Explore: The Journal of Science and Healing
Volume 5, Issue 6 , Pages 330-337 , November 2009

Multimodal Mind/Body Group Therapy for Chronic Depression: A Pilot Study

  • Suzanne A.S. Little, PhD

      Affiliations

    • William Alanson White Institute and Albert Einstein College of Medicine, New York, NY
    • Corresponding Author InformationCorresponding Author. Address: 15 West 12th Street, 1C, New York, NY 10011
  • ,
  • Benjamin Kligler, MD

      Affiliations

    • Department of Integrative Medicine, Beth Israel Medical Center, New York, NY
  • ,
  • Peter Homel, PhD

      Affiliations

    • Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, NY
  • ,
  • Shoshana S. Belisle, LMSW

      Affiliations

    • Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, NY
  • ,
  • Woodson Merrell, MD

      Affiliations

    • Department of Integrative Medicine, Beth Israel Medical Center, New York, NY

References 

  1. Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Arch Gen Psychiatry. 2005;62:617–627
  2. Kerman G, Weissman MM. Increasing rates of depression. JAMA. 1989;261:2229–2235
  3. Judd LJ. The clinical course of unipolar major depressive disorders. Arch Gen Psychiatry. 1997;54:989–991
  4. Soloman DA, Keller MB, Leon AC, et al. Multiple recurrences of major depressive disorder. Am J Psychiatry. 2000;157:229–233
  5. Klein DN, Hayden EP. Dysthymic disorder: current status and future directions. Curr Opin Psychiatry. 2000;13:171–177
  6. Zorrilla EP, Luborsky L, McKay JR, et al. The relationship of depression and stressors to immunological assays: a meta-analytic review. Brain Behav Immun. 2001;15:195–226
  7. Fundamentals. In:  Kligler B,  Lee R editor. Integrative Medicine: Principles for Practice. New York, NY: McGraw Hill; 2003;p. 3–24
  8. Gold PW, Chrousos GP. Organization of the stress system and its dysregulation in melancholic and atypical depression: high vs. low CHR/NE states. Mol Psychiatry. 2003;7:254–272
  9. Sapolsky RM. Glucocorticoids and hippocampal atrophy in neuropsychiatric disorders. Arch Gen Psychiatry. 2000;57:925–935
  10. Schotte CK, Van Den Bossche B, De Doncker D, Claes S, Cosyns P. A biopsychosocial model as a guide for psychoeducation and treatment of depression. Depress Anxiety. 2006;23:312–324
  11. Eisenberg DM, Davis RB, Ettner SL, et al. Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey. JAMA. 1998;280:1569–1575
  12. Kessler RC, Soukup J, Davis RB, Foster DF, Wilkey SA, Van Rompay MI, et al. The use of complementary and alternative therapies to treat anxiety and depression in the United States. Am J Psychiatry. 2001;158:289–294
  13. Segal ZV, Pearson JL, Thase ME. Challenges in preventing relapse in major depression (Report of a National Institute of Mental Health Workshop on state of the science of relapse prevention in major depression). J Affect Disord. 2003;77:97–108
  14. Williams JW, Mulrow CD, Chiquette E, Noel PH, Aguilar C, Cornell J. A Systematic review of newer pharmacotherapies for depression in adults: evidence report summary. Ann Intern Med. 2000;132:743–756
  15. Hirschfeld RM, Montgomery SA, Aguglia E, et al. Partial response and nonresponse to antidepressant therapy: current approaches and treatment options. J Clin Psychiatry. 2002;63:826–837
  16. Elkin I, Shea T, Watkins JK, et al. National Institute of Mental health treatment of depression collaborative program: 1 (General effectiveness of treatments). Arch Gen Psychiatry. 1989;46:971–982
  17. Westen D, Morrison K. A multidimensional meta-analysis of treatments for depression, panic, and generalized anxiety disorder. J Consult Clin Psychol. 2001;69:875–899
  18. Hellerstein D, Little S, Samstag L, et al. Adding group psychotherapy to medication treatment in dysthymia: a randomized prospective outcome study. J Psychother Res. 2001;10:93–102
  19. Williams M, Teasdale J, Segal Z, Kabat-Zinn J. The Mindful Way through Depression: Freeing Yourself from Chronic Unhappiness. New York, NY: Guilford Press; 2007;
  20. Segal ZV, Williams JM, Teasdale JD. Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse. New York, NY: Guilford Press; 2002;
  21. Hayes SC. Buddhism and acceptance and commitment therapy. Cogn Behav Pract. 2002;9:58–66
  22. In:  Shannon S editors. Complementary and Alternative Therapies in Mental Health. San Diego, Calif: Academic Press; 2001;
  23. Peeke P, Frishett S. The role of complementary and alternative therapies in women's mental health. Prim Care. 2002;29:183–197
  24. Grzywacz JG, Suerken CK, Quandt SA, Bell RA, Lang WO, Arcury T. Older adults' use of complementary and alternative medicine for meantal health: findings from the 2002 National Health Interview Survey. J Altern Complement Med. 2006;12:467–473
  25. Wu P, Fuller C, Liu X, et al. Use of contemporary and alternative medicine among women with depression: results of a national survey. Psychiatr Serv. 2007;58:349–356
