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Cognitive Predictors of Change in Cognitive Behaviour Therapy and Mindfulness-Based Cognitive Therapy for Depression

Published online by Cambridge University Press:  24 October 2011

Vijaya Manicavasagar ,
Tania Perich  and
Gordon Parker
Vijaya Manicavasagar*
Affiliation:
University of New South Wales and Black Dog Institute, Sydney, Australia
Tania Perich
Affiliation:
University of New South Wales and Black Dog Institute, Sydney, Australia
Gordon Parker
Affiliation:
University of New South Wales and Black Dog Institute, Sydney, Australia
*
Reprint requests to Vijaya Manicavasagar, School of Psychiatry, University of New South Wales, Black Dog Institute, Hospital Road, Randwick, Sydney, New South Wales 2031, Australia. E-mail: [email protected]
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Abstract

Background: An appreciation of cognitive predictors of change in treatment outcome may help to better understand differential treatment outcomes. The aim of this study was to examine how rumination and mindfulness impact on treatment outcome in two group-based interventions for non-melancholic depression: Cognitive Behaviour Therapy (CBT) and Mindfulness-Based Cognitive Therapy (MBCT). Method: Sixty-nine participants were randomly allocated to either 8-weekly sessions of group CBT or MBCT. Complete data were obtained from 45 participants (CBT = 26, MBCT = 19). Outcome was assessed at completion of group treatments. Results: Depression scores improved for participants in both group interventions, with no significant differences between the two treatment conditions. There were no significant differences between the interventions at post-treatment on mindfulness or rumination scores. Rumination scores significantly decreased from pre- to post-treatment for both conditions. In the MBCT condition, post-treatment rumination scores were significantly associated with post-treatment mindfulness scores. Conclusions: Results suggest that decreases in rumination scores may be a common feature following both CBT and MBCT interventions. However, post-treatment rumination scores were associated with post-treatment mindfulness in the MBCT condition, suggesting a unique role for mindfulness in understanding treatment outcome for MBCT.

Keywords

Predictors of changemindfulness-based cognitive therapycognitive behaviour therapydepressionmindfulness
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 40 , Issue 2 , March 2012 , pp. 227 - 232
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2011

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