Analysis of the efficacy of mindfulness meditation in a mutual aid group for bipolar disorder

• Francisco A Burgos-Julián ^[1] ; Cintia Díaz-Silveira ; Raquel Ruiz-Íñiguez ; Miguel A Santed-Germán
  1. [1] Universidad Autónoma de Madrid

     Universidad Autónoma de Madrid

     Madrid, España

     
• Localización: Clínica y salud: Investigación Empírica en Psicología, ISSN 1130-5274, Vol. 35, Nº. 2, 2024, págs. 49-55
• Idioma: inglés
• DOI: 10.5093/clysa2024a4
• Títulos paralelos:
  • El análisis de la eficacia de la meditación mindfulness en un grupo de ayuda mutua para el trastorno bipolar
• Enlaces
  • Texto completo
• Resumen
  • español

    RESUMEN Antecedentes: El trastorno bipolar (TB) es un trastorno mental grave e incapacitante caracterizado por la presencia de fases de manía, hipomanía o depresión. Este estudio cuasi-experimental con 21 pacientes con TB (Medad = 44 años, DT = 11.45, 6% mujeres) compara la eficacia de un grupo de ayuda mutua simple (GAM) con otro grupo de ayuda mutua que siguió una intervención con mindfulness (GAM+M) durante seis semanas. Método: Ambos grupos fueron evaluados pretest y post-test con las siguientes variables: depresión, manía, ansiedad, mindfulness y aceptación psicológica. Resultados: Los análisis intragrupo pretest-postest mostraron que GAM+M mejoró significativamente en las medidas de depresión (z = -2.31, p = .02) y ansiedad rasgo (z = -2.43, p = .01), mientras que el GAM simple no mejoró en ninguna de las medidas evaluadas. No obstante, no se encontraron diferencias significativas entre los grupos en el post-test. Conclusiones: Estos hallazgos sugieren un papel potencial de la inclusión de la meditación mindfulness en los GAM de pacientes con TB para mejorar los síntomas de depresión y ansiedad.

  • English

    ABSTRACT Background: The bipolar disorder (BD) is a severe, disabling mental disorder characterized by phases of mania, hypomania, or depression. The present quasi-experimental study of 21 BD patients (Mage = 44 years, SD = 11.45, 6% women) compared the efficacy of a mutual aid group (MAG) with a MAG that followed a mindfulness-based intervention (MAG+M) over 6 weeks. Method: Both groups were evaluated pre-test and post-test with the following variables: depression, mania, anxiety, mindfulness, and psychological acceptance. Results: Pretest and post-test intragroup analyses showed that MAG+M improved significantly in measures of depression (z = -2.31, p = .02) and trait anxiety (z = -2.43, p = .01), while MAG did not improve in any of the measures. There were no statistically significant differences between groups in the post-test. Conclusions: Our findings suggest that mindfulness meditation may improve symptoms of depression and anxiety in a MAG for BD patients.

