Depression and Education as Predicting Factors for Completion of a Behavioral Medicine Intervention in a Mind/Body Medicine Clinic

Authors
Mutsuhiro Nakao, MD, MPH, Gregory Fricchione, MD, Patricia Myers, Patricia C. Zuttermeister, MA, Arthur J. Barsky, MD, Herbert Benson, MD
Publication
Behavioral Medicine
Volume 26, Issue 4
Abstract

The authors compared characteristics of 1,012 outpatients completing a 10-week behavioral medicine intervention with 300 outpatients who dropped out. They administered the Symptom Checklist-90 Revised (SCL-90R) before and after the program. Patients who completed the treatment, compared with dropouts, tended to be more highly educated, married, and gainfully employed. Their pretreatment scores on the SCL-90R were significantly lower than those of the dropouts on somatization, depression, and obsessive-compulsive scales and on the global severity index. Multiple logistic regression analysis indicated that lower depression and higher education marked the group who completed the intervention in contrast to the dropouts. After the intervention, all of the SCL-90R scores were significantly lower among patients who completed the treatment. Pre- to postintervention score changes were not significantly associated with the number of sessions attended. The findings suggest that the intervention had salutary effects in patients with mind/body distress and that its effectiveness was not diminished by a few absences. Depressed or less educated patients might benefit from preparatory interventions or from a modified approach to their treatment.

Related Listings
Genomic and Clinical Effects Associated with a ...
Authors
Braden Kuo, Manoj Bhasin, Jolene Jacquart, Matthew A. Scult, Lauren Slipp, Eric Isaac Kagan Riklin, Veronique Lepoutre, Nicole Comosa, Beth-Ann Norton, Allison Dassatti, Jessica Rosenblum, Andrea H. Thurler, Brian C. Surjanhata, Nicole N. Hasheminejad, Leslee Kagan, Ellen Slawsby, Sowmya R. Rao, Eric A. Macklin, Gregory L. Fricchione, Herbert Benson
Journal
PLOS ONE
·
Introduction Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Disease (IBD) can profoundly affect quality of life and are influenced by stress and resiliency. The impact of mind-body interventions (MBIs) on IBS and IBD patients has not previously been examined. Methods Nineteen IBS and 29 IBD patients were enrolled in a 9-week relaxation response based mind-body group intervention (RR-MBI), focusing on elicitation of the RR and cognitive skill building. Symptom questionnaires […]
The Efficacy of the Relaxation Response in Prep...
Authors
Jane Leserman, PhD, Ellen M. Stuart, MS, Mary E. Mamish, BA, Herbert Benson, MD
Journal
Behavioral Medicine
·
This study evaluated the efficacy of the relaxation response on the postoperative recovery of 27 cardiac surgery patients randomly assigned to one of two groups. Thirteen experimental group patients received educational information and practiced eliciting the relaxation response before and after surgery. The 14 patients in the control group received only information. Experimental and control groups were compared before and after surgery on both physiological and psychological recovery […]
Chronic Stress, Drug Use, and Vulnerability to ...
Authors
Rajita Sinha
Journal
Annals of the New York Academy of Sciences
·
Stress is a well-known risk factor in the development of addiction and in addiction relapse vulnerability. A series of population-based and epidemiological studies have identified specific stressors and individual-level variables that are predictive of substance use and abuse. Preclinical research also shows that stress exposure enhances drug self-administration and reinstates drug seeking in drug-experienced animals. The deleterious effects of early life stress, child maltreatment, a […]