Journal of Medical Internet Research
March 24, 2014
Jennifer M. Boggs, Arne Beck, Jennifer N. Felder et al.
73 citations
A Web-based program called Mindful Mood Balance (MMB), which delivers the core concepts of mindfulness-based cognitive therapy (MBCT), is a viable way to treat residual depressive symptoms and prevent relapse. In exit interviews with 38 participants who had a current PHQ-9 score of 12 or less and at least one prior major depressive episode, four main themes emerged: Web content, Web-based group process, home practice, and concept comprehension. Participants noted advantages such as flexibility, reduced cost, and less time commitment, as well as obstacles like time challenges for home practice and a need for more support. They endorsed developing affect regulation skills. High satisfaction suggests MMB can increase access to evidence-based psychological treatments for sub-threshold unipolar depression.
Journal of Clinical Psychology
January 26, 2012
Jennifer N. Felder, Sona Dimidjian, Zindel V. Segal
55 citations
Therapeutic collaboration between psychotherapist and group participants in mindfulness-based cognitive therapy (MBCT) is described as central to two components: inquiry and leading mindfulness practices. During inquiry, the therapist asks questions about the participant's moment-to-moment experience of the practice, conducted with curious, open, and warm attitudes. Collaboration is also maintained through co-participation in mindfulness practices. A case illustration is provided, and recommendations for clinical practice are offered.
Global advances in integrative medicine and health
January 1, 2023
Chelsea J Siwik, Shelley R Adler, Patricia J Moran et al.
7 citations
Mindfulness-based cognitive therapy (MBCT) reduces depression relapse, but about one-third of graduates relapse within a year. Focus groups with MBCT graduates and teachers revealed that the course is highly valued and sometimes life-changing. However, graduates struggle to maintain mindfulness practices and sustain benefits after the course ends, despite using community groups, apps, or retaking the course. One participant described finishing MBCT as feeling like "falling off a cliff." Both graduates and teachers strongly desired additional support, such as a maintenance program, to help sustain long-term benefits and reduce relapse risk.
Global advances in integrative medicine and health
January 1, 2025
Chelsea J Siwik, Jessica M. Harrison, Willem Kuyken et al.
A maintenance program called MBCT-D-TiF, designed for graduates of Mindfulness-Based Cognitive Therapy (MBCT) who want structured guidance to sustain their mindfulness practice, was feasible and acceptable in a pilot test. In round one, 14 participants received the program; in round two, 20 were randomized to the program or a waitlist. Attendance was high: all weekly sessions and at least 75% of monthly sessions. Most participants rated weekly sessions (77.1%) and monthly sessions (66.7%) as very or extremely helpful. Qualitative themes included the group's role in social connection, support, and accountability; mental health benefits such as reduced impact of depression and anxiety; and a need for additional support to maintain home practice after weekly sessions ended.
JAMA Psychiatry
January 29, 2020
Z. Segal, Sona Dimidjian, A. Beck et al.
A web-based mindfulness-based cognitive therapy program (Mindful Mood Balance) added to usual depression care improved residual depressive symptoms more than usual care alone. Over 15 months, patients receiving the program had greater symptom reduction, higher remission rates, and lower relapse risk. They also experienced more depression-free days, less anxiety, and better mental functioning, though physical functioning did not differ. The program involved eight online sessions with minimal coaching support.