The effectiveness of mindfulness-based cognitive therapy for reducing rumination and improving mindfulness and self-compassion in patients with treatment-resistant depression

Abstract Introduction Depression is one of the most important psychiatric disorders, and the rate of recurrence is high. The heavy cost burden of depression is probably due to treatment-resistant depression. The purpose of this study was to determine the effectiveness of mindfulness-based cognitiv...

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Main Authors: Aliakbar Foroughi, Kheirollah Sadeghi, AliAkbar Parvizifard, Arash Parsa Moghadam, Omran Davarinejad, Vahid Farnia, Ghazale Azar
Format: Article
Language:English
Published: Associação de Psiquiatria do Rio Grande do Sul 2020-07-01
Series:Trends in Psychiatry and Psychotherapy
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892020000200138&tlng=en
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author Aliakbar Foroughi
Kheirollah Sadeghi
AliAkbar Parvizifard
Arash Parsa Moghadam
Omran Davarinejad
Vahid Farnia
Ghazale Azar
author_facet Aliakbar Foroughi
Kheirollah Sadeghi
AliAkbar Parvizifard
Arash Parsa Moghadam
Omran Davarinejad
Vahid Farnia
Ghazale Azar
author_sort Aliakbar Foroughi
collection DOAJ
description Abstract Introduction Depression is one of the most important psychiatric disorders, and the rate of recurrence is high. The heavy cost burden of depression is probably due to treatment-resistant depression. The purpose of this study was to determine the effectiveness of mindfulness-based cognitive therapy (MBCT) in patients with treatment-resistant depression (TRD). Method The present study was a quasi-experimental study conducted with twenty-four patients with treatment-resistant depression. Participants were selected by purposive sampling and randomly assigned to two groups, an experimental group and a control group. The experimental group received MBCT and antidepressants, while the control group received antidepressants only. The Hamilton and Beck Depression Inventory, Self-Compassion Scale, Thought Rumination Scale, and Mindfulness Scale were administered. The treatment program was conducted in eight sessions; with a follow-up period of one month subsequent to treatment termination. Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (analysis of variance for repeated measures and Bonferroni’s post-hoc test). Results The results showed that MBCT significantly reduced depression and ruminative thinking in the experimental group and also improved mediators such as mindfulness and self-compassion. Patients maintained gains over the one month follow-up period (p < 0.01). Conclusion The present study provides additional evidence for the effectiveness of MBCT for TRD.
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spelling doaj.art-6e1bff57db774bb7b45e111c9494e6932022-12-22T04:12:49ZengAssociação de Psiquiatria do Rio Grande do SulTrends in Psychiatry and Psychotherapy2238-00192020-07-0142213814610.1590/2237-6089-2019-0016The effectiveness of mindfulness-based cognitive therapy for reducing rumination and improving mindfulness and self-compassion in patients with treatment-resistant depressionAliakbar Foroughihttps://orcid.org/0000-0002-5532-426XKheirollah Sadeghihttps://orcid.org/0000-0001-9626-370XAliAkbar ParvizifardArash Parsa Moghadamhttps://orcid.org/0000-0002-7483-4126Omran DavarinejadVahid FarniaGhazale Azarhttps://orcid.org/0000-0002-2197-5371Abstract Introduction Depression is one of the most important psychiatric disorders, and the rate of recurrence is high. The heavy cost burden of depression is probably due to treatment-resistant depression. The purpose of this study was to determine the effectiveness of mindfulness-based cognitive therapy (MBCT) in patients with treatment-resistant depression (TRD). Method The present study was a quasi-experimental study conducted with twenty-four patients with treatment-resistant depression. Participants were selected by purposive sampling and randomly assigned to two groups, an experimental group and a control group. The experimental group received MBCT and antidepressants, while the control group received antidepressants only. The Hamilton and Beck Depression Inventory, Self-Compassion Scale, Thought Rumination Scale, and Mindfulness Scale were administered. The treatment program was conducted in eight sessions; with a follow-up period of one month subsequent to treatment termination. Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (analysis of variance for repeated measures and Bonferroni’s post-hoc test). Results The results showed that MBCT significantly reduced depression and ruminative thinking in the experimental group and also improved mediators such as mindfulness and self-compassion. Patients maintained gains over the one month follow-up period (p < 0.01). Conclusion The present study provides additional evidence for the effectiveness of MBCT for TRD.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892020000200138&tlng=enMindfulness-based cognitive therapyacceptanceruminationself-compassiondepressive disordertreatment resistant
spellingShingle Aliakbar Foroughi
Kheirollah Sadeghi
AliAkbar Parvizifard
Arash Parsa Moghadam
Omran Davarinejad
Vahid Farnia
Ghazale Azar
The effectiveness of mindfulness-based cognitive therapy for reducing rumination and improving mindfulness and self-compassion in patients with treatment-resistant depression
Trends in Psychiatry and Psychotherapy
Mindfulness-based cognitive therapy
acceptance
rumination
self-compassion
depressive disorder
treatment resistant
title The effectiveness of mindfulness-based cognitive therapy for reducing rumination and improving mindfulness and self-compassion in patients with treatment-resistant depression
title_full The effectiveness of mindfulness-based cognitive therapy for reducing rumination and improving mindfulness and self-compassion in patients with treatment-resistant depression
title_fullStr The effectiveness of mindfulness-based cognitive therapy for reducing rumination and improving mindfulness and self-compassion in patients with treatment-resistant depression
title_full_unstemmed The effectiveness of mindfulness-based cognitive therapy for reducing rumination and improving mindfulness and self-compassion in patients with treatment-resistant depression
title_short The effectiveness of mindfulness-based cognitive therapy for reducing rumination and improving mindfulness and self-compassion in patients with treatment-resistant depression
title_sort effectiveness of mindfulness based cognitive therapy for reducing rumination and improving mindfulness and self compassion in patients with treatment resistant depression
topic Mindfulness-based cognitive therapy
acceptance
rumination
self-compassion
depressive disorder
treatment resistant
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892020000200138&tlng=en
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