Journal of Consulting and Clinical Psychology
December 3, 2013
J. Mark G. Williams, Catherine Crane, Thorsten Barnhofer et al.
418 citations
Mindfulness-based cognitive therapy (MBCT) plus treatment as usual (TAU) did not significantly reduce the risk of relapse to major depressive disorder over 12 months compared with cognitive psychological education (CPE) plus TAU or TAU alone among people with at least three previous episodes. The hazard ratio for MBCT versus CPE was 0.88, and for MBCT versus TAU was 0.69, both with confidence intervals crossing 1.0. However, severity of childhood trauma influenced relapse risk: each one-standard-deviation increase in trauma severity raised the hazard ratio to 1.26. Among participants with above-average childhood trauma, MBCT offered significant protection compared with TAU (hazard ratio 0.43) and a non-significant advantage over CPE. For those with below-average trauma, no differences between treatments appeared.
Journal of Clinical Psychology
December 9, 2005
J. Mark G. Williams, Danielle S. Duggan, Catherine Crane et al.
235 citations
Once suicidal thoughts emerge in depression, they tend to return whenever sad mood reappears, part of a suicidal mode of mind. This article reviews how mindfulness-based cognitive therapy (MBCT) may prevent reactivation of that suicidal mode. MBCT combines mindfulness meditation with cognitive therapy, training participants to observe moment-by-moment experience with nonjudgmental acceptance. This helps people see thoughts as mental events rather than facts, a skill called metacognitive awareness. A case example illustrates how mindfulness skills develop and relate to cognitive processes fueling suicidal crises. Pilot work suggests MBCT is a promising intervention for those with past suicidal ideation; an ongoing controlled trial will provide further evidence.
Mindfulness
September 21, 2011
Rebecca S. Crane, Willem Kuyken, J. Mark G. Williams et al.
232 citations
Interest in Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) has grown rapidly in the UK, prompting health, education, and social work practitioners to develop competencies as mindfulness-based teachers. This has raised fundamental questions about training processes, standards, and competence assessment. The paper examines how competencies are addressed in secular mainstream contexts, presents a framework for how teaching competencies develop in trainees, and reviews current assessment methodologies. The authors argue for continued international dialogue among mindfulness-based trainers and teachers to build a robust professional context for future teachers.
British Journal of Clinical Psychology
March 2, 2009
Silvia R. Hepburn, Catherine Crane, Thorsten Barnhofer et al.
74 citations
Mindfulness-based cognitive therapy (MBCT) may reduce thought suppression in people with a history of depression and suicidality, but effects depend on how thought suppression is measured. In a randomized controlled trial, 68 participants were assigned to MBCT or a waitlist control. MBCT did not reduce thought suppression on the White Bear Suppression Inventory, but it did significantly reduce self-reported attempts to suppress thoughts in the previous week. The findings provide preliminary evidence that MBCT for suicidality could lessen thought suppression, though different measures yield different results and further research is needed.
Contemporary Buddhism
May 1, 2011
Melanie Fennell, Zindel V. Segal
31 citations
Mindfulness-based cognitive therapy combines mindfulness meditation, rooted in Buddhist thought, with Western cognitive and clinical science. This article examines points of congruence and difference between these two traditions and concludes that, despite initial appearances, the partnership is fruitful and likely to endure.