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Mindfulness-Based Cognitive Therapy

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Tasman’s Psychiatry
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Abstract

Mindfulness-Based Cognitive Therapy (MBCT) is a time-limited (eight-session), group-based clinical intervention primarily intended to reduce depression relapse. Using predominantly a psychoeducational approach, MBCT integrates Western cognitive theory and the Eastern mindfulness philosophy. In this chapter, the history and development of MBCT is described, its core components are highlighted, and the structure of each of the eight sessions is summarized. In addition, evidence for the effectiveness of MBCT, strengths and limitations of the approach, mechanisms of action, potential for cultural adaptation, and the future evolution of the program are discussed.

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References

  • Assumpcao, A., Pena, C., Neufeld, C., & Teodoro, M. (2019). Mindfulness-based cognitive therapy for University students with depression, anxiety, and stress symptoms: A randomized controlled trial. Asia Pacific Journal of Clinical Trials: Nervous System Diseases, 4, 51.

    Google Scholar 

  • Baer, R., Crane, C., Miller, E., & Kuyken, W. (2019). Doing no harm in mindfulness-based programs: Conceptual issues and empirical findings. Clinical Psychology Review, 71, 101–114.

    Article  PubMed  Google Scholar 

  • Barnhofer, T., Crane, C., Hargus, E., Amarasinghe, M., Winder, R., & Williams, J. M. G. (2009). Mindfulness-based cognitive therapy as a treatment for chronic depression: A preliminary study. Behaviour Research and Therapy, 47(5), 366–373. Retrieved from https://www.sciencedirect.com/science/article/pii/S0005796709000333

  • Beck, A. T. (1976). Cognitive therapy and the emotional disorders. International Universities Press.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. Guilford.

    Google Scholar 

  • Bowen, S., Chawla, N., & Marlatt, G. A. (2011). Mindfulness-based relapse prevention for addictive behaviors. Guilford Publishers.

    Google Scholar 

  • Carlson, L., & Speca, M. (2010). Mindfulness-based cancer recovery: A step-by-step MBSR approach to help you cope with treatment and reclaim your life. New Harbinger.

    Google Scholar 

  • Chiesa, A., Castagner, V., Andrisano, C., Serretti, A., Mandelli, L., Porcelli, S., & Giommi, F. (2015). Mindfulness-based cognitive therapy vs. psycho-education for patients with major depression who did not achieve remission following antidepressant treatment. Psychiatry Research, 226(2–3), 474–483. https://doi.org/10.1016/j.psychres.2015.02.003

    Article  PubMed  Google Scholar 

  • Creswell, D. (2017). Mindfulness interventions. Annual Review of Psychology, 68, 491–516. Retrieved from https://www.annualreviews.org/doi/pdf/10.1146/annurev-psych-042716-051139

  • DeLuca, S. M., Kelman, A. R., & Waelde, L. C. (2018). A systematic review of ethnoracial representation and cultural adaptation of mindfulness- and meditatioin-based interventions. Psychological Studies, 63(2), 117–129. https://doi.org/10.1007/s12646-018-0452-z

    Article  Google Scholar 

  • Dimeff, L. A., Rizvi, S. L., & Koerner, K. (Eds.). (2020). Dialectical behavior therapy in clinical practice (2nd ed.). Guilford Press.

    Google Scholar 

  • Dimidjian, S., Beck, A. T., Felder, J. N., Boggs, J. M., Gallop, R., & Segal, Z. V. (2014). Web-based Mindfulness-based Cognitive Therapy for reducing residual depressive symptoms: An open trial and quasi-experimental comparison to propensity score matched controls. Behaviour Research and Therapy, 63, 83–89. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S0005796714001557

  • Dobson, D., & Dobson, K. S. (2018). Evidence-based practice of cognitive-behavioral therapy. Guilford.

    Google Scholar 

  • Eisendrath, S. J. (Ed.). (2016). Mindfulness-based cognitive therapy: Innovative applications. Springer.

    Google Scholar 

  • Ellis, A. (1962). Reason and emotion in psychotherapy. L. Stuart.

