Future directions of research Sample Clauses

Future directions of research. In order to gather further evidence for the robustness of the findings, it will be important to replicate the current study using a larger sample with greater power. In addition, future studies should consider using more extensive follow-ups, given the risk of relapse in depression. The current study showed that brief interventions led to a reduction of symptoms over one week with the effects plateauing in the second week whilst patients were on the waitlist for psychological treatment at IAPT services. Future research is warranted to compare whether having two weeks of mindfulness or relaxation self- help prior to IAPT treatment will: (1) improve IAPT outcomes; (2) reduce required number of IAPT sessions; (3) serve to protect against depression relapse; and (4) reduce the need for psychological treatment among those for whom depressive symptoms fell in the sub-clinical range after self-help. In addition, if patients with sub-clinical depression following self-help still need treatment, it would be important to determine which treatment would be most suitable (for e.g., one with a focus on relapse prevention). The provision of brief interventions, particularly to patients on the waitlist with mild to moderate symptoms, would be in accordance with the stepped care approach used at IAPT whereby patients are initially offered low intensity interventions (such as guided self-help), only stepping up in intervention intensity if intervention at that level failed. Recent reports suggest that higher step up rates predict recovery (Gyani, Xxxxxxx, Xxxxxx, & Xxxxx, 2013). Therefore, patients with moderate to severe symptoms (the present sample) could still be provided guided self-help interventions (whilst on the waitlist). The current study showed that both mindfulness and relaxation groups improved, and that these interventions share some key elements, such as attention control (see section on similarities and differences between mindfulness and relaxation). In order to understand whether attention control was the core element in mindfulness and relaxation interventions, future research could compare mindfulness, relaxation, and a third active control intervention not based on attention control (such as medication or behavioural activation). Data from the study showed that severity of depressive symptoms decreased to the non/sub-clinical range at post-treatment (30% in mindfulness and 25% in relaxation) and follow-up (32% in mindfulness and 39% in relaxation). How...
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