• Referencias bibliográficas
  • Altman, E. G,Hedeker, D,Peterson, J. L,Davis, J. M. (1997). The Altman Self-rating Mania Scale. Biological Psychiatry. 42. 948
  • Álvarez, P. M,Benavent, P. R,García, J. M. V,Livianos, L. A,Rojo, L. M. (2005). Translation and adaptation in the Spanish environment of the...
  • (2013). Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders. APA.
  • Bauer, I. E,Galvez, J. F,Hamilton, J. E,Balanza-Martinez, V,Zunta-Soares, G. B,Soares, J. C,Meyer, T. D. (2016). Lifestyle interventions targeting...
  • Beck, A. T,Steer, R. A,Ball, R,Ranieri, W.. (1996). Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. Journal...
  • Behler, J,Daniels, A,Scott, J,Mehl-Madrona, L. (2017). Depression/bipolar peer support groups: perceptions of group members' perceptions...
  • Bennett, F,Hodgetts, S,Close, A,Frye, M,Grunze, H,Keck, P,KupkA, E,McElroy, S,Nolen, W,Post, R,Schärer, L,Suppes, T,Sharma, A. N.. (2019)....
  • Brown, K. W,Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality...
  • Burgos, F. A,Ruiz-Íñiguez, R,Peña-Ibáñez, F,Montero, A. C,Santed-Germán, M. A. (2022). Mindfulness-based and mindfulness-informed interventions...
  • Buz, J,Gómez-Martínez, Á,Gómez-Martínez, M,Crego, A,Yela, J. R,Sánchez-Zaballos, E.. (2022). Validity evidence of the Spanish Version of the...
  • Che-Sheng, C,Stubbs, B,Tien-Yu, C,Chia-Hung, T,Dian-Jeng, L,Wei-Cheng, Y,Ching-Kuan, W,Carvalho, A. F,Vieta, E,Miklowitz, D. J,Ping-Tao, T,Pao-Yen,...
  • Chu, C,Stubbs, B,Chen, T,Tang, C,Li, D,Yang, W,Wu, C-K,Carvalho, A. F,Vieta, E,Miklowitz, D. J,Tseng, P-T,Lin, P. (2018). The effectiveness...
  • Cloutier, M,Greene, M,Guerin, A,Touya, M,Wu, E.. (2018). The economic burden of bipolar I disorder in the United States in 2015. Journal of...
  • Dale, E,Kelly, P. J,Lee, K. K,Conigrave, J. H,Ivers, R,Clapham, K. (2019). A systematic review of addiction recovery mutual support groups...
  • Echezarraga, A,Calvete, E,Orue, I,Las Hayas, C. (2022). Resilience moderates the associations between BD mood episodes and mental health....
  • Faurholt-Jepsen, M,Busk, J,Tønning, M. L,Bardram, J. E,Frost, M,Vinberg, M,Kessing, L. V. (2023). Irritability in BD and unipolar disorder...
  • Ferrando, L,Bobes, J,Gibert, J,Soto, M,Soto, O.. (1999). MINI Entrevista Neuropsiquiátrica Internacional.
  • Gogharia, V. M,Harrowb, M. (2019). Anxiety symptoms across twenty-years in schizoaffective disorder, bipolar disorder, and major depressive...
  • Goldberg, S. B,Tucker, R. P,Greene, P. A,Davidson, R. J,Wampold, B. E,Kearney, D. J,Simpson, T. L. (2018). Mindfulness-based interventions...
  • Green, S. B,Salkind, N. J. (2010). Using SPSS for windows and macintosh: Analyzing and understanding data. Prentice Hall Press.
  • Gu, J,Strauss, C,Bond, R,Cavanagh, K.. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental...
  • Hancock, J,Perich, T. (2022). Personal recovery in psychological interventions for bipolar disorder: A systematic review. Australian Psychologist....
  • Hayes, S. C,Strosahl, K,Wilson, K. G,Bissett, R. T,Pistorello, J,Toarmino, D,Polusny, M. A,Dykstra, T. A,Batten, S. V,Bergan, J,Stewart, S....
  • Johannsen, M,Nissen, E. R,Lundorff, M,O'Toole, M. S. (2022). Mediators of acceptance and mindfulness-based therapies for anxiety and depression:...
  • Kabat-Zinn, J.. (2009). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Delta.
  • Karanti, A,Kardell, M,Joas, E,Runeson, B,Pålsson, E,Landén, M. (2020). Characteristics of bipolar I and II disorder: A study of 8766 individuals....
  • Kelly, J. F,Hoffman, L,Vilsaint, C,Weiss, R,Nierenberg, A,Hoeppner, B.. (2019). Peer support for mood disorder: Characteristics and benefits...
  • Kurtz, L. F. (1988). Mutual aid for affective disorders: The manic depressive and depressive association. American Journal of Orthopsychiatry....
