Williams et al (2014) compared MBCT with both cognitive psychological education, and treatment as usual, he compared the success rate of the therapy in preventing the relapse of MDD in people currently in remission phase following at least 3 previous episodes. It was consequently found that MBCT provided significant protection against the relapse, for participants with increased vulnerability due to adverse psychological history, but showed no significant advantage in comparison to an active control treatment and usual care over the whole group of patients with persistently recurring depression. Coelho et al (2013) provided a detailed outline of the evidence that supports the claim that MBCT is a recently developed class based program designed to prevent the relapse and recurrence of Major Depression. . The evidence from the randomized trials reviewed by the authors, suggests that for patients with 3 or more previous depressive episodes, MBCT has an additive benefit to usual care. J. R. van Aalderen, et al (2011) examined the efficacy of mindfulness-based cognitive therapy (MBCT) in addition to treatment as usual (TAU) for recurrent depressive patients and found that MBCT resulted in a comparable reduction of depressive symptoms for patients. Analyses also suggest that the reduction of depressive symptoms was mediated by decreased …show more content…
In the current study MBCT was associated with statistically significant reductions in depression from pre to post treatment. The gains were maintained over time and treatment variables like booster session attendance and compliance to mindfulness practice correlated with better depression outcomes. The study showed a strong negative correlation between ruminating thoughts and mindful attention which is consistent with the application of Metacognitive Attention during
Globally, major depressive disorder (MDD) is among the top five public health concerns today (Cuijpers et al., 2011; Jakobsen, Hansen, Simonsen, & Gluud, 2011; Hees, Rotter, Ellermann, & Evers, 2013). Moreover, almost 20% of patients with depression engage in self-harming behaviors, including suicidal attempts (Gamble et al., 2013; Jakobsen et al., 2011). Not only is the prevalence of depression alarming, but costly to the health care system (Cuijpers et al., 2011; Cuijpers et al., 2014; Hees et al., 2013; Jakobsen et al., 2011). The use of antidepressants is the standard for initial treatment, but may be limiting in preventing relapse (Cuijpers et al., 2014; Jakobsen et al., 2011). Therefore, the inclusion of non-pharmacological interventions may be necessary to improve treatment outcomes (Cuijpers et al., 2011; Dekker et al., 2013; Jakobsen et al., 2011). Interpersonal psychotherapy (IPT) and cognitive behavior therapy (CBT) are the two primary psychotherapeutic interventions recommended in the treatment of depression. In this paper, I will discuss the difference between CBT and IPT, compare the effectiveness between both therapies, explore their efficacy as an adjunct treatment with antidepressant medications, and summarize the treatment guidelines for depression.
Cognitive behavioral therapy (CBT) is a form of psychotherapy. The effectiveness has been researched extensively over the years (Dobson, 2001). There are over three hundred published studies about the outcomes of cognitive behavioral therapy interventions. The main reason for this is that an ongoing adaptation of this form of psychotherapy makes it applicable to a vast amount of disorders and related problems (Rounsaville & Caroll, 2002). Despite the relatively great amount of studies on the effectiveness of cognitive behavioral therapy, questions still remain about the levels of effectiveness for different disorders, about the effects of
Research has shown that cognitive behavioral therapy (CBT) can be as successful as medicine in treating many types of depression and other mental health disorders it can be completed in a relatively short time compared with other talking therapies and because it is highly structured, CBT can be provided in a number of different formats such as through computer programs, groups and self-help books. Some research suggests that CBT may be better than antidepressants at preventing the return of depression. It is thought to be one of the most effective treatments for anxiety and depression.
Cognitive behavioral therapy (CBT) is among the most extensively tested psychotherapies for depression. Many studies have confirmed the efficacy of cognitive behavioral therapy (CBT) as a treatment for depression. This paper will provide background information about the intervention, address the target population, and describe program structure and key components. It will also provide examples of program implementation, challenges/barriers to implementing the practice, address how the practice supports recovery from a serious mental illness standpoint and provide a summary. Although there are several types of therapy available to treat depression and other mood disorders, CBT (cognitive behavioral therapy) has been one of the most widely
The use of prescription drugs has become prevalent in our society for treating mental illness. Television commercial breaks are inundated with ads for prescription medication. If a person seeking help visits a psychiatrist’s office to get help for depression, anxiety, or ADHD, they are likely to get a quick swipe of a pen on a little white prescription pad and be sent on their way. While prescriptions can reduce or eliminate the symptoms of mental illness, they cannot cure the underlying source of the problem. This has been found to be the case for depression. “The effectiveness of antidepressants is being called into question more and more, while the research behind the value of behavioral interventions is growing. A study suggested that mindfulness-based cognitive therapy was as effective in preventing relapse in chronic depression as antidepressants” (Walton). Using medication by itself may give people the relief they need in the short-run, but therapy can have lasting results that will improve the person’s quality of life in lasting ways.
