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Association between decentering and reductions in relapse/recurrence in mindfulness-based cognitive therapy for depression in adults: A randomized controlled trial.

Journal of consulting and clinical psychology
February 1, 2022
Michael T Moore et al. (6 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to examine the role of decentering and related variables in the efficacy of Mindfulness-based cognitive therapy (MBCT) compared to relaxation group therapy (RGT) and treatment as usual (TAU) for preventing depression relapse.

Results Summary

MBCT prevented symptom gains in depression compared to RGT and TAU, and gains in decentering predicted reductions in depression for MBCT and TAU. Increased decentering was associated with lower relapse rates, though results were exploratory due to small sample sizes.

Population

Formerly depressed individuals (N = 227).

Effective Dosage

Not specified.

Duration

Pre-, mid-, and posttreatment assessments; relapse monitored for 12 months posttreatment.

Interactions

None mentioned.

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Mindfulness-based cognitive therapy (MBCT)
no change
levels of depression
MBCT patients
-
remained free from symptom gains
#1
relaxation group therapy (RGT)
increase
levels of depression
RGT patients
-
levels of depression increased
#2
Treatment as usual (TAU)
increase
levels of depression
TAU patients
-
levels of depression increased
#3
Mindfulness-based cognitive therapy (MBCT)
decrease
depression
MBCT patients
-
gains in decentering predicted reductions in depression
#4
Treatment as usual (TAU)
decrease
depression
TAU patients
-
gains in decentering predicted reductions in depression
#5
relaxation group therapy (RGT)
no change
depression
RGT patients
-
gains in decentering did not predict reductions in depression
#6
-
decrease
relapse/recurrence
Participants who experienced increases in decentering
-
increases in decentering evidenced the lowest levels of relapse/recurrence
#7
decentering
decrease
relapse in major depression
-
-
is a potent mechanism for reduction of relapse
#8
Abstract

OBJECTIVE: "Decentering" is defined as the ability to observe one's thoughts and feelings as temporary, objective events in the mind (Safran & Segal, 1990), and is increasingly regarded as a candidate mechanism in mindfulness-based interventions. The present study sought to examine the role of decentering, and other related variables, in the efficacy of Mindfulness-based cognitive therapy (MBCT) as compared to two active comparison conditions. METHOD: Formerly depressed individuals (N = 227), randomly assigned to MBCT (n = 74), relaxation group therapy (RGT; n = 77) or Treatment as usual (TAU; n = 76), completed self-report measures of decentering and symptoms of depression at pre-, mid-, and posttreatment, and relapse was assessed at 3, 6, 9, and 12 months, posttreatment. RESULTS: With regard to the acute treatment phase, results indicated that, whereas levels of depression increased in both RGT and TAU, MBCT patients remained free from symptom gains. Moreover, gains in decentering from mid- to posttreatment predicted reductions in depression from pre- to posttreatment for MBCT and TAU, but not for RGT. Participants who experienced increases in decentering, measured from mid- to posttreatment, generally evidenced the lowest levels of relapse/recurrence (during the four follow-up assessments), largely irrespective of treatment group. However, results related to change in decentering should be considered exploratory due to small cell sizes among participants who did not experience gains in decentering. CONCLUSIONS: Taken together, these results suggest that decentering is a potent mechanism for reduction of relapse in major depression, albeit one that is nonspecific to MBCT. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Medical Subject Headings (MeSH)
AdultCognitive Behavioral TherapyDepressionDepressive Disorder, MajorHumansMindfulnessRecurrence
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations15
Citations/Year5.0
Relative Citation Ratio2.69
NIH Percentile82.6%
Research Impact Scores
APT Score0.75
Weight Score2.93
Normalized Score0.72
Related Supplements
Association between decentering and reductions in relapse/re... | Panacea Index