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Brief adjunctive mindfulness-based cognitive therapy via Telehealth for anxiety during the COVID-19 pandemic.

Emily M. O'Bryan, Elizabeth L. Davis, Jessica R Beadel, David F Tolin

Anxiety, Stress, and Coping January 2023 DOI: 10.1080/10615806.2022.2117305 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Open feasibility trial Peer reviewed
Sample size 23
Population Patients receiving individual cognitive-behavioral therapy for anxiety at an outpatient specialty clinic
Intervention Mindfulness-based cognitive therapy (MBCT)
Duration Four 75- to 90-minute sessions
Topics Anxiety Meditation
Keywords Cognitive–behavioral therapy Mindfulness-based cognitive therapy Telehealth Transdiagnostic
Key findings Brief telehealth MBCT added to individual CBT was feasible and acceptable, with good retention, attendance, and home practice compliance. Participants showed improvements in mindfulness and self-compassion and reductions in intolerance of uncertainty, anxiety sensitivity, distress intolerance, emotion dysregulation, and anxiety symptoms from pre- to post-intervention. The authors conclude it shows promise for engaging transdiagnostic treatment targets and reducing anxiety symptoms.

Abstract

While cognitive-behavioral therapy is a highly efficacious treatment for anxiety, additional research is needed to identify adjunctive interventions that may augment treatment outcome. In response to the COVID-19 pandemic, we conducted an open feasibility trial of brief (i.e., four 75- to 90-minute sessions) mindfulness-based cognitive therapy (MBCT) for anxiety via telehealth for patients (N = 23) receiving individual CBT at an outpatient specialty clinic. Self-report measures of home practice compliance (weekly), intervention acceptability (post-intervention), mindfulness and self-compassion, anxiety and depressive symptoms, and transdiagnostic processes (pre- and post-intervention) were administered as part of routine clinical practice. Results indicated good retention and attendance rates, few technical difficulties, good home practice compliance, and high levels of perceived importance. Participants indicated that they would highly recommend the group to others and also recommended extending the group beyond four sessions. There were significant improvements in mindfulness and self-compassion and reductions in intolerance of uncertainty, anxiety sensitivity, distress intolerance, emotion dysregulation, and anxiety symptoms from pre- to post-intervention. Brief MBCT as an adjunctive treatment for anxiety via telehealth is feasible and acceptable, and shows promise in terms of engaging treatment targets and transdiagnostic processes and reducing anxiety symptoms.

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