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Broadening horizons: Mindfulness-based cognitive therapy for older people experiencing depression

Peter Keohane

FPOP Bulletin: Psychology of Older People 2014 DOI: 10.53841/bpsfpop.2014.1.125.49 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Qualitative Case report Peer reviewed
Sample size 8
Population Older people in a community-based group
Intervention Mindfulness-based cognitive therapy (MBCT)
Topics Depression Meditation
Key findings Two of the four analyzed participants showed significant and reliable reductions in depression and distress after adapted MBCT, while mindfulness showed little change. Participants' questionnaire responses identified helpful and less helpful aspects of the adapted program, leading to recommendations for further adaptation. The authors argue these results support prior calls to develop MBCT for older people.

Abstract

Mindfulness-based cognitive therapy (MBCT) is an integrative psychological approach linking mindful meditation with cognitive therapy. It has a strong evidence base in treating recurrent depression. However, limited research has been completed with older people. The present study evaluates one adapted, community based MBCT group (N=8) in a partial replication of Smith, Graham and Senthinathan (2007). Levels of depression, psychological distress and mindfulness were assessed on a single case basis using standardised measures. Responses from an anonymous client satisfaction questionnaire provided qualitative data for thematic analysis. Significant and reliable reductions in depression and distress were found in two of the four analysed participants. Little change in mindfulness was observed. Thematic analysis illustrated aspects of adapted MBCT that participants found helpful and less helpful, and recommendations for further adaptation were generated. This study builds on previous research advocating MBCT for older people and discusses the theoretical and clinical implications for future service provision.

Comparable studies

Other case reports and case series on depression, most cited first.

Study Year Design Participants
Electroconvulsive Therapy, Ketamine, and Esketamine in a Patient with Major Depressive Disorder and Multiple Comorbidities: A Case Report over 10-year Treatment from Adolescence to Adulthood. A patient with treatment-resistant depression and comorbid generalized anxiety... 2025 Case report n = 1
Oral Administration of the NMDA Receptor Antagonist S-Ketamine as Add-On Therapy of Depression: A Case Series Four depressed patients taking standard antidepressants 2009 Case series n = 4
A longitudinal case series of IM ketamine for patients with severe and enduring eating disorders and comorbid treatment‐resistant depression Patients with enduring eating disorders and treatment-resistant depression 2021 Case series n = 4
Effects of intranasal (S)-ketamine on Veterans with co-morbid treatment-resistant depression and PTSD: A retrospective case series Veterans with co-morbid depression and PTSD 2022 Retrospective case series n = 35
Case report: Intramuscular ketamine or intranasal esketamine as a treatment in four patients with major depressive disorder and comorbid anorexia nervosa Patients with anorexia nervosa and a comorbid depressive disorder treated at a private... 2023 Case report n = 4

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