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Mindfulness-based cognitive therapy: a promising new approach to preventing depressive relapse

  • J. Mark G. Williams (a1) and Willem Kuyken (a2)
Summary

Mindfulness-based cognitive therapy (MBCT) was developed as a psychological approach for people at risk for depressive relapse who wish to learn how to stay well in the long-term. In this article we set out the rationale for MBCT, outline the treatment approach, overview the efficacy research to date and look to future challenges.

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Copyright
Corresponding author
Willem Kuyken, Mood Disorders Centre, University of Exeter, Exeter EX4 4QG, UK. Email: w.kuyken@exeter.ac.uk
Footnotes
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J.M.G.W is supported by a Wellcome Trust Principal Research Fellowship. W.K. is part-supported by the National Institute of Health Research HTA programme and PenCLAHRC.

Declaration of interest

J.M.G.W. is Director of the Oxford Mindfulness Centre, author of the original treatment manual and subsequent patient self-help manuals, Chief Investigator of the Wellcome Trust-funded Staying Well After Depression Trial and teaches MBCT internationally. W.K. is Co-Director of the Mood Disorders Centre, Chief Investigator of the National Institute for Health Research funded PREVENT Trial, is Programme Director of the Exeter MBCT MSc and teaches MBCT internationally.

Footnotes
References
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1 Collins, PY, Patel, V, Joestl, SS, March, D, Insel, TR, Daar, AS, et al. Grand challenges in global mental health. Nature 2011; 475: 2730.
2 Segal, ZV, Williams, JMG, Teasdale, JD. Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse. Guilford Press, 2002.
3 Segal, ZV, Kennedy, S, Gemar, M, Hood, K, Pedersen, R, Buis, T. Cognitive reactivity to sad mood provocation and the prediction of depressive relapse. Arch Gen Psychiatry 2006; 63: 749–55.
4 Kabat-Zinn, J. Full Catastrophe Living: How to Cope with Stress, Pain and Illness Using Mindfulness Meditation. Delacorte, 1990.
5 Piet, J, Hougaard, E. The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: a systematic review and meta-analysis. Clin Psychol Rev 2011; 31: 1032–40.
6 National Collaborating Centre for Mental Health. Depression: The Treatment and Management of Depression in Adults. (Clinical Guideline 90). NICE, 2009 (http://www.nice.org.uk/nicemedia/pdf/CG90NICEguideline.pdf).
7 Kuyken, W, Watkins, E, Holden, E, White, K, Taylor, RS, Byford, S, et al. How does mindfulness-based cognitive therapy work? Behav Res Ther 2010; 48: 1105–12.
8 Halliwell, E. Mindfulness Report. Mental Health Foundation, 2010.
9 Williams, JMG, Teasdale, JD, Segal, ZV, Kabat-Zinn, J. The Mindful Way Through Depression: Freeing Yourself from Chronic Unhappiness. Guildford Press, 2007.
10 Williams, JMG, Russell, IT, Crane, C, Russell, D, Whitaker, CJ, Duggan, DS, et al. Staying well after depression: trial design and protocol. BMC Psychiatry 2010; 10: 23.
11 Kuyken, W, Byford, S, Byng, R, Dalgleish, T, Lewis, G, Taylor, R, et al. Study protocol for a randomized controlled trial comparing mindfulness-based cognitive therapy with maintenance anti-depressant treatment in the prevention of depressive relapse/recurrence: the PREVENT trial. Trials 2010; 11: 99.
12 Williams, JMG, Penman, D. Mindfulness: A Practical Guide to Finding Peace in a Frantic World. Piatkus, 2011.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Mindfulness-based cognitive therapy: a promising new approach to preventing depressive relapse

  • J. Mark G. Williams (a1) and Willem Kuyken (a2)
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