Mindfulness predicts relapse/recurrence in major depressive disorder after mindfulness-based cognitive therapy
Mindfulness predicts relapse/recurrence in major depressive disorder after mindfulness-based cognitive therapy
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DOI：
10.1097/nmd.0b013e31817d0546
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发表时间：
2008-08-01
影响因子：
1.9
通讯作者：
Schulte, Dietmar
中科院分区：
文献类型：
--
作者：
Michalak, Johannes;Heidenirich, Thomas;Schulte, Dietmar
基于正念的认知疗法（MBCT）的有效性的经验证据令人鼓舞。然而，缺乏关于正念在预防复发中的作用的数据。在我们的研究中，25名以前的抑郁症患者接受了MBCT。正念评估之前和之后立即使用正念注意力和意识量表。正念显着增加，在正念治疗期间，正念治疗后的水平预测复发/复发的风险，在12个月的随访期内的重性抑郁症。正念预测复发/复发的风险后，控制了以前的发作次数和残留的抑郁症状。研究结果为正念是预防重性抑郁症复发的重要因素这一观点提供了初步证据。
Empirical evidence for the effectiveness of mindfulness-based cognitive therapy (MBCT) is encouraging. However, data concerning the role of mindfulness in its relapse preventive effect are lacking. In our study, 25 formerly depressed patients received MBCT. Mindfulness was assessed before and immediately after MBCT using the Mindful Attention and Awareness Scale. Mindfulness significantly increased during MBCT, and posttreatment levels of mindfulness predicted the risk of relapse/recurrence to major depressive disorder in the 12-month follow-up period. Mindfulness predicted the risk of relapse/recurrence after controlling for numbers of previous episodes and residual depressive symptoms. The results provide preliminary evidence for the notion that mindfulness is an important factor in relapse prevention in major depression.