  26. Kohatsu W. Nutrition and depression. Explore (NY). 2005;1:474–476
  27. Babyak M, Blumental JA, Herman S, et al. Exercise treatment for major depression: maintenance of therapeutic benefit at 10 months. Psychosom Med. 2000;62:633–638
  28. Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196:129–136
  29. Engel GL. The clinical application of the biopsychosocial model. Am J Psychiatry. 1980;137:535–544
  30. Seligman MEP, Csikszentmihalyi M. Positive psychology: an introduction. Am Psychol. 2000;55:5–14
  31. Little S. Mind-body medicine. In:  Kligler B,  Lee R editor. Integrative Medicine: Principles for Practice. New York: McGraw Hill; 2003;p. 37–69
  32. Norcross JC, Goldfried MReds. The future of psychotherapy integration: a roundtable. J Psychother Integrat. 2005;15:392–471
  33. Brown KW, Ryan RM. The benefits of being present: mindfulness and its role of psychological well-being. J Pers Soc Psychol. 2003;84:822–848
  34. Shapiro SL, Schwartz GE, Bonner G. Effects of mindfulness-based stress reduction on medical and premedical students. J Behav Med. 1998;21:581–598
  35. Nolen-Hoeksema S. The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. J Abnorm Psychol. 2000;109:504–511
  36. Teasdale JT, Segal ZV, Williams JMG, Ridgeway V, Soulsby J, Lau M. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol. 2000;68:615–623
  37. Ramel W, Goldin PR, Carmona PE, McQuaid JR. The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognit Ther Res. 2004;28:433–455
  38. Fredrickson BL. Cultivating positive emotions to optimize health and well-being. Prev Health. 2003;3:1–25http://journals.apa.org/prevention
  39. Fredrickson BL, Levenson RW. Positive emotions speed recovery from the cardiovascular sequelae of negative emotions. Cognit Emot. 1998;12:191–220
  40. Goldman SL, Kraemer DT, Salovey P. Beliefs about mood moderate the relationship of stress to illness and symptom reporting. J Psychosom Med. 1996;41:115–128
  41. Shapiro SL, Schwartz GE. Intentional systemic mindfulness: an integrative model for self-regulation and health. Adv Mind Body Med. 2000;16:128–134
  42. Levenson M, Aldwin CM, Yancura L. Positive emotional change: mediating effects of forgiveness and spirituality. Explore (NY). 2006;2:498–508
  43. Chodrun P. When Things Fall Apart: Heart Advice for Difficult Times. Boston, Mass: Shambhala Publications; 2005;
  44. Ryan RM, Frederick CM. On energy, personality and health: subjective vitality as a dynamic reflection of well-being. J Pers. 1997;65:529–565
  45. Benson H, Beary JF, Carol MP. The relaxation response. Psychiatry. 1974;37:37–46
  46. Tugade MM, Frederickson BL. Resilient individuals use positive emotions to bounce back from negative emotional experiences. J Pers Soc Psychol. 2004;86:320–333
  47. Ewen B. Mood disorders and allostatic load. Biol Psychiatry. 2003;54:200–207
  48. Csikszentmihalyi M. Flow:The Psychology of Optimal Experience. New York, NY: Harper Collins; 1990;
  49. Beck AJ, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio, Tex: Psychological Corporation; 1996;
  50. Derogatis L. The Symptom Checklist-90 Revised: Administration, Scoring, and Procedures Manual II. Baltimore, Md: Clinical Psychometric Research; 1983;
  51. Scheier MF, Carver CS. Optimism, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychol. 1985;4:219–247
  52. Ware JE, Kosinski MA, Keller SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220–233
  53. DePuy HJ. The Psychological General Well-Being (PGWB) Index. In:  Wender NK,  Mattson ME,  Purberg CD,  Elinson J editor. Assessment of Quality of Life in Clinical Trials of Cardiovascular Therapies. New York, NY: Le Jacq; 1984;p. 170–183
  54. Davidson RJ, Pizzagalli D, Nitschke JB. The representation and regulation of emotion in depression: perspectives from affective neuroscience. In:  Gotlib IH,  Hammen CL editor. The Handbook of Depression. 1st ed.. New York, NY: Guilford Press; 2002;p. 219–244
  55. Deci E, Ryan R. Autonomous motivation for therapy: a new common factor in brief treatments for depression. Psychother Res. 2007;17:137–147
  56. Kabat-Zinn J. Full Catastrophe Living. New York, NY: Delacorte Press; 1990;
  57. Margison FR, Barkham M, Evans C, et al. Measurement and psychotherapy: evidenced-based practice and practice-based evidence. Br J Psychiatry. 2000;177:123–130
  58. Schwartz GE, Schloss EP. World hypotheses and the evolution of integrative medicine: combining categorical diagnoses and cause-effect interventions with whole systems research and nonvisualizable (“seemingly impossible”) healing. Explore (NY). 2006;2:509–514

PII: S1550-8307(09)00279-1

doi: 10.1016/j.explore.2009.08.004

Explore: The Journal of Science and Healing
Volume 5, Issue 6 , Pages 330-337 , November 2009