Journal articles on the topic 'Mindfulness Based Cognilive Therapy (MBCT)'
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Manicavasagar, Vijaya, Tania Perich, and Gordon Parker. "Cognitive Predictors of Change in Cognitive Behaviour Therapy and Mindfulness-Based Cognitive Therapy for Depression." Behavioural and Cognitive Psychotherapy 40, no. 2 (October 24, 2011): 227–32. http://dx.doi.org/10.1017/s1352465811000634.
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Background: An appreciation of cognitive predictors of change in treatment outcome may help to better understand differential treatment outcomes. The aim of this study was to examine how rumination and mindfulness impact on treatment outcome in two group-based interventions for non-melancholic depression: Cognitive Behaviour Therapy (CBT) and Mindfulness-Based Cognitive Therapy (MBCT). Method: Sixty-nine participants were randomly allocated to either 8-weekly sessions of group CBT or MBCT. Complete data were obtained from 45 participants (CBT = 26, MBCT = 19). Outcome was assessed at completion of group treatments. Results: Depression scores improved for participants in both group interventions, with no significant differences between the two treatment conditions. There were no significant differences between the interventions at post-treatment on mindfulness or rumination scores. Rumination scores significantly decreased from pre- to post-treatment for both conditions. In the MBCT condition, post-treatment rumination scores were significantly associated with post-treatment mindfulness scores. Conclusions: Results suggest that decreases in rumination scores may be a common feature following both CBT and MBCT interventions. However, post-treatment rumination scores were associated with post-treatment mindfulness in the MBCT condition, suggesting a unique role for mindfulness in understanding treatment outcome for MBCT.
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Weber, B., F. Jermann, M. Gex-Fabry, A. Nallet, G. Bondolfi, and J. M. Aubry. "Mindfulness-based cognitive therapy for bipolar disorder: A feasibility trial." European Psychiatry 25, no. 6 (October 2010): 334–37. http://dx.doi.org/10.1016/j.eurpsy.2010.03.007.
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AbstractBackgroundThe present open study investigates the feasibility of Mindfulness-based cognitive therapy (MBCT) in groups solely composed of bipolar patients of various subtypes. MBCT has been mostly evaluated with remitted unipolar depressed patients and little is known about this treatment in bipolar disorder.MethodsBipolar outpatients (type I, II and NOS) were included and evaluated for depressive and hypomanic symptoms, as well as mindfulness skills before and after MBCT. Patients’ expectations before the program, perceived benefit after completion and frequency of mindfulness practice were also recorded.ResultsOf 23 included patients, 15 attended at least four MBCT sessions. Most participants reported having durably, moderately to very much benefited from the program, although mindfulness practice decreased over time. Whereas no significant increase of mindfulness skills was detected during the trial, change of mindfulness skills was significantly associated with change of depressive symptoms between pre- and post-MBCT assessments.ConclusionsMBCT is feasible and well perceived among bipolar patients. Larger and randomized controlled studies are required to further evaluate its efficacy, in particular regarding depressive and (hypo)manic relapse prevention. The mediating role of mindfulness on clinical outcome needs further examination and efforts should be provided to enhance the persistence of meditation practice with time.
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Pardos-Gascón, Estela María, Lucas Narambuena, César Leal-Costa, Antonio Jesús Ramos-Morcillo, María Ruzafa-Martínez, and Carlos J. van-der Hofstadt Román. "Psychological Therapy in Chronic Pain: Differential Efficacy between Mindfulness-Based Cognitive Therapy and Cognitive Behavioral Therapy." Journal of Clinical Medicine 10, no. 16 (August 12, 2021): 3544. http://dx.doi.org/10.3390/jcm10163544.
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The objective of this study is to evaluate the differential efficacy between Mindfulness-Based Cognitive Therapy (MBCT) and Cognitive Behavioral Therapy (CBT). A quasi-experimental design of repeated measures before and after the test (n = 57) was used with a non-equivalent control group from a previous cohort treated with CBT (n = 105). The t-test revealed significant differences in subjective quality of life for the MBCT group, and in quantity, optimum, and adequate sleep for the CBT group. The pre–post effect size comparison mostly showed slightly larger effect sizes in the MBCT group. CBT and MBCT had comparable efficacies, although a slight trend towards larger effect sizes in MBCT was found. Likewise, CBT seemed to improve sleep-related variables, while MBCT was associated with improvements in pain and quality of life.
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Day, Melissa A., L. Charles Ward, Dawn M. Ehde, Beverly E. Thorn, John Burns, Amanda Barnier, Jason B. Mattingley, and Mark P. Jensen. "A Pilot Randomized Controlled Trial Comparing Mindfulness Meditation, Cognitive Therapy, and Mindfulness-Based Cognitive Therapy for Chronic Low Back Pain." Pain Medicine 20, no. 11 (January 3, 2019): 2134–48. http://dx.doi.org/10.1093/pm/pny273.
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AbstractObjectiveThis pilot trial compared the feasibility, tolerability, acceptability, and effects of group-delivered mindfulness meditation (MM), cognitive therapy (CT), and mindfulness-based cognitive therapy (MBCT) for chronic low back pain (CLBP).SettingUniversity of Queensland Psychology Clinic.SubjectsParticipants were N = 69 (intent-to-treat [ITT] sample) adults with CLBP.DesignA pilot, assessor-blinded randomized controlled trial.MethodsParticipants were randomized to treatments. The primary outcome was pain interference; secondary outcomes were pain intensity, physical function, depression, and opioid medication use. The primary study end point was post-treatment; maintenance of gains was evaluated at three- and six-month follow-up.ResultsRatings of acceptability, and ratios of dropout and attendance showed that MBCT was acceptable, feasible, and well tolerated, with similar results found across conditions. For the ITT sample, large improvements in post-treatment scores for pain interference, pain intensity, physical function, and depression were found (P < 0.001), with no significant between-group differences. Analysis of the follow-up data (N = 43), however, revealed that MBCT participants improved significantly more than MM participants on pain interference, physical function, and depression. The CT group improved more than MM in physical function. The MBCT and CT groups did not differ significantly on any measures.ConclusionsThis is the first study to examine MBCT for CLBP management. The findings show that MBCT is a feasible, tolerable, acceptable, and potentially efficacious treatment option for CLBP. Further, MBCT, and possibly CT, could have sustained benefits that exceed MM on some important CLBP outcomes. A future definitive randomized controlled trial is needed to evaluate these treatments and their differences.
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Maulana, Indra, Hendrawati Hendrawati, Iceu Amira, and Sukma Senjaya. "Intervensi MBCT (Mindfulness-Based Cognitive Therapy) pada Pasien Ansietas: a Scoping Review." Malahayati Nursing Journal 4, no. 8 (August 1, 2022): 2049–61. http://dx.doi.org/10.33024/mnj.v4i8.6797.
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ABSTRACT Anxiety is a feeling of uneasiness, worry, fear that is uncertain and can be triggered by unknown things or new experiences. Intervention in anxiety can be done with MBCT (Mindfulness-Based Cognitive Therapy). This therapy combines cognitive behavioral techniques with mindfulness strategies to help individuals better understand and manage their thoughts and emotions to achieve relief from feelings of anxiety The aims of this study is to analyze the MBCT (Mindfulness-Based Cognitive Therapy) intervention that is able to reduce anxiety. The research used is a literature review study with literature searches carried out on the Pubmed, ScienceDirect, CINAHL, Proquest databases. Using keywords that have been determined and selected based on inclusion and exclusion criteria, 8 articles were found that were appropriate and suitable for use in the literature study. From the search results, 8 articles were found that discussed being able to reduce anxiety in various populations and types of MBCT. This intervention can not only reduce anxiety, it can also reduce levels of depression, distress, functional impairment, and fatigue as well as improve adaptive emotion regulation and psychological well-being. The results of this literature study are expected to develop or become a renewal of research on MBCT (Mindfulness-Based Cognitive Therapy) interventions to treat patients who experience psychosocial anxiety problems. Keyword: MBCT, Anxiety, Anxiety Reduction ABSTRAK Ansietas merupakan perasaan was-was, khawatir, takut yang tidak menentu dan dapat dipicu oleh hal yang tidak diketahui atau terhadap pengalaman baru. Intervensi pada ansietas dapat dilakukan dengan MBCT (Mindfulness-Based Cognitive Therapy). Terapi ini gabungan dari teknik perilaku kognitif dengan strategi perhatian untuk membantu individu lebih memahami dan mengelola pikiran dan emosi mereka untuk mencapai bantuan dari perasaan cemas, tujuan dari penelitian ini adalah untuk menganalisis intervensi MBCT (Mindfulness-Based Cognitive Therapy) yang mampu menurunkan ansietas. Penelitian yang digunakan adalah studi literatur review dengan pencarian literatur dilakukan pada database Pubmed, ScienceDirect, CINAHL, Proquest. Menggunakan kata kunci yang telah ditentukan dan dipilih berdasarkan kriteria inklusi dan eksklusi, didapatkan 8 artikel yang sesuai dan layak digunakan dalam studi literatur. Dari hasil pencarian di dapatkan 8 artikel yang membahas mampu menurunkan ansietas dari berbagai populasi dan jenis MBCT. Intervensi ini tidak hanya dapat menurunkan kecemasan, juga dapat menurunkan tingkat depresi, distress, gangguan fungsional, dan kelelahan serta meningkatkan regulasi emosi adaptif dan kesejahteraan psikologis. Hasil studi literatur ini diharapkan dapat mengembangkan atau menjadi pembaharuan penelitian mengenai intervensi MBCT (Mindfulness-Based Cognitive Therapy) untuk menangani pasien yang mengalami permasalahan psikososial ansietas. Kata kunci: MBCT, Ansietas, Penurunan Ansietas
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Shetty, Rima, Sreejayan Kongasseri, and Shweta Rai. "Efficacy of Mindfulness Based Cognitive Therapy on Children With Anxiety." Journal of Cognitive Psychotherapy 34, no. 4 (November 1, 2020): 306–18. http://dx.doi.org/10.1891/jcpsy-d-20-00014.
