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Influence of adjuvant mindfulness-based cognitive therapy (MBCT) on symptoms of post-traumatic stress disorder (PTSD) in veterans - results from a randomized control study.

Cognitive behaviour therapy
September 1, 2018
Mostafa Jasbi et al. (9 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether mindfulness-based cognitive therapy (MBCT) as an add-on to standard citalopram treatment could reduce PTSD symptoms, depression, anxiety, and stress in Iranian veterans.

Results Summary

MBCT significantly reduced PTSD symptoms (re-experiencing, avoidance, negative mood, hyperarousal), depression, anxiety, and stress compared to the control group, suggesting it is an effective adjuvant to SSRI medication.

Population

Male Iranian veterans of the Iran-Iraq war with PTSD (mean age: 52.97 years).

Effective Dosage

MBCT delivered in weekly group sessions (specific mindfulness dosage not detailed).

Duration

8 weeks.

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based cognitive therapy (MBCT) as add-on to a standard treatment with citalopram
decrease
symptoms of PTSD
Iranian veterans of the Iran-Iraq war
-
significantly reduce
#1
mindfulness-based cognitive therapy (MBCT) as add-on to a standard treatment with citalopram
decrease
symptoms of depression
Iranian veterans of the Iran-Iraq war
-
significantly reduce
#2
mindfulness-based cognitive therapy (MBCT) as add-on to a standard treatment with citalopram
decrease
symptoms of anxiety
Iranian veterans of the Iran-Iraq war
-
significantly reduce
#3
mindfulness-based cognitive therapy (MBCT) as add-on to a standard treatment with citalopram
decrease
symptoms of stress
Iranian veterans of the Iran-Iraq war
-
significantly reduce
#4
mindfulness-based cognitive therapy (MBCT) as add-on to a standard treatment with citalopram
decrease
scores for PTSD (re-experiencing events, avoidance, negative mood and cognition, hyperarousal)
male veterans with PTSD
-
lower
#5
mindfulness-based cognitive therapy (MBCT) as add-on to a standard treatment with citalopram
decrease
scores for depression
male veterans with PTSD
-
lower
#6
mindfulness-based cognitive therapy (MBCT) as add-on to a standard treatment with citalopram
decrease
scores for anxiety
male veterans with PTSD
-
lower
#7
mindfulness-based cognitive therapy (MBCT) as add-on to a standard treatment with citalopram
decrease
scores for stress
male veterans with PTSD
-
lower
#8
Abstract

Even 30 or more years after the end of a war, veterans can suffer from post-traumatic stress disorder (PTSD). In the present study, we explored the influence on symptoms of PTSD among Iranian veterans of the Iran-Iraq war of mindfulness-based cognitive therapy (MBCT) as add-on to a standard treatment with citalopram. Forty-eight male veterans with PTSD (mean age: 52.97 years) took part in this eight-week intervention study. Standard treatment for all patients consisted of citalopram (30-50 mg/day at therapeutic dosages). Patients were randomly assigned either to the treatment or to the control condition. Treatment involved MBCT delivered in group sessions once a week. Patients in the control condition met at the hospital with the same frequency and duration for socio-therapeutic events. At baseline and at study completion, patients completed questionnaires covering symptoms of PTSD, depression, anxiety, and stress. At study completion after eight weeks, scores for PTSD (re-experiencing events, avoidance, negative mood and cognition, hyperarousal), depression, anxiety, and stress were lower, but more so in the intervention than the control group. Data suggest that, as adjuvant to standard SSRI medication, MBCT is an effective intervention to significantly reduce symptoms of PTSD, depression, anxiety, and stress among veterans.

Medical Subject Headings (MeSH)
CitalopramCognitive Behavioral TherapyCombined Modality TherapyHumansIranMaleMiddle AgedMindfulnessSelective Serotonin Reuptake InhibitorsStress Disorders, Post-TraumaticSurveys and QuestionnairesTreatment OutcomeVeterans
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations30
Citations/Year4.3
Relative Citation Ratio2.08
NIH Percentile75.7%
Research Impact Scores
APT Score0.75
Weight Score2.19
Normalized Score0.70
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