Mindfulness-based cognitive therapy improves emotional reactivity to social stress: results from a randomized controlled trial.
Study Goal
The researchers aimed to assess whether Mindfulness-Based Cognitive Therapy (MBCT) reduces emotional reactivity to social evaluative threat in individuals with recurrent depression and whether this improvement mediates depressive symptom reduction.
Results Summary
MBCT was associated with decreased emotional reactivity to social stress, particularly during recovery, and improvements in emotional reactivity partially mediated depressive symptom improvements. Waitlist controls showed increased anticipatory anxiety, which was absent in the MBCT group.
Population
52 individuals with partially remitted recurrent depression.
Effective Dosage
8-week MBCT course (specific frequency not detailed).
Duration
8 weeks.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Mindfulness-Based Cognitive Therapy (MBCT) | decrease | emotional reactivity to social stress | individuals with partially remitted depression | - | associated with decreased | #1 |
Mindfulness-Based Cognitive Therapy (MBCT) | decrease | anticipatory (pre-stressor) anxiety | individuals with partially remitted depression | - | was absent | #2 |
waitlist control condition | increase | anticipatory (pre-stressor) anxiety | individuals with partially remitted depression | - | showed an increase | #3 |
Mindfulness-Based Cognitive Therapy (MBCT) | decrease | emotional reactivity | individuals with partially remitted depression | - | improvements in | #4 |
Mindfulness-Based Cognitive Therapy (MBCT) | decrease | depressive symptoms | individuals with partially remitted depression | - | improvements in | #5 |
The high likelihood of recurrence in depression is linked to a progressive increase in emotional reactivity to stress (stress sensitization). Mindfulness-based therapies teach mindfulness skills designed to decrease emotional reactivity in the face of negative affect-producing stressors. The primary aim of the current study was to assess whether Mindfulness-Based Cognitive Therapy (MBCT) is efficacious in reducing emotional reactivity to social evaluative threat in a clinical sample with recurrent depression. A secondary aim was to assess whether improvement in emotional reactivity mediates improvements in depressive symptoms. Fifty-two individuals with partially remitted depression were randomized into an 8-week MBCT course or a waitlist control condition. All participants underwent the Trier Social Stress Test (TSST) before and after the 8-week trial period. Emotional reactivity to stress was assessed with the Spielberger State Anxiety Inventory at several time points before, during, and after the stressor. MBCT was associated with decreased emotional reactivity to social stress, specifically during the recovery (post-stressor) phase of the TSST. Waitlist controls showed an increase in anticipatory (pre-stressor) anxiety that was absent in the MBCT group. Improvements in emotional reactivity partially mediated improvements in depressive symptoms. Limitations include small sample size, lack of objective or treatment adherence measures, and non-generalizability to more severely depressed populations. Given that emotional reactivity to stress is an important psychopathological process underlying the chronic and recurrent nature of depression, these findings suggest that mindfulness skills are important in adaptive emotion regulation when coping with stress.