Institute for Social Medicine, Epidemiology, and Health Economics, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Department of Psychiatry, Psychosomatics, and Psychotherapy, Diakoniekliniken Zschadrass, Colditz, Germany.
J Altern Complement Med. 2021 Sep;27(9):786-795. doi: 10.1089/acm.2021.0038. Epub 2021 Jun 29.
Meditation-Based Lifestyle Modification (MBLM) is a new mind-body intervention that is based on classical yoga; it implements virtue-based ethical living, physical yoga, and meditation in a therapeutic context. This qualitative study aimed at understanding better how depressive patients who received MBLM as a treatment experience intra- and interpersonal outcomes of their practice. In a larger randomized controlled trial of MBLM in depressive outpatients, a subsample ( = 12) completed in-depth interviews. To determine short-term and long-term effects, cohorts were interviewed at two different times after intervention onset ( = 8 weeks; = 6 months). Verbatim interview transcripts were analyzed by using thematic analysis. Three themes emerged in the interviews: (1) Reappraisal of past and present life patterns, leading to a reflection on one's own values; (2) Serenity, attained by states of calm, growing acceptance, and the ability to set boundaries; and (3) Mindful living as expressed by increased self-awareness, being more present, and conscious interactions. The ethical component of MBLM was identified as a key factor in individual empowerment and appreciation of one's own strengths. Systematic changes in the importance of reported themes after 6 months () reflected the sustained effects of the intervention. The findings speak clearly for the benefits of MBLM in the treatment of depression. In particular, the explicit therapeutic implementation of virtue-based ethics offers a valuable addition to previous yoga and meditation programs. Clinical Trials.gov ID: Clinical Trial Registration number: NCT03652220.
基于冥想的生活方式改变（MBLM）是一种新的身心干预方法，它基于古典瑜伽；它在治疗环境中实施基于美德的伦理生活、身体瑜伽和冥想。这项定性研究旨在更好地了解接受 MBLM 作为治疗的抑郁症患者如何体验其练习的内在和人际结果。在一项更大的 MBLM 治疗门诊抑郁症患者的随机对照试验中，一个亚组（n=12）完成了深入访谈。为了确定短期和长期效果，两个不同的时间点（n=8 周；n=6 个月）对队列进行了访谈。通过主题分析对逐字逐句的访谈记录进行了分析。访谈中出现了三个主题：（1）重新评估过去和现在的生活模式，导致对自己价值观的反思；（2）平静、不断增长的接受能力和设定界限的能力带来的宁静；（3）通过提高自我意识、更专注和有意识的互动来体现正念生活。MBLM 的伦理成分被确定为个人赋权和欣赏自身优势的关键因素。6 个月后报告主题的重要性发生系统变化（）反映了干预的持续效果。研究结果清楚地表明 MBLM 在抑郁症治疗中的益处。特别是，基于美德的伦理的明确治疗实施为以前的瑜伽和冥想项目提供了有价值的补充。临床试验.gov ID：临床试验注册号：NCT03652220。
