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A systematic review of mechanisms of change in mindfulness-based cognitive therapy in the treatment of recurrent major depressive disorder

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A systematic review of mechanisms of change in mindfulness-based cognitive therapy in the treatment of recurrent major depressive disorder. / van der Velden, Anne Maj; Kuyken, Willem ; Wattar, Ulla ; Crane, Catherine ; Pallesen, Karen Johanne; Dahlgaard, Jesper; Fjorback, Lone; Piet, Jacob.

I: Clinical Psychology Review, Bind 37 , Nr. 2015, 37, 2015, s. 26.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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@article{2c9eebdba6fa4d27a341a67cf2336b9d,
title = "A systematic review of mechanisms of change in mindfulness-based cognitive therapy in the treatment of recurrent major depressive disorder",
abstract = "BackgroundThe investigation of treatment mechanisms in randomized controlled trials has considerable clinical and theoretical relevance. Despite the empirical support for the effect of mindfulness-based cognitive therapy (MBCT) in the treatment of recurrent major depressive disorder (MDD), the specific mechanisms by which MBCT leads to therapeutic change remain unclear.ObjectiveBy means of a systematic review we evaluate how the field is progressing in its empirical investigation of mechanisms of change in MBCT for recurrent MDD.MethodTo identify relevant studies, a systematic search was conducted. Studies were coded and ranked for quality.ResultsThe search produced 476 articles, of which 23 were included. In line with the theoretical premise, 12 studies found that alterations in mindfulness, rumination, worry, compassion, or meta-awareness were associated with, predicted or mediated MBCT's effect on treatment outcome. In addition, preliminary studies indicated that alterations in attention, memory specificity, self-discrepancy, emotional reactivity and momentary positive and negative affect might play a role in how MBCT exerts its clinical effects.ConclusionThe results suggest that MBCT could work through some of the MBCT model's theoretically predicted mechanisms. However, there is a need for more rigorous designs that can assess greater levels of causal specificity.",
keywords = "Mindfulness MBCT Depression Mediation Treatment mechanisms Review",
author = "{van der Velden}, {Anne Maj} and Willem Kuyken and Ulla Wattar and Catherine Crane and Pallesen, {Karen Johanne} and Jesper Dahlgaard and Lone Fjorback and Jacob Piet",
year = "2015",
doi = "10.1016/j.cpr.2015.02.001",
language = "English",
volume = "37 ",
pages = "26",
journal = "Clinical Psychology Review",
issn = "0272-7358",
publisher = "Pergamon Press",
number = "2015",

}

RIS

TY - JOUR

T1 - A systematic review of mechanisms of change in mindfulness-based cognitive therapy in the treatment of recurrent major depressive disorder

AU - van der Velden, Anne Maj

AU - Kuyken, Willem

AU - Wattar, Ulla

AU - Crane, Catherine

AU - Pallesen, Karen Johanne

AU - Dahlgaard, Jesper

AU - Fjorback, Lone

AU - Piet, Jacob

PY - 2015

Y1 - 2015

N2 - BackgroundThe investigation of treatment mechanisms in randomized controlled trials has considerable clinical and theoretical relevance. Despite the empirical support for the effect of mindfulness-based cognitive therapy (MBCT) in the treatment of recurrent major depressive disorder (MDD), the specific mechanisms by which MBCT leads to therapeutic change remain unclear.ObjectiveBy means of a systematic review we evaluate how the field is progressing in its empirical investigation of mechanisms of change in MBCT for recurrent MDD.MethodTo identify relevant studies, a systematic search was conducted. Studies were coded and ranked for quality.ResultsThe search produced 476 articles, of which 23 were included. In line with the theoretical premise, 12 studies found that alterations in mindfulness, rumination, worry, compassion, or meta-awareness were associated with, predicted or mediated MBCT's effect on treatment outcome. In addition, preliminary studies indicated that alterations in attention, memory specificity, self-discrepancy, emotional reactivity and momentary positive and negative affect might play a role in how MBCT exerts its clinical effects.ConclusionThe results suggest that MBCT could work through some of the MBCT model's theoretically predicted mechanisms. However, there is a need for more rigorous designs that can assess greater levels of causal specificity.

AB - BackgroundThe investigation of treatment mechanisms in randomized controlled trials has considerable clinical and theoretical relevance. Despite the empirical support for the effect of mindfulness-based cognitive therapy (MBCT) in the treatment of recurrent major depressive disorder (MDD), the specific mechanisms by which MBCT leads to therapeutic change remain unclear.ObjectiveBy means of a systematic review we evaluate how the field is progressing in its empirical investigation of mechanisms of change in MBCT for recurrent MDD.MethodTo identify relevant studies, a systematic search was conducted. Studies were coded and ranked for quality.ResultsThe search produced 476 articles, of which 23 were included. In line with the theoretical premise, 12 studies found that alterations in mindfulness, rumination, worry, compassion, or meta-awareness were associated with, predicted or mediated MBCT's effect on treatment outcome. In addition, preliminary studies indicated that alterations in attention, memory specificity, self-discrepancy, emotional reactivity and momentary positive and negative affect might play a role in how MBCT exerts its clinical effects.ConclusionThe results suggest that MBCT could work through some of the MBCT model's theoretically predicted mechanisms. However, there is a need for more rigorous designs that can assess greater levels of causal specificity.

KW - Mindfulness MBCT Depression Mediation Treatment mechanisms Review

U2 - 10.1016/j.cpr.2015.02.001

DO - 10.1016/j.cpr.2015.02.001

M3 - Journal article

C2 - 25748559

VL - 37

SP - 26

JO - Clinical Psychology Review

JF - Clinical Psychology Review

SN - 0272-7358

IS - 2015

M1 - 37

ER -