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
Effects of gender and marital status on somatic...
Authors
Mutsuhiro Nakao, MD, MPH, Gregory Fricchione, MD, Patricia C. Zuttermeister, MA, Patricia Myers, Arthur J. Barsky, MD, Herbert Benson, MD
Journal
Behavioral Medicine
To clarify the mechanisms of gender-related mind/body relationships, the authors analyzed the characteristics of 1,132 outpatients (848 women and 284 men) attending a mind/body medicine clinic. At entry in the program, the patients completed the Medical Symptom Checklist, Symptom Checklist-90 revised (SCL-90R), and Stress Perception Scale. Women reported 9 out of 12 symptoms (fatigue, insomnia, headache, back pain, joint or limb pain, palpitations, constipation, nausea, and dizziness) […]
A one year follow-up of relaxation response med...
Authors
L Keefer, E B Blanchard
Journal
Behaviour Research Therapy
·
Ten of thirteen original participants with Irritable Bowel Syndrome (IBS) participated in a one year follow-up study to determine whether the effects of Relaxation Response Meditation (RRM) on IBS symptom reduction were maintained over the long-term. From pre-treatment to one-year follow-up, significant reductions were noted for the symptoms of abdominal pain (p=0.017), diarrhea (p=0.045), flatulence (p=0.030), and bloating (p=0.018). When we examined changes from the original three m […]
Mind-body medicine: a model of the comparative ...
Authors
Jeffery A. Dusek, Herbert Benson
Journal
Minn Med.
Although the physiological and biochemical changes that occur during the acute stress response have been well-characterized, the contrasting changes that underlie the relaxation response evoked by various mind-body techniques are less understood. To help guide future mind-body research, we present a conceptual model that integrates patterns of change at the physiological and molecular levels. In addition, we point to future research opportunities and discuss how repeated elicitation o […]