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This study examined the efficacy of mindfulness based cognitive therapy on children (MBCT-C) with anxiety. Two hundred and forty children were screened, of which 52 (25 boys and 27 girls) with anxiety were randomly allocated to either MBCT-C or group therapy (GT including cognitive behavioral principles). Both groups were rated on the Spence Children's Anxiety Scale and Emotion Regulation Questionnaire–Child and Adolescent, pre- and 12 weeks post-interventions. MBCT-C was found to be more effective than GT in improving anxiety among children (between-group effect size Cohen's d 1.05) and as effective as GT in reducing emotion suppression for effective emotion regulation. This study provides support for MBCT-C as an effective group intervention for children with anxiety.
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Quan, Peng, Wenna Wang, Chengjing Chu, and Lingfengz Hou. "Seven days of mindfulness-based cognitive therapy improves attention and coping style." Social Behavior and Personality: an international journal 46, no. 3 (March 25, 2018): 421–30. http://dx.doi.org/10.2224/sbp.6623.
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We designed a short-term training course in mindfulness-based cognitive therapy (MBCT) for use with busy people with little time. We examined whether or not MBCT training would affect people's cognition. We assigned 44 participants with no prior experience with mindfulness techniques randomly to either an MBCT group or a control group. These participants then completed the Trait Coping Style Questionnaire (TCSQ). After having undergone 7 days of training, we assessed participants again with the TCSQ and they also completed the Attention Network Test. Results showed that orienting and executive control differed between the MBCT and control groups, but there was no difference between the 2 groups in alerting. The score for positive coping style was significantly enhanced in the group who had undergone MBCT training. Our findings suggest that MBCT can be an effective approach to improve individuals' attentional subsystem and coping style in a short time.
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Keohane, Peter. "Broadening horizons: Mindfulness-based cognitive therapy for older people experiencing depression." FPOP Bulletin: Psychology of Older People 1, no. 125 (January 2014): 49–57. http://dx.doi.org/10.53841/bpsfpop.2014.1.125.49.
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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.
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Chambers, Suzanne K., Stefano Occhipinti, Elizabeth Foley, Samantha Clutton, Melissa Legg, Martin Berry, Martin R. Stockler, et al. "Mindfulness-Based Cognitive Therapy in Advanced Prostate Cancer: A Randomized Controlled Trial." Journal of Clinical Oncology 35, no. 3 (January 20, 2017): 291–97. http://dx.doi.org/10.1200/jco.2016.68.8788.
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Purpose Advanced prostate cancer (PC) is associated with substantial psychosocial morbidity. We sought to determine whether mindfulness-based cognitive therapy (MBCT) reduces distress in men with advanced PC. Methods Men with advanced PC (proven metastatic and/or castration-resistant biochemical progression) were randomly assigned to an 8-week, group-based MBCT intervention delivered by telephone (n = 94) or to minimally enhanced usual care (n = 95). Primary intervention outcomes were psychological distress, cancer-specific distress, and prostate-specific antigen anxiety. Mindfulness skills were assessed as potential mediators of effect. Participants were assessed at baseline and were followed up at 3, 6, and 9 months. Main statistical analyses were conducted on the basis of intention to treat. Results Fourteen MBCT groups were conducted in the intervention arm. Facilitator adherence ratings were high (> 93%). Using random-effects mixed-regression models, intention-to-treat analyses indicated no significant changes in intervention outcomes or in engagement with mindfulness for men in MBCT compared with those receiving minimally enhanced usual care. Per-protocol analyses also found no differences between arms in outcomes or engagement, with the exception of the mindfulness skill of observing, which increased over time for men in MBCT compared with usual care ( P = .032). Conclusion MBCT in this format was not more effective than minimally enhanced usual care in reducing distress in men with advanced PC. Future intervention research for these men should consider approaches that map more closely to masculinity.
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Gu, Yingqi, Guangxing Xu, and Yi Zhu. "A Randomized Controlled Trial of Mindfulness-Based Cognitive Therapy for College Students With ADHD." Journal of Attention Disorders 22, no. 4 (December 30, 2016): 388–99. http://dx.doi.org/10.1177/1087054716686183.
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Objective: Between 2% and 8% of college students meet criteria for ADHD, with increased incidence in recent decades. There are very few clinical trials conducted on the meaningful intervention of ADHD in college. Mindfulness-based cognitive therapy (MBCT) effectively treats college students with ADHD and could be more feasibly applied in college mental health clinics. Method: Fifty-four undergraduates with ADHD between ages 19 and 24 were randomized to receive either MBCT or wait-list (WL) during a 6-week intervention phase. ADHD symptoms, neuropsychological performance, and related outcomes were assessed at pre-treatment, post-treatment, and 3-month follow-up. Results: Participants receiving MBCT group showed greater treatment response rates (57%-71% vs. 23%-31%) and experience less anxiety and depression, and greater levels of mindfulness; MBCT participants show greater improvement on neuropsychological performance. Conclusion: MBCT may be a useful intervention for college students with ADHD, improving participants’ ADHD symptoms, mindfulness, and sustained attention.
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Evans, Julie. "Mindfulness from a cognitive therapy perspective: Theoretical and clinical implications." Clinical Psychology Forum 1, no. 158 (February 2006): 5–8. http://dx.doi.org/10.53841/bpscpf.2006.1.158.5.
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Mindfulness-based cognitive therapy (MBCT) is increasingly considered in the treatment of mental health problems. This paper describes MBCT, its core components, the complementary relationship between mindfulness and cognitive therapy, and how it might be integrated into therapy.
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Kingston, T., S. Collier, D. Hevey, M. M. McCormick, C. Besani, J. Cooney, and A. M. O’Dwyer. "Mindfulness-based cognitive therapy for psycho-oncology patients: an exploratory study." Irish Journal of Psychological Medicine 32, no. 3 (January 7, 2015): 265–74. http://dx.doi.org/10.1017/ipm.2014.81.
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ObjectivesMindfulness-based cognitive therapy (MBCT) is a group-based intervention similar to mindfulness-based stress reduction, but which includes cognitive therapy techniques. This study investigates its usefulness in the treatment of depressive, anxiety and stress/distress symptoms in cancer patients referred to a psycho-oncology service. It also examines whether effect on depression is mediated by self-compassion.MethodIn phase 1 of this study, 16 cancer patients with mild/moderate psychological distress were randomised to MBCT (n=8) or treatment as usual (TAU;n=8), and assessed pre- and post-treatment. Analysis of variance was performed to examine the effect of treatment on anxiety and depression. In phase 2, the TAU group received the intervention, and results of pre- and post-MBCT assessments were combined with those receiving MBCT in phase 1. Finally, both groups were followed up at 3 months.ResultsIn phase 1, the MBCT group had a significant improvement in mindfulness and a decrease in anxiety. Statistically significant improvements in both depression and anxiety were found at 3 month follow-up. Self-compassion appeared to mediate the effect on anxiety/depression.ConclusionThis small pilot study suggests that MBCT may have a beneficial effect on psychological variables often adversely affected in cancer in a heterogeneous cancer population.
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Rimes, Katharine A., and Janet Wingrove. "Pilot Study of Mindfulness-Based Cognitive Therapy for Trainee Clinical Psychologists." Behavioural and Cognitive Psychotherapy 39, no. 2 (December 13, 2010): 235–41. http://dx.doi.org/10.1017/s1352465810000731.
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Background: It is recommended that Mindfulness-Based Cognitive Therapy (MBCT) instructors should undertake MBCT themselves before teaching others. Aim: To investigate the impact of MBCT (modified for stress not depression) on trainee clinical psychologists. Method: Twenty trainees completed questionnaires pre- and post-MBCT. Results: There was a significant decrease in rumination, and increases in self-compassion and mindfulness. More frequent home practice was associated with larger decreases in stress, anxiety and rumination, and larger increases in empathic concern. Only first-year trainees showed a significant decrease in stress. Content analysis of written responses indicated that the most commonly reported effects were increased acceptance of thoughts/feelings (70%), increased understanding of what it is like to be a client (60%), greater awareness of thoughts/feelings/behaviours/bodily sensations (55%) and increased understanding of oneself and one's patterns of responding (55%). Participants reported increased metacognitive awareness and decentring in relation to negative thoughts. Eighty-five percent reported an impact on their clinical work by the end of the course. Conclusions: Trainee psychologists undergoing MBCT experienced many of the psychological processes/effects that they may eventually be helping to cultivate in clients using mindfulness interventions, and also benefits in their general clinical work.
