Turning Towards or Turning Away: A Comparison of Mindfulness Meditation and Guided Imagery Relaxation in Patients with Acute Depression.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.