Mindfulness-based interventions for the treatment of depressive rumination: Systematic review and meta-analysis.
Lilisbeth Perestelo-Pérez, Jorge Barraca, Wenceslao Peñate, Amado Rivero-Santana, Yolanda Álvarez-Pérez
International journal of clinical and health psychology : IJCHP 2017 DOI: 10.1016/j.ijchp.2017.07.004 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Systematic review and meta-analysis Peer reviewed |
|---|---|
| Population | Patients with depression |
| Intervention | Mindfulness-based cognitive therapy |
| Topics | Depression Meditation |
| Keywords | Meta-analysis Rumination Systematic review |
| Key findings | Mindfulness-based cognitive therapy reduced ruminative thoughts by a moderate amount compared with usual care (g = -0.59, 95% CI: -0.77, -0.41; I2 = 0%), with the effect maintained one month after treatment and independent of treatment phase or number of past depressive episodes. Comparisons with active treatments (medication, behavioral activation, cognitive-behavioral therapy) showed no significant differences. The authors suggest mindfulness and acceptance processes may mediate changes in rumination, which may in turn mediate clinical effects. |
Abstract
Background/Objective: This systematic review aims to evaluate the effect of interventions based on the mindfulness and/or acceptance process on ruminative thoughts, in patients with depression.
Method: Electronic searches in Medline, Embase, Cochrane Central, PsycInfo, and Cinahl until December 2016, in addition to hand-searches of relevant studies, identified eleven studies that fulfilling inclusion criteria.
Results: A meta-analysis of the effect of the intervention compared to usual care showed a significant and moderate reduction of ruminative thoughts (g = -0.59, 95% CI: -0.77, -0.41; I2 = 0%). Furthermore, findings suggest that mindfulness/acceptance processes might mediate changes in rumination, and that they in turn mediate in the clinical effects of interventions. A meta-analysis of three studies that compared the intervention to other active treatments (medication, behavioral activation and cognitive-behavioral therapy, respectively) showed no significant differences.
Conclusions: Mindfulness-based cognitive therapy compared to usual care, produces a significant and moderate reduction in rumination. This effect seems independent of the treatment phase (acute or maintenance) or the number of past depressive episodes, and it was maintained one month after the end of treatment. However, further controlled studies with real patients that compare the most commonly used cognitive-behavioral techniques to treat ruminative thoughts to the acceptance and mindfulness techniques are needed.
Comparable studies
Other systematic reviews and meta-analyses on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Meditation Programs for Psychological Stress and Well-being Diverse adult clinical populations | 2014 | Meta-analysis | n = 3,515 |
| Mindfulness-Based Stress Reduction for Stress Management in Healthy People: A Review and Meta-Analysis Healthy subjects | 2009 | Systematic review and meta-analysis | |
| The psychological effects of meditation: A meta-analysis. Nonclinical groups of adult meditators | 2012 | Meta-analysis | n = 163 |
| Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse Adults with recurrent depression in full or partial remission | 2016 | Meta-analysis of individual patient data from randomized controlled trials | n = 1,258 |
| Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials | 2011 | Systematic review |
Citations in the library
Cited by 42
- Meta-analytic evidence that mindfulness training alters resting state default mode network connectivity Scientific Reports July 18, 2022
- From Self-Esteem to Selflessness: An Evidence (Gap) Map of Self-Related Processes as Mechanisms of Mindfulness-Based Interventions Frontiers in Psychology November 22, 2021
- Mindfulness-based cognitive therapy in patients with depression: current perspectives Neuropsychiatric Disease and Treatment June 1, 2018
- The effects of mindfulness-based techniques on self-rumination, cognitive reappraisal and expressive suppression among patients with major depression: a nursing perspective. Journal of Research in Nursing August 1, 2024
- The Effect of Digital Mindfulness Interventions on Depressive, Anxiety, and Stress Symptoms in Pregnant Women: A Systematic Review and Meta-Analysis. European Journal of Investigation in Health, Psychology and Education September 1, 2023
and 37 more in the library
Cites 15
- Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials Acta Psychiatrica Scandinavica April 28, 2011
- Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression: A randomized controlled trial. Journal of Consulting and Clinical Psychology July 18, 2011
- Treatment-specific changes in decentering following mindfulness-based cognitive therapy versus antidepressant medication or placebo for prevention of depressive relapse. Journal of Consulting and Clinical Psychology March 12, 2012
- Competence in Teaching Mindfulness-Based Courses: Concepts, Development and Assessment Mindfulness September 21, 2011
- Mindfulness-based cognitive therapy for depression. Industrial Psychiatry Journal October 29, 2024
and 10 more in the library