The effectiveness of mindfulness-based cognitive therapy for reducing rumination and improving mindfulness and self-compassion in patients with treatment-resistant depression
Trends psychiatry psychother. (Impr.)
;
42(2): 138-146, Apr.-June 2020. tab, graf
Article
in English
| LILACS
| ID: biblio-1139825
ABSTRACT
Abstract Introduction Depression is one of the most important psychiatric disorders, and the rate of recurrence is high. The heavy cost burden of depression is probably due to treatment-resistant depression. The purpose of this study was to determine the effectiveness of mindfulness-based cognitive therapy (MBCT) in patients with treatment-resistant depression (TRD). Method The present study was a quasi-experimental study conducted with twenty-four patients with treatment-resistant depression. Participants were selected by purposive sampling and randomly assigned to two groups, an experimental group and a control group. The experimental group received MBCT and antidepressants, while the control group received antidepressants only. The Hamilton and Beck Depression Inventory, Self-Compassion Scale, Thought Rumination Scale, and Mindfulness Scale were administered. The treatment program was conducted in eight sessions; with a follow-up period of one month subsequent to treatment termination. Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (analysis of variance for repeated measures and Bonferroni's post-hoc test). Results The results showed that MBCT significantly reduced depression and ruminative thinking in the experimental group and also improved mediators such as mindfulness and self-compassion. Patients maintained gains over the one month follow-up period (p < 0.01). Conclusion The present study provides additional evidence for the effectiveness of MBCT for TRD.
Full text:
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Index:
LILACS (Americas)
Main subject:
Self Concept
/
Empathy
/
Depressive Disorder, Treatment-Resistant
/
Mindfulness
/
Rumination, Cognitive
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Trends psychiatry psychother. (Impr.)
Journal subject:
Psychiatry
Year:
2020
Type:
Article
/
Project document
Affiliation country:
Iran
Institution/Affiliation country:
Kermanshah University of Medical Sciences/IR
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