The Effects of Mindfulness-Based Cognitive Therapy and Cognitive Behavioral Analysis System of Psychotherapy added to Treatment as Usual on suicidal ideation in chronic depression: Results of a randomized-clinical trial.
Thomas Forkmann, Eva‐lotta Brakemeier, Tobias Teismann, Elisabeth Schramm, Johannes Michalak
Journal of Affective Disorders August 2016 DOI: 10.1016/j.jad.2016.01.047 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 106 |
| Population | Outpatients with chronic depression |
| Interventions | Mindfulness-based Cognitive Therapy (MBCT; group version) Cognitive Behavioral Analysis System of Psychotherapy (CBASP; group version) treatment-as-usual |
| Measures | Beck Depression Inventory suicide item, Hamilton Depression Rating Scale suicide item |
| Topics | Depression Meditation |
| Keywords | Chronic depression Mindfulness-based cognitive therapy Persistent depression Rct Suicidal ideation |
| Key findings | Clinician-rated suicidal ideation decreased significantly in the MBCT plus treatment-as-usual and CBASP plus treatment-as-usual groups but not in treatment-as-usual alone, controlling for changes in depression, whereas self-reported suicidal ideation showed no significant treatment effect. The authors argue these small-to-medium effects support using MBCT and CBASP for suicidal ideation in chronic depression. |
Abstract
Suicidal ideation (SI) is common in chronic depression, but only limited evidence exists for the assumption that psychological treatments for depression are effective for reducing SI. In the present study, the effects of Mindfulness-based Cognitive Therapy (MBCT; group version) plus treatment-as-usual (TAU: individual treatment by either a psychiatrist or a licensed psychotherapist, including medication when indicated) and Cognitive Behavioral Analysis System of Psychotherapy (CBASP; group version) plus TAU on SI was compared to TAU alone in a prospective, bi-center, randomized controlled trial. The sample consisted of 106 outpatients with chronic depression. Multivariate regression analyses revealed different results, depending on whether SI was assessed via self-report (Beck Depression Inventory suicide item) or via clinician rating (Hamilton Depression Rating Scale suicide item). Whereas significant reduction of SI emerged when assessed via clinician rating in the MBCT and CBASP group, but not in the TAU group while controlling for changes in depression, there was no significant effect of treatment on SI when assessed via self-report. SI was measured with only two single items. Because all effects were of small to medium size and were independent of effects from other depression symptoms, the present results warrant the application of such psychotherapeutical treatment strategies like MBCT and CBASP for SI in patients with chronic depression.
Comparable studies
Other randomized controlled trials on depression, most cited first.
Citations in the library
Cited by 4
- The impact of mindfulness on suicidal behavior: a systematic review. Trends in Psychiatry and Psychotherapy May 18, 2022
- Efektivitas Mindfulness-Based Cognitive Therapy untuk Menurunkan Depresi : Meta-Analisis Psycho Idea August 7, 2021
- Mindfulness and Behavior Change Harvard Review of Psychiatry November 1, 2020
- The Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT( on Depression, Death Anxiety and Life Expectancy in Elderly Women Journal of Gerontology 2019
Cites 6
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- A randomized controlled trial on the efficacy of mindfulness-based cognitive therapy and a group version of cognitive behavioral analysis system of psychotherapy for chronically depressed patients. Journal of Consulting and Clinical Psychology October 2015
- Effects of mindfulness-based cognitive therapy on self-reported suicidal ideation: results from a randomised controlled trial in patients with residual depressive symptoms. Comprehensive Psychiatry November 2014
- The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clinical Psychology Review May 15, 2011
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