Effect of mindfulness-based cognitive therapy vs. psychoeducational intervention on plasma brain-derived neurotrophic factor and cognitive function in bipolar patients: a randomized controlled trial.
Diego Carracedo-Sanchidrian, Consuelo De Dios-Perrino, Carmen Bayon-Perez, Beatriz Rodriguez-Vega, Maria-Fe Bravo-Ortiz, Miguel Á Ortega, Ana-Maria González-Pinto, Guillermo Lahera
Frontiers in Psychiatry January 1, 2023 DOI: 10.3389/fpsyt.2023.1279342 (opens in new tab) via PubMed
Summary
AI-generated from the abstractA randomized controlled trial compared Mindfulness Based Cognitive Therapy (MBCT) plus treatment as usual (TAU) against Psychoeducation plus TAU and TAU alone for cognitive functions and BDNF levels in bipolar disorder outpatients. Eighty-four patients were recruited (TAU = 10, Psychoeducation = 34, MBCT = 40). No significant differences between treatment groups were found. MBCT did not achieve better results than Psychoeducation or TAU. The authors suggest that the efficiency of Psychoeducation and TAU, along with the short duration of MBCT, may explain the lack of superior outcomes.
Study at a glance
| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 84 |
| Population | Bipolar disorder outpatients |
| Interventions | Mindfulness Based Cognitive Therapy Psychoeducation |
| Duration | 8-week intervention, 6-month follow-up |
| Keywords | Brainderived neurotrophic factor Bipolar disorder Cognition Cognitive impairment Psychoeducation |
| Registration | NCT02133170 |
| Key finding | MBCT did not improve cognitive functioning or BDNF levels more than Psychoeducation or treatment as usual. |
Abstract
Few controlled trials have assessed the benefits of Mindfulness Based Cognitive Therapy (MBCT) on cognitive functions and brain-derived neurotrophic factor (BDNF) in bipolar disorder (BD). This study aims to evaluate the impact of MBCT adjunctive treatment on these variables. Main hypothesis was that MBCT would improve cognitive functioning and BDNF more than Psychoeducation and TAU. Randomized, multicenter, prospective and single-blinded trial. Included BD outpatients randomly assigned to three treatment arms: MBCT plus treatment as usual (TAU), Psychoeducation plus Tau and TAU. Cognitive functions were assessed with Continuous Performance Test-III, Stroop Test, Trail Making Test, Digit Span and Letter-Number Sequencing from Wechsler Adult Intelligence Scale III, Face Emotion Identification Task and Face Emotion Discrimination Task. BDNF serum level was measured with ELISA. Patients were assessed at baseline, 8 weeks and 6 months. Eighty-four patients were recruited (TAU = 10, Psychoeducation = 34, MBCT = 40). No significant differences between treatment groups were found. MBCT does not achieve better results than Psychoeducation or TAU. Being Psychoeducation and TAU efficient interventions, as well as the scarce duration of a more complex intervention, such as MBCT, are suggested as explanatory variables of these results. ClinicalTrials.gov: NCT02133170. Registered 04/30/2014.