  • Lecrubier, Y,Sheehan, D. V,Weiller, E,Amorim, P,Bonora, I,Sheehan, K. H,Janavs, J,Dunbar, G. C. (1997). The Mini International Neuropsychiatric...
  • Loranger, A. W,Sartorius, N,Andreoli, A,Berger, P,Buchheim, P,Channabasavanna, S. M,Regier, D. A. (1994). The International Personality Disorder...
  • Lovas, D. A,Schuman-Olivier, Z. (2018). Mindfulness-based cognitive therapy for bipolar disorder: A systematic review. Journal of Affective...
  • Mairal, J. B.. (2004). Spanish adaptation of the Acceptance and Action Questionnaire (AAQ). International Journal of Psychology and Psychological...
  • McGinty, K. R,Janos, J,Seay, J,Youngstrom, J. K,Findling, R. L,Youngstrom, E. A,Freeman, A. J. (2023). Comparing self-reported quality of...
  • Mellinger, J. L,Fernandez, A. C,Winder, G. S. (2023). Management of alcohol use disorder in patients with chronic liver disease. Hepatology...
  • Miura, T,Noma, H,Furukawa, T. A,Mitsuyasu, H,Tanaka, S,Stockton, S,Salanti, G,Motomura, K,Shimano-Katsuki, S,Leucht, S,Cipriani, A,Geddes,...
  • Mordkoff, J. T.. (2019). A simple method for removing bias from a popular measure of standardized effect size: Adjusted partial eta squared....
  • Park, T,Reilly-Spong, M,Gross, C. R. (2013). Mindfulness: A systematic review of instruments to measure an emergent patient reported outcome...
  • Perich, T,Manicavasagar, V,Mitchell, P. B,Ball, J. R,Hadzi-Pavlovic, D. (2013). A randomized controlled trial of mindfulness-based cognitive...
  • Post, F,Pardeller, S,Frajo-Apor, B,Kemmler, G,Sondermann, C,Hausmann, A,Fleischhacker, W. W,Mizuno, Y,Uchida, H,Hofer, A. (2018). Quality...
  • Ptáek, M,Lugo, R. G,Steptoe, K,Sütterlin, S. (2023). Effectiveness of the mindfulness–acceptance–commitment approach: A meta-analysis. International...
  • Rowland, T. A,Marwaha, S. (2018). Epidemiology and risk factors for bipolar disorder. Peutic Advances in Psychopharmacology. 8. 251
  • Ruiz-Íñiguez, R,Carralero Montero, A,Burgos-Julián, F. A,Fabelo Roche, J. R,Santed, M. Á. (2023). Comparison of two brief mindfulness interventions...
  • Rybakowski, J. K,Ferensztajn-Rochowiak, E.. (2023). Updated perspectives on how and when lithium should be used in the treatment of mood disorders....
  • Samalin, L,de Chazeron, I,Vieta, E,Bellivier, F,Llorca, P. M.. (2016). Residual symptoms and specific functional impairments in euthymic patients...
  • San Narciso, G. I,Carreño, J. E,Pérez, S. F,Alvarez, C,González, M. P,Bobes, J. (1998). Evolución de los trastornos de personalidad evaluados...
  • Sanz, J,García-Vera, M. P.,Espinosa, R.,Fortún, M,Vázquez, C. (2005). Adaptación española del Inventario para la Depresión de Beck-II (BDI-II):...
  • Smith, J. C.. (2019). Third-generation mindfulness & the universe of relaxation: Professional version. Kendall Hunt Publishing Company.
  • Soriano, J. G,Pérez-Fuentes, M. C,Molero-Jurado, M. M,Gázquez, J. J,Tortosa, B. M,González, A. (2020). Benefits of mindfulness-based symptoms...
  • Spielberger, C. D,Cubero, N. S,Gorsuch, R. L,Lushene, R. E. (1982). Manual del cuestionario de ansiedad estado/rasgo (STAI). TEA Ediciones.
  • Sverre, K. T,Nissen, E. R,Farver-Vestergaard, I,Johannesen, M,Zachariae, R.. (2022). Comparing the efficacy of mindfulness-based therapy and...
  • Williams, M,Honan, C,Skromanis, S,Sanderson, B,Matthews, A. J.. (2023). Psychological outcomes and mechanisms of mindfulness-based training...
  • (2015). World Health Organization International statistical classification of diseases and related health problems, 10th revision, Fifth edition,...
  • Zhang, Y,Zhang, H,Zhang, Y,Yang, Z,Wang, L,Pan, W,Dai, R,Ju, Q,Ren, D,Bao, S,Fan, J. (2023). Effect of MBSR, DBT and CBT on the hypertension...