The effectiveness of mindfulness-based cognitive therapy in primary care and the role of depression severity and treatment attendance

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  • dc.contributor.author Elices, Matilde
  • dc.contributor.author Pérez Solá, Victor
  • dc.contributor.author Pérez-Aranda, Adrián
  • dc.contributor.author Colom, Francesc
  • dc.contributor.author Polo, María
  • dc.contributor.author Martín-López, Luis Miguel
  • dc.contributor.author Gárriz, Miguel
  • dc.date.accessioned 2022-09-14T06:46:18Z
  • dc.date.available 2022-09-14T06:46:18Z
  • dc.date.issued 2022
  • dc.description.abstract 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.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation 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
  • dc.identifier.doi http://dx.doi.org/10.1007/s12671-021-01794-3
  • dc.identifier.issn 1868-8527
  • dc.identifier.uri http://hdl.handle.net/10230/54057
  • dc.language.iso eng
  • dc.publisher SpringerOpen
  • dc.rights Copyright © Elices M, Pérez-Sola V, Pérez-Aranda A, Colom F, Polo M, Martín-López LM, 2021. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Depression
  • dc.subject.keyword Effectiveness
  • dc.subject.keyword Implementation
  • dc.subject.keyword Mindfulness-based cognitive therapy
  • dc.subject.keyword Primary care
  • dc.title The effectiveness of mindfulness-based cognitive therapy in primary care and the role of depression severity and treatment attendance
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion