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Participants' Experiences of Mindfulness-Based Cognitive Therapy: “It Changed Me in Just about Every Way Possible”

  • Mark Allen (a1), Andrew Bromley (a1), Willem Kuyken (a1) and Stefanie J. Sonnenberg (a1)

Abstract

Background: Mindfulness-Based Cognitive Therapy (MBCT) is a promising approach to help people who suffer recurrent depression prevent depressive relapse. However, little is known about how MBCT works. Moreover, participants' subjective experiences of MBCT as a relapse prevention treatment remain largely unstudied. Aim: This study examines participants' representations of their experience of MBCT and its value as a relapse-prevention program for recurrent depression. Method: Twenty people who had participated in MBCT classes for recurrent depression within a primary care setting were interviewed 12 months after treatment. The focus of the interview was on participants' reflections on what they found helpful, meaningful and difficult about MBCT as a relapse prevention program. Thematic analysis was used to identify the key patterns and elements in participants' accounts. Results and conclusions: Four overarching themes were extracted: control, acceptance, relationships and struggle. The theoretical, clinical and research implications are discussed.

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Corresponding author

Reprint requests to Willem Kuyken, Mood Disorders Centre, School of Psychology, University of Exeter, Exeter EX4 4QG, UK. E-mail: w.kuyken@exeter.ac.uk

