Cited by 34Mindfulness and Compassion InterventionsTreatment of Major DepressionAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

A Preliminary Study: Efficacy of Mindfulness-Based Cognitive Therapy versus Sertraline as First-line Treatments for Major Depressive Disorder

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Eisendrath, Stuart J., Gillung, Erin, Delucchi, Kevin, Mathalon, Daniel H., Yang, Tony T., Satre, Derek D., Rosser, Rebecca, Sipe, Walter E. B. +1 more·2015·Mindfulness

Abstract

Major depressive disorder (MDD) is the leading cause of disability in the developed world, yet broadly effective treatments remain elusive. The primary aim of this pilot study was to investigate the efficacy of Mindfulness-Based Cognitive Therapy (MBCT) monotherapy, compared to sertraline monotherapy, for patients with acute MDD. This open-label, nonrandomized controlled trial examined a MBCT cohort (N=23) recruited to match the gender, age, and depression severity of a depressed control group (N=20) that completed 8 weeks of monotherapy with the antidepressant sertraline. The 17-item clinician-rated Hamilton Depression Severity Rating Scale (HAMD-17) was the primary outcome measure of depression to assess overall change after 8 weeks and rates of response and remission. The 16-item Quick Inventory of Depressive Symptomatology-Self-Report (QIDS-SR16) was the secondary outcome measure to further assess depression severity. Both cohorts were demographically similar and showed significant improvement in depression ratings. No difference was found in the degree of change in HAMD-17 scores (t(34) = 1.42, p = .165) between groups. Secondary analysis showed statistically significant differences in mean scores of the QIDS-SR16 (t (32) = 4.39, p < 0.0001), with the MCBT group showing greater mean improvement. This study was limited by the small sample size and non-randomized, non-blinded design. Preliminary findings suggest that an 8-week course of MBCT monotherapy may be effective in treating MDD and a viable alternative to antidepressant medication. Greater changes in the self-rated QIDS-SR16 for the MBCT cohort raise the possibility that patients derive additional subjective benefit from enhanced self-efficacy skills.

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  1. First MB Spitzer Robert L Miriam Gibbon Williams Janet BW 2002 Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition. (SCID-I/P) Biometrics Research New York State Psychiatric Institute 11

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Authors
Eisendrath, S. J., Gillung, E., Delucchi, K., Mathalon, D. H., Yang, T. T., Satre, D. D., Rosser, R., Sipe, W. E. B., & Wolkowitz, O. M.
Affiliations
  • University of California, San Francisco (US)
  • San Francisco VA Medical Center (US)
  • Kaiser Permanente (US)
Corresponding author
Eisendrath, Stuart J.
Venue
Mindfulness
Published
2014-01-28
Volume
6
Issue
3
Pages
475-482
ISSN
  • 1868-8527 (ISSN-L)
  • 1868-8535
OpenAlex
W2049201244
Cited by
34
References
51
Citations by year
2025: 3 · 2024: 4 · 2023: 1 · 2022: 3 · 2020: 2 · 2019: 6 · 2017: 2 · 2016: 10 · 2015: 2 · 2014: 1
FWCI
5.90
Type
journal article
Language
en
Open access
Locations
  • Mindfulness (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Institutes of Health (5r01at004572-04)
  • National Institute of Mental Health (R01MH085734)
  • National Institute of Diabetes and Digestive and Kidney Diseases (T32DK007762)
  • National Center for Complementary and Integrative Health (R01AT004572.)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
mindfulness-based cognitive therapy, sertraline, major depressive disorder, monotherapy, antidepressant treatment, acute depression, treatment efficacy, self-efficacy, QIDS-SR16, Hamilton Depression Rating Scale

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