Association between decentering and reductions in relapse/recurrence in mindfulness-based cognitive therapy for depression in adults: A randomized controlled trial.
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.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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).