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01-12-2008 | Original Article

Mindfulness-Based Cognitive Therapy and Self-Discrepancy in Recovered Depressed Patients with a History of Depression and Suicidality

Auteurs: Catherine Crane, Thorsten Barnhofer, Danielle S. Duggan, Silvia Hepburn, Melanie V. Fennell, J. Mark G. Williams

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2008

Abstract

Long-term vulnerability to depression is related to the presence of perceived discrepancies between the actual self and ideal self-guides. This study examined the immediate effects of an 8-week course of Mindfulness-Based Cognitive Therapy (MBCT) on self-discrepancies in individuals currently in recovery, with a history of affective disorder that included suicidal ideation and behaviour. Results indicated significant time × group interactions for both ideal self similarity and ideal self likelihood ratings, primarily accounted for by increases in self-discrepancy from pre-test to post-test in the waiting list group which were not seen in those receiving MBCT. Changes in self-discrepancy were not associated with changes in residual depressive symptoms, but in the MBCT group there was a significant association between increases in ideal self similarity and the adoption of more adaptive ideal self-guides post treatment. MBCT may protect against increases in self-discrepancy in people vulnerable to relapse to depression and may also facilitate a shift in the goals of self-regulation.

vorige artikel Letting Go: Mindfulness and Negative Automatic Thinking

volgende artikel Brooding Perfectionism: Refining the Roles of Rumination and Perfectionism in the Etiology of Depression

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We repeated the analyses of the effects of treatment on ideal self similarity and ideal self likelihood carrying forward baseline data for any participants who did not have time 2 data, and additionally including participants who were allocated to immediate treatment but attended 3 or fewer sessions. A mixed between (baseline, follow-up), within (MBCT, waitlist) ANOVA for ideal self similarity revealed no significant main effects of time or group (Fs < 1), but identified a significant time × group interaction, F(1, 63) = 7.19, P = .015. A mixed between (baseline, follow-up), within (MBCT, waitlist) ANOVA for ideal self likelihood identified a trend towards a main effect of time F (1, 62) = 2.93, P = .09 and a significant time × group interaction F (1, 62) = 5.41, P = .02. The findings of these ‘intention-to treat’ analyses are therefore wholly consistent with the findings of analyses based on the smaller group of participants who attended an adequate dose of treatment and returned for a follow-up assessment providing complete data.

Baskerville, S. L. (1999). Self-discrepancies, depression proneness and current mood state: A test of Higgins’ and Ogilvie’s theories. Unpublished Doctoral Thesis, University of Saskatchewan.

Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review, 97, 90–113.PubMedCrossRef

Beautrais, A. L., Joyce, P. R., Mulder, R. T., Fergusson, D. M., Deavoll, B. J., & Nightingale, S. K. (1996). Prevalence and comorbidity of mental disorders in persons making serious suicide attempts: A case-control study. American Journal of Psychiatry, 153, 1009–1014.PubMed

Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: The Guilford Press.

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the BDI-II. San Antonio, TX: Psychological Corporation.

Bentall, R. R., Kinderman, P., & Mason, K. (2005). Self-discrepancies in bipolar disorder: Comparison of manic, depressed, remitted and normal participants. British Journal of Clinical Psychology, 44, 457–473.PubMedCrossRef

Carver, C. S., Lawrence, J. W., & Scheier, M. F. (1999). Self-discrepancy and affect: Incorporating the role of feared selves. Personality and Social Psychology Bulletin, 25, 783–792.CrossRef

Carver, C. S., & Scheier, M. F. (1998). On the self-regulation of behavior. Cambridge, UK.: Cambridge University Press.

Fairbrother, N., & Moretti, M. (1998). Sociotropy, autonomy and self-discrepancy: Status in depressed, remitted depressed and control participants. Cognitive Therapy & Research, 22, 279–296.CrossRef

First, M. B., Gibbon, M., Spitzer, R. L., & Williams, J. B. W. (1997). Structured clinical interview for DSM-IV axis II personality disorders (SCID-II). American Psychiatric Association.

