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Gepubliceerd in: Mindfulness 5/2015

13-11-2014 | ORIGINAL PAPER

Gradually Getting Better: Trajectories of Change in Rumination and Anxious Worry in Mindfulness-Based Cognitive Therapy for Prevention of Relapse to Recurrent Depression

Auteurs: Tetsuji Ietsugu, Catherine Crane, Ann Hackmann, Kate Brennan, Marcus Gross, Rebecca S. Crane, Sarah Silverton, Sholto Radford, Catrin Eames, Melanie J. V. Fennell, J. Mark G. Williams, Thorsten Barnhofer

Gepubliceerd in: Mindfulness | Uitgave 5/2015

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Abstract

Increased tendencies towards ruminative responses to negative mood and anxious worry are important vulnerability factors for relapse to depression. In this study, we investigated the trajectories of change in rumination and anxious worry over the course of an eight-week programme of mindfulness-based cognitive therapy (MBCT) for relapse prevention in patients with a history of recurrent depression. One hundred and four participants from the MBCT-arm of a randomized-controlled trial provided weekly ratings. Mixed linear models indicated that changes in rumination and worry over the course of the programme followed a general linear trend, with considerable variation around this trend as indicated by significant increases in model fit following inclusion of random slopes. Exploration of individual trajectories showed that, despite considerable fluctuation, there is little evidence to suggest that sudden gains are a common occurrence. The findings are in line with the general notion that, in MBCT, reductions in vulnerability are driven mainly through regular and consistent practice, and that sudden cognitive insights alone are unlikely to lead into lasting effects.
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Metagegevens
Titel
Gradually Getting Better: Trajectories of Change in Rumination and Anxious Worry in Mindfulness-Based Cognitive Therapy for Prevention of Relapse to Recurrent Depression
Auteurs
Tetsuji Ietsugu
Catherine Crane
Ann Hackmann
Kate Brennan
Marcus Gross
Rebecca S. Crane
Sarah Silverton
Sholto Radford
Catrin Eames
Melanie J. V. Fennell
J. Mark G. Williams
Thorsten Barnhofer
Publicatiedatum
13-11-2014
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 5/2015
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-014-0358-3