Mindfulness-Based Cognitive Therapy to Prevent Relapse in Recurrent Depression
Journal of Consulting and Clinical Psychology
Format: Journal Article
Publication Year: 2008
Pages: 966 - 978
Source ID: shanti-sources-109996
Collection: Mindfulness-Based Interventions for Depression
Abstract: For people at risk of depressive relapse, mindfulness-based cognitive therapy (MBCT) has an additive benefitto usual care (H. F. Coelho, P. H. Canter, & E. Ernst, 2007). This study asked if, among patients with recurrent depression who are treated with antidepressant medication (ADM), MBCT is comparable to treatment with maintenance ADM (m-ADM) in (a) depressive relapse prevention, (b) key secondary outcomes, and (c) cost effectiveness. The study design was a parallel 2-group randomized controlled trial comparing those on m-ADM (N 62) with those receiving MBCT plus support to taper/discontinue antidepressants (N 61). Relapse/recurrence rates over 15-month follow-ups in MBCT were 47%, compared with 60% in the m-ADM group (hazard ratio 0.63; 95% confidence interval: 0.39 to 1.04). MBCT was more effective than m-ADM in reducing residual depressive symptoms and psychiatric comorbidity and in improving quality of life in the physical and psychological domains. There was no difference in average annual cost between the 2 groups. Rates of ADM usage in the MBCT group was significantly reduced, and 46 patients (75%) completely discontinued their ADM. For patients treated with ADM, MBCT may provide an alternative approach for relapse prevention.