Effect of mindfulness-based cognitive therapy vs. psychoeducational intervention on plasma brain-derived neurotrophic factor and cognitive function in bipolar patients: a randomized controlled trial

IntroductionFew controlled trials have assessed the benefits of Mindfulness Based Cognitive Therapy (MBCT) on cognitive functions and brain-derived neurotrophic factor (BDNF) in bipolar disorder (BD). This study aims to evaluate the impact of MBCT adjunctive treatment on these variables. Main hypoth...

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Main Authors: Diego Carracedo-Sanchidrian, Consuelo de Dios-Perrino, Carmen Bayon-Perez, Beatriz Rodriguez-Vega, Maria-Fe Bravo-Ortiz, Miguel Á. Ortega, Ana-Maria González-Pinto, Guillermo Lahera
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1279342/full
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author Diego Carracedo-Sanchidrian
Diego Carracedo-Sanchidrian
Consuelo de Dios-Perrino
Consuelo de Dios-Perrino
Consuelo de Dios-Perrino
Carmen Bayon-Perez
Carmen Bayon-Perez
Carmen Bayon-Perez
Beatriz Rodriguez-Vega
Beatriz Rodriguez-Vega
Beatriz Rodriguez-Vega
Maria-Fe Bravo-Ortiz
Maria-Fe Bravo-Ortiz
Maria-Fe Bravo-Ortiz
Miguel Á. Ortega
Miguel Á. Ortega
Ana-Maria González-Pinto
Guillermo Lahera
Guillermo Lahera
Guillermo Lahera
author_facet Diego Carracedo-Sanchidrian
Diego Carracedo-Sanchidrian
Consuelo de Dios-Perrino
Consuelo de Dios-Perrino
Consuelo de Dios-Perrino
Carmen Bayon-Perez
Carmen Bayon-Perez
Carmen Bayon-Perez
Beatriz Rodriguez-Vega
Beatriz Rodriguez-Vega
Beatriz Rodriguez-Vega
Maria-Fe Bravo-Ortiz
Maria-Fe Bravo-Ortiz
Maria-Fe Bravo-Ortiz
Miguel Á. Ortega
Miguel Á. Ortega
Ana-Maria González-Pinto
Guillermo Lahera
Guillermo Lahera
Guillermo Lahera
author_sort Diego Carracedo-Sanchidrian
collection DOAJ
description IntroductionFew controlled trials have assessed the benefits of Mindfulness Based Cognitive Therapy (MBCT) on cognitive functions and brain-derived neurotrophic factor (BDNF) in bipolar disorder (BD). This study aims to evaluate the impact of MBCT adjunctive treatment on these variables. Main hypothesis was that MBCT would improve cognitive functioning and BDNF more than Psychoeducation and TAU.MethodsRandomized, multicenter, prospective and single-blinded trial. Included BD outpatients randomly assigned to three treatment arms: MBCT plus treatment as usual (TAU), Psychoeducation plus Tau and TAU. Cognitive functions were assessed with Continuous Performance Test-III, Stroop Test, Trail Making Test, Digit Span and Letter-Number Sequencing from Wechsler Adult Intelligence Scale III, Face Emotion Identification Task and Face Emotion Discrimination Task. BDNF serum level was measured with ELISA. Patients were assessed at baseline, 8 weeks and 6 months.ResultsEighty-four patients were recruited (TAU = 10, Psychoeducation = 34, MBCT = 40). No significant differences between treatment groups were found. MBCT does not achieve better results than Psychoeducation or TAU.DiscussionBeing Psychoeducation and TAU efficient interventions, as well as the scarce duration of a more complex intervention, such as MBCT, are suggested as explanatory variables of these results.Trial registrationClinicalTrials.gov: NCT02133170. Registered 04/30/2014.
