- Volume 18 Issue 7
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Therapeutic Mechanism of MBCT and Clinical Application of MBCT(Mindfulness-Based Cognitive Therapy) Program on Chronic Depression
만성 우울증에 대한 마음챙김 기반 인지치료(MBCT)의 치료기제와 임상적 적용 효과
- Choi, Yeon-Hee (Department of Social Welfare Counceling, Seoul Venture University) ;
- Byun, Sang-Hae (Department of Social Welfare Counceling, Seoul Venture University)
- Received : 2017.06.22
- Accepted : 2017.07.07
- Published : 2017.07.31
The purpose of this study was to evaluate the effects of mindfulness-based cognitive therapy(MBCT) on chronic depressed patients. MBCT has shown great effects for curing depression and proving it can also prevent the relapse of depression. In recent years in Korea, there has been ongoing MBCT research, but has not been applied as a group program to chronic depressed patients. After reviewing the research and organizing data of MBCT treatment therapy mechanism, results found that the chronic depressed patients showed positive effects from the MBCT program. This study involved 8 patients aged 40-55, measuring the level of mindfulness(FFMQ), decentering, rumination, and depression symptoms before and after treatment from the MBCT program. The results indicate that there was a significant increase in FFMQ(mean change score=1.37, p<0.05) and decentering(mean change score=1.00, p<0.05), while there was a significant decrease in rumination(mean change score=-0.67, p<0.05) and BDI(mean change score=-9.5, p<0.05). These results have been continued during the 6 months. The MBCT program has prevented the relapse of depression, acting as a maintenance therapy.
- R. C. Kessler, S. Aguilar-Gaxiola, J. Alonso, S. Chatterji, S. Lee, J. Ormel, T. B. Ustun & P. S. Wang, "The global burden of mental disorders: An update from the WHO World Mental Health (WMH) Surveys," Epidemiologia e psichiatria sociale, vol. 18, pp. 23-33, 2009. DOI: https://doi.org/10.1017/S1121189X00001421 https://doi.org/10.1017/S1121189X00001421
- Department of Health and Human Service, National Health Statistics, 2014.
- Maeil Business Newspaper. A country that leaves depression alone, 2015.
- L. V. Kessing, M. G. Hansen, L. V. Kessing, G. M. Hansen, G. Andersen, & J. Angst, "The predictive effect of episodes on the risk of recurrence in depressive and bipolar disorders-A life -long perspective," Acta Psychiatrica Scandinavica, vol. 109, pp. 339-344, 2004. DOI: https://doi.org/10.1046/j.1600-0447.2003.00266.x https://doi.org/10.1046/j.1600-0447.2003.00266.x
- T. Vos, J. Corry, M. M. Haby, R. Carter, G. Andrews, "Cost- effectiveness of cognitive-behavioral therapy and drug interventions for major depression," Australian and New Zealand Journal of Psychiatry, vol. 39, no .8, pp. 683-692. 2005.
- Z. V. Segal, J. M. G. Williams, & J. D. Teasdale, Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse, New York: Guilford Press, 2006.
- P. Gilbert, Compassion Focused Therapy: Distinctive Features, London ; New York : Routledge, 2010.
- W. Kuyken, S. Byford, R. S. Taylor, E. Watkins, E. Holden, K. White, J. D. Teasdale, "Mindfulness-based cognitive therapy to prevent relapse in recurrent depression," Journal of Consulting and Clinical Psychology, vol. 76, no. 6, pp. 966-978, 2008. DOI: https://doi.org/10.1037/a0013786 https://doi.org/10.1037/a0013786
- S. H. Ma, & J. D. Teasdale, "Mindfulness -based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects," Journal of Consulting and Clinical Psychology, vol. 72, no.1, pp.31-40, 2004. DOI: https://doi.org/10.1037/0022-006X.72.1.31 https://doi.org/10.1037/0022-006X.72.1.31
- J. D. Teasdale, Z. V. Segal, J. M. G. Williams, V. A. Ridgeway, J. M. Soulsby, M. A. Lau, "Prevention of relapse/ recurrence in major depression by mindfulness-based cognitive therapy," Journal of Consulting and Clinical Psychology, vol. 68. no. 4, pp. 615-623, 2000. DOI: https://doi.org/10.1037/0022-006X.68.4.615 https://doi.org/10.1037/0022-006X.68.4.615
- J. Kabat-Zinn, Wherever you go, there you are: mindfulness meditation in everyday life, NewYork : Hyperion, 2005.
- Z. V. Segal, J. M. G. Williams, & J. D. Teasdale, Mindfulness-based cognitive therapy for depression (second edition), New York, NY: Guilford Press, 2012.
