Role of autobiographical memory in the impact of MBCT on dysfunctional attitudes, depressive symptoms and anxiety in bipolar I patients.
Journal of Affective Disorders July 21, 2020 A. Docteur, C. Mirabel-Sarron, Héline Kaya Lefèvre et al.
Mindfulness-based cognitive therapy (MBCT) reduces depressive symptoms, dysfunctional attitudes, and overgeneral autobiographical memories while increasing specific memories in people with bipolar I disorder. Patients who received MBCT showed significantly fewer depressive symptoms and less overgeneral memory compared to those on a waiting list. Baseline general autobiographical memory and omissions predicted lower anxiety and dysfunctional attitudes improvement after therapy, but memory improvement did not explain MBCT's effect on depression or dysfunctional attitudes. The findings suggest that MBCT reduces cognitive reactivity and memory impairment in bipolar disorder, and that autobiographical memory training before MBCT may influence its efficacy, but memory improvement and clinical symptom improvement are unrelated.