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J Consult Clin Psychol ; 68(4): 615-23, 2000 Aug.
Article in English | MEDLINE | ID: mdl-10965637

ABSTRACT

This study evaluated mindfulness-based cognitive therapy (MBCT), a group intervention designed to train recovered recurrently depressed patients to disengage from dysphoria-activated depressogenic thinking that may mediate relapse/recurrence. Recovered recurrently depressed patients (n = 145) were randomized to continue with treatment as usual or, in addition, to receive MBCT. Relapse/recurrence to major depression was assessed over a 60-week study period. For patients with 3 or more previous episodes of depression (77% of the sample), MBCT significantly reduced risk of relapse/recurrence. For patients with only 2 previous episodes, MBCT did not reduce relapse/recurrence. MBCT offers a promising cost-efficient psychological approach to preventing relapse/recurrence in recovered recurrently depressed patients.


Subject(s)
Antidepressive Agents/therapeutic use , Cognitive Behavioral Therapy/methods , Depressive Disorder, Major/prevention & control , Depressive Disorder, Major/therapy , Thinking , Adult , Combined Modality Therapy , Depressive Disorder, Major/diagnosis , Depressive Disorder, Major/drug therapy , England , Female , Humans , Male , Middle Aged , Ontario , Outcome Assessment, Health Care , Psychiatric Status Rating Scales , Secondary Prevention , Survival Analysis
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