- H. Y. Lee, H. S. Jeon, "Effects of Life Satisfaction Expectancy, Mindfulness and Social Support on Depression of the Marital Middle-aged Women", The Journal of the Korea Contents Association, vol. 11, no. 7, pp. 275-284, 2011. DOI: https://doi.org/10.5392/JKCA.2011.11.7.275 https://doi.org/10.5392/JKCA.2011.11.7.275
- D. G. Heo, "Effect of Meditation Program on Stress Response Reduction of the Elderly", The Journal of the Korea Contents Association, vol. 9, no. 3, pp. 232-240, 2009. DOI: https://doi.org/10.5392/JKCA.2009.9.3.232 https://doi.org/10.5392/JKCA.2009.9.3.232
- M. H. Kim, "Comparison of the Effect of Maum Meditation Program on the Depression, Anxiety and Self-esteem of the Children and the Juveniles", The Journal of the Korea Contents Association, vol. 12, no. 4, pp. 338-348, 2012. DOI: https://doi.org/10.5392/JKCA.2012.12.04.338 https://doi.org/10.5392/JKCA.2012.12.04.338
- K. Witkiewitz, G. A. Marlatt, D. Walker, "Mindfulness-based relapse prevention for alcohol and substance use disorders," Journal of Cognitive Psychotherapy, vol. 19, no. 3, pp.2 11-228, 2005. https://doi.org/10.1891/jcop.2005.19.3.211
- A. Chiesa, A. Serretti, "Mindfulness - based interventions for chronic pain: A systematic review of the evidence," Journal of Alternative and Complementary Medicine, vol. 17, no. 1, pp. 83-93, 2011. DOI: https://doi.org/10.1089/acm.2009.0546 https://doi.org/10.1089/acm.2009.0546
- B. K. Holzel, J. Carmody, K. C. Evans, E. A. Hoge, J. A. Dusek, L. Morgan, S. W. Lazar, "Stress reduction correlates with structural changes in the amygdala," Social Cognitive and Affective Neuroscience, vol.5, no. 1, pp. 11-17, 2010. DOI: https://doi.org/10.1093/scan/nsp034 https://doi.org/10.1093/scan/nsp034
- S. W. Lazar, C. E. Kerr, R. H. Wasserman, J. R. Gray, D. N. Greve, M. T. Treadway, H. Benson, "Meditation experience is associated with increased cortical thickness," Neuro Report, vol. 16, no. 17, pp. 1893-1897, 2005. DOI: https://doi.org/10.1097/01.wnr.0000186598.66243.19 https://doi.org/10.1097/01.wnr.0000186598.66243.19
- J. M. G. Williams & W. Kuyken, "Mindfulness-based cognitive therapy: a promising new approach to preventing depressive relapse,"The British Journal of Psychiatry, vol. 200, no. 5, pp. 359-360, 2012. DOI: https://doi.org/10.1192/bjp.bp.111.104745 https://doi.org/10.1192/bjp.bp.111.104745
- R. Kessel, J. Gecht, T. Forkmann, B. Drueke, S. Gauggel & V. Mainz, "Exploring the relationship of decentering to health related concepts and cognitive and meta-cognitive processes in a student sample", BMC psychology, vol. 4, pp. 11, 2016. DOI: https://doi.org/10.1186/s40359-016-0115-6 https://doi.org/10.1186/s40359-016-0115-6
- S. R. Bishop, M. Lau, S. Shapiro, L. Carlson, N. D. Anderson, J. Carmody, G. Devins, "Mindfulness: A proposed operational definition," Clinical psychology: Science and practice, vol. 11, no. 3, pp. 230-241, 2004. DOI: https://doi.org/10.1016/j.brat.2012.08.001 https://doi.org/10.1016/j.brat.2012.08.001
- J. C. Ong, C. S. Ulmer, and R. Manber, "Improving sleep with mindfulness and acceptance: a metacognitive model of insomnia," Behavioral Research Therapy, vol. 50, no. 11, pp. 651-660, 2012. https://doi.org/10.1016/j.brat.2012.08.001
- M. Allen, A. Bromley, W. Kuyken, S. J. Sonnenberg, "Participants' experiences of mindfulness-based cognitive therapy: "It changed me in just about every way possible," Behavioral and Cognitive Psychotherapy, vol. 37, pp. 413-430, 2009. DOI: https://doi.org/10.1017/S135246580999004X https://doi.org/10.1017/S135246580999004X
- D. K. Thomsen, "The association between rumination and negative affect: A review," Cognition and Emotion, vol. 20, pp. 1216-1235, 2006. DOI: https://doi.org/10.1080/02699930500473533 https://doi.org/10.1080/02699930500473533
- J. D. Teasdale, J. M. G. Williams, Z. V. Segal, The mindful way workbook: An 8-week program to free yourself from depression and emotional distress, New York, NY: Guildford Press, 2014.