Foster, T., Gillespie, K., & McClelland, R. (1997). Mental disorders and suicide in Northern Ireland. British Journal of Psychiatry, 170, 447–452.PubMedCrossRef

Frank, E., Prien, R. F., Jarrett, R. B., Keller, M. B., Kupfer, D. J., Lavori, P. W., et al. (1991). Conceptualization and rationale for consensus definitions of terms in major depressive disorder—Remission, recovery, relapse, and recurrence. Archives of General Psychiatry, 48, 851–855.PubMed

Higgins, E. T. (1987). Self-discrepancy: A theory relating self and affect. Psychological Review, 3, 319–340.CrossRef

Higgins, E. T., Bond, R. N., Klein, R., & Strauman, T. (1986). Self-discrepancy and emotional vulnerability: How magnitude, accessibility and type of discrepancy influence affect. Journal of Personality & Social Psychology, 51, 5–15.CrossRef

Kabat-Zinn, J. (1990). Full catastrophe living: How to cope with stress, pain and illness using mindfulness meditation. New York: Dell Publishing.

Kessler, R. C., Berglund, P., Borges, G., Nock, M., & Wand, P. S. (2005). Trends in suicide ideation, plans gestures and attempts in the United Stayes. 1990–1992 to 2001–2003. JAMA: Journal of the American Medical Association, 293, 2487–2495.PubMedCrossRef

Kornfield, J. (2000). After the ecstasy the laundry: How the heart grows wise on the spiritual path. New York: Bantam Books.

Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting & Clinical Psychology, 72, 30–40.CrossRef

Papadakis, A. A., Prince, R. P., Jones, N. P., & Strauman, T. (2006). Self-regulation, rumination and vulnerability to depression in adolescent girls. Development and Psychopathology, 18, 815–829.PubMedCrossRef

Pierce, K. M., Strauman, T. J., & Lowe Vandell, D. (1999). Self-discrepancy, negative life events, and social support in relation to dejection in mothers of infants. Journal of Social & Clinical Psychology, 18, 490–501.

Scott, L., & O’Hara, M. W. (1993). Self-discrepancies in clinically anxious and depressed university students. Journal of Abnormal Psychology, 102, 282–287.PubMedCrossRef

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.

Sheehan, D. V., Lecrubier, Y., Sheehan, K., Harnett, A. P., Janavs, J., Weiller, E., et al. (1998). The mini-international neuropsychiatric interview (M.I.N.I.). The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychology, 59, 22–33.

Strauman, T. J. (1989). Self-discrepancies in clinical depression and social phobia: Cognitive structures that underlie emotional disorders? Journal of Abnormal Psychology, 98, 14–22.PubMedCrossRef

Strauman, T. J. (1996). Stability within the self: A longitudinal study of the structural implications of self-discrepancy theory. Journal of Personality and Social Psychology, 71, 1142–1153.PubMedCrossRef

Strauman, T. J., Kolden, G. G., Stromquist, V., Davis, N., Kwapil, L., Heerey, E., et al. (2001). The effects of treatments for depression on perceived failure in self-regulation. Cognitive Therapy & Research, 25, 693–712.CrossRef

Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). The prevention of relapse/recurrence of major depression by mindfulness-based cognitive therapy. Journal of Consulting & Clinical Psychology, 68, 615–623.CrossRef

Vincent, P., Boddana, P., & MacLeod, A. (2004). Positive life goals and plans in parasuicide. Clinical Psychology and Psychotherapy, 11, 90–99.CrossRef

Williams, J. M. G., Barnhofer, T., Crane, C., & Beck, A. T. (2005). Problem solving deteriorates following mood challenge in formerly depressed patients with a history of suicidal ideation. Journal of Abnormal Psychology, 114, 421–431.PubMedCrossRef

Williams, J. M. G., Van der Does, W., Barnhofer, T., Crane, C., Segal, Z. (2008). Cognitive reactivity and suicidal behavior: Investigating a differential activation theory of suicidality. Cognitive Therapy and Research, 32, 88–104.

Yen, S., Shea, M. T., Pagano, M., Sanislow, C. A., Grilo, C. M., McGlashan, T. H., et al. (2003). Axis I and axis II disorders as predictors of prospective suicide attempts: Gindins from the collaborative longitudinal personality disorders study. Journal of Abnormal Psychology, 112, 375–381.PubMedCrossRef

Titel: Mindfulness-Based Cognitive Therapy and Self-Discrepancy in Recovered Depressed Patients with a History of Depression and Suicidality
Auteurs: Catherine Crane
Thorsten Barnhofer
Danielle S. Duggan
Silvia Hepburn
Melanie V. Fennell
J. Mark G. Williams
Publicatiedatum: 01-12-2008
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 6/2008
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-008-9193-y

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