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Mindfulness-based cognitive therapy for bipolar disorder: A systematic review
David A Lovas1, Zev Schuman-Olivier2
1IWK Health Centre, Department of Psychiatry, Dalhousie University; 5980 University Ave, Halifax, Nova Scotia, B3K 6R8.
Journal of Affective Disorders
|August 8, 2018
Summary
Mindfulness-based cognitive therapy (MBCT) shows promise as an adjunctive treatment for bipolar disorder (BD), potentially improving mood regulation and cognitive function without increasing mania risk.
Area of Science:
- Psychiatry
- Neuroscience
- Psychotherapy research
Background:
- Bipolar disorder (BD) remains a significant challenge with high relapse, morbidity, and mortality rates despite standard psychopharmacology.
- Adjunctive psychotherapies are being explored to improve outcomes in BD.
- Mindfulness-based cognitive therapy (MBCT) has demonstrated efficacy in related conditions like depression and anxiety disorders.
Purpose of the Study:
- To systematically review existing literature on the clinical and neurocognitive effects of MBCT in bipolar disorder (BD).
Main Methods:
- A systematic literature review was conducted using PsychINFO and PubMed.
- Studies reporting clinical and/or neurocognitive findings for MBCT in BD were identified and analyzed.
Main Results:
- Thirteen articles were reviewed, exhibiting varied methodological quality.
- Preliminary evidence suggests MBCT may positively impact anxiety, residual depression, mood regulation, and attentional/frontal-executive control in BD.
- MBCT did not appear to precipitate manic episodes.
Conclusions:
- MBCT shows potential as a beneficial intervention for bipolar disorder (BD).
- Further high-quality research is necessary to confirm its clinical efficacy.
- Recommendations are provided to address current research limitations.
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