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Eccles, Fiona J. R., David Craufurd, Alistair Smith, Rhys Davies, Kristian Glenny, Max Homberger, Leona Rose, et al. "Experiences of Mindfulness-Based Cognitive Therapy for Premanifest Huntington’s Disease." Journal of Huntington's Disease 10, no. 2 (June 9, 2021): 277–91. http://dx.doi.org/10.3233/jhd-210471.
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Background: Psychological difficulties such as anxiety, depression, and irritability are common in Huntington’s disease, even for premanifest individuals. However, very little evidence exists of psychological approaches to manage this distress. We have conducted a feasibility study with an embedded qualitative component to investigate the possibility of using mindfulness-based cognitive therapy (MBCT) and present here the findings from the qualitative data. Objective: To investigate the experience of premanifest individuals learning and practising mindfulness through completing a course of MBCT. Methods: Twelve premanifest individuals completed a course of MBCT and attended three follow up reunion meetings over the following year. Eleven participants agreed to be interviewed post-course and ten participants one year post-course about their experience of the course and any impact on their lives. Seven participants nominated a friend or relative (supporter) to be involved in the research, of whom six agreed to be interviewed post-course and two at one year about the impact of the course on the participants. Data were analysed using reflexive thematic analysis. Results: Four themes were constructed from the data: 1) A meeting of minds: the group facilitating learning and support; 2) Mindfulness is hard, but enables more effective emotional management; 3) Mindfulness can change the relationship with self and others; and 4) Benefiting from mindfulness: the importance of persistence. Conclusion: The participants who completed the course found it beneficial. Some participants reported reductions in psychological distress, a greater sense of calm and better emotion regulation, with some of these positive changes also noticed by supporters. MBCT is worthy of further investigation for this population.
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Farver-Vestergaard, Ingeborg, Mia S. O'Toole, Maja O'Connor, Anders Løkke, Elisabeth Bendstrup, Sharee A. Basdeo, Donal J. Cox, et al. "Mindfulness-based cognitive therapy in COPD: a cluster randomised controlled trial." European Respiratory Journal 51, no. 2 (January 31, 2018): 1702082. http://dx.doi.org/10.1183/13993003.02082-2017.
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A considerable proportion of patients with chronic obstructive pulmonary disease (COPD) entering pulmonary rehabilitation (PR) report psychological distress, which is often accompanied by poor physical health status. Mindfulness-based cognitive therapy (MBCT) has been shown to improve psychological and physical outcomes in other chronic diseases. We therefore evaluated the efficacy of MBCT as an add-on to a standard PR programme in COPD.COPD patients eligible for PR were cluster randomised to receive either an 8-week, group-based MBCT programme as an add-on to an 8-week PR programme (n=39), or PR alone (n=45). The primary outcomes of psychological distress and physical health status impairment were measured with the Hospital Anxiety and Depression Scale (HADS) and the COPD Assessment Test (CAT) before randomisation (T1), mid- (T2) and post-intervention (T3), and at 3 (T4) and 6 (T5) months’ follow-up .A statistically significant time×arm effect was found for the HADS (Cohen'sd=0.62, 95% CIs (d)=0.18–1.06, p=0.010). The treatment effect on the CAT failed to reach statistical significance (d=0.42, 95% CIs (d)=−0.06–0.90, p=0.061).MBCT showed a statistically significant and durable effect on psychological distress, indicating that MBCT may be an efficacious add-on to standard PR programmes in COPD.
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Roth, Amanda, Rinat Nissim, and Mary Elliott. "Mindfulness-based cognitive therapy for young adults with cancer." University of Western Ontario Medical Journal 87, no. 1 (April 24, 2018): 11–13. http://dx.doi.org/10.5206/uwomj.v87i1.1892.
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Introduction: Cancer diagnosis and treatment frequently involves physical and psychological symptoms, including anxiety, depression, fatigue, and sleep disturbances. The young adult population with cancer face unique struggles including poignancy in relation to self-concept, identity formation, independence, role development, loss of independence, and time away from school and peers. Mindfulness-based interventions are increasingly being evaluated for individuals with a cancer diagnosis. Mindfulness-Based Cognitive Therapy (MBCT) combines Mindfulness-Based Stress Reduction with aspects of cognitive behavioural therapy. This paper aims to briefly describe MBCT and its benefits and challenges in the young adult population with cancer.
Method: An analysis of themes was conducted of post-intervention semi-structured interviews that were conducted with a subsample of 14 participants to gain more detailed information regarding their perception.
Findings: Participants reported positive transformations including in how they cope.
Conclusions: Although a small sample size limits its generalizability, this study provides further evidence that MBCT can be successful in treating psychological symptoms in young adults with cancer.
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Ree, Melissa J., and Mark A. Craigie. "Outcomes Following Mindfulness-Based Cognitive Therapy in a Heterogeneous Sample of Adult Outpatients." Behaviour Change 24, no. 2 (April 1, 2007): 70–86. http://dx.doi.org/10.1375/bech.24.2.70.
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AbstractResearch on mindfulness-based cognitive therapy (MBCT; Segal, Williams, & Teasdale, 2002a) has supported the effectiveness of this approach for use with preventing relapse in recurrent depression. This study evaluated the use of MBCT in a heterogeneous sample of 26 psychiatric outpatients with mood and/or anxiety disorders. Results from both completer and intent to treat analyses showed that MBCT was associated with statistically significant improvements in depression, anxiety, stress, and insomnia symptoms. Rates of clinically significant improvement were comparable with effectiveness studies of cognitive behaviour therapy and mindfulness-based stress reduction in heterogeneous samples. It is concluded that MBCT may be of value for a range of psychological presentations, administered in heterogeneous groups. Future, controlled, research is required to further evaluate this conclusion and to investigate mechanisms of change.
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Rodgers, Sephora H., Robert Schütze, Natalie Gasson, Rebecca A. Anderson, Robert T. Kane, Sergio Starkstein, Katherine Morgan-Lowes, and Sarah J. Egan. "Modified Mindfulness-Based Cognitive Therapy for Depressive Symptoms in Parkinson's Disease: a Pilot Trial." Behavioural and Cognitive Psychotherapy 47, no. 4 (January 18, 2019): 446–61. http://dx.doi.org/10.1017/s135246581800070x.
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Background: Mindfulness-based cognitive therapy (MBCT) has evidence of efficacy in a range of populations, but few studies to date have reported on MBCT for treatment of anxious and depressive symptoms in Parkinson's disease (PD). Aims: The aim of this study was to examine the efficacy of modified MBCT in reducing symptoms of anxiety and depression and improving quality of life in PD. Method: Thirty-six individuals with PD were randomly assigned to either modified MBCT or a waitlist control. Changes in symptoms of anxiety, depression and quality of life were compared at group level using generalized linear mixed models and at individual level using reliable change analysis. Results: At post-treatment, there was a significant reduction in depressive symptoms for people undertaking modified MBCT at both group and individual levels compared with controls. There was no significant effect on anxiety or quality of life at the group level, although significantly more people had reliable improvement in anxiety after modified MBCT than after waitlist. Significantly more waitlist participants had reliable deterioration in symptoms of anxiety and depression than those completing modified MBCT. Most participants stayed engaged in modified MBCT, with only three drop-outs. Discussion: This proof-of-concept study demonstrates the potential efficacy of modified MBCT as a treatment for depressive symptoms in Parkinson's disease and suggests further research is warranted.
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Mathew, Kate L., Hayley S. Whitford, Maura A. Kenny, and Linley A. Denson. "The Long-Term Effects of Mindfulness-Based Cognitive Therapy as a Relapse Prevention Treatment for Major Depressive Disorder." Behavioural and Cognitive Psychotherapy 38, no. 5 (April 7, 2010): 561–76. http://dx.doi.org/10.1017/s135246581000010x.
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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.
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Fernández, Estrella. "MBCT (Mindfulness-Based Cognitive Therapy): Origen, Alcance y Eficacia." Revista de Psicoterapia 27, no. 103 (March 1, 2016): 71–88. http://dx.doi.org/10.33898/rdp.v27i103.105.
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El programa Mindfulness-Based cognitive therapy (MBCT) nace de la integración de Mindfulness y la Terapia Cognitivo-Conductual para la depresión. Inicialmente concebido para prevenir recaídas en pacientes con depresiones recurrentes, su ámbito de aplicación ha evolucionado para impartirse a un rango mucho más amplio de personas y entornos. El primer objetivo de este artículo es proporcionar una comprensión del contexto en que se desarrolla el programa –el modelo cognitivo de la depresión– y sus premisas teóricas de funcionamiento. El segundo objetivo es revisar su eficacia empírica y los mecanismos de acción y cambio. Finalmente, se exploran los distintos ámbitos de aplicación del programa en los que ha mostrado ser efectivo, más allá de los trastornos del estado de ánimo. La investigación muestra consistentemente cómo la intervención con MBCT mejora el bienestar en población clínica y un creciente número de estudios revelan los mismos efectos positivos en adultos sanos. En línea con las predicciones teóricas, los mecanismos que median el cambio tras una intervención con MBCT son los incrementos en habilidades de Mindfulness, en metaconsciencia y autocompasión y la reducción de preocupaciones y rumiaciones.
