Morning Call: pick of the papers

The ten must-read comment pieces from this morning's papers.

1. Labour’s half-time lead counts for nothing The Telegraph

It’s no good defending – Miliband must bring an old star off the bench to secure victory, writes Matthew Norman.

2. Labour needs real cuts as well as real ideas The Times (£)

What happens to the benefits bill under a Miliband government? Voters need details as well as philosophy, writes Philip Collins.

3. On Abu Hamza as on defending your home, the suitably named Judge Judge has called it right The Independent

The delays to the hook-handed hate preacher's deportation are a disgrace; and of course we should be able to defend our own homes, writes Evgeny Lebedev.

4. This is the speech Ed Miliband should make next Tuesday The Guardian

At the Labour party conference, Miliband must lift his eyes from those gathered in the hall and address the whole country, writes Jonathan Freedland.

5. Goodbye Beveridge: welfare’s end nears The Financial Times (£)

The latest British Social Attitudes survey spells out in agonising detail the collapse in support over the past decade or so for social security spending and what might be called poor peoples’ welfare, writes David Goodhart.

6. For voters ten years is a short time in politics The Times (£)

We experts obsessed with the latest Westminster story can lose sight of what’s really important to most people, writes Matthew Parris.

7. An enemy at the gates of Downing Street? The Telegraph

An argument about a bicycle has exposed festering police resentment against the Government and raised big questions about the Metropolitan Police’s public accountability, writes John Yates, former UK Head of Counter Terrorism.

8. Why do we care about Megan Stammers from Eastbourne but not "Suzie" from Rochdale? The Independent

The authorities knew about the girls’ plight in Rochdale and did nothing. But every girl deserves to be respected, regardless of her background, writes Laurie Penny.

9. Catalan with Spain’s future in his hands The Financial Times (£)

A full-blown constitutional crisis, in which the survival of the Spanish nation-state within its present boundaries is at stake, will now collide head on with the eurozone and fiscal crises, writes David Gardner.

10. Animal research is brave, not cruel, science The Guardian

Attitudes to animal research have changed, yet many scientists still fear speaking about their essential and important work, says Fiona Fox.

Alex Hern is a technology reporter for the Guardian. He was formerly staff writer at the New Statesman. You should follow Alex on Twitter.

Getty
Show Hide image

Relax – there’s new evidence that mindfulness actually works

The relaxation therapy could prevent relapses in sufferers of depression, according to a new study.

If there’s one thing that can be said of buzzwords, it’s that they almost always fall by the wayside in the end. Yet in the field of mental health, one buzzword has survived the best efforts of critics and naysayers – “mindfulness”.

First coined by Dr Jon Kabat-Zinn from the University of Massachusetts Medical School, the term mindfulness was initially characterised as a state of mind that would enable someone to pay “attention on purpose” to the present moment. Modern secular society seems to have embraced it as a form of meditation. Everything from exercise to breathing now has an associated mindfulness manual attached.

However, not everyone is convinced. For example, the recent phenomenon of adult colouring books – devised to promote mindfulness and serve as a form of therapeutic escapism – has been criticised by therapists as over-hyped and not necessarily helpful.

Meanwhile, sceptics have pointed out an alleged bias in the publishing of positive findings from trials using mindfulness as a form of mental health therapy. Researchers at McGill University in Canada “found that scientists reported positive findings 60 per cent more often than is statistically likely” after analysing 124 different published trials involving mindfulness as a form of mental health therapy. In some cases, the practice has even had a reverse effect, inducing anxiety, pain or panic.

However, a new study published in the journal JAMA Psychiatry seems to demonstrate that mindfulness-based cognitive therapy (MBCT) can be a potent treatment in preventing and managing relapse into major depression. Led by the University of Oxford, the study’s researchers conducted the largest meta-analysis (an analysis of various different studies) to date on the therapy’s impact on recurrent depression.

The particular form of mindfulness-based cognitive therapy that was used aimed to equip patients with the skills required to successfully recognise and repel the thoughts and feelings they most commonly associated with the state of depression, in order to prevent any future relapse.

According to the study, “the MBCT course consists of guided mindfulness practices, group discussion and other cognitive behavioural exercises. Participants receiving MBCT typically attended eight 2-2.5 hour group sessions alongside daily home practice.”

Using anonymous patient data from nine randomised trials involving 1,258 participants, researchers found that 38 per cent of those who received mindfulness-based therapy experienced a depressive relapse, in comparison to 49 per cent of patients who didn’t receive treatment. The patient data covered age, sex and level of education – key inclusions, as the meta-analysis was able to show no significant influence by these factors on the therapy’s performance.

The most prominent form of remedy currently available for mental health patients is anti-depressant medication. Four of the nine randomised trials comparatively assessed the impact of therapy alongside medication, to deduce if a combination of therapy with varying doses of medication was more beneficial than medication alone. The patients from the study who received mindfulness therapy along with continued, reduced or discontinued medication were less likely to fall back into depression than patients on maintenance anti-depressants alone. This helps legitimise mindfulness as an option in combating depression’s debilitating effects and reinforces its efficacy, whether it is taken up with or without anti-depressants.

Willem Kuyken, Professor of Clinical Psychology at the Oxford Mindfulness Centre and lead author of the study, called the results “very heartening”. “While MBCT is not a panacea, it does clearly offer those with a substantial history of depression a new approach to learning skills to stay well in the long-term.

“It offers people a safe and empowering treatment choice alongside other mainstay approaches such as cognitive-behavioural therapy and maintenance antidepressants. We need to do more research, however, to get recovery rates closer to 100 per cent and to help prevent the first onset of depression, earlier in life. These are programmes of work we are pursuing at the University of Oxford and with our collaborators around the world."

Though the findings will certainly reinvigorate confidence in mindfulness, Richard Byng from the University of Plymouth and one of the co-authors said, “clinicians need to be cautiously optimistic when tapering off antidepressant medication, and treat each patient as an individual who may or may not benefit from both MBCT and other effective treatments."