Cognitive predictors of change in cognitive behaviour therapy and mindfulness-based cognitive therapy for depression.
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.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.