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Mindfulness-based cognitive therapy improves emotional reactivity to social stress: results from a randomized controlled trial.

Behavior therapy
June 1, 2012
Willoughby B Britton et al. (4 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralHuman StudyClinical
Study Details

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.

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AdultAnxietyAnxiety DisordersCognitive Behavioral TherapyDepressionDepressive DisorderEmotionsFemaleHumansMaleMiddle AgedPsychiatric Status Rating ScalesRecurrenceStress, PsychologicalTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality70/10
Citation Metrics
Total Citations114
Citations/Year8.8
Relative Citation Ratio4.61
NIH Percentile92.1%
Research Impact Scores
APT Score0.95
Weight Score1.49
Normalized Score0.64
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