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The assessment of psychotherapies, for reasons related both to the respect of public health rules and to the improvement of our knowledge and our practices, has become an unavoidable stage. The effectiveness of psychotherapies, and particularly of Cognitive and Behavioral Therapies (CBT), is now widely documented in the treatment of depressive episodes and in the prevention of relapses. Recent work focuses on improving care to further optimize the gain in relapse prevention. It is within this framework that the MBCT approach takes its place. Studies have shown that joining an MBCT approach further improves the gain in relapses after CBT to which the patient had responded (Vittengl et Jarrett, 2015). On the other hand, the question of why they work, under what conditions, for which particular individuals and the identification of the mechanisms and processes of change are still very current. In order to do this, the evaluation of the effect of a practice in MBCT used both direct measures (self-questionnaires) and more indirect measures of change (neuropsychological tests, psychological measures, brain imaging, etc.). The purpose of this paper is to review the results of these measures, the results they have produced and the hypotheses they have raised in the international literature on unipolar disorder.

ObjectivesThe aim of this exploratory study is twofold: one the one hand present a Mindfulness-Based Cognitive group Therapy intervention, built on model of Segal and adapted to social phobic patients. One the other hand, provide short-term results from a first group of patients who benefited from this therapy. Patients The study involves 9 participants (2 men) aged 27–55 years. Participants are social phobic outpatients who followed a Mindfulness-Based Cognitive group Therapy proposed in a health center. The goals of the therapy were: learn to better manage emotions, reduce anxiety, improve self-esteem, learn to know themselves better, to live in the moment and not to fear the judgment of the other. Before participation, all subjects were informed of the assessment procedure and gave their free and informed consent. Patients completed questionnaires before the start of treatment and after the treatment. The questionnaires administered assessed the depressive and anxious symptomatology assertiveness, self-esteem, strategies of emotional regulation, thoughts in social interaction, the tendency to perfectionism, positive and negative affectivity, and mindfulness skills. Psychotherapy was held over 8 sessions of 2 hours per week and exercises between sessions. It was led by a psychologist trained in behavioral and cognitive therapies, and mindfulness, an occupational therapist also trained in behavioral and cognitive therapies, more two interns psychologists. Sessions focused on methods of learning the centering of attention on the present moment, body awareness and the use of cognitive tools. To evaluate the short-term effects of the treatment, we compared the questionnaires’ scores of patients to two stroke of the evaluation. Results The first results are suggesting an improvement after surgery for several dimensions evaluated: anxiety, depression, assertiveness, ruminations, non-adaptive emotion regulation strategies, and mindfulness capacity of non-judgment. However, the results are less conclusive as regards mindfulness capabilities. We present and discuss the initial results in relation to the already published studies and in taking account the limitations of the study: small staff, no control group, sex ratio. Conclusions The first results are encouraging. They suggest to replicate the study with other social phobic patients to verify the effectiveness of MBCT on social phobia.

Objectives: This study focused on patients with bipolar disorder (BD), several years after their participation in mindfulness-based cognitive therapy (MBCT). It aimed at documenting sustained mindfulness practice, perceived long-term benefit from the program, and changes regarded as direct consequences of the intervention.Design: This cross-sectional survey took place at least 2 years after MBCT for 70.4% of participants. Location: It was conducted in two specialized outpatient units for BDs that are part of the Geneva University Hospitals (Switzerland) and the Sainte-Anne Hospital in Paris (France). Subjects: Eligibility criteria were a diagnosis of BD according to DSM-IV and participation in at least four MBCT sessions. Response rate was 66.4%. The final sample included 71 outpatients (71.8% bipolar I, 28.2% bipolar II). Outcome measures: A questionnaire retrospectively assessed patient-perceived change, benefit from MBCT, and current mindfulness practice. Results: Proportions of respondents who practiced mindfulness at least once a week were 54.9% for formal practice (body scan, sitting meditation, mindful walking, or movements) and 57.7% for informal practice (mindful daily activities). Perceived benefit for the prevention of relapse was moderate, but patients acknowledged long-lasting effects and persistent changes in their way of life. Formal mindfulness practice at least once a week tended to be associated with increased long-lasting effects (p = 0.052), whereas regular informal practice and mindful breathing were significantly associated with persistent changes in daily life (p = 0.038) and better prevention of depressive relapse (p = 0.035), respectively. The most frequently reported positive change was increased awareness of being able to improve one's health. Conclusions: Despite methodological limitations, this survey allowed documenting mindfulness practice and perceived sustained benefit from MBCT in patients with BD. Participants particularly valued increased awareness that they can influence their own health. Both informal and formal practices, when sustained in the long term, might promote long-lasting changes.