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Can brief mindfulness practice be of benefit? Evidence from an evaluation of group Person-based Cognitive Therapy for depression

Published online by Cambridge University Press:  09 January 2015

Clara Strauss ,
Gemma Luke ,
Mark Hayward  and
Fergal Jones
Clara Strauss*
Affiliation:
School of Psychology, University of Sussex, Falmer, Brighton, UK Sussex Partnership NHS Foundation Trust, UK
Gemma Luke
Affiliation:
Canterbury Christ Church University, Salomons Campus, Tunbridge Wells, Kent, UK
Mark Hayward
Affiliation:
School of Psychology, University of Sussex, Falmer, Brighton, UK Sussex Partnership NHS Foundation Trust, UK
Fergal Jones
Affiliation:
Sussex Partnership NHS Foundation Trust, UK Canterbury Christ Church University, Salomons Campus, Tunbridge Wells, Kent, UK
*
*Author for correspondence: Dr C. Strauss, School of Psychology, University of Sussex, Falmer, BN1 9QH, UK (email: c.y.strauss@sussex.ac.uk).
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Abstract

Mindfulness-based Cognitive Therapy (MBCT) was not intended for current depression, and lengthy mindfulness practices (≥30 min) can be challenging. Person-based cognitive therapy (PBCT) includes brief mindfulness practices (<10 min). While group PBCT can improve depressive symptoms whether benefits can be attributed to the brief practices is unclear. Twenty-eight participants with chronic major depression were randomly assigned to PBCT (n = 14) or treatment as usual (n = 14). Measures of mindfulness and depression were taken. Six PBCT participants were interviewed. Improvements in mindfulness in mediating the relationship between group and improvements in depressive symptoms just failed to reach statistical significance (95% confidence interval −0.97 to 14.84). Thematic analysis identified four themes: ‘altered relationship to symptoms’, ‘impact on self’, ‘the challenge of letting go’ and ‘effect of the group’. Although bootstrapped indirect effects were in the hypothesized direction they failed to reach statistical significance; this could be due to low power, but further research is needed. Qualitative themes support the potential of brief mindfulness practices and are similar to themes identified of mindfulness-based interventions with lengthier mindfulness practices. Findings suggest that some people experiencing current depression report benefit from the brief mindfulness practices included in PBCT but further research in larger samples is now needed.

Keywords

CBTcognitive therapydepressiongroup psychotherapymindfulnessperson-based
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 7 , December 2014 , e19
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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References

Recommended follow-up reading

Chadwick, P (2006). Person Based Cognitive Therapy for Distressing Psychosis. Chichester: Wiley.CrossRefGoogle Scholar
Strauss, C, Hayward, M, Chadwick, P (2012). Group person-based cognitive therapy for chronic depression: a pilot randomized controlled trial. British Journal of Clinical Psychology 51, 345–350.CrossRefGoogle ScholarPubMed

