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Transforming the Perceptual Situation: a Meta-ethnography of qualitative Work Reporting Patients’ Experiences of Mindfulness-Based Approaches

Abstract  

The UK National Institute for Clinical Excellence recommends Mindfulness-based Cognitive Therapy (MBCT) for the prevention
of relapse in chronic depression. Since Jon Kabat-Zinn first developed Mindfulness-based Stress Reduction (MBSR) in the 1980s,
most research has focused on questions of efficacy, i.e. does mindfulness work? More recently, interest has emerged in how
mindfulness-based interventions, such as MBSR and MBCT, are experienced by participants. To evaluate how participants experience
the 8-week MBSR/MBCT process, we carried out a meta-ethnography of published qualitative papers since 2001, whose focus is
the patient experience of MBCT and MBSR. A systematic search of six databases was carried out. Relevant papers were critically
appraised using a modified version of the Critical Appraisal Skills programme tool. Fourteen papers, each representing a unique
study, were included in the meta-ethnography. The synthesis describes patients’ experience of the mindfulness process. Linking
patient experiences to existing theories of mindfulness and chronic illness, the synthesis conceptualises the way participants
develop a new understanding of their illness over time, and the role mindfulness approaches have in helping them manage their
difficulties better.

  • Content Type Journal Article
  • Category ORIGINAL PAPER
  • Pages 1-16
  • DOI 10.1007/s12671-011-0081-2
  • Authors
    • Alice Malpass, School of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS UK
    • Havi Carel, Department of History, Philosophy and Politics, UWE Bristol, St. Matthias Campus, Oldbury Court Road, Bristol, BS16 2JP UK
    • Matthew Ridd, School of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS UK
    • Alison Shaw, School of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS UK
    • David Kessler, School of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS UK
    • Debbie Sharp, School of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS UK
    • Mark Bowden, Mindbase, Plymouth, UK
    • Julia Wallond, Bristol Insight Meditation Group, Bristol, UK
    • Journal Mindfulness
    • Online ISSN 1868-8535
    • Print ISSN 1868-8527
Posted in: Journal Article Abstracts on 11/17/2011 | Link to this post on IFP |
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