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Mindfulness-based cognitive therapy: further issues in current evidence and future research
J Mark G Williams1, Ian Russell, Daphne Russell
1Department of Psychiatry, University of Oxford, Oxford, UK. mark.williams@psych.ox.ac.uk
Journal of Consulting and Clinical Psychology
|June 11, 2008
Summary
Mindfulness-based cognitive therapy (MBCT) effectively reduces depression relapse risk in patients with recurrent depression. MBCT also significantly lowers depression symptom scores post-treatment.
Area of Science:
- Clinical Psychology
- Psychiatry
- Behavioral Science
Background:
- Mindfulness-Based Cognitive Therapy (MBCT) is a therapeutic approach.
- Previous reviews have examined the efficacy of MBCT.
- Clarification of MBCT trial methodologies and outcomes is warranted.
Purpose of the Study:
- To respond to a review of MBCT by Coelho et al. (2007).
- To clarify randomization procedures and present further data from MBCT trials.
- To reanalyze MBCT trial data using advanced statistical methods.
Main Methods:
- Clarification of randomization in two major MBCT trials.
- Reporting of posttreatment and follow-up data for 'treatment as usual' groups.
- Reanalysis of trial data using multilevel modeling to account for intragroup correlations.
Main Results:
- Participants in 'treatment as usual' groups did not worsen post-treatment.
- Multilevel modeling confirmed original findings.
- MBCT significantly reduced the risk of depressive relapse in patients with 3+ prior episodes.
- MBCT significantly decreased Beck Depression Inventory scores post-treatment.
Conclusions:
- MBCT is an effective intervention for preventing depressive relapse in high-risk patients.
- The findings reinforce the efficacy of MBCT for recurrent depression.
- Methodological clarifications and advanced statistical analyses support MBCT's benefits.
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