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JA, Bemina, and Theraza Mathais. "Glimpse of Contemporary Clinical Perspective on “Mindfulness Based Cognitive Behavioral Therapy” in Various Health Dimensions." International Journal of Research and Review 9, no. 2 (February 15, 2022): 236–46. http://dx.doi.org/10.52403/ijrr.20220233.
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Mindfulness-based cognitive therapy (MBCT) is a modified form of cognitive behavioral therapy that associates with mindfulness practices such as meditation and breathing exercises. Initially emerged as an intervention for relapse prevention in people with recurrent depression, it has since been connected to various psychiatric conditions and also has also shown marked effectiveness in various physical conditions. This paper aims to briefly describe the perspectives of MBCT and its presumed mechanism of action, and to review its effectiveness on different mental and physical wellbeing. The main therapeutic goal of MBCT is to interrupt automatic processes and teach the participants to focus less on reacting to incoming stimuli, and instead accepting and observing them without judgment due to which they can ended up more mindful of their contemplations and dispositions and not get caught within the circle of cynicism by utilizing mindfulness and CBT techniques. This new strategy enables to gain more control of thoughts and emotions. There are different confirmations on the viability of mindfulness based cognitive behavioural intervention in individual’s mental and physical heath dimension. Keywords: Mindfulness-based cognitive therapy, Mindfulness, Cognitive Behavioral Therapy.
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dethoor, manon, françois vialatte, marion martinelli, pauline peri, christophe lançon, and Marion TROUSSELARD. "Predictive Factors of Response to Mindfulness-Based Cognitive Therapy (Mbct) for Patients with Depressive Symptoms: The Machine Learning’s Point of View." OBM Integrative and Complementary Medicine 07, no. 04 (December 28, 2022): 1–31. http://dx.doi.org/10.21926/obm.icm.2204058.
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While there is abundant literature on the benefits of Mindfulness-Based Interventions (MBI), data about factors associated with their Efficiency are scarce. Our study attempts to determine the moderators of efficacy and adherence in Mindfulness-Based Cognitive Therapy (MBCT) with a machine learning analysis. Seventy-six psychiatric outpatients at “university hospital mental health service” had a prescription for MBCT from their referring psychiatrist. They suffer from various psychiatric illnesses with depressive symptoms. They completed a battery of clinical, mindfulness, and psychological functioning self-report questionnaires before and after the MBCT intervention of 8 sessions. Changes (after minus before) in scores were used for efficacy. Scores before MBCT were used to study the adherent profile (8 sessions of MBCT) versus non-adherent patients (stopping MBCT before the eight sessions). For efficacy and adherence profiles, machine learning analysis based on the support vector machine (SMV) method was applied to complement classical statistical analyses. Results: For efficacy factors, the SVM analysis finds a two-dimensional profile of patients. The patients for whom MBCT is most effective are patients with a high Beck score (>25) and high trait mindfulness (FFMQ >90). The percentage of misclassified validation examples is 24.6 (LOO = 75.4). The model's sensitivity is 79.3%, and the specificity is 71.9%. For adherence factors, a three-dimensional model is found. The patients who perform the 8 sessions of the MBCT have a profile with high or low trait mindfulness, high or low bodily dissociation, and low self-compassion. The percentage of misclassified validation examples is 37.3 (LOO = 62.7). The model's sensitivity is 48.4%, and the specificity is 71.9%. These results provide preliminary evidence that the predictive power of machine learning may allow the designing of standard patient profiles, which can contribute to 3 more personalized care for patients with symptoms of depression and anxiety. Also, including more psychoeducation in MBCT programs can maximize clinical benefits and adherence to this therapy. However, further studies are needed to explore this topic in more detail.
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Janssen, Lotte, Alicia M. de Vries, Sevket Hepark, and Anne E. M. Speckens. "The Feasibility, Effectiveness, and Process of Change of Mindfulness-Based Cognitive Therapy for Adults With ADHD: A Mixed-Method Pilot Study." Journal of Attention Disorders 24, no. 6 (August 30, 2017): 928–42. http://dx.doi.org/10.1177/1087054717727350.
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Objective: Mindfulness-Based Cognitive Therapy (MBCT) is a promising psychosocial intervention for adult ADHD. The feasibility and effectiveness of an adapted MBCT program is explored, together with the possible process of change. Method: Mixed-method study with 31 ADHD patients participating in an adapted MBCT program. Self-report questionnaires on ADHD symptoms, executive functioning, mindfulness skills, self-compassion, patient functioning, and health status were administered before and after MBCT. Semi-structured interviews were conducted with 24 patients. Results: A modest drop-out of n = 5 (16%) was found. MBCT resulted in a significant reduction of ADHD symptoms and improvements of executive functioning, self-compassion, and mental health. Qualitative analysis provided insight in facilitators and barriers participants experienced, and their process of change. Conclusion: The adapted MBCT program seemed to be feasible for adults with ADHD and preliminary evidence for the effectiveness is shown. An adequately powered Randomized Controlled Trial (RCT) is needed to further examine the effectiveness of MBCT for ADHD.
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Williams, J. Mark G., and Willem Kuyken. "Mindfulness-based cognitive therapy: a promising new approach to preventing depressive relapse." British Journal of Psychiatry 200, no. 5 (May 2012): 359–60. http://dx.doi.org/10.1192/bjp.bp.111.104745.
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SummaryMindfulness-based cognitive therapy (MBCT) was developed as a psychological approach for people at risk for depressive relapse who wish to learn how to stay well in the long-term. In this article we set out the rationale for MBCT, outline the treatment approach, overview the efficacy research to date and look to future challenges.
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Liberali, Rafaela. "Mindfulness-Based Cognitive Therapy in Major depressive disorder - systematic review and metanalysis." Fisioterapia em Movimento 30, suppl 1 (2017): 335–49. http://dx.doi.org/10.1590/1980-5918.030.s01.ar03.
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Abstract Introduction: MBCT practices increases the ability of concentration and attention, as well is particularly effective for people with current and treatment-resistant depression. Objective: To analyze the effects of the application of MBCT in symptoms of MDD. Methods: systematic review and meta-analysis. To find suitable studies, we searched PubMed/MEDLINE's database using the keywords mindfulness and major depressive disorder. Studies in English published between 2003 and 2015 were selected. The studies were evaluated according to their methodological quality by PEDro scale (score greater than 3), studies that showed empirical evidence, had an experimental study design (randomized and non-randomized), and whose full text was available. For the meta-analysis, we used a random-effects model with standardized mean differences and 95% confidence intervals. Results: Fourteen es were included, of which three were non-randomized, with only one group with intervention of MBCT, and 11 were randomized studies, divided into two-group samples and three-group samples. The non-randomized studies showed a PEDro score of 5, while the two-group and three-group randomized studies showed PEDro scores of 5-10 and 6-9, respectively. In the meta-analysis, the four randomized studies selected revealed a moderate effect of MBCT on the outcome of depression symptoms, with a mean difference of -0.52 (95% CI: -1.050 to -0.002; p = 0.04). Conclusion: The MBCT presented as a promising alternative for the treatment of this disorder.
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Marks, Elizabeth, Laurence McKenna, and Florian Vogt. "Mindfulness Based Cognitive Therapy for tinnitus: Evaluation of long-term outcomes." Clinical Psychology Forum 1, no. 334 (October 2020): 45–50. http://dx.doi.org/10.53841/bpscpf.2020.1.334.45.
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Mindfulness Based Cognitive Therapy for tinnitus (MBCT-t) appears to alleviate distress associated with tinnitus but long-term outcomes are unknown. A retrospective survey with 72 people who had completed MBCT-t over the past nine years found that benefits often continued or improved for years after therapy. Qualitative analysis indicated that key changes supporting such improvements were a result of new, more helpful ways of responding to tinnitus, profound holistic benefits, reduced isolation and enhanced self-compassion and gratitude.
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Lee, Jennifer, Randye J. Semple, Dinelia Rosa, and Lisa Miller. "Mindfulness-Based Cognitive Therapy for Children: Results of a Pilot Study." Journal of Cognitive Psychotherapy 22, no. 1 (March 2008): 15–28. http://dx.doi.org/10.1891/0889.8391.22.1.15.
