The Three-Month Effect of Mobile Internet-Based Cognitive Therapy on the Course of Depressive Symptoms in Remitted Recurrently Depressed Patients: Results of a Randomized Controlled Trial

2015 ◽  
Vol 84 (2) ◽  
pp. 90-99 ◽  
Author(s):  
Gemma Kok ◽  
Huibert Burger ◽  
Heleen Riper ◽  
Pim Cuijpers ◽  
Jack Dekker ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Depressive Symptoms ◽  
Cognitive Therapy ◽  
Controlled Trial ◽  
Mobile Internet ◽  
Randomized Controlled ◽  
Depressed Patients

scholarly journals The efficacy of mindfulness-based cognitive therapy in recurrent depressed patients with and without a current depressive episode: a randomized controlled trial

2011 ◽  
Vol 42 (5) ◽  
pp. 989-1001 ◽  
Author(s):  
J. R. van Aalderen ◽  
A. R. T. Donders ◽  
F. Giommi ◽  
P. Spinhoven ◽  
H. P. Barendregt ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Depressive Symptoms ◽  
Cognitive Therapy ◽  
Depressive Episode ◽  
Controlled Trial ◽  
Secondary Outcome ◽  
Mindfulness Skills ◽  
Randomized Controlled ◽  
Depressive Episodes ◽  
A Current

BackgroundThe aim of this study is to examine the efficacy of mindfulness-based cognitive therapy (MBCT) in addition to treatment as usual (TAU) for recurrent depressive patients with and without a current depressive episode.MethodA randomized, controlled trial comparing MBCT+TAU (n=102) with TAU alone (n=103). The study population consisted of patients with three or more previous depressive episodes. Primary outcome measure was post-treatment depressive symptoms according to the Hamilton Rating Scale for Depression. Secondary outcome measures included the Beck Depression Inventory, rumination, worry and mindfulness skills. Group comparisons were carried out with linear mixed modelling, controlling for intra-group correlations. Additional mediation analyses were performed. Comparisons were made between patients with and without a current depressive episode.ResultsPatients in the MBCT+TAU group reported less depressive symptoms, worry and rumination and increased levels of mindfulness skills compared with patients receiving TAU alone. MBCT resulted in a comparable reduction of depressive symptoms for patients with and without a current depressive episode. Additional analyses suggest that the reduction of depressive symptoms was mediated by decreased levels of rumination and worry.ConclusionsThe study findings suggest that MBCT is as effective for patients with recurrent depression who are currently depressed as for patients who are in remission. Directions towards a better understanding of the mechanisms of action of MBCT are given, although future research is needed to support these hypotheses.

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