Outcomes of a 6-week cognitive–behavioral and mindfulness group intervention in primary care.
Abstract
INTRODUCTION: 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. METHOD: 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. DISCUSSION: 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
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MBSR has demonstrated significant benefits in stress, anxiety, depression, and chronic pain and is recommended in several guidelines.
“the extensively researched MBSR program, has demonstrated significant benefits in these areas [16–23], and are recommended in several guidelines [22, 24, 25].”
From Exploring patient experiences with a mindfulness course in a general practice setting: a qualitative study. (2025) · cites this paper as [17]
Mindfulness-based approaches have been shown to be effective in managing stress, anxiety, depression, and chronic pain.
“mindfulness-based approaches have been shown to be effective in managing conditions such as stress, anxiety, depression, and chronic pain.”
From Exploring patient experiences with a mindfulness course in a general practice setting: a qualitative study. (2025) · cites this paper as [17]
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- Authors
- Craner, J. R., Sawchuk, C. N., & Smyth, K. T.
- Affiliations
- Mayo Clinic (US)
- Venue
- Families, Systems, & Health
- Published
- 2016
- Volume
- 34
- Issue
- 3
- Pages
- 250-259
- ISSN
- 1091-7527 (ISSN-L)
- 1939-0602
- OpenAlex
- W2466150599
- Cited by
- 5
- References
- 28
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2020: 1 · 2018: 1
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Families Systems & Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- cognitive behavioral therapy, mindfulness-based interventions, group therapy, primary care, depression, anxiety, generalized anxiety disorder, major depressive disorder, mood disorders, anxiety disorders, brief psychotherapy, chronic disease, treatment outcomes
- MeSH terms
- Adult, Aged, Anxiety, Depression, Female, Humans, Male, Middle Aged, Primary Health Care, Psychometrics, Surveys and Questionnaires, Teaching, Cognitive Behavioral Therapy, Treatment Outcome, Self Report, Mindfulness
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