Participant perspectives on the acceptability and effectiveness of mindfulness-based cognitive behaviour therapy approaches for obsessive compulsive disorder

Abstract

Cognitive behavioural therapy (CBT) which includes Exposure and Response (ERP) is a highly effective, gold standard treatment for Obsessive-Compulsive Disorder (OCD). Nonetheless, not all patients with OCD significantly benefit from CBT. This has generated interest in the potential benefits of Mindfulness-Based Interventions (MBIs), either integrated with CBT, to enhance engagement with ERP tasks, or delivered as a stand-alone, first-line or therapy to augment CBT. This paper reports on two qualitative studies that involved a thematic analysis of interview data with participants in a 10-week Mindfulness-Based ERP (MB-ERP) course (study 1) and a 9-week Mindfulness-Based Cognitive Therapy course adapted for OCD (MBCT-OCD) (study 2). Whilst MB-ERP integrated a mindfulness component into a standard ERP protocol, MBCT-OCD adapted the psychoeducational components of the standard MBCT for depression protocol to suit OCD, but without explicit ERP tasks. Three common main themes emerged across MB-ERP and MBCT-OCD: 'satisfaction with course features', 'acceptability of key therapeutic tasks 'and 'using mindfulness to respond differently to OCD'. Sub-themes identified under the first two main themes were mostly unique to MB-ERP or MBCT-OCD, with the exception of '(struggles with) developing a mindfulness practice routine' whilst most of the sub-themes under the last main theme were shared across MB-ERP and MBCT-OCD participants. Findings suggested that participants generally perceived both MBIs as acceptable and potentially beneficial treatments for OCD, in line with theorised mechanisms of change.

Mindfulness-Based Cognitive Therapy for Unmedicated Obsessive-Compulsive Disorder: A Randomized Controlled Trial With 6-Month Follow-Up

“…In fact, in addition to being a synergistic intervention for patients with residual symptoms, mindfulness-based treatments like MBCT has been proven to effectively alleviate acute anxiety and depression ( 24 ). Leeuwerik et al ( 25 ) investigated two qualitative thematic analysis of interview data obtained from participants in a mindfulness-based ERP course and a MBCT course adapted for OCD without ERP tasks. Three common main themes emerge in both MB-ERP and MBCT for OCD and some different benefits are obtained from these two mindfulness-based interventions (MBIs).…”

الامتنان كمتغير مٌعدل للعلاقة بين الرضا عن الحياة وصراع الأسرة - العمل لدي عينة من الممرضات السعوديات

“…‫ا٤قٚان‬ ‫٘مٖ‬ ‫ِٚٙاَ‬ ‫ٍِئٌٚ١اخ‬ ‫ذؽًّ‬ ‫فٟ‬ ‫تظؼٛتح‬ ‫٠شؼه‬ ‫٠عؼٍٗ‬ ‫ٚ٘ما‬ ‫اٌفهق‬ ‫ٌكٜ‬ ‫طؽٟ‬ ‫غ١ه‬ (Sabir,2021) ‫ف‬ ‫ٚا٨ٌرىاِاخ‬ ‫اٌفثهاخ‬ ‫ذركاـً‬ ‫ػٕكِا‬ ‫ٚاٌؼًّ‬ ‫ا٤ٌهج‬ ‫ت١ٓ‬ ‫اٌظهاع‬ ‫٠ؽكز‬ ‫وّا‬ ، ‫اٌؼًّ‬ ٟ ً ‫ٚأشىا٨‬ ‫اٌىائك،‬ ‫اٌؼًّ‬ ‫ٚػةء‬ ‫اٌّهٔح،‬ ‫غ١ه‬ ‫أٚ‬ ‫إٌّرظّح‬ ‫غ١ه‬ ‫أٚ‬ ‫اٌّىصفح‬ ‫اٌؼًّ‬ ‫وٍاػاخ‬ ‫ا٤ٌه٠ح‬ ‫اٌؽ١اج‬ ‫ِغ‬ ‫إٌّٙ١ح‬ ‫ٚا٨ٔرما٨خ‬ ‫اٌّىصف،‬ ‫ٚاٌٍفه‬ ‫اٌؼًّ،‬ ‫فٟ‬ ‫ا٤فهاق‬ ‫ت١ٓ‬ ‫واٌظهاع‬ ‫اٌؼًّ،‬ ‫ػغٛؽ‬ ِٓ ‫أـهٜ‬ (Lavassani & Movahedi, 2014) ‫اٌؽ١اج‬ ‫ػٓ‬ ‫اٌهػا‬ ‫أففاع‬ ‫ػٍ١ٗ‬ ‫٠رهذة‬ ‫ِّا‬ ‫٠ٍٍؾ‬ ‫ِا‬ ‫ٚ٘ما‬ ، ، ‫ٚا٨ِرٕاْ‬ ‫اٌؽ١اج‬ ‫ػٓ‬ ‫اٌهػا‬ ‫ِصً‬ ، ‫إٌفٍ١ح‬ ‫اٌظؽح‬ ‫ٌرؽٍ١ٓ‬ ‫اٌؽاٌّح‬ ‫اٌرهو١ثاخ‬ ‫فؽض‬ ‫أّ٘١ح‬ ‫ػٍٝ‬ ‫اٌؼٛء‬ ‫إٌفٍ١ح‬ ‫ٌٍظؽح‬ ‫فه٠كج‬ ‫وّئشهاخ‬ ‫ذؼًّ‬ ‫ٚاٌرٟ‬ (Meyer et al, 2019;Leeuwerik et al, 2020;Wilson et al, 2020). ‫مممهاق‬ ‫ا٤فم‬ ‫ممماػك‬ ‫ذٍم‬ ‫ممماْ‬ ‫وا٨ِرٕم‬ ‫مممح‬ ‫ا٦٠عات١م‬ ‫مممّاخ‬ ‫فاٌٍم‬ ‫ممم١ح‬ ‫إٌفٍم‬ ‫ممم٩ِح‬ ‫اٌٍم‬ ‫مممٓ‬ ‫ِم‬ ٍ ‫ممماي‬ ‫ػم‬ ‫مممرٜٛ‬ ‫ٍِم‬ ‫مممٝ‬ ‫اٌم‬ ‫مممٛي‬ ‫ٌٍٛطم‬ ، ‫ٚػٍّٙمممُ‬ ‫ممهُ٘،‬ ‫أٌم‬ ‫ٚػمممٓ‬ ‫ممه٠ٓ،‬ ‫ا٢ـم‬ ‫ٚػمممٓ‬ ‫ممُٙ‬ ‫أٔفٍم‬ ‫ػمممٓ‬ ‫مما‬ ‫نػم‬ ‫أوصمممه‬ ‫ممثؽٛا‬ ‫٠ظم‬ ‫ٚأْ‬ ‫اٌؼمٍ١مممح،‬ ‫ممؽح‬ ‫ٚاٌظم‬ ‫تؤٌهٖ‬ ‫اٌّعرّغ‬ ‫ٚػٓ‬ (Seligman & Csikszentmihalyi, 2014) .…”