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dc.contributor.authorEwais, Tatjana
dc.contributor.authorBegun, Jake
dc.contributor.authorKenny, Maura
dc.contributor.authorHeadey, Alan
dc.contributor.authorTefay, Merilyn
dc.contributor.authorKisely, Steve
dc.date.accessioned2020-11-10T04:37:53Z
dc.date.available2020-11-10T04:37:53Z
dc.date.issued2020
dc.identifier.issn2044-6055
dc.identifier.doi10.1136/bmjopen-2020-041140
dc.identifier.urihttp://hdl.handle.net/10072/399160
dc.description.abstractOBJECTIVES: Mindfulness-based cognitive therapy (MBCT) is effective in treating psychosocial comorbidities in inflammatory bowel disease (IBD); however, there have been no qualitative studies of MBCT experiences among youth with IBD. We aimed to examine the experiences of youth with IBD and depression who completed an adapted MBCT group programme, and the impact of common psychotherapy and group factors. DESIGN: This mixed method qualitative study, nested within a randomised controlled trial (RCT) of MBCT for youth with IBD, employed thematic analysis of qualitative data from three focus groups and open-ended survey questions. SETTING: The study was conducted in the outpatient department of a tertiary hospital for young adults in Brisbane, Australia. PARTICIPANTS: Out of sixty-four adolescents and young adults recruited to the RCT of MBCT for youth with IBD and depression, 29 completed the MBCT evaluation survey and 19 attended the focus groups. RESULTS: Four key themes emerged: 'connectedness and shared understanding', 'growing in wisdom', 'therapeutic alliance' and 'barriers to mindfulness practice'. Participants described MBCT experiences as healing and transformative with the themes of connectedness, growing in wisdom and therapeutic alliance laying the foundation for therapeutic change. Main barriers included fatigue, depression, time and travel constraints. CONCLUSIONS: The study identified key themes facilitating the process of therapeutic change within the MBCT programme for youth with IBD and elucidated common and group psychotherapy factors underlying the key themes. Participants perceived connecting with peers as essential for learning mindfulness skills which in turn strengthened the connection. Study findings will facilitate interpretation of the results of the RCT of MBCT in youth with IBD and inform the design of future studies of MBCT in this cohort. TRIAL REGISTRATION NUMBER: ACTRN12617000876392; Results.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherBMJ
dc.relation.ispartofpagefrome041140
dc.relation.ispartofissue11
dc.relation.ispartofjournalBMJ Open
dc.relation.ispartofvolume10
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchOther Medical and Health Sciences
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1199
dc.subject.keywordsdepression & mood disorders
dc.subject.keywordsinflammatory bowel disease
dc.subject.keywordsmental health
dc.subject.keywordsqualitative research
dc.titleMindfulness-based cognitive therapy experiences in youth with inflammatory bowel disease and depression: findings from a mixed methods qualitative study.
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationEwais, T; Begun, J; Kenny, M; Headey, A; Tefay, M; Kisely, S, Mindfulness-based cognitive therapy experiences in youth with inflammatory bowel disease and depression: findings from a mixed methods qualitative study., BMJ Open, 2020, 10 (11), pp. e041140
dcterms.licensehttp://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated2020-11-10T03:28:08Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© Author(s) (or their employer(s)) 2020. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
gro.hasfulltextFull Text
gro.griffith.authorKisely, Steve R.
gro.griffith.authorEwais, Tatjana


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