible mediation approaches include development of methods to screen for high dropout risk and/or development of shorter mindfulness-based interventions (MBIs) and/or coupling MBIs with pleasurable activities. The finding of a significant decrease in psychiatric hospitalizations from pre- to post-MBCT suggests that prospective studies are warranted utilizing MBCT for veterans at high risk for psychiatric hospitalization.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Veteranos
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Aceitação pelo Paciente de Cuidados de Saúde
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Terapia Cognitivo-Comportamental
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Atenção Plena
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Transtornos Mentais
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article