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The purpose of this study was to evaluate the feasibility, acceptability, and helpfulness of Mindfulness-Based Cognitive Therapy for Children (MBCT-C) for the treatment of internalizing and externalizing symptoms in a sample of nonreferred children. Twenty-five children, ages 9 to 12, participated in the 12-week intervention. Assessments were conducted at baseline and posttreatment. Open trial analyses found preliminary support for MBCT-C as helpful in reducing internalizing and externalizing symptoms within subjects on the parent report measure. The high attendance rate (Intent-to-Treat sample, 78%; Completer sample, 94%), high retention rate (68%), and positive ratings on program evaluations supported treatment feasibility and acceptability. Overall, this pilot study offers feasibility and acceptability data for MBCT-C as a potential treatment for internalizing and externalizing symptoms in children. Further research is needed to test the efficacy of the intervention with a larger sample of children who meet diagnostic criteria for clinical disorders.
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Sanjiwani, Anak Agung Sri, and Ni Luh Putu Thrisna Dewi. "Peran Mindfulness-Based Cognitive Therapy dalam Menurunkan Kecemasan dan Depresi pada Pasien Kanker: Literature Review." Psycho Idea 20, no. 1 (March 13, 2022): 85. http://dx.doi.org/10.30595/psychoidea.v20i1.11048.
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Kecemasan dan depresi menjadi permasalahan psikologis yang paling sering dialami oleh pasien kanker. Mindfulness-Based Cognitive Therapy (MBCT) merupakan salah satu intervensi yang digunakan untuk membantu mengatasi dampak psikologis pada pasien kanker. Penelitian ini bertujuan untuk mengetahui penurunan kecemasan dan depresi pada pasien kanker setelah diberikan intervensi MBCT. Hasil pencarian pada empat database Science Direct, PubMed, Proquest dan Springerlink didapatkan lima artikel yang dianalisis. Proses pengumpulan, seleksi dan analisis berdasarkan empat database dilakukan selama periode bulan Mei 2021- Juni 2021. Pencarian awal dengan menggunakan kata kunci ditemukan sebanyak 475 artikel dari keseluruhan database hingga terseleksi menjadi lima artikel sesuai dengan kriteria dan dilakukan analisis deskriptif. Hasil penelitian menunjukkan bahwa MBCT (Group & e-MBCT) terbukti dapat menurunkan kecemasan dan depresi pada pasien kanker. Latihan-latihan meditasi dalam MBCT membantu pasien untuk dapat menerima kondisi yang dialami dan menurunkan kemunculan emosi negatif.
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Allen, Mark, Andrew Bromley, Willem Kuyken, and Stefanie J. Sonnenberg. "Participants' Experiences of Mindfulness-Based Cognitive Therapy: “It Changed Me in Just about Every Way Possible”." Behavioural and Cognitive Psychotherapy 37, no. 4 (June 10, 2009): 413–30. http://dx.doi.org/10.1017/s135246580999004x.
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Background: Mindfulness-Based Cognitive Therapy (MBCT) is a promising approach to help people who suffer recurrent depression prevent depressive relapse. However, little is known about how MBCT works. Moreover, participants' subjective experiences of MBCT as a relapse prevention treatment remain largely unstudied. Aim: This study examines participants' representations of their experience of MBCT and its value as a relapse-prevention program for recurrent depression. Method: Twenty people who had participated in MBCT classes for recurrent depression within a primary care setting were interviewed 12 months after treatment. The focus of the interview was on participants' reflections on what they found helpful, meaningful and difficult about MBCT as a relapse prevention program. Thematic analysis was used to identify the key patterns and elements in participants' accounts. Results and conclusions: Four overarching themes were extracted: control, acceptance, relationships and struggle. The theoretical, clinical and research implications are discussed.
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Hepark, Sevket, Lotte Janssen, Alicia de Vries, Poppy L. A. Schoenberg, Rogier Donders, Cornelis C. Kan, and Anne E. M. Speckens. "The Efficacy of Adapted MBCT on Core Symptoms and Executive Functioning in Adults With ADHD: A Preliminary Randomized Controlled Trial." Journal of Attention Disorders 23, no. 4 (November 20, 2015): 351–62. http://dx.doi.org/10.1177/1087054715613587.
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Objective: The aim of this study was to examine the effectiveness of mindfulness as a treatment for adults diagnosed with ADHD. A 12-week-adapted mindfulness-based cognitive therapy (MBCT) program is compared with a waiting list (WL) group. Method: Adults with ADHD were randomly allocated to MBCT ( n = 55) or waitlist ( n = 48). Outcome measures included investigator-rated ADHD symptoms (primary), self-reported ADHD symptoms, executive functioning, depressive and anxiety symptoms, patient functioning, and mindfulness skills. Results: MBCT resulted in a significant reduction of ADHD symptoms, both investigator-rated and self-reported, based on per-protocol and intention-to-treat analyses. Significant improvements in executive functioning and mindfulness skills were found. Additional analyses suggested that the efficacy of MBCT in reducing ADHD symptoms and improving executive functioning is partially mediated by an increase in the mindfulness skill “Act With Awareness.” No improvements were observed for depressive and anxiety symptoms, and patient functioning. Conclusion: This study provides preliminary support for the effectiveness of MBCT for adults with ADHD.
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Sala, L., C. Vindreau, S. Sweerts, A. Petit, L. Romo-Desprez, C. Mirabel-Sarron, F. Rouillon, and P. Gorwood. "Mindfulness-Based Cognitive Therapy (MBCT) et boulimie & Binge Eating Disorder." European Psychiatry 30, S2 (November 2015): S103—S104. http://dx.doi.org/10.1016/j.eurpsy.2015.09.194.
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Les approches centrées sur l’autorégulation ainsi que sur l’acceptation des émotions et des sensations désagréables inspirées des programme MBSR et MBCT, représentent une voie intéressante dans la prise en charge des troubles du comportement alimentaire dans lesquels le contrôle et l’évitement sont au premier plan. Ces programmes permettent de travailler les aspects obsessionnels (comme les ruminations) et compulsifs (sur l’alimentation, la réactivité avec perte de contrôle) associés à ces troubles alimentaires. La clinique des maladies mentales et de l’encéphale (CMME), hôpital Sainte-Anne a mis en place un protocole « MBCT Boulimie » en huit séances. Le programme MBCT a été modifié, notamment au niveau des outils cognitifs et de la durée des pratiques de méditation pour des patients présentant un TCA. La recherche s’est réalisée sur vingt-quatre sujets de l’hôpital de jour de la CMME et avait pour objet d’évaluer l’impact du programme MBCT dans une population de sujets souffrant de boulimie et de Binge Eating Disorder.Outils d’évaluationBMI, EDI-2, EAT, BDI-13, BITE, STAI Ya/Yb, le Ruminative Response Scale for Eating Disorder (RRSED), l’Acceptance and Action Questionnaire-II (AAQ-II), le Five Facets Mindfulness Questionnaire (FFMQ), le Mindfulness Attention Awareness Scale (MAAS), le Kentucky Inventory of Mindfulness Skills (KIMS), le Body Shape Questionnaire (BSQ), l’Impulsive Behavior Scale : Urgency, Premeditation, Perseverance, and Sensation Seeking (UPPS), le Cambridge Exeter Repetitive Thinking Scale (CERTS) et le Three Factor Eating Questionnaire (TFEQ). Nous présenterons les résultats préliminaires de cette recherche ainsi que le projet de suite de ce travail de recherche clinique.
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McLoughlin, James, Paula Martin, Geraldine McCarthy, and Chee Lin Piong. "Mindfulness based cognitive therapy for recurrent depressive disorder." BJPsych Open 7, S1 (June 2021): S272. http://dx.doi.org/10.1192/bjo.2021.724.
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AimsMindfulness-based therapies have been demonstrated to be effective in reducing anxiety, stress and depressive symptoms in adults. Depression is a chronic relapsing condition. Major depressive disorder is one of the most common causes of ill health and functional impairment.Our goal was to assess the real world clinical effectiveness of Mindfulness Based Cognitive Therapy (MBCT) for Recurrent Depressive Disorder in three domains:-Depression, anxiety and stress levels-Mindfulness level-Self-compassion levelMethodPatients with a diagnosis of Recurrent Depressive Disorder (primary or secondary diagnosis) were referred by their community mental health team to participate in an 8-week educational MBCT programme. Participants completed the Depression, Anxiety and Stress (DASS), 5-Facet Mindfulness and Self Compassion self-rated scales prior to commencing and at the end of the course. They were also invited to give qualitative feedback at the end of the course.Data were collected from four groups who completed the course over a period of twelve months. A paired samples test was used to compare pre and post intervention scores to determine effect size.ResultWe had complete data for 19 participants out of a cohort of 34. Pre intervention scores were similar for both groups.The mean age of the cohort was 47 years (SD of 10 years), 3 male, 16 female.Patients showed a clinically significant reduction of symptoms in depression, anxiety and stress, with respective reductions of 48%, 26% and 43% post intervention. Results were statistically significant for depressaion and stress p <0.001 but not for anxiety p = 0.130.Positive trends were seen in all domains of the 5-Fact Mindfulness and Self Compassions scales, with mean improvements of 28.2% and 35.3% respectively. All results were statistically significant.We also collected anonymized qualitative feedback which highlighted themes of empowerment, skill acquisition and improved coping.ConclusionNumerous studies have demonstrated poor compliance with antidepressant treatments commonly prescribed in Recurrent Depressive Disorder. This small scale study demonstrates a statistical and clinical benefit of MBCT for these patients, supporting greater use of such novel non-pharmacological therapeutic options as treatment strategies..