Mindfulness training teaches the teen with a mood disorder, how to use their own natural ability to consciously bring balance to their emotions. It gives them a choice, by teaching them to pause and process the emotion, and it gives them back sense of control. Evidence supports that mindfulness is an effective tool in treating mood disorder symptoms. Professor Filip Raes conducted one of the first studies to examine mindfulness in a large sample in a school-based setting. The study included 400 students ages 13-20, using a randomized controlled design. The results suggest that mindfulness decreased symptoms in students and possible protects against recurrence of symptoms later (Reas, Griffith, Gucht, & Williams, 2013). A similar study was done by Luis Carlos Delgado Pastor at the University of Granada. The study established that mindfulness training is effective in improving rates of anxiety, depression, complaints about health and emotional regulation (2009). According to Dr. William R Marchand, extensive reviews are showing convincing evidence that mindfulness-based practices combined with conventional interventions are effective in treatment in psychiatric symptoms and states that MBSR and MBCT have "broad-spectrum" effects against depression and anxiety (2012).
Hollon, S. D., PhD. (1990). Cognitive therapy for depression. Psychiatric Annals, 20(5), 249-251,255-256,258. Retrieved from https://ez.salem.edu/login?url=https://search.proquest.com/docview/894194358?accountid=13657
Cognitive Behavior Therapy (CBT) is one of the most prevalent treatments used with clients suffering from MDD, although this is sometimes combined with medication for better treatment results. CBT is derived from Aaron Beck’s cognitive approach to treating depressed individuals, the model suggest that depression develops when individuals develop negative thoughts about themselves, world, and future (Para, 2008). Negative schemas or thought process can occur early in life in the events of stressful life experiences; these thought patterns are then revealed later in life during certain situations. CBT’s goals are to reduce the automatic negative thoughts and actions when experiencing stressful life situations. In CBT clients are taught to examine carefully their thought processes while they are depressed and taught to recognize depressive errors in thinking (Barlow and Durand, 2009). Between sessions clients are instructed to monitor and log their thought
Treatments using anti-depressants is well documented, but there are very few studies documenting only the use of psychotherapy. However, in one study done using the Cognitive–behavioral analysis system of psychotherapy (CBASP) as a maintenance treatment, the overall findings show that psychotherapy in itself can be successful. “ There were 82 patients who were treated with CBASP long term. Patients were chosen at random to reduce their treatment to monthly or to an observational status. The patients, only treated monthly with CBASP, showed a smaller amount of reoccurring symptoms then the patients in the observational status. These findings support the use of only CBASP as a maintenance treatment for depression.” (Klein, 2004)
A probable reason why CBT works with depressed patients is that depression interacts with both cognitive and motivational processes. This is well evidenced in experimental analogue research with healthy and depressed individuals. Individuals with depression show deficits on a range of cognitive tests (Brown, Scott, Bench, 1994) with the pattern of dysfunction having many of the characteristics associated with fronto-subcortical impairment. Reischies and Neu (2000) found that depressed individuals displayed mild cognitive impairments in comparison with matched controls, particularly in the areas of "adverbial" memory, psychomotor speed and verbal fluency. Further in these patients there appears to be considerable variation in the recovery of cognitive function with remission of the depressive episode.
Cognitive behavioral treatment (CBT) of depression is a psychotherapeutic treatment approach that involves the application of specific, empirically supported strategies focused on changing negative thinking patterns and altering behavior. In order to alleviate the symptoms of depression, treatment is directed at the following three domains: cognition, behavioral and physiological. In the cognitive domain, patients learn to apply cognitive restructuring techniques so that negatively distorted thoughts underlying depression can be corrected, leading to more logical and adaptive thinking. Within the behavioral domain, techniques such as activity scheduling, social skills training and assertiveness training are used to remediate behavioral
This essay is about the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in the treatment of depression. The purpose of this essay is to address the question, how mindfulness works to improve mental health when used as part of psychological treatment? Firstly, a brief overview is given about what depression is and what the symptoms are, based on the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). Secondly, It will discuss mindfulness, as it is defined in mental health treatments. The main body of this essay will cover a description of what MBTC is, where it comes from, how it works, and how this treatment is activated in mindfulness based therapies. The final section will review three studies that have used MBCT in the treatment of depression.
Major depressive disorder affects nearly 15 million of American adults in a given year. (Kessler, Chiu, Demler & Walters, 2005). With the impact it has on the society as well as the well-being of the individual, it must be in the interest of the healthcare to be able to provide patients with the most effective treatment method. Extensive research has been conducted on the efficacy of antidepressant medication and cognitive therapy, the two main treatment methods used for depression today. The discussion has, however, been characterized by conflicting claims, resulting in a debate over what should be used rather than us having definite conclusion of how patients are best helped.
Terms discussed in paper: CBT: Cognitive-behavioural therapy; HEP: Health enhancement program; TAU: Treatment as usual; TRD: Treatment-resistant depression; Mediators: Measurable changes during a treatment; MBCT: Mindfulness-based cognitive therapy;
For further analysis of etiology, the Cognitive Conceptualization Diagram is applied to conceptualize the paradigm of how MDD is elicited. It begins with Relevant Childhood Data that likely involves with unpleasant or traumatic events. Let’s say that a patient named Bill was raised in a family where his father was a workaholic and spent most of his time at work rather than being at home with his family. In contrast, his mother was going through a recurrent form of persistent depressive disorder, and she was unable to provide the necessary attention to and validation of Bill’s feelings. Essentially, Bill would feel he was often isolated and not cared for by his