Mindfulness Based Cognitive Group Therapy for Depression

Treatment

DIAGNOSIS: Depression

TREATMENT: Mindfulness Based Cognitive Group Therapy for Depression

BRIEF SUMMARY

Basic premise: Depression is associated with a network of negative modes of thinking and feeling. These modes can be reactivated during periods of remission leading to relapse.
Essence of therapy: Mindfulness-Based Cognitive Therapy (MBCT) combines core concepts of cognitive therapy with training in mindfulness meditation as a means of decreasing cognitive reactivity. MBCT aims to cultivate mindfulness, encouraging patients to both become acquainted with depressive modes of thinking and feeling while at once developing a new (and less reactive) relationship with these experiences. This process involves meeting distressing internal experiences (i.e., thoughts, feelings) with patience, kindness, curiosity, and empathy. MBCT was originally designed to prevent relapse for patients in remission from depression, with an emphasis on detecting early signs of relapse through enhanced decentering. More recent work has investigated MBCT for reducing residual depressive symptoms and comorbid anxiety. A small body of evidence suggests MBCT may be effective for reducing current depressive symptoms.

Mindfulness-based cognitive therapy. (2016). Div12.org. Retrieved October 28, 2022, from https://div12.org/treatment/mindfulness-based-cognitive-therapy/

TREATMENT RESOURCES

TREATMENT MANUALS

La thérapie cognitive basée sur la pleine conscience pour la dépression: pour prévenir la rechute (Segal, Z. V., Williams, M., Teasdale, J.)

Mindfulness-based cognitive therapy for depression (Segal, Z., Williams, M., & Teasdale, J.)

WORKBOOKS and WORKSHEETS

Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. (Kabat-Zinn, J.)

SUPPORTING STUDIES

Ahmadpanah, M., Akbari, T., Akhondi, A., Haghighi, M., Jahangard, L., Bahmani, D. S., Bajoghli H., Holsboer-Traschler E., & Brand, S. (2017). Detached mindfulness reduced both depression and anxiety in elderly women with major depressive disorders. Psychiatry Research, 257, 87-94.

https://doi.org/10.1016/j.psychres.2017.07.030

Barnhofer, T., Crane, C., Hargus, E., Amarasinghe, M., Winder, R., & Williams, J. M. G. (2009). Mindfulness-based cognitive therapy as a treatment for chronic depression: A preliminary study. Behaviour Research and Therapy, 47(5), 366-373.

https://doi.org/10.1016/j.brat.2009.01.019

Bondolfi, G., Jermann, F., Van der Linden, M., Gex-Fabry, M., Bizzini, L., Rouget, B. W., Myers-Arrazola, L., Gonzalez, C., Segal, Z., Aubry, J. -M., & Bertschy, G. (2010). Depression relapse prophylaxis with Mindfulness-Based Cognitive Therapy: replication and extension in the Swiss health care system. Journal of Affective Disorders, 122(3), 224-231.

https://doi.org/10.1016/j.jad.2009.07.007

Chiesa, A., Castagner, V., Andrisano, C., Serretti, A., Mandelli, L., Porcelli, S., & Giommi, F. (2015). Mindfulness-based cognitive therapy vs. psycho-education for patients with major depression who did not achieve remission following antidepressant treatment. Psychiatry research, 226(2-3), 474-483.

https://doi.org/10.1016/j.psychres.2015.02.003

Janis, R. A. Burlingame, G. M., Svien, H., Jensen. J., & Lundgreen, R. (2020). Group therapy for mood disorders: A meta-analysis. Psychotherapy Research, 31(3), 342-358.

https://doi.org/10.1080/10503307.2020.1817603

Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., Barrett, B., Byng, R., Evans, A., Mullan, E., & Teasdale, J. D. (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology, 76(6), 966.

https://doi.org/10.1037/a0013786

Manicavasgar, V., Parker, G., & Perich, T. (2011). Mindfulness-based cognitive therapy vs cognitive behaviour therapy as a treatment for non-melancholic depression. Journal of Affective Disorders, 130(1-2), 138-144.

https://doi.org/10.1016/j.jad.2010.09.027

Michalak, J., Schultze, M., Heidenreich, T., & Schramm, E. (2015). A randomized controlled trial on the efficacy of mindfulness-based cognitive therapy and a group version of cognitive behavioral analysis system of psychotherapy for chronically depressed patients. Journal of Consulting and Clinical Psychology, 83(5), 951-963.

https://doi.org/10.1037/ccp0000042

Shahar, B., Britton, W. B., Sbarra, D. A., Figueredo, A. J., & Bootzin, R. R. (2010). Mechanisms of change in mindfulness-based cognitive therapy for depression: Preliminary evidence from a randomized controlled trial. International Journal of Cognitive Therapy, 3(4), 402-418.

https://doi.org/10.1521/ijct.2010.3.4.402

van Aalderen, J. R., Donders, A. R. T., Giommi, F., Spinhoven, P., Barendregt, H. P., & Speckens, A. E. M. (2012). 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, 989–1001.

https://doi.org/10.1017/S0033291711002054