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Pathways to mental well-being for graduates of mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR): A mediation analysis of an RCT.

Psychotherapy research : journal of the Society for Psychotherapy Research
November 1, 2024
Shannon Maloney et al. (3 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to explore how Mindfulness-Based Cognitive Therapy-"Taking it Further" (MBCT-TiF) improves mental well-being through changes in mindfulness, self-compassion, and decentering compared to ongoing mindfulness practice.

Results Summary

MBCT-TiF significantly improved mental well-being through increases in mindfulness, self-compassion, and decentering, with similar benefits for depression. Only mindfulness and decentering mediated improvements in psychological quality of life and anxiety.

Population

164 graduates of MBCT and mindfulness-based stress reduction (MBSR).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Mindfulness-Based Cognitive Therapy-'Taking it Further' (MBCT-TiF)
increase
mental well-being
graduates of MBCT and mindfulness-based stress reduction (MBSR)
-
experienced significant improvements
#1
Mindfulness-Based Cognitive Therapy-'Taking it Further' (MBCT-TiF)
increase
mental well-being
graduates of MBCT and mindfulness-based stress reduction (MBSR)
-
experienced significant improvements
#2
Mindfulness-Based Cognitive Therapy-'Taking it Further' (MBCT-TiF)
increase
mental well-being
graduates of MBCT and mindfulness-based stress reduction (MBSR)
-
experienced significant improvements
#3
Mindfulness-Based Cognitive Therapy-'Taking it Further' (MBCT-TiF)
decrease
depression
graduates of MBCT and mindfulness-based stress reduction (MBSR)
-
mediated effects
#4
Mindfulness-Based Cognitive Therapy-'Taking it Further' (MBCT-TiF)
increase
psychological quality of life
graduates of MBCT and mindfulness-based stress reduction (MBSR)
-
mediated effects
#5
Mindfulness-Based Cognitive Therapy-'Taking it Further' (MBCT-TiF)
decrease
anxiety
graduates of MBCT and mindfulness-based stress reduction (MBSR)
-
mediated effects
#6
Abstract

OBJECTIVE: To explore mediated effects of Mindfulness-Based Cognitive Therapy-"Taking it Further" (MBCT-TiF) on mental well-being through changes in mindfulness, self-compassion, and decentering. METHOD: A secondary analysis of an RCT using simple mediation, with 164 graduates of MBCT and mindfulness-based stress reduction (MBSR), was implemented whereby MBCT-TiF (vs ongoing mindfulness practice; OMP) was the independent variable; changes in mindfulness, self-compassion, and decentering during the intervention were the mediators; and mental well-being at post-intervention, whilst controlling for baseline, was the dependent variable. Secondary outcomes included psychological quality of life, depression, and anxiety. RESULTS: Compared to OMP, MBCT-TiF experienced significant improvements in mental well-being through changes in all three mediators (mindfulness: ab = 0.11 [0.03, 0.25]; decentering: ab = 0.16 [0.05, 0.33]; self-compassion: ab = 0.07 [0.01, 0.18]). A similar pattern was demonstrated for depression, but only mindfulness and decentering mediated effects on psychological quality of life and anxiety. CONCLUSION: The findings provide preliminary support for all three mediators in driving change in mental well-being in a sample of MBCT/MBSR graduates. Future work must be theory-driven and powered to test all mediators in parallel and alongside other potential mediators (e.g., equanimity) to further understand independent contributions and interacting effects.Trial registration: ClinicalTrials.gov identifier: NCT05154266.

Medical Subject Headings (MeSH)
HumansMindfulnessAdultFemaleMaleStress, PsychologicalMiddle AgedMediation AnalysisCognitive Behavioral TherapyQuality of LifeOutcome Assessment, Health CareEmpathyDepressionAnxiety
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations4
Citations/Year4.0
Research Impact Scores
APT Score0.75
Weight Score2.82
Normalized Score0.70
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