Mindfulness based cognitive therapy for psychiatric disorders: a systematic review and meta-analysis
- PMID: 20846726
- DOI: 10.1016/j.psychres.2010.08.011
Mindfulness based cognitive therapy for psychiatric disorders: a systematic review and meta-analysis
Abstract
Mindfulness- based Cognitive Therapy (MBCT) is a meditation program based on an integration of Cognitive behavioural therapy and Mindfulness-based stress reduction. The aim of the present work is to review and conduct a meta-analysis of the current findings about the efficacy of MBCT for psychiatric patients. A literature search was undertaken using five electronic databases and references of retrieved articles. Main findings included the following: 1) MBCT in adjunct to usual care was significantly better than usual care alone for reducing major depression (MD) relapses in patients with three or more prior depressive episodes (4 studies), 2) MBCT plus gradual discontinuation of maintenance ADs was associated to similar relapse rates at 1year as compared with continuation of maintenance antidepressants (1 study), 3) the augmentation of MBCT could be useful for reducing residual depressive symptoms in patients with MD (2 studies) and for reducing anxiety symptoms in patients with bipolar disorder in remission (1 study) and in patients with some anxiety disorders (2 studies). However, several methodological shortcomings including small sample sizes, non-randomized design of some studies and the absence of studies comparing MBCT to control groups designed to distinguish specific from non-specific effects of such practice underscore the necessity for further research.
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
Comment in
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Authors' reply to "Recommendations for conducting mindfulness based cognitive therapy trials".Psychiatry Res. 2013 May 30;207(3):232-3. doi: 10.1016/j.psychres.2013.01.008. Epub 2013 Feb 22. Psychiatry Res. 2013. PMID: 23433873 No abstract available.
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Recommendations for conducting mindfulness based cognitive therapy trials.Psychiatry Res. 2013 May 30;207(3):229-31. doi: 10.1016/j.psychres.2012.12.030. Epub 2013 Mar 9. Psychiatry Res. 2013. PMID: 23477902 No abstract available.
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