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This study evaluated the effectiveness of an eight-session mindfulness-based cognitive therapy (MBCT) group intervention programme for treating depression in coronary heart disease (CHD) patients. Thirty-two depressed CHD patients were assigned to an MBCT treatment group, and a demographically and clinically similar group of 30 cases were assigned to a waiting list control group. Participants were evaluated at baseline, 8 weeks, and 6-month follow-up with the Hospital Anxiety and Depression Scale (HADS), Brief Symptom Inventory (BSI), Profile of Mood States (POMS), Psychosocial Adjustment to Illness Scale (PAIS) and the Mindful Attention Awareness Scale (MAAS). After each session, MBCT participants completed the post-session Questionnaire on helpful aspects of therapy and after the programme, completed the Client Satisfaction Questionnaire. At follow-up, 71 % of the MBCT group was clinically recovered from depression compared with 50 % of the control group. The MBCT group showed significantly greater improvement than the control group on all measures with effect sizes at follow-up of d = 0.43–1.0. Increases in mindfulness on the MAAS correlated significantly with improvements on the HADS, BSI, POMS and PAIS. Key helpful aspects of therapy identified by MBCT participants included learning meditation, obtaining group support and developing optimism. There was a high level of satisfaction with the MBCT programme. These results indicate that a randomized controlled trial of MBCT for depressed CHD patients is now warranted.
Patients and referrers are increasingly seeking effective psychological treatments for depression as an alternative or adjunct to antidepressant medication. This paper describes a new group-based psychological intervention for major depressive disorder—the Say ‘Yes’ to Life (SYTL) program. This program integrates evidence-based interventions from cognitive behavior therapy (CBT) and positive psychology, spans 20 2-hour sessions, and is offered to groups of up to 14 participants.
Patients and referrers are increasingly seeking effective psychological treatments for depression as an alternative or adjunct to antidepressant medication. This paper describes a new group-based psychological intervention for major depressive disorder—the Say ‘Yes’ to Life (SYTL) program. This program integrates evidence-based interventions from cognitive behavior therapy (CBT) and positive psychology, spans 20 2-hour sessions, and is offered to groups of up to 14 participants.
Social and emotional development (SED) entails the acquisition of skills for expressing and regulating emotions, and managing social relationships. During middle childhood, with the transition to primary school and increasing involvement with peers, important gains are made refining rudimentary skills developed during the preschool years. From 6 to 12 years children develop multiple strategies for autonomously regulating emotions and managing relationships in increasingly sophisticated ways. The efficiency with which this occurs is influenced by complex interactions among multiple personal and contextual factors. Personal factors include genetic endowment, temperament, cognitive abilities, self-esteem, social cognition and moral development. Contextual factors include attachment, parenting style, parental adjustment, family functioning, school environment, peer group relationships, and the wider social and cultural environment. There is significant continuity in social emotional development from middle childhood to adolescence. Prevention and treatment programmes have been developed to address SED problems.