    Google Scholar 

  • Erazo, E., & Hazlett-Stevens, H. (2014). Cultural competency and mindfulness-based cognitive therapy for depression. In A. Masuda (Ed.), Mindfulness & acceptance in multicultural competency: A contextual approach to sociocultural diversity in theory & practice (pp. 93–109). Context Press/New Harbinger.

    Google Scholar 

  • Fennell, M., & Segal, Z. (2011). Mindfulness-based cognitive therapy: Culture clash or creative fusion? Contemporary Buddhism, 12(1), 125–142.

    Article  Google Scholar 

  • Fuchs, C., Lee, J. K., Roemer, L., & Orsillo, S. M. (2013). Using mindfulness- and acceptance-based treatments with clients from nondominant cultural an/or marginalized backgrounds: Clinical considerations, meta-analysis findings, and introduction to the special series. Cognitive and Behavioral Practice, 20(1), 1–12. https://doi.org/10.1016/j.cbpra.2011.12.004

  • Godfrin, K. A., & van Heeringen, C. (2010). The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes, mental health and quality of life: A randomized controlled study. Behaviour Research and Therapy, 48(8), 738–746. https://doi.org/10.1016/j.brat.2010.04.006

  • Gopalkrishnan, N. (2018). Cultural diversity and mental health; considerations for policy and practice. Frontiers in Public Health, 6, 179. https://doi.org/10.3389/fpubh.2018.00179

    Article  PubMed  Google Scholar 

  • Gunaratana, H. (2012). The 4 foundations of mindfulness in plain English. Wisdom Publications.

    Google Scholar 

  • Hayes, S. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 4, 35. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S0005789404800133

  • Henrich, J., Heine, S. J., & Norenzayan, A. (2010). The weirdest people in the world? Behavioral and Brain Sciences, 33(2–3), 61–83, discussion 83–115. https://doi.org/10.1017/S0140525X0999152X

  • Hofmann, S. G., & Gomez, A. (2017). Mindfulness-based interventions for anxiety and depression. Psychiatric Clinics of North America, 40(4), 739–749. https://doi.org/10.1016/j.psc.2017.08.008

    Article  PubMed  Google Scholar 

  • Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183. https://doi.org/10.1037/a0018555

    Article  PubMed  Google Scholar 

  • Hölzel, B., Lazar, S., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559. Retrieved from https://journals.sagepub.com/doi/pdf/10.1177/1745691611419671

  • Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–42. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/0163834382900263

  • Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past present, and future. Journal Clinical Psychology Science and Practice, 10, 144–156.

    Article  Google Scholar 

  • Kabat-Zinn, J. (2005). Wherever you go, there you are: Mindful meditation in everyday life. Hyperion.

    Google Scholar 

  • Kabat-Zinn, J. (2013). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness (Revised Ed.). Bantam Books.

    Google Scholar 

  • Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8, 163–190. Retrieved from https://link.springer.com/article/10.1007/BF00845519?utm_medium=affiliate&error=cookies_not_supported&code=177cb438-f2b8-4207-98e3-d6e8271dbe6d

  • Kahl, K. G., Winter, L., & Schweiger, U. (2012). The third wave of cognitive behavioural theapies: What is new and what is effective? Current Opinion in Psychiatry, 25(6), 522–528. https://doi.org/10.1097/YCO.0b013e328358e531

    Article  PubMed  Google Scholar 

  • Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., … Hofman, S. G. (2013). Mindfulness-based therapy: A comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771. https://doi.org/10.1016/j.cpr.2013.05.005

  • Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., … Teasdale, J. D. (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology, 76, 966–978.

    Google Scholar 

  • Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., … Dalgleish, T. (2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48, 1105–1112.

    Google Scholar 

  • Laungani, P. (1994). Cultural differences in stress: India and England. Counselling Psychology Review, 9(4), 25–37. Retrieved from https://psycnet.apa.org/record/2000-14211-003

  • Leong, F. T., & Kalibatseva, Z. (2011). Effective psychotherapy for Asian Americans: From cultural accommodation to cultural congruence. Clinical Psychology: Science and Practice, 18(3), 242–245. https://doi.org/10.1111/j.1468-2850.2011.01256.x

    Article  Google Scholar 

  • Lewis, D. J., & Rozelle, D. (2016). Mindfulness-based interventions: Clinical psychology, Buddhadharma, or both? A wisdom perspective. In R. E. Purser, D. Forbes, & A. Burke (Eds.), Handbook of mindfulness: Culture, context, and social engagement (pp. 243–268). Springer.

