The Effectiveness of a Brief Mind-Body Intervention for Treating Depression in Community Health Center Patients

Abstract

Objective:

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.

Design:

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).

Results:

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 sub-scale 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.

Conclusions:

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.

Keywords: Mind-body, relaxation response, depression, community health centers

Abstract

Objetivo:

el objetivo de este estudio piloto era examinar los efectos de una intervención de cuerpo y mente breve para tratar la depre-sión (Mind-Body Intervention for Depression, MBID) de 6 semanas en sesiones de 1 hora y media de duración en pacientes tratados por depresión en dos centros de salud comunitarios.

Diseño:

las técnicas MBID enseñadas, como la meditación, que suscitan la respuesta de relajación (RR), en combinación con componentes adicionales de aumento de la resiliencia. Se midieron los resultados clínicos de 24 pacientes deprimidos antes de la MBID, una vez completada la MBID y 3 meses después de la MBID, utilizando la escala de depresión del Centro para estudios epidemiológicos (Center for Epidemiological Studies Depression Scale, CES-D 10), la escala de calidad de vida (CDV5), la encuesta de salud SF-12 (SF-12) y el perfil II de estilo vital de promo-ción de salud (Health-Promoting Lifestyle Profile II, HPLP-II).

Resultados:

se demostraron mejoras postratamiento significativas en los síntomas depresivos, crecimiento espiritual, salud mental y calidad de vida, con un cambio medio en el CES-D 10 de 17,5 (razón intercuartil [interquartile ratio, IQR] 13,3–22) a 12 (IQR 10–17,5; p<0,001); un cambio medio en la subescala HPLP-II de crecimiento espiritual de 2,0 (IQR 1,8–2,3) a 2,3 (IQR 2,0–3,0; p=0,002) y un cambio medio en la subescala HPLP-II de gestión del estrés de 2,0 (IQR 1,8–2,4) a 2,4 (IQR 2,0–2,9; p=0,027); mejora significativa en la puntuación media en la CdV-5 desde un valor inicial de 53,3 (IQR 47,5–62,5) a 63,3 en el momen-to de la valoración (IQR 50–70; p=0,008). Los datos del seguimiento de tres meses sugieren que la mejora de los resultados se mantuvo 3 meses después de la intervención.

Conclusiones:

la participación en una MBID de 6 semanas basada en RR se asocia con una mejora en la depresión, el crecimiento espiritual y la salud mental entre los pacientes deprimidos de centros de salud comunitarios.

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