Cognitive predictors of change in cognitive behaviour therapy and mindfulness-based cognitive therapy for depression.

Abstract:

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.

journal_name

Behav Cogn Psychother

authors

Manicavasagar V,Perich T,Parker G

doi

10.1017/S1352465811000634

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

227-32

issue

2

eissn

1352-4658

issn

1469-1833

pii

S1352465811000634

journal_volume

40

pub_type

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