Mindfulness-based cognitive therapy vs cognitive behaviour therapy as a treatment for non-melancholic depression.
Study Goal
To compare the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) and Cognitive Behaviour Therapy (CBT) in treating non-melancholic depression.
Results Summary
Both MBCT and CBT showed significant improvements in depression and anxiety scores post-treatment, with no significant differences between them. However, CBT participants with four or more previous depressive episodes showed greater improvements at 8-week post-treatment than those with fewer episodes, while MBCT showed no such differences. No significant differences were found between treatments at 6- and 12-month follow-ups.
Population
Adults with a current episode of major depressive disorder, categorized by history of depressive episodes (four or more vs. fewer than four).
Effective Dosage
8-week group therapy sessions (frequency not specified).
Duration
8 weeks, with follow-ups at 6 and 12 months.
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Mindfulness-Based Cognitive Therapy (MBCT) | decrease | depression scores | participants with a current episode of major depressive disorder | - | significant improvements | #1 |
Mindfulness-Based Cognitive Therapy (MBCT) | decrease | anxiety scores | participants with a current episode of major depressive disorder | - | significant improvements | #2 |
Cognitive Behaviour Therapy (CBT) | decrease | depression scores | participants with a current episode of major depressive disorder | - | significant improvements | #3 |
Cognitive Behaviour Therapy (CBT) | decrease | anxiety scores | participants with a current episode of major depressive disorder | - | significant improvements | #4 |
Mindfulness-Based Cognitive Therapy (MBCT) | no change | depression scores | participants with a current episode of major depressive disorder | - | no significant differences | #5 |
Cognitive Behaviour Therapy (CBT) | no change | depression scores | participants with a current episode of major depressive disorder | - | no significant differences | #6 |
Cognitive Behaviour Therapy (CBT) | decrease | depression | participants with four or more previous episodes of depression | - | greater improvements | #7 |
Mindfulness-Based Cognitive Therapy (MBCT) | no change | depression | participants with four or more previous episodes of depression | - | no such differences | #8 |
Mindfulness-Based Cognitive Therapy (MBCT) | no change | depression | participants with a current episode of major depressive disorder | - | no significant differences | #9 |
Cognitive Behaviour Therapy (CBT) | no change | depression | participants with a current episode of major depressive disorder | - | no significant differences | #10 |
Mindfulness-Based Cognitive Therapy (MBCT) | no change | anxiety | participants with a current episode of major depressive disorder | - | no significant differences | #11 |
Cognitive Behaviour Therapy (CBT) | no change | anxiety | participants with a current episode of major depressive disorder | - | no significant differences | #12 |
AIM: To examine the comparative effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) and Cognitive Behaviour Therapy (CBT) as treatments for non-melancholic depression. METHOD: Participants who met criteria for a current episode of major depressive disorder were randomly assigned to either an 8-week MBCT (n=19) or CBT (n=26) group therapy condition. They were assessed at pre-treatment, 8-week post-group, and 6- and 12-month follow-ups. RESULTS: There were significant improvements in pre- to post-group depression and anxiety scores in both treatment conditions and no significant differences between the two treatment conditions. However, significant differences were found when participants in the two treatment conditions were dichotomized into those with a history of four or more episodes of depression vs those with less than four. In the CBT condition, participants with four or more previous episodes of depression demonstrated greater improvements in depression than those with less than four previous episodes. No such differences were found in the MBCT treatment condition. No significant differences in depression or anxiety were found between the two treatment conditions at 6- and 12-month follow-ups. LIMITATIONS: Small sample sizes in each treatment condition, especially at follow-up. CONCLUSIONS: MBCT appears to be as effective as CBT in the treatment of current depression. However, CBT participants with four or more previous episodes of depression derived greater benefits at 8-week post-treatment than those with less than four episodes.