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Naibili, Maria Julieta Esperanca, and Iman Permana. "EFFECTIVENESS OF MINDFULNESS-BASED COGNITIVE THERAPY (MBCT) TOWARDS DEPRESSION." Jurnal Ilmu Keperawatan (Journal of Nursing Science) 8, no. 1 (June 30, 2020): 35–42. http://dx.doi.org/10.21776/ub.jik.2020.008.01.6.
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Compen, Félix, Else Bisseling, Melanie Schellekens, Rogier Donders, Linda Carlson, Marije van der Lee, and Anne Speckens. "Face-to-Face and Internet-Based Mindfulness-Based Cognitive Therapy Compared With Treatment as Usual in Reducing Psychological Distress in Patients With Cancer: A Multicenter Randomized Controlled Trial." Journal of Clinical Oncology 36, no. 23 (August 10, 2018): 2413–21. http://dx.doi.org/10.1200/jco.2017.76.5669.
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Purpose Mindfulness-based cognitive therapy (MBCT) has been shown to alleviate psychological distress in patients with cancer. However, patients experience barriers to participating in face-to-face MBCT. Individual Internet-based MBCT (eMBCT) could be an alternative. The study aim was to compare MBCT and eMBCT with treatment as usual (TAU) for psychological distress in patients with cancer. Patients and Methods We obtained ethical and safety approval to include 245 patients with cancer with psychological distress (≥ 11 on the Hospital Anxiety and Depression Scale) in the study. They were randomly allocated to MBCT (n = 77), eMBCT (n = 90), or TAU (n = 78). Patients completed baseline (T0) and postintervention (T1) assessments. The primary outcome was psychological distress on the Hospital Anxiety and Depression Scale. Secondary outcomes were psychiatric diagnosis, fear of cancer recurrence, rumination, health-related quality of life, mindfulness skills, and positive mental health. Continuous outcomes were analyzed using linear mixed modeling on the intention-to-treat sample. Because both interventions were compared with TAU, the type I error rate was set at P < .025. Results Compared with TAU, patients reported significantly less psychological distress after both MBCT (Cohen’s d, .45; P < .001) and eMBCT (Cohen’s d, .71; P < .001) . In addition, post-treatment prevalence of psychiatric diagnosis was lower with both MBCT (33% improvement; P = .030) and eMBCT (29% improvement; P = .076) in comparison with TAU (16%), but these changes were not statistically significant. Both interventions reduced fear of cancer recurrence and rumination, and increased mental health–related quality of life, mindfulness skills, and positive mental health compared with TAU (all Ps < .025). Physical health–related quality of life did not improve ( P = .343). Conclusion Compared with TAU, MBCT and eMBCT were similarly effective in reducing psychological distress in a sample of distressed heterogeneous patients with cancer.
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Janssen, Lotte, Cornelis C. Kan, Pieter J. Carpentier, Bram Sizoo, Sevket Hepark, Melanie P. J. Schellekens, A. Rogier T. Donders, Jan K. Buitelaar, and Anne E. M. Speckens. "Mindfulness-based cognitive therapy v. treatment as usual in adults with ADHD: a multicentre, single-blind, randomised controlled trial." Psychological Medicine 49, no. 1 (February 28, 2018): 55–65. http://dx.doi.org/10.1017/s0033291718000429.
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AbstractBackgroundThere is a high need for evidence-based psychosocial treatments for adult attention-deficit hyperactivity disorder (ADHD) to offer alongside treatment as usual (TAU). Mindfulness-based cognitive therapy (MBCT) is a promising psychosocial treatment. This trial investigated the efficacy of MBCT + TAU v. TAU in reducing core symptoms in adults with ADHD.MethodsA multicentre, single-blind, randomised controlled trial (ClinicalTrials.gov: NCT02463396). Participants were randomly assigned to MBCT + TAU (n = 60), an 8-weekly group therapy including meditation exercises, psychoeducation and group discussions, or TAU only (n = 60), which reflected usual treatment in the Netherlands and included pharmacotherapy and/or psychoeducation. Primary outcome was ADHD symptoms rated by blinded clinicians. Secondary outcomes included self-reported ADHD symptoms, executive functioning, mindfulness skills, self-compassion, positive mental health and general functioning. Outcomes were assessed at baseline, post-treatment, 3- and 6-month follow-up. Post-treatment effects at group and individual level, and follow-up effects were examined.ResultsIn MBCT + TAU patients, a significant reduction of clinician-rated ADHD symptoms was found at post-treatment [M difference = −3.44 (−5.75, −1.11), p = 0.004, d = 0.41]. This effect was maintained until 6-month follow-up. More MBCT + TAU (27%) than TAU participants (4%) showed a ⩽30% reduction of ADHD symptoms (p = 0.001). MBCT + TAU patients compared with TAU patients also reported significant improvements in ADHD symptoms, mindfulness skills, self-compassion and positive mental health at post-treatment, which were maintained until 6-month follow-up. Although patients in MBCT + TAU compared with TAU reported no improvement in executive functioning at post-treatment, they did report improvement at 6-month follow-up.ConclusionsMBCT might be a valuable treatment option alongside TAU for adult ADHD aimed at alleviating symptoms.
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Piet, Jacob. "Hvad er gode forudsætninger for at undervise i mindfulness?" Psyke & Logos 37, no. 1 (February 21, 2017): 30–54. http://dx.doi.org/10.7146/pl.v37i1.25529.
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Mindfulness-based clinical interventions have become popular and broadly implemented within several university clinics and hospitals. The efficacy of mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT) is supported by evidence from numerous clinical trials and meta-analyses. However, with the increase inpopularity and greater demand, the central risk is that the quality and integrity of MBSR and MBCT could be lost, in particular if these evidence-based interventions are not delivered as intended. In this article, an overall model of quality and integrity is presented with an emphasis on professional training, standards of good practice, teaching competencies,ethics, and insights of contemplative traditions. It is suggested that professional training requires a longer time frame in order to develop, integrate, implement, and evaluate the basic competencies needed to effectively teach MBSR and MBCT. It is also argued that teachers of MBSR and MBCT need to be engage in the personal work ofintegrating mindfulness into their own lives.
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van Aalderen, J. R., A. R. T. Donders, F. Giommi, P. Spinhoven, H. P. Barendregt, and A. E. M. Speckens. "The efficacy of mindfulness-based cognitive therapy in recurrent depressed patients with and without a current depressive episode: a randomized controlled trial." Psychological Medicine 42, no. 5 (October 3, 2011): 989–1001. http://dx.doi.org/10.1017/s0033291711002054.
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BackgroundThe aim of this study is to examine the efficacy of mindfulness-based cognitive therapy (MBCT) in addition to treatment as usual (TAU) for recurrent depressive patients with and without a current depressive episode.MethodA randomized, controlled trial comparing MBCT+TAU (n=102) with TAU alone (n=103). The study population consisted of patients with three or more previous depressive episodes. Primary outcome measure was post-treatment depressive symptoms according to the Hamilton Rating Scale for Depression. Secondary outcome measures included the Beck Depression Inventory, rumination, worry and mindfulness skills. Group comparisons were carried out with linear mixed modelling, controlling for intra-group correlations. Additional mediation analyses were performed. Comparisons were made between patients with and without a current depressive episode.ResultsPatients in the MBCT+TAU group reported less depressive symptoms, worry and rumination and increased levels of mindfulness skills compared with patients receiving TAU alone. MBCT resulted in a comparable reduction of depressive symptoms for patients with and without a current depressive episode. Additional analyses suggest that the reduction of depressive symptoms was mediated by decreased levels of rumination and worry.ConclusionsThe study findings suggest that MBCT is as effective for patients with recurrent depression who are currently depressed as for patients who are in remission. Directions towards a better understanding of the mechanisms of action of MBCT are given, although future research is needed to support these hypotheses.
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Bojic, Sanja, and Rodrigo Becerra. "Mindfulness-based treatment for Bipolar Disorder: A systematic review of the literature." Europe’s Journal of Psychology 13, no. 3 (August 31, 2017): 573–98. http://dx.doi.org/10.5964/ejop.v13i3.1138.
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Despite the increasing number of studies examining the effects of mindfulness interventions on symptoms associated with Bipolar Disorder (BD), the effectiveness of this type of interventions remains unclear. The aim of the present systematic review was to (i) critically review all available evidence on Mindfulness Based Cognitive Therapy (MBCT) as a form of intervention for BD; (ii) discuss clinical implications of MBCT in treating patients with BD; and (iii) provide a direction for future research. The review presents findings from 13 studies (N = 429) that fulfilled the following selection criteria: (i) included BD patients; (ii) presented results separately for BD patients and control groups (where a control group was available); (iii) implemented MBCT intervention; (iv) were published in English; (v) were published in a peer reviewed journal; and (vi) reported results for adult participants. Although derived from a relatively small number of studies, results from the present review suggest that MBCT is a promising treatment in BD in conjunction with pharmacotherapy. MBCT in BD is associated with improvements in cognitive functioning and emotional regulation, reduction in symptoms of anxiety depression and mania symptoms (when participants had residual manic symptoms prior to MBCT). These, treatment gains were maintained at 12 month follow up when mindfulness was practiced for at least 3 days per week or booster sessions were included. Additionally, the present review outlined some limitations of the current literature on MBCT interventions in BD, including small study sample sizes, lack of active control groups and idiosyncratic modifications to the MBCT intervention across studies. Suggestions for future research included focusing on factors underlying treatment adherence and understanding possible adverse effects of MBCT, which could be of crucial clinical importance.
