Author Contributions: HCB and PS conceptualized and designed the study. JV, JG were involved in the acquisition of data. KM and PS supervised the data analysis. JV, JG, HCB, and KM contributed to qualitative analysis and reporting. HCB wrote the first draft of the manuscript.
Meditation-Based Lifestyle Modification (MBLM) is a complex eight-week mind-body intervention based on the traditional eight-fold path of classical yoga. MBLM was developed for mental health care, and it combines ethical living, physical yoga, and meditation. In this qualitative study, the subjectively perceived efficacy of MBLM was compared to the perceived efficacy of an individually tailored, multi-professional psychiatric treatment (MPT) in a psychiatric outpatient clinic. Twelve patients were interviewed for this study (six for each condition). All qualitative interviews were analyzed using thematic analysis. In total, five main themes with associated subthemes emerged from the data: calmness, increased awareness, interpersonal relationships, depressive symptoms, and difficulties within the therapy. Moreover, our study showed significant differences between the two therapy groups. First, the groups differed regarding the frequency with which various topics were addressed by the patients. Second, the perceived effectiveness of both therapies (MBLM vs. MPT) varied according to descriptions of the perceived changes in each participant. The participants in the MBLM program generally appeared to experience a deeper emotional-experiential integration which contrasted with the more cognitive-behavioral processing of the MPT patients. These findings may guide further research and the implementation of similar complementary therapies in psychiatry.
IntroductionCentralized ratings by telephone have proven feasible for assessment of psychiatric diagnosis, symptom severity, and suicidality, and may be used for safety assessments in non-psychiatric trials with sites that do not employ staff experienced in psychiatric assessment.ObjectiveTo assess whether centralizing assessments with mental health experts enables immediate clinical follow-up and actionable diagnostic support for investigators.AimsTo examine the feasibility of centralized ratings in a Phase III dermatology clinical trial for safety assessments.Methods1127 subjects enrolled in a trial of medication for their dermatologic condition were assessed via telephone by central raters who administered the SCID-CT, C-SSRS and PHQ-8 at screening. At monthly visits, central raters performed the C-SSRS, PHQ-8, GAD-7 and items designed to detect emergent psychotic symptoms.Results:Screening34 subjects were excluded on the basis of SCID-CT diagnosis. Based on diagnosis or severity, subjects were classified as being in no need of mental health services, having mild psychiatric symptoms (referred to local mental health service provider; n=33), moderate (immediate referral for psychiatric evaluation; n=17), or severe (immediate escort to emergency room; n=0).One subject reported suicidal ideation on the C-SSRS, 10 reported self-injurious behavior, and 5 reported suicidal behavior in the last year.Follow-UpNo subjects reported suicidal ideation or behavior at any of the 6861 follow-up assessments. One subject reported self-injurious behavior and two reported emergent psychotic symptoms.ConclusionsThis study established the feasibility and acceptability of routine screening and monitoring of psychopathology and suicidality by central raters in a non-psychiatric population.
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