The Long-Term Effects of Mindfulness-Based Cognitive Therapy as a Relapse Prevention Treatment for Major Depressive Disorder

2010 ◽  
Vol 38 (5) ◽  
pp. 561-576 ◽  
Author(s):  
Kate L. Mathew ◽  
Hayley S. Whitford ◽  
Maura A. Kenny ◽  
Linley A. Denson

Background: Mindfulness-based Cognitive Therapy (MBCT) is a relapse prevention treatment for major depressive disorder. Method: An observational clinical audit of 39 participants explored the long-term effects of MBCT using standardized measures of depression (BDI-II), rumination (RSS), and mindfulness (MAAS). Results: MBCT was associated with statistically significant reductions in depression from pre to post treatment. Gains were maintained over time (Group 1, 1–12 months, p = .002; Group 2, 13–24 months, p = .001; Group 3, 25–34 months, p = .04). Depression scores in Group 3 did begin to worsen, yet were still within the mild range of the BDI-II. Treatment variables such as attendance at “booster” sessions and ongoing mindfulness practice correlated with better depression outcomes (p = .003 and p = .03 respectively). There was a strong negative correlation between rumination and mindful attention (p < .001), consistent with a proposed mechanism of metacognition in the efficacy of MBCT. Conclusion: It is suggested that ongoing MBCT skills and practice may be important for relapse prevention over the longer term. Larger randomized studies of the mechanisms of MBCT with longer follow-up periods are recommended.

Author(s):  
Clémentine Ottino ◽  
Marie-Pierre F Strippoli ◽  
Mehdi Gholam ◽  
Aurélie M Lasserre ◽  
Caroline L Vandeleur ◽  
...  

2015 ◽  
Vol 83 (5) ◽  
pp. 964-975 ◽  
Author(s):  
Amanda J. Shallcross ◽  
James J. Gross ◽  
Pallavi D. Visvanathan ◽  
Niketa Kumar ◽  
Amy Palfrey ◽  
...  

2004 ◽  
Vol 20 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Paula L. Hensley ◽  
Deepa Nadiga ◽  
E.H. Uhlenhuth

Author(s):  
Nicole Geschwind ◽  
Saara Martinmäki ◽  
Eric L. Garland

Positive emotions are vital to psychological well-being and enhance resilience against psychopathology. One of the psychiatric disorders most characterized by a lack of positive emotions is major depressive disorder. Despite the resilience-enhancing features of positive emotions and high rates of relapse for major depressive disorder, current recommended treatment forms do not pay much explicit attention to the stimulation of positive emotions. One evidence-based form of relapse prevention is mindfulness-based cognitive therapy. In mindfulness based cognitive therapy, participants train their capacity to intentionally guide their attention toward present-moment experience through daily practice, such as focusing on their own breath. Another important aspect of the training is the cultivation of an open, nonevaluative, curious, and mild orientation of mind. Many scholars have focused on the nonevaluative quality of mindful present-moment awareness as an antidote for reducing negative mental states. The question arises regarding which extent mindfulness-based therapies naturally enhance positive emotions. The current chapter first reviews the current evidence for positive emotions as a protective factor against the development of major depressive episodes and then examines the evidence for the idea that mindfulness practice may naturally facilitate the experience of positive emotions. The chapters ends by presenting a novel account detailing how the practice of mindfulness may result in increased positive emotions as well as translate into an increased sense of meaningfulness and purpose. Implications for enhancing the facilitation of positive emotions in mindfulness-based therapies are discussed.


2018 ◽  
Vol 36 (3) ◽  
pp. 252-261 ◽  
Author(s):  
Suzanne C. van Bronswijk ◽  
Lotte H.J.M. Lemmens ◽  
John R. Keefe ◽  
Marcus J.H. Huibers ◽  
Robert J. DeRubeis ◽  
...  

Author(s):  
Daryl Wayne Niedermoser ◽  
Nadeem Kalak ◽  
Martin Meyer ◽  
Nina Schweinfurth ◽  
Marc Walter ◽  
...  

Background: Individuals suffering from major depressive disorder (MDD) often describe workplace-related stress as one of the main causes of their disorder. Here, we present the story of a 33 year old “Bob” (a pseudonym) who suffered from a moderate (Hamilton-21 = 18) major depressive episode. Workplace-related stress seemed to be the main stressor for Bob at the time. We were interested in long-lasting effects of a newly established group called “work-related interpersonal Psychotherapy, W-IPT”. W-IPT consists of eight weekly 90 min sessions. The follow-ups were 12 weeks after the group-treatment and 18 months later. Bob was chosen because he agreed in advance to participate in a follow-up. We were interested if the group-treatment of W-IPT also has a persistent positive effect. Case presentation: We present the case of a 33-year-old man “Bob”. He was included in our previous published pilot-study 2020 with diagnosed moderate MDD, and he attended the group treatment. This case report focuses on a follow-up period of 18 months. A structured clinical interview for DSM-IV was carried out in order to be included in the study, and no comorbid diagnoses were detected. Conclusions: However, the psychotherapeutic effects in this case seem enduring and prolonged. Of course, additional research to study the long-term effects of W-IPT is needed, and more patients need to be included.


PLoS ONE ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e85038 ◽  
Author(s):  
Gabe de Vries ◽  
Hiske L. Hees ◽  
Maarten W. J. Koeter ◽  
Suzanne E. Lagerveld ◽  
Aart H. Schene

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