The effects of amount of home meditation practice in Mindfulness Based Cognitive Therapy on hazard of relapse to depression in the Staying Well after Depression Trial
The effects of amount of home meditation practice in Mindfulness Based Cognitive Therapy on hazard of relapse to depression in the Staying Well after Depression Trial
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DOI：
10.1016/j.brat.2014.08.015
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发表时间：
2014-12-01
影响因子：
4.1
通讯作者：
Barnhofer, Thorsten
中科院分区：
文献类型：
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作者：
Crane, Catherine;Crane, Rebecca S.;Barnhofer, Thorsten
很少有实证研究探讨正念认知疗法（MBCT）中正式和非正式正念家庭练习与结果之间的关系。在本研究中，在一个多中心随机对照试验中，99名被随机分配到MBCT组的参与者在7个治疗周内完成了家庭实践的自我报告评分。治疗后立即、治疗后3个月、6个月、9个月和12个月评估重度抑郁症复发。结果确定了正式家庭实践的平均每日持续时间与结果之间的显着关联，并且另外表明，报告他们在治疗阶段每周至少进行3天正式家庭实践的参与者几乎是报告正式实践天数较少的参与者复发的可能性的一半。这些关联独立于参与者评价的治疗合理性的潜在混淆变量。目前的研究没有发现非正式家庭练习和结果之间的显著关联，尽管这可能与量化非正式家庭正念练习的固有困难有关。这些发现对临床医生与参与者讨论基于正念的干预措施具有重要意义，特别是在MBCT方面，参与者参与家庭实践的数量似乎对结果有显著的积极影响。(C) 2014年作者。Elsevier Ltd.出版。这是一篇基于CC BY许可（http://creativecommons.org/licenses/by/3.0/）的开放获取文章。
Few empirical studies have explored the associations between formal and informal mindfulness home practice and outcome in Mindfulness-based Cognitive Therapy (MBCT). In this study ninety-nine participants randomised to MBCT in a multi-centre randomised controlled trial completed self-reported ratings of home practice over 7 treatment weeks. Recurrence of Major Depression was assessed immediately after treatment, and at 3, 6, 9, and 12-months post-treatment. Results identified a significant association between mean daily duration of formal home practice and outcome and additionally indicated that participants who reported that they engaged in formal home practice on at least 3 days a week during the treatment phase were almost half as likely to relapse as those who reported fewer days of formal practice. These associations were independent of the potentially confounding variable of participant-rated treatment plausibility. The current study identified no significant association between informal home practice and outcome, although this may relate to the inherent difficulties in quantifying informal home mindfulness practice. These findings have important implications for clinicians discussing mindfulness-based interventions with their participants, in particular in relation to MBCT, where the amount of participant engagement in home practice appears to have a significant positive impact on outcome. (C) 2014 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/3.0/).