Broadening horizons: Mindfulness-based cognitive therapy for older people experiencing depression

Mindfulness-based cognitive therapy (MBCT) is an integrative psychological approach linking mindful meditation with cognitive therapy. It has a strong evidence base in treating recurrent depression. However, limited research has been completed with older people. The present study evaluates one adapted, community based MBCT group (N=8) in a partial replication of Smith, Graham and Senthinathan (2007). Levels of depression, psychological distress and mindfulness were assessed on a single case basis using standardised measures. Responses from an anonymous client satisfaction questionnaire provided qualitative data for thematic analysis. Significant and reliable reductions in depression and distress were found in two of the four analysed participants. Little change in mindfulness was observed. Thematic analysis illustrated aspects of adapted MBCT that participants found helpful and less helpful, and recommendations for further adaptation were generated. This study builds on previous research advocating MBCT for older people and discusses the theoretical and clinical implications for future service provision.