The effectiveness of mindfulness-based cognitive therapy in primary care and the role of depression severity and treatment attendance
The effectiveness of mindfulness-based cognitive therapy in primary care and the role of depression severity and treatment attendance
Citació
- Elices M, Pérez-Sola V, Pérez-Aranda A, Colom F, Polo M, Martín-López LM, et al. The effectiveness of mindfulness-based cognitive therapy in primary care and the role of depression severity and treatment attendance. Mindfulness (N Y). 2022; 13(2): 362-72. DOI: 10.1007/s12671-021-01794-3
Enllaç permanent
Descripció
Resum
Objectives: evidence suggests the efficacy of mindfulness-based cognitive therapy (MBCT) to prevent depression relapse and decrease depressive symptoms during the acute phase. However, the effectiveness of MBCT in real-world heterogeneous samples treated in clinical health settings, including primary care, has received little attention. This study had two aims: (1) to evaluate the effectiveness of MBCT delivered in primary care considering pre-treatment depression scores and (2) to explore the role of participants' characteristics on symptom improvement. Methods: data were obtained from 433 individuals who received MBCT. Participants completed the Personality Inventory for ICD-11 (PiCD) pretreatment and the Beck Depression Inventory (BDI-II) pre- and post-treatment. Results: sixty percent presented moderate-to-severe depression according to scores on the BDI-II, 18.1% presented mild depression, and 21.7% were in the non-depressed range. The severity of pre-treatment depressive symptoms was associated with outcomes. Most individuals who lacked depressive symptoms at baseline remained in the non-clinical range after the treatment. Those in the severe group benefited the most from the intervention, since 35.6% were considered recovered. Rates of deterioration ranged from 2.1 to 2.7%, depending on the depression-baseline scores. Depression severity at the entrance, attendance, and age, but not personality traits, appear to be related to symptom improvement. Conclusions: according to our results, MBCT can be effectively and safely delivered in primary care.Col·leccions
Mostra el registre complet