How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help?

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Abstract

There is encouraging evidence that structured psychological treatments for depression, in particular cognitive therapy, can reduce subsequent relapse after the period of initial treatment has been completed. However, there is a continuing need for prophylactic psychological approaches that can be administered to recovered patients in euthymic mood. An information-processing analysis of depressive maintenance and relapse is used to define the requirements for effective prevention, and to propose mechanisms through which cognitive therapy achieves its prophylactic effects. This analysis suggests that similar effects can be achieved using techniques of stress-reduction based on the skills of attentional control taught in mindfulness meditation. An information-processing analysis is presented of mindfulness and mindlessness, and of their relevance to preventing depressive relapse. This analysis provides the basis for the development of Attentional Control Training, a new approach to preventing relapse that integrates features of cognitive therapy and mindfulness training and is applicable to recovered depressed patients.

References (30)

  • P.N. Johnson-Laird

    Mental models

    (1983)
  • J. Kabat-Zinn

    Full catastrophe living: The program of the Stress Reduction Clinic at the University of Massachusetts Medical Center

    (1990)
  • J. Kabat-Zinn et al.

    The clinical use of mindfulness meditation for the self-regulation of chronic pain

    Journal of Behavioral Medicine

    (1985)
  • J. Kabat-Zinn et al.

    Four-year follow-up of a meditation-based program for the self-regulation of chronic pain: Treatment outcomes and compliance

    The Clinical Journal of Pain

    (1987)
  • J. Kabat-Zinn et al.

    Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders

    American Journal of Psychiatry

    (1992)
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