Background: Research on Mindfulness-Based Stress Reduction (MBSR) has supported the utility of the technique in a number of clinical settings. This study explored whether MBSR, used as an adjunct to individual psychotherapy, would result in more rapid alleviation of symptoms, increased achievement of therapeutic goals, and a decrease in number of therapy sessions sought by clients. Methods: A group undergoing psychotherapy coupled with training in MBSR was compared with a group undergoing psychotherapy alone. Results: At the conclusion of MBSR training, the groups showed a comparable significant decrease in psychological distress. However, the MBSR group’s gains on a novel measure of goal achievement were significantly greater than those of the comparison group. In addition, the MBSR group terminated therapy at a significantly greater rate than the comparison group. Conclusion: The effects of introducing MBSR early in psychotherapy, as well as its effect on self-directed goal attainment in non-psychotherapy contexts, deserve further attention.

Kabat-Zinn J: Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. New York, Dell, 1991.
Craven JL: Meditation and psychotherapy. Can J Psychiatry 1989;34:648–653.
Roth B, Creaser T: Mindfulness meditation-based stress reduction: Experience with a bilingual inter-city program. Nurse Pract 1997;22:150–176.
Greeson JM, Reibel DK, Rosenzweig S, Brainard GC: Mindfulness-based stress reduction and perceived stress in medical students. Ann Behav Med 2001;23(suppl):S96.
Reibel DK, Greeson GB, Rosenzweig S: Mindfulness-based stress reduction and health-related quality of life in a heterogeneous patient population. Gen Hosp Psychiatry 2001;23:183–192.
Shapiro SL, Schwartz GE, Bonner G: Effects of mindfulness-based stress reduction on medical and premedical students. J Behav Med 1998;21:581–599.
Astin JA: Stress reduction through mindfulness meditation. Effects on psychological symptomatology, sense of control, and spiritual experiences. Psychother Psychosom 1997;66:97–106.
Kabat-Zinn J, Wheeler E, Light T, Skillings A, Scharf MJ, Cropley TG, Hosmer D, Bernhard JD: Influence of a mindfulness meditation-based stress reduction intervention on rates of skin clearing in patients with moderate to severe psoriasis undergoing phototherapy (UVB) and photochemotherapy (PUVA). Psychosom Med 1998;50:625–632.
Speca M, Carlson LE, Goodey E, Angen M: A randomized, wait-list controlled clinical trial: The effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosom Med 2000;62:613–622.
Kabat-Zinn J, Massion AO, Kristeller J, Peterson LG, Fletcher KE, Phert L, Lenderking WR, Santorelli SF: Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. Am J Psychiatry 1992;148:936–943.
Kabat-Zinn J, Chapman A, Salmon P: The relationship of cognitive and somatic components of anxiety to patient preference for alternative relaxation techniques. Mind Body Med 1997;2:101–109.
Kabat-Zinn J: An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. Gen Hosp Psychiatry 1982;4:33–47.
Kabat-Zinn J, Lipworth L, Burney R: The clinical use of mindfulness meditation for the self-regulation of chronic pain. J Behav Med 1985;8:163–190.
Deatherage G: The clinical use of mindfulness meditation techniques in short-term psychotherapy. J Transpers Psychol 1975;2:133–144.
Kutz I, Leserman J, Dorrington C, Morrison CH, Borysenko JZ, Benson H: Meditation as an adjunct to psychotherapy: An outcome study. Psychother Psychosom 1985;43:209–218.
Miller J, Fletcher K, Kabat-Zinn J: Three year follow-up and clinical implications of a mindfulness-based stress reduction intervention in the treatment of anxiety disorders. Gen Hosp Psychiatry 1995;17:192–200.
Linehan MM, Heard HL, Armstrong HE: Naturalistic follow-up of a behavioral treatment for chronically parasuicidal borderline patients. Arch Gen Psychiatry 1993;50:157–158.
Linehan MM, Tutek D, Heard HL, Armstrong HE: Interpersonal outcome of cognitive-behavioral treatment for chronically suicidal borderline patients. Am J Psychiatry 1994;51:1771–1776.
Hayes SC, Strosahl K, Wilson KG: Acceptance and Commitment Therapy. New York, Guilford, 1999.
Hayes SC, Wilson KG: Some applied implications of a contemporary analytic account of verbal events. Behav Analyst 1993;16:283–301.
Ito JR, Donovan DM, Hall JJ: Relapse prevention in alcohol aftercare: Effects on drinking outcome, change process, and aftercare attendance. Br J Addict 1988;83:171–181.
Teasdale JD, Segal ZV, Williams JMG, Ridgeway VA, Soulsby JM, Lau MA: Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol 2000;68:615–623.
Williams JM, Teasdale JD, Segal ZV, Soulsby J: Mindfulness-based cognitive therapy reduces overgeneral autobiographical memory in formerly depressed patients. J Abnorm Psychol 2000;109:150–155.
Baer RA: Mindfulness training as a clinical intervention: A conceptual and empirical review. Clin Psychol Sci Prac 2003;10:125–143.
Nichols M: The Self in the System: Expanding the Limits of Family Therapy. New York, Brunner Mazel, 1987.
Kabat-Zinn J: Curriculum outline, stress reduction clinic University of Massachusetts Medical Clinical; in Kabat-Zinn J, Santorelli SF (eds): Meditation-Based Stress Reduction Professional Training. Worcester, Center for Mindfulness in Medicine, Health Care and Society, 1999.
Derogatis LR: SCL-90-R: Administration, Scoring, and Procedure Manual-II. Towson, Clinical Psychometric Research, 1983.
Kabat-Zinn J, Lipworth L, Burney R, Sellers W: Four-year follow-up of a meditation-based program for the self-regulation of chronic pain: Treatment outcomes and compliance. Clin J Pain 1987;2:159–173.
Miller JJ, Fletcher K, Kabat-Zinn J: Three-year follow-up and clinical implications of a mindfulness-based stress reduction intervention in the treatment of anxiety disorders. Gen Hosp Psychiatry 1995;17:192–200.
Segal ZV, Williams JMG, Teasdale JD: Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse. New York, Guilford, 2002.
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