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Cognitive predictors of change in cognitive behaviour therapy and mindfulness-based cognitive therapy for depression.

Behavioural and cognitive psychotherapy
March 1, 2012
Vijaya Manicavasagar et al. (3 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to examine how rumination and mindfulness impact treatment outcomes in group-based Cognitive Behaviour Therapy (CBT) and Mindfulness-Based Cognitive Therapy (MBCT) for non-melancholic depression.

Results Summary

Both CBT and MBCT improved depression scores, with no significant differences between the two. Rumination decreased in both conditions, and in MBCT, post-treatment rumination scores were associated with post-treatment mindfulness scores, suggesting a unique role for mindfulness in MBCT outcomes.

Population

Adults with non-melancholic depression (N=45, CBT=26, MBCT=19).

Effective Dosage

8 weekly group sessions.

Duration

8 weeks.

Interactions

None mentioned.

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Cognitive Behaviour Therapy (CBT)
decrease
Depression scores
participants with non-melancholic depression
-
improved
#1
Mindfulness-Based Cognitive Therapy (MBCT)
decrease
Depression scores
participants with non-melancholic depression
-
improved
#2
Cognitive Behaviour Therapy (CBT)
no change
Depression scores
participants with non-melancholic depression
-
no significant differences
#3
Mindfulness-Based Cognitive Therapy (MBCT)
no change
Depression scores
participants with non-melancholic depression
-
no significant differences
#4
Cognitive Behaviour Therapy (CBT)
no change
mindfulness scores
participants with non-melancholic depression
-
no significant differences
#5
Mindfulness-Based Cognitive Therapy (MBCT)
no change
mindfulness scores
participants with non-melancholic depression
-
no significant differences
#6
Cognitive Behaviour Therapy (CBT)
no change
rumination scores
participants with non-melancholic depression
-
no significant differences
#7
Mindfulness-Based Cognitive Therapy (MBCT)
no change
rumination scores
participants with non-melancholic depression
-
no significant differences
#8
Cognitive Behaviour Therapy (CBT)
decrease
rumination scores
participants with non-melancholic depression
-
significantly decreased
#9
Mindfulness-Based Cognitive Therapy (MBCT)
decrease
rumination scores
participants with non-melancholic depression
-
significantly decreased
#10
Mindfulness-Based Cognitive Therapy (MBCT)
neutral
post-treatment rumination scores
participants with non-melancholic depression
-
significantly associated
#11
Abstract

BACKGROUND: An appreciation of cognitive predictors of change in treatment outcome may help to better understand differential treatment outcomes. The aim of this study was to examine how rumination and mindfulness impact on treatment outcome in two group-based interventions for non-melancholic depression: Cognitive Behaviour Therapy (CBT) and Mindfulness-Based Cognitive Therapy (MBCT). METHOD: Sixty-nine participants were randomly allocated to either 8-weekly sessions of group CBT or MBCT. Complete data were obtained from 45 participants (CBT = 26, MBCT = 19). Outcome was assessed at completion of group treatments. RESULTS: Depression scores improved for participants in both group interventions, with no significant differences between the two treatment conditions. There were no significant differences between the interventions at post-treatment on mindfulness or rumination scores. Rumination scores significantly decreased from pre- to post-treatment for both conditions. In the MBCT condition, post-treatment rumination scores were significantly associated with post-treatment mindfulness scores. CONCLUSIONS: Results suggest that decreases in rumination scores may be a common feature following both CBT and MBCT interventions. However, post-treatment rumination scores were associated with post-treatment mindfulness in the MBCT condition, suggesting a unique role for mindfulness in understanding treatment outcome for MBCT.

Medical Subject Headings (MeSH)
AdultAttentionAwarenessCognitive Behavioral TherapyDepressive DisorderFemaleFollow-Up StudiesHumansInternal-External ControlMaleMeditationMiddle AgedPsychotherapy, Group
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality70/10
Citation Metrics
Total Citations26
Citations/Year2.0
Relative Citation Ratio1.09
NIH Percentile53.3%
Research Impact Scores
APT Score0.50
Weight Score1.34
Normalized Score0.64
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