Evaluation of a mindfulness-based intervention with and without virtual reality dialectical behavior therapy® mindfulness skills training for the treatment of generalized anxiety disorder in primary care: A pilot study
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Altres documents de l'autoria: Navarro Haro, Maria Vicenta; Modrego-Alarcón, Marta; hoffman, hunter; López-Montoyo, Alba; Navarro Gil, María Teresa; Montero-Marín, Jesús; Díaz-García, Amanda; Borao, Luis; Garcia-Campayo, Javier
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Evaluation of a mindfulness-based intervention with and without virtual reality dialectical behavior therapy® mindfulness skills training for the treatment of generalized anxiety disorder in primary care: A pilot studyAutoria
Data de publicació
2019-01Editor
Frontiers MediaCita bibliogràfica
NAVARRO HARO, María Vicenta; MODREGO-ALARCÓN, Marta; HOFFMAN, Hunter G.; LÓPEZ MONTOYO, Alba; NAVARRO GIL, María Teresa; MONTERO MARÍN, Jesús; GARCÍA-PALACIOS, Azucena; BORAO, Luis; GARCÍA CAMPAYO, Javier (2019). Evaluation of a mindfulness-based intervention with and without virtual reality dialectical behavior therapy® mindfulness skills training for the treatment of generalized anxiety disorder in primary care: A pilot study. Frontiers in Psychology, v. 10Tipus de document
info:eu-repo/semantics/articleVersió de l'editorial
https://www.frontiersin.org/articles/10.3389/fpsyg.2019.00055/fullVersió
info:eu-repo/semantics/publishedVersionParaules clau / Matèries
Resum
Generalized Anxiety Disorder (GAD) is a very prevalent disorder in primary care (PC).
Most patients with GAD never seek treatment, and those who do seek treatment
often drop out before completing treatment. Although ... [+]
Generalized Anxiety Disorder (GAD) is a very prevalent disorder in primary care (PC).
Most patients with GAD never seek treatment, and those who do seek treatment
often drop out before completing treatment. Although it is an understudied treatment,
Mindfulness-Based Interventions (MBIs) indicate preliminary efficacy for the treatment of
GAD symptoms, but many patients with GAD present other associated symptoms (e.g.,
attention deficits) that complicate the treatment. Virtual Reality DBTR Mindfulness Skills
learning has recently been developed to make learning mindfulness easier for patients
with emotion dysregulation who have trouble concentrating. Virtual Reality (VR) might
serve as a visual guide for practicing mindfulness as it gives patients the illusion of “being
there” in the 3D computer generated world. The main goal of this study was to evaluate
the effect of two MBIs (a MBI in a group setting alone and the same MBI plus 10 min
VR DBTR Mindfulness skills training) to reduce GAD symptoms. A secondary aim was
to explore the effect in depression, emotion regulation, mindfulness, and interoceptive
awareness. Other exploratory aims regarding the use of VR DBTR Mindfulness skills
were also carried out. The sample was composed of 42 patients (roughly half in each
group) with GAD attending PC visits. After treatment, both groups of patients showed
significant improvements in General Anxiety Disorder measured by the GAD-7 using
mixed regression models [MBI alone (B = −5.70; p < 0.001; d = −1.36), MBICVR
DBTR Mindfulness skills (B = −4.38; p < 0.001; d = −1.33)]. Both groups also showed
significant improvements in anxiety, depression, difficulties of emotion regulation and
several aspects of mindfulness and interoceptive awareness. Patients in the group that
received additional 10 min VR DBT Mindfulness Skills training were significantly more
adherent to the treatment than those receiving only standard MBI (100% completion rate in MBI C VR vs. 70% completion rate in MBI alone; Fisher = 0.020). Although
randomized controlled studies with larger samples are needed, this pilot study shows
preliminary effectiveness of MBI to treat GAD, and preliminary evidence that adjunctive
VR DBTR Mindfulness Skills may reduce dropouts. [-]
Publicat a
Frontiers in Psychology (2019), v. 10Proyecto de investigación
1) DGA group (B17-17R); 2) Network for Prevention and Health Promotion in primary Care (RD16/0007/0005) grant from the Instituto de Salud Carlos III of the Spanish Ministry of Economy and Competitiveness co-financed with European Union ERDF funds; 3) The Mayday Fund, NIH grants to David Patterson R01GM042725 and R01AR054115Drets d'accés
info:eu-repo/semantics/openAccess
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