A randomized controlled trial of mindfulness-based cognitive therapy for major depressive disorder in undergraduate students: Dose- response effect, inflammatory markers and BDNF.
Wei Liu, Jing Yuan, Yun Wu, Li Xu, Xin Wang, Junyu Meng, Yujun Wei, Yan Zhang, Chuan-Yuan Kang, Jian-Zhong Yang
Psychiatry Research 2024 DOI: 10.1016/j.psychres.2023.115671 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Population | College students with major depressive disorder |
| Intervention | mindfulness-based cognitive therapy |
| Duration | 8-week intervention |
| Topics | Depression Meditation |
| Keywords | Mindfulness-based cognitive therapy Randomized control trial The dose-response effect |
| Citations | 19 |
| Key findings | MBCT significantly reduced depressive symptoms, anxiety, sleep problems, and pro-inflammatory cytokines while increasing mindfulness, self-compassion, and BDNF, with a dose-response effect based on practice time and session attendance. |
Abstract
To examine the dose-response effect of mindfulness-based cognitive therapy (MBCT) for college students with major depressive disorder (MDD), a randomized control trial with MBCT and a wait-list (WL) group was performed. All participants were invited to self-administer a set of questionnaires at baseline, mid-intervention (4th week), and post-intervention (8th week) by the 9-item Patient Health Questionnaire (PHQ-9), the 7-item Generalized Anxiety Disorder scale (GAD-7), the Pittsburgh Sleep Quality Index (PSQI), the Five Facet Mindfulness Questionnaire (FFMQ), the Self-Compassion Scale (SCS). The serum levels of IL-1β, IL-6, IL-8, TNF-α, BDNF were detected at baseline and post-intervention. After intervention, the scores of PHQ-9, GAD-7, PSQI, and the levels of IL-1β, IL-6, IL-8 and TNF-α in the MBCT were significantly lower than those in WL group, and total scores of FFMQ, SCS, and the level of BDNF were significantly higher than those in WL group. In MBCT group, daily practice time and session numbers positively related to reduction rates of PHQ-9, GAD-7 and PSQI at post-intervention. The reduction rate of PHQ-9, GAD-7 and PSQI at post-intervention in the completers were higher significantly than those in the partial attendees. These findings suggested MBCT is effective for MDD, and the intervention has a dose-response effect. TRIAL REGISTRATION: Registration number is [ChiCTR2100044309].
Comparable studies
Other randomized controlled trials on depression, most cited first.
Citations in the library
Cited by 6
- The relational dimension in mindfulness intervention effects: results of a randomized controlled trial of mindfulness-based childbirth and parenting. BMC Pregnancy and Childbirth May 10, 2025
- Mindful Student Musicians Use Deliberate Practice Techniques and Report Lower Anxiety and Depressive Symptoms Mindfulness August 27, 2026
- Digital and In-Person Mindfulness-Based Interventions for University Students' Mental Health: A Systematic Review of Randomized Controlled Trials. Healthcare June 26, 2026
- Effectiveness of a Mindfulness-Based Mobile Intervention for Improving Perinatal Mental Health and Reducing Depression During Pregnancy: Randomized Controlled Trial. Journal of Medical Internet Research October 2, 2025
- A Systematic Review of Mindfulness-based Stress Reduction (MBSR) and Its Effects on Mental Health and Academic Performance in University Students The Open Psychology Journal July 21, 2025
and 1 more in the library
Cites 17
- Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse JAMA Psychiatry April 28, 2016
- Home practice in Mindfulness-Based Cognitive Therapy and Mindfulness-Based Stress Reduction: A systematic review and meta-analysis of participants' mindfulness practice and its association with outcomes Behaviour Research and Therapy May 10, 2017
- The effect of mindfulness meditation on sleep quality: a systematic review and meta‐analysis of randomized controlled trials Annals of the New York Academy of Sciences December 21, 2018
- Mindfulness-based cognitive therapy: Further issues in current evidence and future research. Journal of Consulting and Clinical Psychology June 1, 2008
- Mindfulness-based cognitive therapy for residual depressive symptoms and relapse prophylaxis Current Opinion in Psychiatry December 11, 2015
and 12 more in the library