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Mindfulness-based cognitive therapy for bipolar disorder: a feasibility trial
B Weber1, F Jermann, M Gex-Fabry
1Geneva University Hospital, Department of Psychiatry, Bipolar Program, 6-8, rue du 31-Décembre, 1207 Geneva, Switzerland.
Summary
Mindfulness-based cognitive therapy (MBCT) is feasible for bipolar disorder patients, with most reporting benefits. Further research is needed to confirm its efficacy for relapse prevention and sustained practice.
Area of Science:
- Psychiatry
- Clinical Psychology
- Mindfulness Studies
Background:
- Mindfulness-based cognitive therapy (MBCT) is primarily studied in unipolar depression.
- Its application and efficacy in bipolar disorder remain largely unexplored.
- This study focuses on MBCT feasibility in bipolar patients.
Purpose of the Study:
- To investigate the feasibility of MBCT in groups exclusively for bipolar disorder patients.
- To assess the impact of MBCT on depressive and hypomanic symptoms.
- To evaluate changes in mindfulness skills and patient-reported benefits.
Main Methods:
- An open study design included bipolar outpatients (type I, II, and NOS).
- Evaluations of depressive, hypomanic symptoms, and mindfulness skills were conducted pre- and post-MBCT.
- Patient expectations, perceived benefits, and practice frequency were recorded.
Main Results:
- 15 out of 23 patients completed at least four MBCT sessions.
- Most participants reported moderate to significant benefits from the program.
- While mindfulness practice decreased over time, changes in mindfulness skills correlated with reduced depressive symptoms.
Conclusions:
- MBCT is a feasible and well-received intervention for bipolar disorder patients.
- Larger randomized controlled trials are necessary to establish MBCT's efficacy in preventing bipolar relapse.
- Strategies to enhance long-term meditation practice adherence are recommended.
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