Depression and Anxiety
January 1, 2024
Jelle Lubbers, Dirk E. M. Geurts, Philip Spinhoven et al.
10 citations
Mindfulness-based cognitive therapy (MBCT) added to treatment as usual reduced depressive symptoms and overall functional impairment more than treatment as usual alone in patients with persistent or recurrent major depressive disorder, with medium and small effect sizes respectively. The therapy worked better for those who started with higher levels of rumination and perseverative thinking and lower levels of self-compassion; these traits moderated the treatment's effects. No mediators of MBCT's effects were identified, as the therapy did not change the assessed potential mediators by mid-treatment. Allocating MBCT based on patients' rumination and self-compassion levels could make symptom reduction more efficient.
Mindfulness
July 1, 2024
Jelle Lubbers, Philip Spinhoven, Mira B. Cladder-Micus et al.
After Mindfulness-Based Cognitive Therapy (MBCT), many patients with major depressive disorder shift toward healthier mindfulness profiles, and those who change profiles show greater improvement in mental health than those who do not. Among 500 patients, four mindfulness profiles were identified: Very low mindfulness, Non-judgmentally aware, Judgmentally observing, and High mindfulness. Of 168 patients initially in the Very low mindfulness profile, 71 moved to Non-judgmentally aware and 30 to High mindfulness. Of 129 in Non-judgmentally aware, 49 moved to High mindfulness; of 141 in Judgmentally observing, 37 moved to High mindfulness. All 61 patients already in High mindfulness remained there. Profile change was linked to above-average improvement in depressive symptoms, functional impairment, worry, and self-compassion, while no change (except staying in High mindfulness) was linked to below-average improvement.
Mindfulness
February 1, 2024
Jelle Lubbers, Philip Spinhoven, Mira B. Cladder-Micus et al.
In patients with current or remitted major depressive disorder, four distinct mindfulness profiles were identified using latent profile analysis on questionnaire data from 754 individuals. Three profiles matched those found in previous depressed samples (very low mindfulness, high mindfulness, non-judgmentally aware), and one matched a profile from non-clinical populations (judgmentally observing). Those with high mindfulness had the best mental health—fewer depressive symptoms, less worry, less functional impairment, and more self-compassion—while those with very low mindfulness had the worst. However, mindfulness profiles did not predict how much mental health changed after Mindfulness-Based Cognitive Therapy, suggesting profiles are linked to current mental health but not to treatment response.
Cognition & Emotion
December 22, 2021
T. D. Stalmeier, Jelle Lubbers, M. Cladder-Micus et al.
Negative self-referential processing is well-studied in unipolar depression but less in bipolar disorder (BD). In 49 patients with BD from a randomized trial of mindfulness-based cognitive therapy (MBCT), those receiving MBCT plus treatment as usual (TAU, n=23) showed a reduction in negative self-referential memory bias over time compared with TAU alone (n=26). At baseline, all three measures of self-referential processing—positive and negative attributions and negative memory bias—were linked to depressive symptoms. The findings are preliminary and suggest that reducing negative self-referential memory bias may help prevent and treat depressive symptoms in BD through MBCT.
Thalia D.M. Stalmeier, Jelle Lubbers, Mira B. Cladder-Micus et al.
In people with bipolar disorder, negative self-referential processing—how one attributes negative traits to oneself and remembers them—is linked to depressive symptoms. In a randomized trial, 49 participants with bipolar disorder were assigned to mindfulness-based cognitive therapy plus treatment as usual or treatment as usual alone. Those who received MBCT showed a reduction in negative self-referential memory bias over time compared to the control group, while positive and negative self-attributions did not change differently between groups. The findings suggest that MBCT may specifically reduce negative memory bias, which could play a role in preventing or treating depressive symptoms in bipolar disorder.