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Mindfulness Group Therapy

Tania Gonzalez Diaz

Walden University

07/06/2020

NRNP-6650

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Overview

The article is based on thematic evaluation of the efficacy inpatient mindful among patients with intellectual disability.

The writer set up a model that mindfulness group therapy aids individual to cope with anxiety.

The article by Yildiran & Holt (2014) is based on the thematic analysis of the efficacy of inpatient mindfulness group therapy among people with intellectual disabilities. Moreover, the article emphasizes on group mindfulness therapy for individuals presenting such disabilities in an assessment as well as treatment unit. The authors set out to validate the hypothesis that mindfulness group therapy goes an extra mile towards helping individuals to focus on the present rather than worrying about the future or the past. After conducting an interview on six participants through the use of semi-structured interviews, they analyzed them through thematic analysis and establish that these individuals have the capacity to comprehend mindfulness and benefit from the intervention

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Type of group

Mindfulness group therapy.

It is very effective in treating various mental diseases.

It is also useful in treating different patient population.

The Type of Group DiscussedThe group discussed by researchers is mindfulness group therapy that is revealed to be effective in treating several mental illnesses including depression and anxiety (Yildiran & Holt, 2015). The mindfulness group is also a recommended treatment by the National Institute for Health and Clinical Excellence for treating individuals with a borderline personality disorder (Yildiran & Holt, 2014). The researchers further contend that the mindfulness group therapy is essential for treating different client populations such as adolescents and adults with disabilities.

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Participants in the group

Six inpatients were engaged in the study.

The individuals exhibit moderate level of intellectual disabilities.

They all had additional diagnoses such anxiety disorder.

The seven inpatient participants had been invited to take part in the study were all having intellectual disabilities and were in the hospital for mental health problems. The individuals were interviewed using semi-structured interviews. The interviews aimed at establishing the benefits and difficulties of using mindfulness. Analysis was done using thematic approach.

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Setting of the Group

Inpatients at a specialist assessment and treatment unit.

Six patients had mild intellectual disabilities.

The patients ages was between 21 to 64 years.

Four females and two males.

They were all inpatients at a specialist assessment and treatment unit for people with intellectual disabilities and acute mental health problems. The inpatient therapy room was transforming into a space which was separate from other clinical activities which took place there with input from participants. Sensory lamps and light background music were used to transform the space.The sample consisted of four females and two males. The age range was 21-64 years (mean age 44 years).

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How often the group met

The group met weekly.

The sessions was between 2 to 23

Cumulatively the participants met in 10 session.

The group therapy study explored a number of mindfulness exercises, taught and exercised during weekly relaxation and mindfulness group. The group participants are to attend 2 to 23 sessions for the mindfulness therapy.

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Duration of the group therapy

The therapy lasted for one year five months.

Mindfulness exercises were taught and practiced weekly.

The study explored a range of mindfulness exercise, taught and practiced during a weekly relaxation and mindfulness group. The group was facilitated by trainee and assistant clinical psychologists. It had been running for 1.5 years at the time the interviews took place for this study.

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Curative factors

Mindfulness meditation with relaxation training

Psychotherapeutic treatment

Group cohesiveness.

The participants recognized a rage of skills that was attributed to group cohesiveness in getting involved in mindfulness. Participants involvement enabled them to improve on mindfulness and develop positive relations with others. They were able to get rid of nasty psychological thoughts and attained happiness and calmness.

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“Exclusion criteria”

Group participants who had been discharged.

They were not included in the study because of potential problems such as:-

Probable confusion of being contacted by inpatient team.

Probable misinterpretation of being contacted by inpatient team.

Group participants who had been discharged from the inpatient unit were not contacted due to the potential difficulties such as possible confusion and misinterpretation of being contacted by the inpatient team. One participant was discharged during the study phase and was interviewed in the community placement. Smaller sample size are accepted in the literature for qualitative research.

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Findings

Data was evaluated using thematic analysis.

Participants were able to form an apprehension of mindfulness.

More therapies session should be offered to individuals with intellectual disabilities.

This will translate to into practice so as to obtain better outcomes.

Mindfulness in intellectual disabilities is effective because the participants were able to form an understanding of mindfulness. When considering adaptations of mindfulness for people with intellectual disabilities, it may be beneficial for more sessions to be offered, or for different or additional explanations and/or techniques to be introduced. It would be interesting to see whether this led to greater benefits.

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Limitations

Having multiple roles as group facilitator and interviewer for the 1st author.

The nature of the group sessions who combined relaxation and mindfulness approaches.

Among the limitations of the research is in relation to the first author having a dual role as relaxation and mindfulness group facilitator and interviewer. The dual role of facilitator and interviewer was used as it was felt that familiarity will help participants orient themselves to the study. Finally, study limitation was in relation to nature of the group sessions which combined mindfulness with relaxation techniques. This may have contributed to the participants’ reports of the relaxation effects mindfulness induced for them. The authors decided to offer mindfulness, a relatively new skill with a familiar intervention of relaxation to encourage attendance in the group. It would be interesting to repeat this study for a mindfulness group without relaxation.

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Reference

Yildiran, H., & Holt, R. R. (2015). Thematic analysis of the effectiveness of an inpatient mindfulness group for adults with intellectual disabilities. British Journal of Learning Disabilities, 43(1), 49-54. doi:10.1111/bld.12085

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