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
Responsible library:
BR1.1
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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Collection:
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Database:
LILACS
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
Document type:
Article
/
Project document
Affiliation country:
Iran
Institution/Affiliation country:
Kermanshah University of Medical Sciences/IR