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Zhang, Xinyan, Dongling Liu, Yuxiang Li, Ye Zhang, Bingyan Zhang, Xiuli Wang, and Guijie Wang. "Effects of mindfulness-based interventions on quality of life of women with breast cancer: a systematic review." Journal of Comparative Effectiveness Research 8, no. 11 (August 2019): 829–40. http://dx.doi.org/10.2217/cer-2019-0053.
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Aim: The systematic review assessed the effect of mindfulness-based interventions on the quality of life among women with breast cancer. Methods: PubMed, Cochrane library, EMBASE, Web of Science and CINAHL databases were searched for studies published. Our review assessed the effect of mindfulness-based interventions (Mindfulness-Based Stress Reduction [MBSR] intervention and Mindfulness-Based Cognitive Therapy [MBCT]) on quality of life for women with breast cancer. Two authors independently assessed the quality of all included studies using the Downs and Black Quality Index. Results: The search finally identified 15 studies. The MBSR intervention showed a significant effect between groups. The MBCT intervention also showed good effect on quality of life. Adverse events were inadequately reported. Conclusion: The MBSR intervention on quality of life among women with breast cancer was effective and safe. The effect of MBCT intervention on quality of life still needs more research.
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Ewais, Tatjana, Jake Begun, Maura Kenny, Alan Headey, Merilyn Tefay, and Steve Kisely. "Mindfulness-based cognitive therapy experiences in youth with inflammatory bowel disease and depression: findings from a mixed methods qualitative study." BMJ Open 10, no. 11 (November 2020): e041140. http://dx.doi.org/10.1136/bmjopen-2020-041140.
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ObjectivesMindfulness-based cognitive therapy (MBCT) is effective in treating psychosocial comorbidities in inflammatory bowel disease (IBD); however, there have been no qualitative studies of MBCT experiences among youth with IBD. We aimed to examine the experiences of youth with IBD and depression who completed an adapted MBCT group programme, and the impact of common psychotherapy and group factors.DesignThis mixed method qualitative study, nested within a randomised controlled trial (RCT) of MBCT for youth with IBD, employed thematic analysis of qualitative data from three focus groups and open-ended survey questions.SettingThe study was conducted in the outpatient department of a tertiary hospital for young adults in Brisbane, Australia.ParticipantsOut of sixty-four adolescents and young adults recruited to the RCT of MBCT for youth with IBD and depression, 29 completed the MBCT evaluation survey and 19 attended the focus groups.ResultsFour key themes emerged: ‘connectedness and shared understanding’, ‘growing in wisdom’, ‘therapeutic alliance’ and ‘barriers to mindfulness practice’. Participants described MBCT experiences as healing and transformative with the themes of connectedness, growing in wisdom and therapeutic alliance laying the foundation for therapeutic change. Main barriers included fatigue, depression, time and travel constraints.ConclusionsThe study identified key themes facilitating the process of therapeutic change within the MBCT programme for youth with IBD and elucidated common and group psychotherapy factors underlying the key themes. Participants perceived connecting with peers as essential for learning mindfulness skills which in turn strengthened the connection. Study findings will facilitate interpretation of the results of the RCT of MBCT in youth with IBD and inform the design of future studies of MBCT in this cohort.Trial registration numberACTRN12617000876392; Results.
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Hutton, Jane, and Donal Pyne. "The benefits of delivering a mindfulnessbased cognitive therapy course to trainee clinical psychologists." Clinical Psychology Forum 1, no. 251 (November 2013): 32–36. http://dx.doi.org/10.53841/bpscpf.2013.1.251.32.
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An adapted mindfulness-based cognitive therapy (MBCT) course was offered to trainee clinical psychologists. Results indicated increases in self-compassion but mindfulness did not increase for all participants. Possible reasons for this are discussed.
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Huijbers, Marloes J., Philip Spinhoven, Jan Spijker, Henricus G. Ruhé, Digna J. F. van Schaik, Patricia van Oppen, Willem A. Nolen, et al. "Discontinuation of antidepressant medication after mindfulness-based cognitive therapy for recurrent depression: Randomised controlled non-inferiority trial." British Journal of Psychiatry 208, no. 4 (April 2016): 366–73. http://dx.doi.org/10.1192/bjp.bp.115.168971.
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BackgroundMindfulness-based cognitive therapy (MBCT) and maintenance antidepressant medication (mADM) both reduce the risk of relapse in recurrent depression, but their combination has not been studied.AimsTo investigate whether MBCT with discontinuation of mADM is non-inferior to MBCT+mADM.MethodA multicentre randomised controlled non-inferiority trial (ClinicalTrials.gov: NCT00928980). Adults with recurrent depression in remission, using mADM for 6 months or longer (n = 249), were randomly allocated to either discontinue (n = 128) or continue (n = 121) mADM after MBCT. The primary outcome was depressive relapse/recurrence within 15 months. A confidence interval approach with a margin of 25% was used to test non-inferiority. Key secondary outcomes were time to relapse/recurrence and depression severity.ResultsThe difference in relapse/recurrence rates exceeded the non-inferiority margin and time to relapse/recurrence was significantly shorter after discontinuation of mADM. There were only minor differences in depression severity.ConclusionsOur findings suggest an increased risk of relapse/recurrence in patients withdrawing from mADM after MBCT.
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Danylova, T. "MINDFULNESS AND OBSESSIVE-COMPULSIVE DISORDER: A BRIEF OVERVIEW." HUMANITARIAN STUDIOS: PEDAGOGICS, PSYCHOLOGY, PHILOSOPHY 12, no. 1 (2021): 58–65. http://dx.doi.org/10.31548/hspedagog2021.01.058.
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Mindfulness is non-judgmental awareness that arises as a result of conscious focus on the current moment. It may be seen as one of the useful therapeutic tools that helps to alleviate symptoms of OCD. In recent decades, there has been a growing interest in studying the concept of mindfulness as a psychological construct and as a form of psychotherapeutic intervention for the prevention and treatment of mental disorders. The purpose of mindfulness-based cognitive therapy (MBCT) like cognitive behavioral therapy (CBT) is to assist patients in developing awareness of their thoughts and reactions. MBCT teaches that the best way to spot these triggers and overcome stress and anxiety is to be aware of and accept the current moment. Instead of trying too hard to realize negative thoughts, fears, and anxieties, MBCT teaches to accept any thought in a non-judgmental way and allow it to disappear as easily as to appear. Mindfulness is a proven skill of awareness and a way of responding in a non-judgmental manner to unwanted thoughts, feelings, and urges. Clearing the mind, mindfulness helps to kill off habitual connections between neurons and develop new ones, to reduce the level of obsessive thoughts and stereotypes, to overcome automatic thinking and eradicate existing patterns of behavior that ultimately leads to a qualitatively new level of living and development of human abilities and talents. Complementing cognitive behavioral therapy (CBT), the gold standard for the treatment of obsessive-compulsive disorder (OCD), mindfulness-based cognitive therapy (MBCT) enhances and improves the therapeutic effect and opens new horizons for further research. The paper aims to analyze the place and role of mindfulness in the treatment of obsessive-compulsive disorders.
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Williams, Kate, and Kelly Birtwell. "The double-edged sword of mindfulness: Maintaining integrity whilst increasing access." Clinical Psychology Forum 1, no. 306 (June 2018): 43–47. http://dx.doi.org/10.53841/bpscpf.2018.1.306.43.
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Recent NHS initiatives aim to increase the implementation of mindfulness-based cognitive therapy (MBCT). We highlight considerations for maintaining integrity whilst increasing access through an enhanced understanding of the complexity of MBCT, teacher training requirements, good practice guidelines, and the evidence base.
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Flores, A., G. González, G. Lahera, C. Bayón, M. Bravo, B. Rodríguez Vega, C. Avedillo, et al. "Mindfulness effects on cognition: Preliminary results." European Psychiatry 41, S1 (April 2017): S421. http://dx.doi.org/10.1016/j.eurpsy.2017.01.382.