References

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American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). Arlington, VA: American Psychiatric Association.
Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology-Science and Practice, 10, 125143.
Baer, R. A. (2007). Mindfulness, assessment, and transdiagnostic processes. Psychological Inquiry, 18, 238242.
Beck, A. T., Rush, A. J., Shaw, B. F. and Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford Press.
Bodhi, B. (1984). The Noble Eightfold Path: way to the end of suffering. Onalalaska, WA: BPS Pariyatti Editions.
Brach, T. (2003). Radical Acceptance: embracing your life with the heart of a Buddha. New York: Bantam.
Braun, V. and Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77101.
Brown, K. W. and Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822848.
Brown, K. W., Ryan, R. M. and Creswell, J. D. (2007). Mindfulness: theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18, 211237.
Carson, J. W., Carson, K. M., Gil, K. M. and Baucom, D. H. (2004). Mindfulness-based relationship enhancement. Behavior Therapy, 35, 471494.
Coelho, H. F., Canter, P. H. and Ernst, E. (2007). Mindfulness-based cognitive therapy: evaluating current evidence and informing future research. Journal of Consulting and Clinical Psychology, 75, 10001005.
Elliott, R., Fischer, C. T. and Rennie, D. L. (1999). Evolving guidelines for publication of qualitative research studies in psychology and related fields. British Journal of Clinical Psychology, 38, 215229.
Feldman, C. (2005). Compassion: listening to the cries of the world. Berkeley, CA: Rodmell Press.
Finucane, A. and Mercer, S. W. (2006). 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. British Medical Council Psychiatry, 6, 114.
Hammen, C. (2003). Interpersonal stress and depression in women. Journal of Affective Disorders, 74, 4957.
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35, 639665.
Hayes, S. C., Follette, V. M. and Linehan, M. M. (2004). Mindfulness and Acceptance. New York: Guilford.
Higgins, E. T. (1996). The “self digest”: self-knowledge serving self-regulatory functions. Journal of Personality and Social Psychology, 71, 10621083.
Hollon, S. D., DeRubeis, R. J., Shelton, R. C., Amsterdam, J. D., Salomon, R. M., O'Reardon, J. P., Lovett, M., Young, P. R., Haman, K.L., Freeman, B. B. and Gallop, R. (2005). Prevention of relapse following cognitive therapy vs medications in moderate to severe depression. Archives of General Psychiatry, 62, 417422.
Kabat-Zinn, J. (1990). Full Catastrophe Living: how to cope with stress, pain and illness using mindfulness meditation. New York: Delacorte.
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology-Science and Practice, 10, 144156.
Kabat-Zinn, M. and Kabat-Zinn, J. (1998). Everyday Blessing: the inner work of mindful parenting. New York: Hyperion Books.
Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., Barrett, B., Byng, R., Evans, A., Mullan, E. and Teasdale, J. D. (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology, 76, 966978.
Lau, M. A., Segal, Z. V. and Williams, J. M. (2004). Teasdale's differential activation hypothesis: implications for mechanisms of depressive relapse and suicidal behaviour. Behaviour Research and Therapy, 42, 10011017.
Laurenceau, J. P., Hayes, A. M. and Feldman, G. C. (2007). Some methodological and statistical issues in the study of change processes in psychotherapy. Clinical Psychology Review, 27, 682695.
Linehan, M. M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: Guilford Press.
Lyubomirsky, S., Tucker, K. L., Caldwell, N. D. and Berg, K. (1999). Why ruminators are poor problem solvers: clues from the phenomenology of dysphoric rumination. Journal of Personality and Social Psychology, 77, 10411060.
Ma, S. H. (2002). Prevention of Relapse/Recurrence in Recurrent Major Depression by Mindfulness-Based Cognitive Therapy. PhD. Dissertation, University of Cambridge.
Ma, S. H. and Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 3140.
Malterud, K. (2001). Qualitative research: standards, challenges, and guidelines. Lancet, 358, 483488.
Masicampo, E. J. and Baumeister, R. R. (2007). Relating mindfulness and self-regulatory processes. Psychological Inquiry, 18, 255258.
Mason, O. and Hargreaves, I. (2001). A qualitative study of mindfulness-based cognitive therapy for depression. British Journal of Medical Psychology, 74, 197212.
Neff, K. D. (2003). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85101.
Richardson, T. E. (1996). Handbook of Qualitative Research Methods for Psychology and the Social Sciences. Leicester: British Psychological Society Books.
Segal, Z. V., Williams, J. M. G. and Teasdale, J. D. (2002). Mindfulness-Based Cognitive Therapy for Depression: a new approach to preventing relapse. New York: Guilford Press.
Segal, Z. V., Williams, J. M., Teasdale, J. D. and Gemar, M. (1996). A cognitive science perspective on kindling and episode sensitization in recurrent affective disorder. Psychological Medicine, 26, 371380.
Shaver, P. R., Lavy, S., Saron, C. A. and Mikulincer, M. (2007). Social foundations of the capacity for mindfulness: an attachment perspective. Psychological Inquiry, 18, 264271.
Singh, N. N., Lancioni, G. E., Winton, A. S. W., Curtis, W. J., Wahler, R. G., Sabaawi, M., Singh, J. and McAleavey, K. (2006). Mindful staff increase learning and reduce aggression in adults with developmental disabilities. Research in Developmental Disabilities, 27, 545558.
Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, J., Curtis, W. J., Wahler, R. G. and McAleavey, K. M. (2007). Mindful parenting decreases aggression and increases social behavior in children with developmental disabilities. Behavior Modification, 31, 749771.
Teasdale, J. D. (1999a). Emotional processing, three modes of mind and the prevention of relapse in depression. Behaviour Research and Therapy, 37, S53–S77.
Teasdale, J. D. (1999b). Metacognition, mindfulness and the modification of mood disorders. Clinical Psychology and Psychotherapy, 6, 146155.
Teasdale, J. D., Segal, Z. and Williams, J. M. G. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help. Behaviour Research and Therapy, 33, 2539.
Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M. and Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615623.
Watkins, E. and Baracaia, S. (2002). Rumination and social problem-solving in depression. Behaviour Research and Therapy, 40, 11791189.
White, K., Holden, E. R., Byng, R., Mullan, E. and Kuyken, W. (2007). Under/over-recruitment to mental health trials. Acta Psychiatrica Scandinavica, 116, 158.

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Participants' Experiences of Mindfulness-Based Cognitive Therapy: “It Changed Me in Just about Every Way Possible”

  • Mark Allen (a1), Andrew Bromley (a1), Willem Kuyken (a1) and Stefanie J. Sonnenberg (a1)
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