Mindfulness-based Cognitive Therapy (MBCT) Reduces Depression and Anxiety Induced by Real Stressful Setting in Non-clinical Population

A randomized, controlled study was conducted in a non-clinical population to investigate the impact of mindfulness-based cognitive therapy (MBCT) on depression, anxiety, automatic thoughts, and dysfunctional attitudes, normally induced by exam as a real stressful setting. The participants were randomly assigned either to receive 8 weekly 2.5- hour MBCT or remain in a waiting list control group. A series of two-way ANOVA with repeated measures were performed to detect if the application of MBCT would result in a systematic reduction in the dependent variables over five assessment points: pre-test, session 4, session 8, first follow-up (1 month) and second follow-up (6 months). The results indicated that MBCT was effective at helping participants to deal with their anxiety and depressive feelings before, during and after stressful circumstances. In addition, the reductions in negative automatic thoughts and dysfunctional attitudes in those who received MBCT were significant. The findings provide further evidence that MBCT might be a useful intervention for enhancing well-being in non-clinical populations who are susceptible to experience anxiety and depression in real life situations.

[1]  M. Posner,et al.  Short-term meditation training improves attention and self-regulation , 2007, Proceedings of the National Academy of Sciences.

[2]  S. Hollon,et al.  Cognitive self-statements in depression: Development of an automatic thoughts questionnaire , 1980, Cognitive Therapy and Research.

[3]  Sang-Hyuk Lee,et al.  Usefulness of Mindfulness-Based Cognitive Therapy for Treating Insomnia in Patients With Anxiety Disorders: A Pilot Study , 2008, The Journal of nervous and mental disease.

[4]  D. G. Campbell,et al.  DYSPHORIC RESPONSES TO A NATURALISTIC STRESSOR: INTERACTIVE EFFECTS OF HOPE AND DEFENSE STYLE , 2005 .

[5]  Z. Segal,et al.  A cognitive science perspective on kindling and episode sensitization in recurrent affective disorder , 1996, Psychological Medicine.

[6]  A. Mousavi,et al.  PSYCHOMETRIC PROPERTIES OF THE PERSIAN VERSION OF BECK ANXIETY INVENTORY (BAI) , 2008 .

[7]  P. Richter,et al.  PSYCHOMETRIC PROPERTIES OF THE BECK DEPRESSION INVENTORY , 1994 .

[8]  K. Dobson,et al.  Cognitive therapy of depression: pretreatment patient predictors of outcome. , 2002, Clinical psychology review.

[9]  J. Teasdale,et al.  The relationship between cognition and emotion: The mind-in-place in mood disorders. , 1997 .

[10]  R. Steer,et al.  Manual for the Beck Anxiety Inventory. , 2013 .

[11]  Lisbeth Nielsen,et al.  Awareness of subtle emotional feelings: a comparison of long-term meditators and nonmeditators. , 2007, Emotion.

[12]  M. Kovács Cognitive therapy in depression. , 1980, The Journal of the American Academy of Psychoanalysis.

[13]  R. Ryan,et al.  The benefits of being present: mindfulness and its role in psychological well-being. , 2003, Journal of personality and social psychology.

[14]  A. Weissman The Dysfunctional Attitude Scale: A Validation Study , 1979 .

[15]  J. Kabat-Zinn,et al.  Full catastrophe living : how to cope with stress, pain and illness using mindfulness meditation , 2004 .

[16]  J. Teasdale Cognitive Vulnerability to Persistent Depression , 1988 .

[17]  H. Kaviani,et al.  Reliability and validity of anxiety and depression hospital scales (HADS): Iranian patients with anxiety and depression disorders. , 2009 .

[18]  A. Beck,et al.  Depression: Causes and Treatment , 1967 .

[19]  A. Beck,et al.  Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation , 1988 .

[20]  S. Nieuwenhuis,et al.  Mental Training Affects Distribution of Limited Brain Resources , 2007, PLoS biology.

[21]  S. Hollon,et al.  Cognitive therapy and pharmacotherapy for depression. , 1990, Journal of consulting and clinical psychology.

[22]  J. Teasdale,et al.  Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. , 2004, Journal of consulting and clinical psychology.

[23]  Samuel R. Friedman,et al.  Depression: Clinical, Experimental, and Theoretical Aspects , 1968 .

[24]  B. Wormnes,et al.  Making exams a manageable task , 2009 .

[25]  Z. Segal,et al.  Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. , 2000, Journal of consulting and clinical psychology.

[26]  Z. Segal,et al.  How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? , 1995, Behaviour research and therapy.

[27]  Willem Kuyken,et al.  Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. , 2008, Journal of consulting and clinical psychology.

[28]  Andrea B. Stone,et al.  Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse , 2005 .

[29]  A. Lutz,et al.  Attention regulation and monitoring in meditation , 2008, Trends in Cognitive Sciences.

[30]  E. Meadows,et al.  Practitioner’s Guide to Empirically Based Measures of Depression , 2001, Journal of Cognitive Psychotherapy.

[31]  S. Orsillo,et al.  An open trial of an acceptance-based behavior therapy for generalized anxiety disorder. , 2007, Behavior therapy.