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spelling doaj.art-11a0cb6d55f1489ba3eb9dc6a615d0ea2024-01-05T04:42:09ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-01-011410.3389/fpsyt.2023.12793421279342Effect of mindfulness-based cognitive therapy vs. psychoeducational intervention on plasma brain-derived neurotrophic factor and cognitive function in bipolar patients: a randomized controlled trialDiego Carracedo-Sanchidrian0Diego Carracedo-Sanchidrian1Consuelo de Dios-Perrino2Consuelo de Dios-Perrino3Consuelo de Dios-Perrino4Carmen Bayon-Perez5Carmen Bayon-Perez6Carmen Bayon-Perez7Beatriz Rodriguez-Vega8Beatriz Rodriguez-Vega9Beatriz Rodriguez-Vega10Maria-Fe Bravo-Ortiz11Maria-Fe Bravo-Ortiz12Maria-Fe Bravo-Ortiz13Miguel Á. Ortega14Miguel Á. Ortega15Ana-Maria González-Pinto16Guillermo Lahera17Guillermo Lahera18Guillermo Lahera19Department of Psychiatry, University Hospital La Paz, Madrid, SpainLa Paz Hospital Institute for Health Research (IdiPAZ), Madrid, SpainDepartment of Psychiatry, University Hospital La Paz, Madrid, SpainLa Paz Hospital Institute for Health Research (IdiPAZ), Madrid, SpainAutonomous University of Madrid (UAM), Madrid, SpainDepartment of Psychiatry, University Hospital La Paz, Madrid, SpainLa Paz Hospital Institute for Health Research (IdiPAZ), Madrid, SpainAutonomous University of Madrid (UAM), Madrid, SpainDepartment of Psychiatry, University Hospital La Paz, Madrid, SpainLa Paz Hospital Institute for Health Research (IdiPAZ), Madrid, SpainAutonomous University of Madrid (UAM), Madrid, SpainDepartment of Psychiatry, University Hospital La Paz, Madrid, SpainLa Paz Hospital Institute for Health Research (IdiPAZ), Madrid, SpainAutonomous University of Madrid (UAM), Madrid, SpainFaculty of Medicine and Health Sciences, University of Alcalá, Madrid, SpainCIBERSAM, Ramón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, SpainBIOARABA, UPV/EHU, CIBERSAM, Department of Psychiatry, Hospital Santiago Apostol, Vitoria, SpainFaculty of Medicine and Health Sciences, University of Alcalá, Madrid, SpainCIBERSAM, Ramón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, SpainPrincipe de Asturias University Hospital, Alcalá, SpainIntroductionFew controlled trials have assessed the benefits of Mindfulness Based Cognitive Therapy (MBCT) on cognitive functions and brain-derived neurotrophic factor (BDNF) in bipolar disorder (BD). This study aims to evaluate the impact of MBCT adjunctive treatment on these variables. Main hypothesis was that MBCT would improve cognitive functioning and BDNF more than Psychoeducation and TAU.MethodsRandomized, multicenter, prospective and single-blinded trial. Included BD outpatients randomly assigned to three treatment arms: MBCT plus treatment as usual (TAU), Psychoeducation plus Tau and TAU. Cognitive functions were assessed with Continuous Performance Test-III, Stroop Test, Trail Making Test, Digit Span and Letter-Number Sequencing from Wechsler Adult Intelligence Scale III, Face Emotion Identification Task and Face Emotion Discrimination Task. BDNF serum level was measured with ELISA. Patients were assessed at baseline, 8 weeks and 6 months.ResultsEighty-four patients were recruited (TAU = 10, Psychoeducation = 34, MBCT = 40). No significant differences between treatment groups were found. MBCT does not achieve better results than Psychoeducation or TAU.DiscussionBeing Psychoeducation and TAU efficient interventions, as well as the scarce duration of a more complex intervention, such as MBCT, are suggested as explanatory variables of these results.Trial registrationClinicalTrials.gov: NCT02133170. Registered 04/30/2014.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1279342/fullbipolar disordermindfulness based cognitive therapypsychoeducationBrainderived neurotrophic factorcognitioncognitive impairment
spellingShingle Diego Carracedo-Sanchidrian
Diego Carracedo-Sanchidrian
Consuelo de Dios-Perrino
Consuelo de Dios-Perrino
Consuelo de Dios-Perrino
Carmen Bayon-Perez
Carmen Bayon-Perez
Carmen Bayon-Perez
Beatriz Rodriguez-Vega
Beatriz Rodriguez-Vega
Beatriz Rodriguez-Vega
Maria-Fe Bravo-Ortiz
Maria-Fe Bravo-Ortiz
Maria-Fe Bravo-Ortiz
Miguel Á. Ortega
Miguel Á. Ortega
Ana-Maria González-Pinto
Guillermo Lahera
Guillermo Lahera
Guillermo Lahera
Effect of mindfulness-based cognitive therapy vs. psychoeducational intervention on plasma brain-derived neurotrophic factor and cognitive function in bipolar patients: a randomized controlled trial
Frontiers in Psychiatry
bipolar disorder
mindfulness based cognitive therapy
psychoeducation
Brainderived neurotrophic factor
cognition
cognitive impairment
title Effect of mindfulness-based cognitive therapy vs. psychoeducational intervention on plasma brain-derived neurotrophic factor and cognitive function in bipolar patients: a randomized controlled trial
title_full Effect of mindfulness-based cognitive therapy vs. psychoeducational intervention on plasma brain-derived neurotrophic factor and cognitive function in bipolar patients: a randomized controlled trial
title_fullStr Effect of mindfulness-based cognitive therapy vs. psychoeducational intervention on plasma brain-derived neurotrophic factor and cognitive function in bipolar patients: a randomized controlled trial
title_full_unstemmed Effect of mindfulness-based cognitive therapy vs. psychoeducational intervention on plasma brain-derived neurotrophic factor and cognitive function in bipolar patients: a randomized controlled trial
title_short Effect of mindfulness-based cognitive therapy vs. psychoeducational intervention on plasma brain-derived neurotrophic factor and cognitive function in bipolar patients: a randomized controlled trial
title_sort effect of mindfulness based cognitive therapy vs psychoeducational intervention on plasma brain derived neurotrophic factor and cognitive function in bipolar patients a randomized controlled trial
topic bipolar disorder
mindfulness based cognitive therapy
psychoeducation
Brainderived neurotrophic factor
cognition
cognitive impairment
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1279342/full
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