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https://hdl.handle.net/2440/59272
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Type: | Journal article |
Title: | The long-term effects of mindfulness-based cognitive therapy as a relapse prevention treatment for major depressive disorder |
Author: | Mathew, K. Whitford, H. Kenny, M. Denson, L. |
Citation: | Behavioural and Cognitive Psychotherapy, 2010; 38(5):561-576 |
Publisher: | Cambridge University Press |
Issue Date: | 2010 |
ISSN: | 1352-4658 1469-1833 |
Statement of Responsibility: | Kate L. Mathew, Hayley S. Whitford, Maura A. Kenny and Linley A. Denson |
Abstract: | <h4>Background</h4>Mindfulness-based Cognitive Therapy (MBCT) is a relapse prevention treatment for major depressive disorder.<h4>Method</h4>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).<h4>Results</h4>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.<h4>Conclusion</h4>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. |
Keywords: | Mindfulness cognitive therapy depression rumination long-term outcome |
Rights: | © British Association for Behavioural and Cognitive Psychotherapies 2010 |
DOI: | 10.1017/S135246581000010X |
Published version: | http://dx.doi.org/10.1017/s135246581000010x |
Appears in Collections: | Aurora harvest 5 Psychology publications |
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