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Turning Towards or Turning Away: A Comparison of Mindfulness Meditation and Guided Imagery Relaxation in Patients with Acute Depression.

Behavioural and cognitive psychotherapy
July 1, 2016
Ana Costa et al. (2 authors)
Comparative StudyJournal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to investigate whether mindfulness training could reduce depressive symptoms and improve self-regulatory capacities in acutely depressed patients compared to guided imagery relaxation.

Results Summary

Both mindfulness and guided imagery relaxation significantly reduced depressive symptoms and improved self-regulatory functioning, with sustained effects at follow-up. Mindfulness showed superior improvements in emotion regulation when controlling for symptom reduction, and specific mindfulness skills predicted symptom maintenance.

Population

Acutely depressed patients (n=37 total, with 19 in mindfulness and 18 in guided imagery groups).

Effective Dosage

Single introductory session followed by daily practice over one week (specific duration/frequency not detailed).

Duration

One week of practice with assessments pre/post-intervention and at one-week follow-up.

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness training
decrease
symptoms of depression
participants
-
significantly decreased
#1
mindfulness training
increase
self-regulatory functioning
participants
-
significantly increased
#2
guided imagery relaxation
decrease
symptoms of depression
participants
-
significantly decreased
#3
guided imagery relaxation
increase
self-regulatory functioning
participants
-
significantly increased
#4
mindfulness training
increase
emotion regulation
mindfulness group
-
significantly higher improvements
#5
-
neutral
symptoms
-
-
predicted changes
#6
-
neutral
symptoms
-
-
predicted changes
#7
Abstract

BACKGROUND: Disengaging from maladaptive thinking is an important imperative in the treatment of depression. Mindfulness training is aimed at helping patients acquire relevant skills for this purpose. It remains unclear, however, whether this practice is helpful when patients are acutely depressed. AIMS: In order to investigate effects of mindfulness on symptoms and self-regulatory capacities in this group, the current study compared a brief training in mindfulness (n = 19) to guided imagery relaxation (n = 18). METHOD: Participants were introduced to the respective techniques in a single session, and practised daily over one week. Self-reported severity of symptoms, difficulties in emotion-regulation, attentional control, the ability to decentre, and mindfulness were assessed pre and postintervention, and at a one-week follow-up. RESULTS: Symptoms of depression significantly decreased and self-regulatory functioning significantly increased in both groups, with changes being maintained during follow-up. When controlling for change in depressive symptoms, results showed significantly higher improvements in emotion regulation at follow-up in the mindfulness group. The ability to decentre predicted changes in symptoms from pre to postintervention, while mindfulness skills predicted changes in symptoms during the maintenance phase. CONCLUSIONS: The findings suggest that both practices can help to instigate reductions in symptoms and enhance self-regulatory functioning in depression. However, in order to improve emotion regulation above levels explained by reductions in symptoms more intentional mental training seems necessary. Furthermore, while the ability to disengage from negative patterns of thinking seems crucial for initial reduction of symptoms, maintenance of gains might require broader skills in mindfulness.

Medical Subject Headings (MeSH)
AdultDepressionDepressive DisorderDepressive Disorder, MajorFemaleHumansImagery, PsychotherapyMaleMeditationMiddle AgedMindfulnessStress, PsychologicalTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality70/10
Citation Metrics
Total Citations7
Citations/Year0.8
Relative Citation Ratio0.49
NIH Percentile26.6%
Research Impact Scores
APT Score0.25
Weight Score1.59
Normalized Score0.64
Related Supplements
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