Mindfulness-based therapy and behavioral activation: A randomized controlled trial with depressed college students.
Study Goal
The researchers aimed to compare the efficacy of abbreviated Mindfulness-Based Therapy (MBT) and Behavioral Activation (BA) in treating depression among college students relative to a wait-list control.
Results Summary
Both MBT and BA showed significant pre-post improvements in depression, rumination, stress, and mindfulness, with gains largely maintained at 1-month follow-up. Clinically significant improvement was observed in 56-79% of patients, and 75-85% experienced meaningful reductions in depression, though neither treatment effectively reduced somatic anxiety.
Population
College students with Major Depressive Disorder (MDD)
Effective Dosage
Four sessions of abbreviated MBT and BA
Duration
Short-term (exact duration not specified, but follow-up was at 1 month)
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Mindfulness-Based Therapy (MBT) | decrease | depression outcome measures | depressed college students | - | were superior to the control group | #1 |
Behavioral Activation (BA) | decrease | depression outcome measures | depressed college students | - | were superior to the control group | #2 |
Mindfulness-Based Therapy (MBT) | decrease | measures of depression | depressed college students | - | significant pre-post treatment improvements | #3 |
Mindfulness-Based Therapy (MBT) | decrease | measures of rumination | depressed college students | - | significant pre-post treatment improvements | #4 |
Mindfulness-Based Therapy (MBT) | decrease | measures of stress | depressed college students | - | significant pre-post treatment improvements | #5 |
Mindfulness-Based Therapy (MBT) | increase | measures of mindfulness | depressed college students | - | significant pre-post treatment improvements | #6 |
Behavioral Activation (BA) | decrease | measures of depression | depressed college students | - | significant pre-post treatment improvements | #7 |
Behavioral Activation (BA) | decrease | measures of rumination | depressed college students | - | significant pre-post treatment improvements | #8 |
Behavioral Activation (BA) | decrease | measures of stress | depressed college students | - | significant pre-post treatment improvements | #9 |
Behavioral Activation (BA) | increase | measures of mindfulness | depressed college students | - | significant pre-post treatment improvements | #10 |
Mindfulness-Based Therapy (MBT) | no change | measures of depression, rumination, stress, and mindfulness | depressed college students | at 1-month follow-up | gains largely maintained | #11 |
Behavioral Activation (BA) | no change | measures of depression, rumination, stress, and mindfulness | depressed college students | at 1-month follow-up | gains largely maintained | #12 |
Mindfulness-Based Therapy (MBT) | no change | somatic anxiety | depressed college students | - | neither active treatment effectively reduced | #13 |
Behavioral Activation (BA) | no change | somatic anxiety | depressed college students | - | neither active treatment effectively reduced | #14 |
Mindfulness-Based Therapy (MBT) | neutral | - | depressed college students | moderate-strong | generally had moderate-strong effect sizes | #15 |
Behavioral Activation (BA) | neutral | - | depressed college students | moderate-strong | generally had moderate-strong effect sizes | #16 |
Mindfulness-Based Therapy (MBT) | increase | depression response and remission criteria | patients | 56-79% | exhibited clinically significant improvement | #17 |
Behavioral Activation (BA) | increase | depression response and remission criteria | patients | 56-79% | exhibited clinically significant improvement | #18 |
Mindfulness-Based Therapy (MBT) | decrease | depression | - | 75-85% | experienced clinically significant reductions | #19 |
Behavioral Activation (BA) | decrease | depression | - | 75-85% | experienced clinically significant reductions | #20 |
Major Depressive Disorder (MDD) manifests in 20-30% of college students, with increased incidence in recent decades. Very limited research has assessed the efficacy of evidence-based interventions for MDD in college students. Mindfulness-Based Therapy (MBT) and Behavioral Activation (BA) are two interventions with significant potential to meet demands of college counseling clinics and effectively treat college students with MDD. This study utilized a randomized controlled research design (n = 50) to examine the efficacy of four-sessions of abbreviated MBT and BA relative to a wait-list control condition with depressed college students. Intent-to-treat data analyses on depression outcome measures suggested both treatments were superior to the control group. There were significant pre-post treatment improvements across measures of depression, rumination, stress, and mindfulness, gains largely maintained at 1-month follow-up. Neither active treatment effectively reduced somatic anxiety. Both treatments generally had moderate-strong effect sizes relative to the control group, and based on depression response and remission criteria, 56-79% of patients exhibited clinically significant improvement. Based on reliable change indices, 75-85% experienced clinically significant reductions in depression. There was strong therapist competence and adherence to treatment protocols and high patient satisfaction with both interventions. Study limitations and implications for the assessment and treatment of depressed college students are discussed.