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

International Journal of Bipolar Disorders

Eline Regeer¹  Marc Lochmann van Bennekom²  Nicole van der Horst³  Marieke Boele³  Imke Hanssen⁴  Anne Speckens⁴ 

[1] Altecht Institute for Mental Health Care, Outpatient Clinic for Bipolar Disorder, Lange Nieuwstraat 119, 3512 PG, Utrecht, The Netherlands;Pro Persona Institute for Mental Health Care, Outpatient Clinic for Bipolar Disorders, Tarweweg 2, 6534 AM, Nijmegen, The Netherlands;Radboud University Medical Centre, Department of Psychiatry, Centre for Mindfulness, Postbus 9101, 6500 HB, Nijmegen, The Netherlands;Radboud University Medical Centre, Department of Psychiatry, Centre for Mindfulness, Postbus 9101, 6500 HB, Nijmegen, The Netherlands;Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, The Netherlands;

关键词: MBCT;    Bipolar disorder;    Barriers;    Facilitators;    Qualitative research;   

DOI  :  10.1186/s40345-020-00197-y

来源: Springer

【 摘 要 】

BackgroundMindfulness- 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.MethodThis 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.ResultsParticipants 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.ConclusionThe 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.Trial registration: ClinicalTrials.gov, NCT03507647. Registered 25th of April 2018, https://clinicaltrials.gov/ct2/show/NCT03507647.

【 授权许可】

CC BY