Rumination as a predictor of relapse in mindfulness-based cognitive therapy for depression.
Johannes Michalak, Anne Hölz, Tobias Teismann
Psychology and Psychotherapy Theory Research and Practice June 2011 DOI: 10.1348/147608310x520166 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Uncontrolled study Peer reviewed |
|---|---|
| Sample size | 24 |
| Population | Formerly depressed patients |
| Intervention | Mindfulness-based cognitive therapy (MBCT) |
| Duration | 12-month follow-up after end of MBCT |
| Measures | Ruminative Response Scale, Structured Clinical Interview for DSM-IV |
| Topics | Depression Meditation |
| Key points | Rumination significantly decreased during MBCT, and post-treatment rumination levels predicted relapse risk over 12 months, even after controlling for previous episodes and residual symptoms. The authors propose this as preliminary evidence that rumination plays a role in depressive relapse. |
Abstract
In mindfulness-based cognitive therapy (MBCT), it is proposed that training in mindfulness should reduce the tendency of formerly depressed patients to enter into ruminative thinking, thus reducing their risk of depressive relapse. However, data showing that rumination is associated with depressive relapse are lacking. In an uncontrolled study with 24 formerly depressed patients, rumination was assessed with the Ruminative Response Scale. To assess the occurrence of relapse or recurrence, the Structured Clinical Interview for DSM-IV was administered 12 months after the end of the MBCT. Rumination significantly decreased during the MBCT course. Post-treatment levels of rumination predicted the risk of relapse of major depressive disorder in the 12-month follow-up period even after controlling for numbers of previous episodes and residual depressive symptoms. The results provide preliminary evidence that rumination is important in the process of depressive relapse.
Comparable studies
Other non-randomized and open-label trials on depression, most cited first.
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- Prospects for a clinical science of mindfulness-based intervention. American Psychologist October 1, 2015
- A randomized clinical trial of mindfulness-based cognitive therapy versus unrestricted services for health anxiety (hypochondriasis). Journal of Consulting and Clinical Psychology June 18, 2012
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Cites 10
- Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology 2000
- Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Journal of Consulting and Clinical Psychology 2004
- A randomized controlled trial of mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination, and distraction Annals of Behavioral Medicine February 1, 2007
- Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse Psychotherapy Research March 1, 2003
- The Effect of Mindfulness-Based Therapy on Anxiety and Depression: A Meta-Analytic Review Journal of Consulting and Clinical Psychology April 1, 2010
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