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30-09-2022 | ORIGINAL PAPER

Effectiveness of Mindfulness-Based Cognitive Therapy for Reducing Depressive Symptomatology in a Community Sample of Individuals with Adjustment Disorders: Exploring the Role of Pain in Treatment Response

Auteurs: Miguel Gárriz, Víctor Pérez, Adrián Pérez-Aranda, Juan Castaño, Francesc Colom, Irene Canosa-García, Natalia Gandara, Luis Miguel Martin-López, Matilde Elices

Gepubliceerd in: Mindfulness | Uitgave 11/2022

Abstract

Objectives

Adjustment disorders (AjD) are common in clinical practice, but research on treatment alternatives is scarce, as it is on the impact of common comorbid symptoms such as pain. The present study explored the effect of mindfulness-based cognitive therapy (MBCT) on a sample of AjD outpatients and analyzed the role of pain in treatment response.

Methods

Quantitative data were obtained from 278 individuals diagnosed with AjD who participated in an MBCT program. The sample was divided into two subgroups: “pain” vs. “no pain.” Depressive symptomatology was the main outcome. Paired t-tests were used to analyze the effect of the intervention. A repeated measures ANOVA was performed to compare the impact between the two subgroups. The predictive role of pain, among other variables, on treatment response was analyzed through linear regression.

Results

A significant decrease in depressive symptomatology was observed posttreatment (t = 9.27, p < .001; Cohen’s d = 0.44). Although both subgroups improved after MBCT, the “pain” subgroup presented a significantly smaller change (F = 5.85, p = .016). Pain was a significant predictor of treatment response (B = − 3.15, t = − 2.89, p = .004).

Conclusions

Our results support the effectiveness of MBCT for treating adult outpatients with AjD. The presence of comorbid pain seems to minimize treatment response, which could in turn hinder recovery.

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Titel: Effectiveness of Mindfulness-Based Cognitive Therapy for Reducing Depressive Symptomatology in a Community Sample of Individuals with Adjustment Disorders: Exploring the Role of Pain in Treatment Response
Auteurs: Miguel Gárriz
Víctor Pérez
Adrián Pérez-Aranda
Juan Castaño
Francesc Colom
Irene Canosa-García
Natalia Gandara
Luis Miguel Martin-López
Matilde Elices
Publicatiedatum: 30-09-2022
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 11/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-022-01995-4

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Abstract

Objectives

Methods

Results

Conclusions

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