Association between decentering and reductions in relapse/recurrence in mindfulness-based cognitive therapy for depression in adults: A randomized controlled trial.
Journal of Consulting and Clinical Psychology February 1, 2022 Michael Moore, Mark A. Lau, Emily A. P. Haigh et al. 33 citations
Decentering—the ability to observe thoughts and feelings as temporary events in the mind—may help reduce relapse in major depression, but it is not unique to mindfulness-based cognitive therapy (MBCT). In a randomized trial, 227 formerly depressed adults received MBCT, relaxation group therapy (RGT), or treatment as usual (TAU). During acute treatment, depression levels increased in RGT and TAU but not in MBCT. Gains in decentering from mid- to posttreatment predicted reduced depression in MBCT and TAU, but not RGT, and were linked to lower relapse rates across all groups over 12 months. These exploratory findings suggest decentering is a potent but nonspecific mechanism.