    Chapter  Google Scholar 

  • Loo, J. L., Keng, S. L., Ramirez-Espinosa, I. G., Nor Hadi, N. M., Ramirez-Gutiérrez, J. A., & Shoesmith, W. (2020). Dialectical behavior therapy in the Asia-Pacific Rim region. Asia-Pacific Psychiatry, 13, e12437. https://doi.org/10.1111/appy.12437

    Article  PubMed  Google Scholar 

  • Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 31–40.

    Article  PubMed  Google Scholar 

  • Musa, Z. A., Soh, K. L., Mukhtar, F., Soh, K. Y., Oladele, T. O., & Soh, K. G. (2020). Impact of mindfulness-based cognitive therapy on depressive symptoms reduction reduction among depressed patients in Nigeria: A randomized controlled trial. Issues in Mental Health Nursing, 42, 667. https://doi.org/10.1080/01612840.2020.1821139. Advance online publication.

    Article  PubMed  Google Scholar 

  • Neff, K. (2011). Self-compassion: The proven power of being kind to yourself. William Morrow/HarperCollins.

    Google Scholar 

  • Ninivaggi, F. J. (2018). Modern mindfulness: Mindfulness is about achieving authentic integrity. Psychology Today. Retrieved from https://www.psychologytoday.com/us/blog/envy/201804/modern-mindfulness

  • Piet, J., & Hougaard, E. (2011). The effects of mindfulness-based cognitive therapy for preventing relapse in recurrent major depressive disorder: A systematic review and meta-analysis. Clinical Psychology Review, 31(6), 1032–1040.

    Article  PubMed  Google Scholar 

  • Pollard, J. S., Karimi, K. A., & Ficcaglia, M. B. (2017). Ethical considerations in the design and implementation of a telehealth service delivery model. Behavior Analysis: Research and Practice, 17(4), 298–311. Retrieved from https://psycnet.apa.org/fulltext/2017-51612-002.html

  • Sado, M., Park, S., Ninomiya, A., Sato, Y., Fujisawa, D., Shirahase, J., & Mimura, M. (2018). Feasibility study of mindfulness-based cognitive therapy for anxiety disorders in a Japanese setting. BMC Research Notes, 11(653), 1–7. https://doi.org/10.1186/s13104-018-3744-4

    Article  Google Scholar 

  • Safran, J., & Segal, Z. V. (1996). Interpersonal process in cognitive therapy. Jason Aronson.

    Google Scholar 

  • Salmon, P. (2020). Mindful movement in psychotherapy. Guilford.

    Google Scholar 

  • Salmon, P., Lush, E., Jablonski, M., & Sephton, S. E. (2009). Yoga and mindfulness: Clinical aspects of an ancient mind/body practice. Cognitive and Behavioral Practice, 16(1), 59–72.

    Article  Google Scholar 

  • Salmon, P., Dreeben, S., & Mamberg, M. (2013). The MBSR body scan in clinical practice. Mindfulness, 4, 394–401. https://doi.org/10.1007/s12671-013-0212-z

    Article  Google Scholar 

  • Schroevers, M. J., Tovote, K. A., Snippe, E., & Fleer, J. (2016). Group and indiviual mindfulness-based cognitive therapy (MBCT) are both effective: A pilot randomized controlled trial in depressed people with a somatic disease. Mindfulness, 7, 1339–1346. https://doi.org/10.1007/s12671-016-0575-z

    Article  PubMed  Google Scholar 

  • Segal, Z., Williams, J. M., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. Guilford.

    Google Scholar 

  • Segal, Z., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression (2nd ed.). Guilford.

    Google Scholar 

  • Segal, Z., Dimidjian, S., Vanderkruik, R., & Levy, J. (2019). A maturing mindfulness-based cognitive therapy reflects on two critical issues. Current Opinion in Psychology, 28, 218–222.

