The effectiveness of a brief mind-body intervention for treating depression in community health center patients.

Journal: Global advances in health and medicine

Volume: 4

Issue: 2

Year of Publication: 2015

Affiliated Institutions:  Benson-Henry Institute for Mind Body Medicine at the Massachusetts General Hospital (MGH), Boston (Dr Miller), United States. Benson-Henry Institute for Mind Body Medicine at the Massachusetts General Hospital (MGH), Boston (Ms Chad-Friedman), United States. Benson-Henry Institute for Mind Body Medicine at the Massachusetts General Hospital (MGH), Boston (Ms Haime), United States. Benson-Henry Institute for Mind Body Medicine at the Massachusetts General Hospital (MGH), Boston (Dr Mehta), United States. Benson-Henry Institute for Mind Body Medicine at the Massachusetts General Hospital (MGH), Boston (Ms Lepoutre), United States. MGH Charlestown Health Center (Ms Gilburd), United States. Benson-Henry Institute for Mind Body Medicine at the Massachusetts General Hospital (MGH), Boston (Ms Peltier-Saxe), United States. Red Sox Foundation, Boston, and MGH Home Base Program (Ms Lilley), United States. Benson-Henry Institute for Mind Body Medicine at the Massachusetts General Hospital (MGH), Boston (Dr Benson), United States. Benson-Henry Institute for Mind Body Medicine at the Massachusetts General Hospital (MGH), Boston (Dr Fricchione), United States. Benson-Henry Institute for Mind Body Medicine at the Massachusetts General Hospital (MGH), Boston (Dr Denninger), United States. Benson-Henry Institute for Mind Body Medicine at the Massachusetts General Hospital (MGH), Boston (Dr Yeung), United States.

Abstract summary 

The objective of this pilot study was to examine the effects of a brief, 6-week, 1.5-hour mind-body intervention for depression (MBID) in patients being treated for depression in 2 community health centers.The MBID taught techniques such as meditation that elicit the relaxation response (RR) in combination with additional resiliency-enhancing components. Clinical outcomes of 24 depressed patients were measured pre-MBID, at completion of MBID, and 3 months post-MBID, using the Center for Epidemiological Studies Depression Scale (CES-D 10), Quality of Life Scale (QoL5), SF-12 Health Survey (SF-12), and Health-Promoting Lifestyle Profile-II (HPLP-II).Significant post-treatment improvements were shown in depressive symptoms, spiritual growth, mental health, and quality of life, with a median CES-D 10 change from 17.5 (interquartile ratio [IQR] 13.3-22) to 12 (IQR 10-17.5; P<.001); a median HPLP-II Spiritual Growth subscale change from 2.0 (IQR 1.8-2.3) to 2.3 (IQR 2.0-3.0; P=.002) and a median HPLP-II Stress Management subscale change from 2.0 (IQR 1.8-2.4) to 2.4 (IQR 2.0-2.9; P=.027); significant improvement in median score on the QoL-5 from 53.3 (IQR 47.5-62.5) at baseline to 63.3 at endpoint (IQR 50-70; P=.008). Three-month follow-up data suggest that the improvement in outcomes were sustained 3 months after the intervention.Participation in a 6-week RR-based MBID is associated with an improvement in depression, spiritual growth, and mental health among depressed community health center patients.

Authors & Co-authors:  Miller Kathleen M KM Chad-Friedman Emma E Haime Vivian V Mehta Darshan H DH Lepoutre Veronique V Gilburd Dinah D Peltier-Saxe Donna D Lilley Cally C Benson Herbert H Fricchione Gregory L GL Denninger John W JW Yeung Albert A

Study Outcome 

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Statistics
Citations :  Wells KB, Stewart A, Hays RD. The functioning and well-being of depressed patients. Results from the medical outcomes study. JAMA. 1989; 262(7): 914–9.
Authors :  12
Identifiers
Doi : 10.7453/gahmj.2014.074
SSN : 2164-957X
Study Population
Male,Female
Mesh Terms
Other Terms
Mind-body;community health centers;depression;relaxation response
Study Design
Study Approach
Country of Study
Publication Country
United States