Journal
COMPLEMENTARY THERAPIES IN MEDICINE
Volume 56, Issue -, Pages -Publisher
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.ctim.2020.102598
Keywords
Depression; Yoga; Mantra; Meditation; Virtue ethics; Patanjali; Yama; Niyama; Feasibility
Categories
Funding
- Karl and Veronica Carstens Foundation, Germany [KVC 0/098/2018]
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The study showed that the Meditation Based Lifestyle Modification program is highly feasible and acceptable for outpatients with mild to moderate depression. Patients experienced significant improvements in mental well-being and lifestyle adjustments, including reduction in depressive symptoms, increased eudaemonic well-being and mindfulness, as well as enhanced self-confidence and self-acceptance through the program.
Background: Integrative mental health care can be applied to treat depression with a person-centered, lifestyle-modifying, and more salutogenic approach to mental health and human flourishing. In this article, we report on the feasibility and acceptability of a new mind-body program, Meditation Based Lifestyle Modification (MBLM), in outpatients with mild or moderate depression. Methods: This is a single-arm mixed-methods feasibility study of n = 25 outpatients in psychiatric care. Depressive symptoms, scores for mindfulness, aspects of spirituality, and eudaemonic well-being based on yoga philosophy were assessed at baseline and at the end of the intervention. Adherence was monitored and face-to-face interviews were held after the program to explore the acceptability and feasibility of MBLM. Results: Twenty patients (75 %) completed at least six sessions of the course. Adherence was 87.5 % of allocated sessions. In qualitative analysis, more than half of the participants experienced novelty and inspiration through practicing the ethical aspects of yoga (e.g., nonviolence, truthfulness, etc.). Almost all participants experienced a decrease in emotional distress. Virtually all participants reported more self-confidence and self-acceptance. In quantitative analysis, participants reported a clinically important decrease in depressive symptoms of 39.23 % (p = .002), eudaemonic well-being increased significantly in a range of related scales and scores for mindfulness increased (p < .001). Conclusion: MBLM is a highly acceptable and feasible program for outpatients with mild to moderate depression. This comprehensive, lifestyle-modifying approach is highly relevant to preventing and treating mental illness, and treating psychic comorbidities in patients with chronic somatic illness.
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