title: The effectiveness of a community-based, mind-body group for symptoms of depression and anxiety.
abstract: BACKGROUND
  The prevalence of depression and other mental health conditions is on the rise, with an estimated 350 million people affected. Populations with lower socioeconomic status are at higher risk for mental health problems, including depression and anxiety. Community health centers (CHCs) often have wait lists for individual counseling. Group mind-body interventions (MBIs) that are based on the relaxation response (RR) are plausible options for treating mental health conditions at CHCs.
  
  
  OBJECTIVE
  The study examined the feasibility and effectiveness of an 8-wk MBI developed at the Benson-Henry Institute for Mind Body Medicine (BHI) for treatment of symptoms of depression and anxiety in a community-based population.
  
  
  METHODS
  The research team designed a retrospective, open-label study of 124 patients with symptoms of depression or anxiety enrolled in an MBI as a group.
  
  
  METHODS
  The setting for the study was 2 CHCs at Massachusetts General Hospital (MGH) in Boston, MA, USA.
  
  
  METHODS
  Participants were adult patients at MGH with symptoms of depression and/or anxiety. The program was billed as treatment related to behavioral health and accessible to people with all levels of education.
  
  
  METHODS
  The MBI for depression and/or anxiety in the current study teaches techniques that elicit a relaxation response (RR), in combination with additional resiliencyenhancing components.
  
  
  METHODS
  To examine effects of the program, self-report clinical measures were administered pre- and postintervention: (1) for depression, the Center for Epidemiologic Studies Depression Scale (CES-D10); (2) for anxiety, the State-Trait Anxiety Inventory-State Subscale (STAI-State); and (3) for perceived stress, the Perceived Stress Scale (PSS-10).
  
  
  RESULTS
  The intervention was associated with a significant decrease in depressive symptoms: 95% CI, -6.0 to -2.6 (P < .001); anxiety--95% CI -12.6 to -2.2 (P = .007); and perceived stress--95% CI -7.6 to -2.0 (P = .001). Approximately 52.4% of the participants completed at least 75% of the 8 sessions, with 5 sessions attended on average.
  
  
  CONCLUSIONS
  Participation in this MBI was associated with an improvement in symptoms of depression and anxiety as well as decreases in perceived stress among CHC patients.
authors.forename: Jolene
authors.initials: J
authors.lastname: Jacquart
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Miller
authors.forename: Andrea
authors.initials: A
authors.lastname: Radossi
authors.forename: Vivian
authors.initials: V
authors.lastname: Haime
authors.forename: Eric
authors.initials: E
authors.lastname: Macklin
authors.forename: Dinah
authors.initials: D
authors.lastname: Gilburd
authors.forename: Miriam
authors.initials: M
authors.lastname: Nelson Oliver
authors.forename: Darshan H
authors.initials: DH
authors.lastname: Mehta
authors.forename: Albert
authors.initials: A
authors.lastname: Yeung
authors.forename: Gregory L
authors.initials: GL
authors.lastname: Fricchione
authors.forename: Herbert
authors.initials: H
authors.lastname: Benson
authors.forename: John W
authors.initials: JW
authors.lastname: Denninger
mesh_terms: D000328:Adult; D001007:Anxiety / Q000523:psychology / Q000628:therapy*; D003153:Community Health Services / Q000379:methods*; D003863:Depression / Q000523:psychology / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D006126:Group Processes; D006801:Humans; D008297:Male; D008875:Middle Aged; D026441:Mind-Body Therapies; D010342:Patient Acceptance of Health Care; D012189:Retrospective Studies; D012959:Socioeconomic Factors