title: Outcomes of a 6-week cognitive-behavioral and mindfulness group intervention in primary care.
abstract: BACKGROUND
  Cognitive-behavioral and mindfulness-based interventions are established treatments for depressive and anxiety disorders; however, there is a lack of research for these interventions in primary care settings. The current study evaluates an evidence-based group intervention provided to primary care patients with a variety of mood and anxiety concerns.
  
  
  METHODS
  Participants included 54 adult primary care patients who attended at least four sessions of a six-session cognitive-behavioral and mindfulness group. A total of nine separate groups were conducted, all of which were colocated within the primary care setting. Major depressive disorder and generalized anxiety disorder were the most common psychiatric conditions, with approximately 56% of the sample having one or more chronic medical conditions. Self-report measures of depression (Patient Health Questionnaire-9) and anxiety (Generalized Anxiety Disorder Questionnaire-7) were completed at each session.
  
  
  RESULTS
  Significant improvements were noted on self-reported measures of depression and anxiety when comparing pre- and posttreatment assessment measures with large effect sizes.
  
  
  CONCLUSIONS
  A brief, principle-based cognitive-behavioral and mindfulness group intervention delivered in primary care was associated with improved symptoms across a range of patient presentations. Evidence-based group interventions in primary care settings have the benefits of increased access and cost-effectiveness. (PsycINFO Database Record
authors.affiliation: Department of Psychiatry and Psychology, Mayo Clinic.
authors.forename: Julia R
authors.initials: JR
authors.lastname: Craner
authors.affiliation: Department of Psychiatry and Psychology, Mayo Clinic.
authors.forename: Craig N
authors.initials: CN
authors.lastname: Sawchuk
authors.affiliation: Employee and Community Health, Mayo Clinic.
authors.forename: Kileen T
authors.initials: KT
authors.lastname: Smyth
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000523:psychology / Q000628:therapy; D015928:Cognitive Behavioral Therapy / Q000379:methods* / Q000592:standards; D003863:Depression / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D064866:Mindfulness / Q000379:methods*; D011320:Primary Health Care / Q000379:methods*; D011594:Psychometrics / Q000295:instrumentation / Q000379:methods; D057566:Self Report; D011795:Surveys and Questionnaires; D013663:Teaching / Q000523:psychology / Q000592:standards*; D016896:Treatment Outcome