Gradually Getting Better: Trajectories of Change in Rumination and Anxious Worry in Mindfulness-Based Cognitive Therapy for Prevention of Relapse to Recurrent Depression

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• 作者：Tetsuji Ietsugu ; Catherine Crane ; Ann Hackmann ; Kate Brennan ; Marcus Gross…
• 关键词：Mindfulness ; Based Cognitive Therapy ; Rumination ; Worry ; Change ; Sudden gains
• 刊名：Mindfulness
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：6
• 期：5
• 页码：1088-1094
• 全文大小：388 KB
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• 作者单位：Tetsuji Ietsugu (1) (4)
  Catherine Crane (1)
  Ann Hackmann (1)
  Kate Brennan (1) (5)
  Marcus Gross (3)
  Rebecca S. Crane (2)
  Sarah Silverton (2)
  Sholto Radford (2)
  Catrin Eames (2) (6)
  Melanie J. V. Fennell (1)
  J. Mark G. Williams (1)
  Thorsten Barnhofer (1) (7)
  
  1. Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, OX3 7JX, UK
  4. Nagoya Keizai University, 61-1, Uchikubo-cho, Inuyama, Aichi, 484-8503, Japan
  5. Queen鈥檚 University, University Road, Belfast, BT7 1NN, UK
  3. Institut fuer Statistik und Oekonometrie, Freie Universitaet Berlin, Garystr. 21, 14195, Berlin, Germany
  2. Centre for Mindfulness Research and Practice, Bangor University, Dean St Building, Bangor, LL57 2PZ, UK
  6. Department of Clinical Psychology, University of Liverpool, Waterhouse Building, Block B, 2nd Floor, Brownlow Street, Liverpool, L69 3GL, UK
  7. Freie Universitaet Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany
  
• 刊物主题：Cognitive Psychology; Pediatrics; Child and School Psychology; Psychology, general; Public Health; Social Sciences, general;
• 出版者：Springer US
• ISSN：1868-8535

文摘

Increased tendencies towards ruminative responses to negative mood and anxious worry are important vulnerability factors for relapse to depression. In this study, we investigated the trajectories of change in rumination and anxious worry over the course of an eight-week programme of mindfulness-based cognitive therapy (MBCT) for relapse prevention in patients with a history of recurrent depression. One hundred and four participants from the MBCT-arm of a randomized-controlled trial provided weekly ratings. Mixed linear models indicated that changes in rumination and worry over the course of the programme followed a general linear trend, with considerable variation around this trend as indicated by significant increases in model fit following inclusion of random slopes. Exploration of individual trajectories showed that, despite considerable fluctuation, there is little evidence to suggest that sudden gains are a common occurrence. The findings are in line with the general notion that, in MBCT, reductions in vulnerability are driven mainly through regular and consistent practice, and that sudden cognitive insights alone are unlikely to lead into lasting effects. Keywords Mindfulness-Based Cognitive Therapy Rumination Worry Change Sudden gains