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Mindfulness-based cognitive therapy: theory and practice.

Walter E B Sipe1, Stuart J Eisendrath

  • 1Clinical Instructor of Psychiatry and Pediatrics, Departments of Psychiatry and Pediatrics, University of California, San Francisco, California, USA. walter.sipe@ucsf.edu

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
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Summary
This summary is machine-generated.

Mindfulness-Based Cognitive Therapy (MBCT) is an 8-session program effective for preventing depression relapse, potentially matching antidepressant efficacy. It also shows promise for active depression, bipolar disorder, and anxiety disorders.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Neuroscience

Background:

  • Mindfulness-Based Cognitive Therapy (MBCT) integrates cognitive-behavioral therapy and mindfulness for a structured 8-session group program.
  • Originally developed for recurrent depression relapse prevention, MBCT is now explored for diverse psychiatric conditions.
  • MBCT emphasizes a novel approach to relating to thoughts and feelings rather than direct cognitive alteration.

Purpose of the Study:

  • To describe MBCT and its proposed mechanisms of action.
  • To review current research on MBCT for mood and anxiety disorders.
  • To provide resources for patients and clinicians interested in mindfulness and MBCT.

Main Methods:

  • Review of randomized controlled trials and pilot studies on MBCT.
  • Analysis of preliminary functional neuroimaging findings related to mindfulness.
  • Description of the therapeutic stance and focus of MBCT.

Main Results:

  • MBCT demonstrates efficacy in preventing relapse in recurrent depression, comparable to maintenance antidepressants.
  • Preliminary evidence suggests MBCT is beneficial for active depression, including treatment-resistant forms.
  • Pilot studies indicate potential benefits of MBCT for bipolar disorder and various anxiety disorders.

Conclusions:

  • MBCT is a valuable intervention for recurrent depression relapse prevention.
  • MBCT shows promise as a treatment for active depression and related mood and anxiety disorders.
  • Neuroimaging suggests MBCT enhances emotional regulation through improved cortical control of limbic circuits and attention.