HowtheMindfulness-Based SkessReduction ProgramMay beAbletoHelpSome ofYour Patients
(datacompiled byJimCarmody of UMass Medical School)
Publishedesearch as repeatedly hownhat meditation nd relaxationraining an bepowerfuldjunctsto the conventionaledical reatment fmanydisorders.TheStressReductionrogramncorporateshecritical lementsf all hese elaxationndmeditationrogramsnd akes he healingrocessnimportant tep urther.Acentraleature f theprogramsthe eaching fagentleyeteffectivemethod hatencourageshepatiento developprofoundevelofnquiryntoheapplicationf mindfulnessmoment-to-moment,on-judgmentalwareness)ndmindfulness-basedoping trategiesneverydayife. Patientsin heprogramreaught o become ware f, anddevelop,heirownesourceso supportheirhealth,thusbecomingorestressardy,qualityhatsassociatedithbetter ealth cross heifespan.TheStressReductionrogram asbeen n he cutting dgeofmindibodyndntegrativeedicineortwentywoyearsand representsarticipatorynd ntegrative edicine titsbest. Over13,000atientswithallmannerfdiagnoses ave uccessfullyompletedhe eight-weekourse nd1,400hysicianshave et'erreciatientso thTS-p-fogram.PU:ijiishddeVal0ationsfthe merJiCalutCbmesesultin$Trompatient articipationaveshown35% eductionnhenumber f medical ymptoms nda40% eductioninpsychologicalymptomsstablever ouryears) Kabat-Zinn982, 985, 986,1992,998,Miller t al1995, tc.).Patientsomingotheprogramrenotseparated y heireferraliagnosis,o theseoutcomeataapplyacross ll hediagnosticategorieshathavebeen eferred.
Stressand PatientPresentation
TheAmerican cademy fFamilyPhysicians asestimatedhat up o twothirds
of all officeisitsofamilydoctors reor stress-relatedymptoms.Recent esearch as ndicatedhat upo60%of all HMOvisitsaremadebypeoplewithno diagnosableisorder the"worriedell"Sobel995) and hatmanyof hesepresentingymptoms rerelatedo hepatient's sychosocialfunctioningsuch hings s depression,anxiety, ocialsolation,venrvorktc.KroenkeMangelsdorff989).At leastonehirdof chestaincardiologyatientsithnormal r nearnormal oronary rteriesavebeen ound o be sufferingrompanicdisorderKushner989).Mindfulnessraining asbeen hown ffectiven addressinghe malaisehatoften
underlieshesepresentationsKabat-Zinn982, 985,986,1992,Miller 995, tc.), ndurther vidence f hiscanbeseen n studies howingeduced eedorclinical ervicesollowing editationrainingKabat-Zinn,'1987b,Hellman 990,Caudill99'la, 991b, ate1994,Orme-Johnson994).
Number fMedicalSymptoms(MScL)PsychologicalDistress(GSr/SCL-e0-R)
Wf
A02Post2002rePostPre
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