- S. L. Shapiro, L. E. Carlson, J. A. Astin, B. Freedman, "Mechanisms of mindfulness,"Journal of clinical psychology, vol. 62, no. 3, pp. 373-386, 2006. https://doi.org/10.1002/jclp.20237
- W. Kuyken, E. Watkins, E. Holden, K. White, R. S. Taylor, A. Evans, S. Radford, J. D. Teasdale, T. Dalgleish, " How does mindfulness-based cognitive therapy work?" Behavior Research and Therapy, vol. 48, pp. 1105-1112, 2010. https://doi.org/10.1016/j.brat.2010.08.003
- R. A. Baer, G. T. Smith, J. Hopkins, J. Krietemeyer, L. Toney, "Using self-report assessment methods to explore facets of mindfulness," Assesment, vol. 13, pp. 27-45, 2006. DOI: https://doi.org/10.1177/1073191105283504 https://doi.org/10.1177/1073191105283504
- D. R. Won, K. H. Kim, "Validation of the Korean of Five-Factor Mindfulness Questionnare", The Korean Journal of Health Psychology, vol. 11, no. 4, pp. 871-886, 2006.
- D. M. Fresco, M. T. Moore, M. van Dulmen, Z. V. Segal, J. D. Teasdale, H. Ma & J. M. G. Williams, "Initial psychometric properties Of the Experience Questionnaire :A self-report survey of decentering," Behavior Therapy, vol. 38, pp. 234-246, 2007. DOI: https://doi.org/10.1016/j.beth.2006.08.003 https://doi.org/10.1016/j.beth.2006.08.003
- B. N. Kim, Y. J. Lim, S. M. Kwon, "The role of Decentering in the Relationship between Rumination and Depressive Symptoms", The Korean Journal of Clinical Psychology, vol. 29, no. 2, pp. 573-596, 2010. DOI: https://doi.org/10.15842/kjcp.2010.29.2.014 https://doi.org/10.15842/kjcp.2010.29.2.014
- S. Nolen-Hoeksema, E. Stice, E. Wade & C. Bohon, "Reciprocal relations between rumination and bulimic, substance abuse, and depressive symptoms in female adolescents," Journal of Abnormal Psychology, vol. 116, pp. 198-207, 2007. DOI: https://doi.org/10.1037/0021-843X.116.1.198 https://doi.org/10.1037/0021-843X.116.1.198
- A. T. Beck, R. A. Steer & G. K. Brown, Beck depression inventory-II, San Antonio, 1996.
- M. S. Kim, I. S. Lee, C. S. Lee, "The Validation Study I of Korea BDI-II : In Female University Students Sample", The Korean Journal of Clinical Psychology, vol. 26, no. 4, pp. 997-1014, 2007. DOI: https://doi.org/10.15842/kjcp.2007.26.4.011 https://doi.org/10.15842/kjcp.2007.26.4.011
- P. J. Bieling, L. L. Hawley,R. T. Bloch, K. M. Corcoran, R. D. Levitan, L. T. Young, G. M. Macqueen, and Z. V. Segal, Zindel, "Treatment Specific Changes in Decentering Following Mindfulness-Based Cognitive Therapy versus Antidepressant Medication or Placebo for Prevention of Depressive Relapse", Journal of Consulting and Clinical Psychology, vol. 80, no. 3, pp. 365-372, 2012. DOI: https://doi.org/10.1037/a0027483 https://doi.org/10.1037/a0027483
- M. K. Van Vugt, P. Hitchcock, B. Shahar, W. Britton, "The effects of mindfulness -based cognitive therapy on affective memory recall dynamics in depression: A mechanistic model of rumination", Frontiers in Human Neuroscience, vol. 19, no. 6, pp. 257, 2012.
- M. A. Jeon, J. M. Kim, "The Effects of Mindfulness-Based Cognitive Therapy for Emotion Regulation in a Patient Group", Korean Journal of Clinical Psychology, vol. 30 no. 1, pp. 113-135, 2011. DOI: https://doi.org/10.15842/kjcp.2011.30.1.007 https://doi.org/10.15842/kjcp.2011.30.1.007
- M. B. Mackenzie, N. L. Kocovski, "Mindfulness-based cognitive therapy for depression: trends and developments", Psychology Research and Behavior Management, vol. 9, pp. 125-132, 2016.