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The feasibility of mindfulness-based cognitive therapy for people with bipolar disorder: a qualitative study.

Imke Hanssen, Nicole Van der Horst, Marieke Boele, Marc Lochmann van Bennekom, Eline Regeer, Anne E. M. Speckens

International Journal of Bipolar Disorders November 11, 2020 DOI: 10.1186/s40345-020-00197-y (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Randomized Peer reviewed
Sample size 16
Population People with bipolar disorder participating in an adapted 8-week MBCT program; MBCT teachers were also interviewed for triangulation
Intervention Mindfulness-Based Cognitive Therapy (MBCT)
Duration 8-week adapted MBCT program
Topics Meditation
Keywords Barriers Bipolar disorder Facilitators Qualitative research
Registration NCT03507647
Key findings The adapted MBCT program seemed feasible for people with bipolar disorder. Depressive symptoms often acted as a barrier to participation, suggesting depressed participants may need additional support, while manic symptoms could act as either a barrier or a facilitator, suggesting (hypo)mania need not be an exclusion criterion.

Abstract

Mindfulness- Based Cognitive Therapy (MBCT) could be a promising psychosocial intervention for people with bipolar disorder (BD). However, little is known about the feasibility of MBCT for people with BD. In this study we explore the facilitators and barriers people with BD experience of an adapted MBCT program. This qualitative study is part of a large, multicenter randomized controlled trial on MBCT for BD (trial registration number: NCT03507647). The present study included 16 participants with BD who participated in an 8-week adapted MBCT program. Semi- structured interviews exploring the feasibility, with a particular focus on the bipolar symptoms, were recorded verbatim, transcribed and analyzed. For reasons of triangulation, teachers were interviewed as well. Participants reported different barriers and facilitators of MBCT, both generally as well as with regard to their bipolar disorder. Four key themes arose: the training itself, psychosocial factors, personal characteristics and the bipolar disorder. Themes were further divided in subthemes. The adapted MBCT program seemed to be feasible for people with BD. Depressive symptoms often acted as a barrier for participating in MBCT, suggesting that participants might need additional support when depressed. Manic symptoms could act both as a barrier and facilitator, suggesting that the occurrence of (hypo)mania does not necessarily have to be an exclusion criterion for participation. Further clinical and research implications are suggested. ClinicalTrials.gov, NCT03507647. Registered 25th of April 2018, https://clinicaltrials.gov/ct2/show/NCT03507647 .

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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