References

Allen, M, Bromley, A, Kuyken, W, Sonnenberg, SJ (2009). Participants’ experiences of mindfulness-based cognitive therapy: ‘It changed me in just about every way possible’. Behavioural and Cognitive Psychotherapy 37, 413–430.CrossRefGoogle ScholarPubMed
Barnhofer, T, Crane, C, Hargus, E, Amarasinghe, M, Winder, R, Williams, JMG (2009). Mindfulness-based cognitive therapy as a treatment for chronic depression: a preliminary study. Behaviour Research and Therapy 47, 366–373.Google Scholar
Baer, RA, Smith, GT, Allen, KB (2004). Assessment of mindfulness by self-report: the Kentucky inventory of mindfulness skills. Assessment 11, 191–206.Google Scholar
Beck, AT, Steer, RA, Brown, GK (1996). Manual for the Beck Depression Inventory – II. San Antonio, TX: Psychological Corporation.Google Scholar
Braun, V, Clarke, V (2006). Using thematic analysis in psychology. Qualitative Research in Psychology 3, 77–101.Google Scholar
Bishop, SR, Lau, M, Shapiro, S, Carlson, L, Anderson, ND, Carmody, J, Segal, ZV, Abbey, S, Speca, M, Velting, D, Devins, G (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice 11, 230–241Google Scholar
Brown, KW, Ryan, RM (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology 84, 822–848Google Scholar
Carins, V, Murray, C (2013). How do the features of mindfulness-based cognitive therapy contribute to positive therapeutic change? A meta-synthesis of qualitative studies. Behavioural and Cognitive Psychotherapy. Published online: 11 November 2013. doi:10.1017/S1352465813000945.Google Scholar
Chadwick, P (2006). Person Based Cognitive Therapy for Distressing Psychosis. Chichester: Wiley.Google Scholar
Chadwick, P, Hughes, S, Russell, D, Russell, I, Dagnan, D (2009). Mindfulness groups for distressing voices and paranoia: a replication and feasibility trail. Behavioural and Cognitive Psychotherapy 37, 403–412.Google Scholar
Chadwick, P, Newman-Taylor, K, Abba, N (2005). Mindfulness groups for people with distressing psychosis. Behavioural and Cognitive Psychotherapy 33, 351–359.Google Scholar
Chadwick, PDJ, Hember, M, Symes, J, Peters, E, Kuipers, E, Dagnan, D (2008). Responding mindfully to distressing thoughts and images: evaluation of the Southampton mindfulness questionnaire (SMQ). British Journal of Clinical Psychology 47, 451–455.Google Scholar
Chiesa, A, Mandelli, L, Serretti, A (2012). Mindfulness-based cognitive therapy versus psycho-education for patients with major depression who did not achieve remission following antidepressant treatment: a preliminary analysis. Journal of Alternative and Complementary Medicine 18, 756–760.Google Scholar
Chiesa, A, Serretti, A (2011). Mindfulness based cognitive therapy for psychiatric disorders: a systematic review and meta-analysis. Psychiatry Research 187, 441–453.Google Scholar
Dannahy, L, Hayward, M, Strauss, C, Turton, W, Harding, E, Chadwick, P (2011). Group person-based cognitive therapy for distressing voices: pilot data from nine groups. Journal of Behaviour Therapy and Experimental Psychiatry 42, 111–116.Google Scholar
Elliott, R, Fischer, CT, Rennie, DL (1999). Evolving guidelines for publication of qualitative research studies in psychology and related fields. British Journal of Clinical Psychology 38, 215–229.Google Scholar
Elliott, R, Slatick, E, Urman, M (2001). Qualitative change process research on psychotherapy: alternative strategies. In: Qualitative psychotherapy research: Methods and methodology (ed. Frommer, J. and Rennie, D. L.), pp. 69–111. Lengerich, Germany: Pabst Science.Google Scholar
Finucane, A, Mercer, SW (2006). An exploratory mixed methods study of the acceptability and effectiveness of mindfulness-based cognitive therapy for patients with active depression and anxiety in primary care. BMC Psychiatry 6, 14.Google Scholar
Fritz, MS, MacKinnon, DP (2007). Required sample size to detect the mediated effect. Psychological Science 18, 233–239.Google Scholar
Glasman, D, Finlay, WML, Brock, D (2004). Becoming a self-therapist: using cognitive-behavioural therapy for recurrent depression and/or dysthymia after completing therapy. Psychology and Psychotherapy: Theory, Research and Practice 77, 335–351.Google Scholar
Kuyken, W, Byford, S, Taylor, RS, Watkins, E, Holden, E, White, K, Barrett, B, Byng, R, Evans, A, Mullan, E, Teasdale, JD (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology 76, 966–978.Google Scholar
Ma, SH, Teasdale, JD (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology 72, 31–40.Google Scholar
Manicavasagar, V, Perich, T, Parker, G (2012). Cognitive predictors of change in cognitive behaviour therapy and mindfulness based cognitive therapy for depression. Behavioural and Cognitive Psychotherapy 40, 227–232.CrossRefGoogle ScholarPubMed
May, K, Strauss, C, Coyle, A, Hayward, M (2014). Person-based cognitive therapy for distressing voices: a thematic analysis of participant experiences of the therapy. Psychosis 6, 16–26.CrossRefGoogle Scholar
Preacher, KJ, Hayes, AF (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods 40, 879–891.Google Scholar
Segal, ZV, Williams, JMG, Teasdale, JD (2002). Mindfulness-based Cognitive Therapy for Depression: A New Approach to Preventing Relapse. New York: Guilford Press.Google Scholar
Strauss, C, Hayward, M, Chadwick, P (2012). Group person-based cognitive therapy for chronic depression: a pilot randomized controlled trial. British Journal of Clinical Psychology 51, 345–350.CrossRefGoogle ScholarPubMed
Teasdale, JD, Segal, ZV, Williams, JMG, Ridgeway, VA, Soulsby, JM, Lau, MA (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology 68, 615–623.Google Scholar
van Aalderen, JR, Donders, ART, Giommi, F, Spinhoven, P, Barendregt, HP, Speckens, AEM (2012). The efficacy of mindfulness-based cognitive therapy in recurrent depressed patients with and without a current depressive episode: a randomized controlled trial. Psychological Medicine 42, 989–1001.CrossRefGoogle ScholarPubMed
Vygotsky, LS (1978). Mind in Society. Cambridge, MA: Harvard University Press.Google Scholar
Wyatt, C, Harper, B, Weatherhead, S (2014). The experience of group mindfulness-based interventions for individuals with mental health difficulties: a meta-synthesis. Psychotherapy Research 24, 214–228.Google Scholar
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