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Mindfulness-Based Bibliotherapy for the Treatment of Anxiety and Depression in Incarcerated Women

Nicole Teske, Joseph Korevec, Jennifer L. Schriver

Criminal Justice and Behavior January 21, 2025 DOI: 10.1177/00938548241313384 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 40
Population Women in prison
Duration 5-week intervention; outcomes assessed at 5 weeks, 10 weeks, and 3-month follow-up
Topics Anxiety Depression Meditation
Key findings A 5-week self-guided bibliotherapy workbook produced no significant symptom reduction at 5 weeks, but the treatment group showed reduced anxiety, depression, and distress and increased mindfulness at 10 weeks, with depression continuing to decrease at 3 months. The waitlist control group showed similar gains after receiving the intervention.

Abstract

This research examines the efficacy of a randomized controlled trial of bibliotherapy for reducing symptoms of anxiety and depression among women in prison. Forty women were randomly assigned to a 5-week bibliotherapy intervention with no therapist contact or a waitlist control group. Participants were provided a workbook based on principles of mindfulness and acceptance and commitment therapy. Although the treatment group did not demonstrate significant symptom reduction after 5 weeks, the group did demonstrate a delayed treatment effect at 10 weeks with reduced symptoms of anxiety, depression, and distress as well as increased mindfulness skills. Symptoms of depression continued to decrease at the 3-month follow-up, and other treatment gains were maintained. The waitlist control group demonstrated similar gains after participating in the intervention. This study suggests that low-cost, self-help interventions may provide important opportunities for treatment access to incarcerated populations.

Comparable studies

Other randomized controlled trials on anxiety, most cited first.

Study Year Design Participants
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial Cancer patients with life-threatening diagnoses and symptoms of depression and/or anxiety 2016 Randomized controlled trial n = 51
Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial Patients with cancer-related anxiety and depression 2016 Double-blind, placebo-controlled, crossover trial n = 29
Psilocybin can occasion mystical-type experiences having substantial and sustained personal meaning and spiritual significance Hallucinogen-naïve adults reporting regular participation in religious or spiritual... 2006 Double-blind study n = 36
Pilot Study of Psilocybin Treatment for Anxiety in Patients With Advanced-Stage Cancer Adults with advanced-stage cancer and anxiety 2010 Double-blind, placebo-controlled study n = 12

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