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Mindfulness-based therapy and behavioral activation: A randomized controlled trial with depressed college students.

Behaviour research and therapy
February 1, 2016
C C McIndoo et al. (5 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

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

Extracted Claims (20)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AdolescentAnxietyAnxiety DisordersBehavior TherapyCounselingDepressionDepressive Disorder, MajorFemaleHumansMaleMindfulnessQuality of LifeStudentsTreatment OutcomeUniversitiesYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations52
Citations/Year5.8
Relative Citation Ratio3.22
NIH Percentile86.4%
Research Impact Scores
APT Score0.75
Weight Score1.99
Normalized Score0.70
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