Article2012

Effects of Participation in a Mindfulness Program for Veterans With Posttraumatic Stress Disorder: A Randomized Controlled Pilot Study

David J. Kearney · Kelly A. McDermott · Carol A. Malte · Michelle E. Martinez · Tracy L. Simpson

184 citations0/0 files storedJournal of Clinical Psychology

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Mindfulness and Compassion Interventions Posttraumatic Stress Disorder Research Psychotherapy Techniques and Applications

Abstract

OBJECTIVE: To assess outcomes associated with Mindfulness-Based Stress Reduction (MBSR) for veterans with PTSD. METHODS: Forty-seven veterans with posttraumatic stress disorder (PTSD; 37 male, 32 Caucasian) were randomized to treatment as usual (TAU; n = 22), or MBSR plus TAU (n = 25). PTSD, depression, and mental health-related quality of life (HRQOL) were assessed at baseline, posttreatment, and 4-month follow-up. Standardized effect sizes and the proportion with clinically meaningful changes in outcomes were calculated. RESULTS: Intention-to-treat analyses found no reliable effects of MBSR on PTSD or depression. Mental HRQOL improved posttreatment but there was no reliable effect at 4 months. At 4-month follow-up, more veterans randomized to MBSR had clinically meaningful change in mental HRQOL, and in both mental HRQOL and PTSD symptoms. Completer analyses (≥ 4 classes attended) showed medium to large between group effect sizes for depression, mental HRQOL, and mindfulness skills. CONCLUSIONS: Additional studies are warranted to assess MBSR for veterans with PTSD.

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References

2001The PHQ-9 2000Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR)1995Posttraumatic Stress Disorder in the National Comorbidity Survey 1991Clinical significance: A statistical approach to defining meaningful change in psychotherapy research.1991Clinical significance: A statistical approach to defining meaningful change in psychotherapy research.2008Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness 1995The development of a Clinician-Administered PTSD Scale 2003Mindfulness Training as a Clinical Intervention: A Conceptual and Empirical Review

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