Mindfulness-based cognitive group therapy for treatment-refractory anxiety disorder: A pragmatic randomized controlled trial.
Journal of Anxiety Disorders June 1, 2022 P. Spinhoven, E. Hoogerwerf, Anne E van Giezen et al.
Mindfulness-Based Cognitive Therapy (MBCT) led to larger reductions in anxiety, avoidance, emotion regulation difficulties, and worry, and larger increases in mindfulness skills, compared to Relapse Prevention-Cognitive Behavioral Therapy (CBT-RP) for outpatients with treatment-refractory anxiety disorders who had not responded sufficiently to first-line psychological treatment. At a 6-month follow-up, treatment gains were somewhat diminished. The effects of MBCT on anxiety at post-treatment were not mediated by mindfulness skills, emotion regulation, worry, or rumination at mid-treatment.