1 Forskningsklinikken for Funktionelle Lidelser og Psykosomatik, Faculty of Health Sciences, Aarhus University, Aarhus University2 Department of Clinical Medicine - Forskningsklinikken for Funktionelle Lidelser, Department of Clinical Medicine, Health, Aarhus University3 Department of Clinical Medicine - Forskningsklinikken for Funktionelle Lidelser, Department of Clinical Medicine, Health, Aarhus University
a randomized controlled trial
MINDFULNESS-BASED COGNITIVE THERAPY FOR FUNCTIONAL DISORDERS- A RANDOMISED CONTROLLED TRIAL Background: Mindfulness-Based Stress Reduction (MBSR) is a group skills-training program developed by Kabat-Zinn. It is designed to teach patients to become more aware of and relate differently to their thoughts, feelings, and bodily sensations. Randomised controlled studies of MBSR have shown mitigation of stress, anxiety, and dysphoria in general population and reduction in total mood disturbance and stress symptoms in a medical population. In Mindfulness Based Cognitive Therapy MBSR is recombined with cognitive therapy. Aim: To examine the efficacy of Mindfulness-Based Cognitive Therapy in severe Functional disorders, defined as severe Bodily Distress Disorder. Method: 120 patients are randomised to either Mindfulness Based Cognitive Therapy: a manualized programme with eight weekly 3 ½ hour group training sessions, and one follow-up session (n=60), or Psychiatric Consultation intervention: patients are offered a psychiatric consultation after the assessment interview. It is the aim to optimise treatment in the present health care system (n=60). Outcome: The patients are followed up at the end of treatment and at 6 and 12 months. Primary outcome measures are Physical health SF-36 Physical Component Summary. Secondary outcome measures are Health care utilization, Physical symptoms, Psychosocial functioning, Psychiatric symptoms, Health anxiety, Mindfulness and Lifestyle factors. Results: Experiences and results from the first two treatment groups (N 48) will be represented.