Skip to content

'To me, it's like a little box of tricks': Breaking the depressive interlock as a programme participant in mindfulness-based cognitive therapy.

Helen Murphy, Marika Lahtinen

Psychology and Psychotherapy Theory Research and Practice June 2015 DOI: 10.1111/papt.12041 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 6
Population Individuals who had taken part in an 8-week MBCT programme
Intervention Mindfulness-based cognitive therapy (MBCT)
Duration 8-week MBCT programme
Topics Meditation
Keywords Mindfulness-based cognitive therapy
Key findings Participants reported that MBCT helped them differentiate between thought processes, tolerate uncomfortable thoughts, and choose how to respond to them, and that they recognised rumination as linked to depressive states and became more psychologically self-reliant and therapeutically independent. The authors argue these themes support the assertion that mindfulness meditation facilitates a different mode of meta-cognitive processing for handling depression-related cognitions.

Abstract

Mindfulness meditation practices have become increasingly popular in clinical therapies, changing patterns of depressogenic thinking for individuals who experience consecutive episodes of depression. We were interested in finding out how mindfulness-based cognitive therapy (MBCT) worked for programme participants by focussing on how meditative practices changed their relationships with their thoughts. Data for the study came from six semi-structured research interviews carried out with individuals who had taken part in an 8-week MBCT programme. We used interpretative phenomenological analysis to analyse the experiential accounts. We report on two superordinate themes - Engaging the Neutral Mind (with subordinate themes 'breaking the paralysis of worry' and 'choosing to think differently') and Experiencing the Neutral Mind (with subordinate themes of 'reflection on previous thinking styles' and 'becoming psychologically self-reliant'). Themes from the present study offer support to the assertion that mindfulness meditation helps facilitate a different mode of meta-cognitive processing with which to handle depression-related cognitions. Participants reported that they experienced an enhanced capacity to differentiate between their thought processes, experiencing an ability to tolerate some more uncomfortable thoughts, and experiencing a/more choice in how to respond to thoughts. Participants recognized that ruminating over negative thoughts was related to depressive states and experienced a shift in meta-cognitive processes that actively challenged depressogenic cognitions. Participants became more psychologically self-reliant and therapeutically independent following MBCT. Integrating mindfulness-based practices in therapy may be a mediating factor in sustaining psychological well-being and may help clients develop self-compassion. Future research looks to examining exit cases to understand elements of MBCT which are experienced as less successful by clients.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

Citations in the library

Explore topics