    Article  PubMed  Google Scholar 

  • Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386.

    Article  PubMed  Google Scholar 

  • Singh, N. N., Lancioni, G. E., Wahler, R. G., & Winton, A. S. W. (2008). Mindfulness approaches in cognitive behavior therapy. Behavioural and Cognitive Psychotherapy, 36(6), 659–666. https://doi.org/10.1017/S1352465808004827

    Article  Google Scholar 

  • Tang, Y.-U., Hölzel, B. K., & Posner, M. I. (2015). The neuroscience of mindfulness meditation. Nature Reviews Neuroscience, 16(4), 213–225. https://doi.org/10.1038/nrn3916

  • Teasdale, J. D. (1999). Metacognition, mindfulness, and the modification of mood disorders. Clinical Psychology and Psychotherapy, 6(2), 146–155. https://ncbi.nlm.nih.gov/pmc/articles/PMC7044862/

  • Teasdale, J. D., & Barnard, P. J. (1993). Affect, cognition and change: Re-modelling depressive thought. Lawrence Erlbaum Associates.

    Google Scholar 

  • Teasdale, J. D., Segal, Z. V., & Williams, M. G. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness training) help? An information processing analysis. Behaviour Research and Therapy, 33(1), 25–39.

    Article  CAS  PubMed  Google Scholar 

  • Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by Mindfulness-Based Cognitive Therapy. Journal of Consulting and Clinical Psychology, 68, 615–623.

    Article  CAS  PubMed  Google Scholar 

  • Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M., Williams, M. G., & Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Consulting and Clinical Psychology, 70, 275–287.

    Article  PubMed  Google Scholar 

  • Teasdale, J. D., Williams, M., & Segal, Z. (2014). The mindful way workbook: An 8-week program to free yourself from depression and emotional distress. The Guilford Press.

    Google Scholar 

  • Tickell, A., Byng, R., Crane, C., Gradinger, F., Hayes, R., Rubson, J., … Kuyken, W. (2020). Recovery from recurrent depression with mindfulness-based cognitive therapy and antidepressants: A qualitative study with illustrative case studies. British Medical Journal Open. https://ncbi.nlm.nih.gov/pmc/articles/PMC7044862/

  • Van Dam, N. T., van Vugt, M. K., Vago, D. R., Schmalzl, L., Saron, C. D., Olendzki, A., … Meyer, D. E. (2018). Mind the hype: A critical evaluation and prescriptive agenda for research on mindfulness and meditation. Perspectives in Psychological Science, 13(1), 36–61. https://doi.org/10.1177/1745691617709589

  • Van der Kolk, B. (2015). The body keeps the score: Brain, mind and body in the healing of trauma. Penguin.

    Google Scholar 

  • Wells, A. (2000). Emotional disorders & metacognition: Innovative cognitive therapy. Wiley.

    Google Scholar 

  • Wells, A. (2011). Metacognitive therapy for anxiety and depression. Guilford.

    Google Scholar 

  • Whitfield-Gabrieli, S., & Ford, J. M. (2012). Default mode network activity and connectivity in psychopathology. Annual Review of Clinical Psychology, 8, 49–76. Retrieved from https://www.annualreviews.org/doi/abs/10.1146/annurev-clinpsy-032511-143049?intcmp=trendmd

  • Williams, M., Teasdale, J. D., Segal, Z., & Kabat-Zinn, J. (2007). The mindful way through depression: Freeing yourself from chronic unhappiness. The Guilford Press.

    Google Scholar 

  • Williams, J. M. G., Russell, I., & Russell, D. (2008). Mindfulness-based cognitive therapy: Further issues in current evidence and future research. Journal of Consulting and Clinical Psychology, 76(3), 524–529. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2834575/pdf/ccp_76_3_524.pdf

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Salmon, P., Loo, J.L. (2024). Mindfulness-Based Cognitive Therapy. In: Tasman, A., et al. Tasman’s Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-030-51366-5_75

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  • DOI: https://doi.org/10.1007/978-3-030-51366-5_75

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