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BackgroundMindfulness-based cognitive therapy (MBCT) is a psychotherapeutic intervention that has been shown effective in several clinical conditions. Nevertheless, research is still needed on its effectiveness on cognition.ObjectiveTo analyze possible effects on cognition of the addition of MBCT intervention versus a brief structured group psycho-education to the standard treatment of subsyndromal bipolar depression. Our hypothesis was that MBCT could improve some aspects of cognitive function to a higher degree than psycho-education and treatment as usual (TAU).Methods/designA randomized, multicenter, prospective, versus active comparator, evaluator-blinded clinical trial was conducted. Forty patients with BD and subclinical or mild depressive symptoms were randomly allocated to:– MBCT added to psychopharmacological treatment (n = 16);– a brief structured group psycho-educational intervention added to psychopharmacological treatment (n = 17);– standard clinical management, including psychopharmacological treatment (n = 7).Assessments were conducted at screening, baseline, post-intervention (8 weeks) and 4-month follow-up.ResultsCognition results point to significant improvement in Stroop Color test as well as processing speed in TMT A test (P < 0.05) in the two psychological intervention groups versus TAU.ConclusionThese preliminary findings suggest that the addition of MBCT or psycho-education to usual treatment could improve some cognitive dimensions in subsyndromal bipolar depressive patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Tseng, Hui-Wen, Fan-Hao Chou, Ching-Hsiu Chen, and Yu-Ping Chang. "Effects of Mindfulness-Based Cognitive Therapy on Major Depressive Disorder with Multiple Episodes: A Systematic Review and Meta-Analysis." International Journal of Environmental Research and Public Health 20, no. 2 (January 14, 2023): 1555. http://dx.doi.org/10.3390/ijerph20021555.
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This study synthesizes the effect of mindfulness-based cognitive therapy (MBCT) on depression and suicidal ideation among patients with major depressive disorder (MDD). During treatment, patients with MDD may experience repeated episodes, negative counseling, and suicidal ideation, which can lead to further depression and ultimately affect quality of life. Recent studies have shown that MBCT can improve the level of depression and suicidal ideation in patients with MDD. A systematic review and meta-analysis of randomized controlled trials was conducted. The literature search for articles up to December 2021 was performed in the following electronic databases: Airiti Library, PsycINFO, CINAHL, Cochrane Library, PubMed/MEDLINE, ProQuest, and the Index of the Taiwan Periodical Literature System. Records were independently evaluated by two reviewers. Disagreements were resolved through consensus. The quality of study was evaluated using the Modified Jadad Scale score. A meta-analysis was performed using Review Manager Version 5.3.5 software with a random-effects model. Thirteen studies (1159 participants) investigating MBCT for patients with MDD were included. The MBCT sessions lasted 1.5–2.5 h and were delivered by therapists five times per week for 8 weeks. The meta-effects of MBCT among patients with MDD showed significant improvement in depression and suicidal ideation. Future research should evaluate the long-term effects of MBCT. MBCT is relatively convenient and effective for preventing and alleviating depression and suicidal ideation. Further research can provide detailed suggestions for effective MBCT implementation.
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Langer, Álvaro I., Adolfo J. Cangas, Estela Salcedo, and Belén Fuentes. "Applying Mindfulness Therapy in a Group of Psychotic Individuals: A Controlled Study." Behavioural and Cognitive Psychotherapy 40, no. 1 (September 9, 2011): 105–9. http://dx.doi.org/10.1017/s1352465811000464.
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Background: There are already several existing studies that show the effectiveness of mindfulness-based approaches in varying types of disorders. Only a few studies, however, have analyzed the effectiveness of this intervention in psychosis, and without finding, up to now, significant differences from the control group. Aims: The aim of this study is two-fold: to replicate previous studies, and to focus on analyzing the feasibility and effectiveness of applying mindfulness in a group of people with psychosis. Method: Eighteen patients with psychosis were randomly assigned to experimental and control groups. The experimental group received eight 1-hour sessions of Mindfulness-Based Cognitive Therapy (MBCT), while the control group was relegated to a waiting list to receive MBCT therapy. Results: The experimental group scored significantly higher than the control group in their ability to respond mindfully to stressful internal events. Conclusions: Both the usefulness and effectiveness of implementing a mindfulness-based program have been replicated in a controlled manner in patients with psychosis.
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Chesin, Megan S., Beth S. Brodsky, Brandon Beeler, Christopher A. Benjamin-Phillips, Ida Taghavi, and Barbara Stanley. "Perceptions of Adjunctive Mindfulness-Based Cognitive Therapy to Prevent Suicidal Behavior Among High Suicide-Risk Outpatient Participants." Crisis 39, no. 6 (November 2018): 451–60. http://dx.doi.org/10.1027/0227-5910/a000519.
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Abstract. Background: Few investigations of patient perceptions of suicide prevention interventions exist, limiting our understanding of the processes and components of treatment that may be engaging and effective for high suicide-risk patients. Aims: Building on promising quantitative data that showed that adjunct mindfulness-based cognitive therapy to prevent suicidal behavior (MBCT-S) reduced suicidal thinking and depression among high suicide-risk patients, we subjected MBCT-S to qualitative inspection by patient participants. Method: Data were provided by 15 patients who completed MBCT-S during a focus group and/or via a survey. Qualitative data were coded using thematic analysis. Themes were summarized using descriptive analysis. Results: Most patients viewed the intervention as acceptable and feasible. Patients attributed MBCT-S treatment engagement and clinical improvement to improved emotion regulation. A minority of patients indicated that factors related to the group treatment modality were helpful. A small percentage of patients found that aspects of the treatment increased emotional distress and triggered suicidal thinking. These experiences, however, were described as fleeting and were not linked to suicidal behavior. Limitations: The sample size was small. Conclusion: Information gathered from this study may assist in refining MBCT-S and treatments to prevent suicidal behavior among high suicide-risk patients generally.
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Rademaker, Maaike Maartje, Inge Stegeman, Arno Lieftink, Metten Somers, Robert Stokroos, and Adriana L. Smit. "MinT-trial: Mindfulness versus cognitive behavioural therapy in Tinnitus patients: protocol for a randomised controlled, non-inferiority trial." BMJ Open 10, no. 2 (February 2020): e033210. http://dx.doi.org/10.1136/bmjopen-2019-033210.
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IntroductionChronic subjective tinnitus is a condition that affects 5.1% to 42.7% of the population, depending on the definition and studied population. Evidence-based treatment options are limited. Cognitive Behavioural Therapy (CBT) has been proven effective to improve quality of life and to diminish tinnitus distress. Positive short-term effects of mindfulness-based interventions on tinnitus distress have been reported; however, the longer term effects remain to be studied.Methods and analysisWe designed a monocentre randomised controlled, non-inferiority trial to compare the effectiveness of mindfulness-based cognitive therapy (MBCT) and CBT in chronic tinnitus patients. Fifty-four patients (≥32 on the Tinnitus Functional Index (TFI), suffering from tinnitus for at least 6 months) will be included in the trial and randomised into one of two intervention groups. One group will receive MBCT, the other group will receive CBT. Our primary objective is to determine whether MBCT is non-inferior to (as good as) CBT on tinnitus distress (TFI) in chronic tinnitus patients at 12 months follow-up after end of therapy. Non-inferiority will be declared if the mean decrease in TFI score for MBCT is no worse than the mean decrease in TFI score in CBT, with statistical variability, with a margin of 13 points. Most secondary objectives (tinnitus severity of problem, tinnitus intrusiveness, quality of life, anxiety, depression, symptoms of psychopathology, perceived tinnitus complaints, coping style (mostly validated questionnaires)) are expected to show non-inferiority to MBCT compared with CBT. We expect a significant difference between MBCT and CBT for mindfulness awareness.Ethics and disseminationThis research protocol was approved by the Institutional Review Board of the UMC Utrecht (NL67838.041.18, V.4, April 2019). The trial results will be made accessible to the public in a peer-review journal.Trial registration numberNL7745.
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Kirschner, Hans, Willem Kuyken, and Anke Karl. "A Biobehavioural Approach to Understand How Mindfulness-Based Cognitive Therapy Reduces Dispositional Negative Self-Bias in Recurrent Depression." Mindfulness 13, no. 4 (March 1, 2022): 928–41. http://dx.doi.org/10.1007/s12671-022-01845-3.
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Abstract Objectives In order to address an important gap in understanding mechanisms of depressive relapse, we complemented self-report with psychophysiological measures to a specifically developed brief self-compassion exercise, to examine if mindfulness-based cognitive therapy (MBCT) reduces dispositional negative self-bias in individuals with recurrent depression. Methods Individuals’ responses (self-report, heart rate, heart rate variability and skin conductance) during a previously validated brief self-compassion exercise were assessed in a repeated-measures experimental design at two timepoints 2.5–3 months apart in a convenience sample of remitted depressed attendees of an outpatient clinic for mood disorders. The first group received eight sessions of MBCT (n = 25) in between the two measurements whereas the second group was an untreated control group (n = 25). Results When the MBCT group engaged in the self-compassion exercise after MBCT, they showed reduced physiological arousal and increased heart rate variability whereas no changes were observed in the untreated control group. Whereas self-reported state self-compassion after the exercise increased in both groups at both timepoints, only in the MBCT group were the overall levels of state and dispositional self-compassion increased significantly. Conclusion MBCT appears to effectively reduce negative self-bias and facilitates psychophysiological benefits associated with a more positive self-view. Physiological responses to our self-compassion exercise could be useful markers of treatment-related changes and further mechanism research on depressive relapse prevention.