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Participant experiences of change in mindfulness-based stress reduction for anxiety disorders.

International journal of qualitative studies on health and well-being
January 1, 1970
Elisabeth Schanche et al. (6 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

To explore the subjective experiences of change among individuals with anxiety disorders after participating in a mindfulness-based stress reduction (MBSR) program.

Results Summary

Participants reported relief from anxiety, increased personal agency, and some described radical acceptance of anxiety and self-compassion. The study identified five main themes of change, supporting MBSR as a transdiagnostic approach for anxiety disorders.

Population

Individuals with anxiety disorders

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based stress reduction (MBSR)
decrease
anxiety
individuals with anxiety disorders
-
described relief from
#1
mindfulness-based stress reduction (MBSR)
increase
personal agency
individuals with anxiety disorders
-
increased sense of
#2
mindfulness-based stress reduction (MBSR)
increase
anxiety
a few participants
-
reported more radical acceptance of
#3
mindfulness-based stress reduction (MBSR)
increase
self-compassion
a few participants
-
increased
#4
mindfulness-based stress reduction (MBSR)
increase
dysfunctional cognitive processes (including attentional biases)
participants
-
corresponds with better handling of
#5
mindfulness-based stress reduction (MBSR)
increase
emotional dysregulation
participants
-
corresponds with better handling of
#6
mindfulness-based stress reduction (MBSR)
increase
avoidance behaviours
participants
-
corresponds with better handling of
#7
mindfulness-based stress reduction (MBSR)
increase
maladaptive self-relatedness
participants
-
corresponds with better handling of
#8
Abstract

AIM: To explore experiences of change among participants in a randomized clinical trial of mindfulness-based stress reduction (MBSR) for anxiety disorders. METHOD: Semi-structured interviews were conducted to explore the subjective experiences of change for individuals with anxiety disorders after a course in MBSR. Interviews were analysed employing hermeneutic-phenomenological thematic analysis. RESULTS: Five main themes were identified: 1) Something useful to do when anxiety appears, 2) Feeling more at ease, 3) Doing things my anxiety wouldn't let me, 4) Meeting what is there, and 5) Better-but not there yet. Most participants used what they had learned for instrumental purposes, and described relief from anxiety and an increased sense of personal agency. A few reported more radical acceptance of anxiety, as well as increased self-compassion. CONCLUSION: Participants of MBSR both describe mindfulness as a tool to "fix" anxiety and as bringing about more fundamental change towards acceptance of their anxiety. The complexity of reported change corresponds with better handling of areas representing known transdiagnostic features of anxiety disorder, such as dysfunctional cognitive processes (including attentional biases), emotional dysregulation, avoidance behaviours, and maladaptive self-relatedness. This supports MBSR as a transdiagnostic approach to the treatment of anxiety disorders.

Medical Subject Headings (MeSH)
AdultAnxietyAnxiety DisordersEmpathyFemaleHumansMaleMiddle AgedMindfulnessNorwayPatient SatisfactionQualitative ResearchQuality of LifeSelf CareStress, Psychological
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations4
Citations/Year0.8
Relative Citation Ratio0.54
NIH Percentile29.2%
Research Impact Scores
APT Score0.05
Weight Score1.49
Normalized Score0.69
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