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Cited by 87Mindfulness and Compassion InterventionsDigital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Web-based Mindfulness-based Cognitive Therapy for reducing residual depressive symptoms: An open trial and quasi-experimental comparison to propensity score matched controls

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Dimidjian, Sona, Beck, Arne, Felder, Jennifer N., Boggs, Jennifer M., Gallop, Robert, Segal, Zindel V.·2014·Behaviour Research and Therapy
DOI 10.1016/j.brat.2014.09.004PMC PMC5714615
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Abstract

Mindfulness-based Cognitive Therapy (MBCT) has been shown to effectively prevent relapse and reduce residual depressive symptoms (RDS), yet it faces barriers to dissemination. The present study examined Mindful Mood Balance (MMB), the first web-based approach to deliver the core content of MBCT. Of the 107 recurrently depressed individuals screened, 100 elected to enroll in the study and received MMB in an 8-session open trial with 6-month follow-up. Outcomes included depressive symptom severity, rumination and mindful awareness, and program engagement. A quasi-experimental comparison between MMB participants and propensity matched case-controls receiving usual depression care (UDC) (N = 100) also was conducted. The full sample and the subgroup with residual depressive symptoms (N = 42) showed significantly reduced depressive severity, which was sustained over six months, and improvement on rumination and mindfulness. Examination of acceptability of MMB indicated that 42% of participants within the full sample and 36% of the RDS subgroup completed all 8 sessions and 53% within the full sample and 50% within the RDS subgroup completed at least 4 sessions, and that participants engaged with daily mindfulness practice. MMB also was associated with significant reduction in RDS severity as compared to quasi-experimental propensity matched controls. Although the use of a non-randomized design, with potential unmeasured differences between groups, and short interval of clinical follow-up were limitations, findings from this study support the web-based delivery of MBCT and suggest clinical benefits for participants with histories of depression and with RDS, relative to those receiving usual care alone.

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  • Main outcomes of self-help mindfulness interventions include small to large improvements in mindfulness and decreases in depression, rumination, anxiety, and perceived stress, whereas control groups display no such improvements.

    “The main outcomes include small to large improvements in mindfulness and decreases in depression, rumination, anxiety, and perceived stress, whereas control groups display no such improvements (Cavanagh et al., 2013;Dimidjian et al., 2014;Hazlett-Stevens & Oren, 2017;Krusche et al., 2012;Lever Taylor et al., 2014;Morledge et al., 2013;Wimberley et al., 2016).”

    From A Mindfulness-Based Intervention: Differential Effects on Affective and Processual Evolution (2018) · cites this paper as Dimidjian et al., 2014

    The Results (page unavailable) report reduced depressive symptoms and rumination and increased mindfulness after the web-based intervention; matched usual-care controls did not improve on the measured depression outcome. The paper does not report decreases in anxiety or perceived stress, and its control comparison measured depressive symptoms, not all the outcomes listed in the claim. (LLM, conf=0.90)

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  • The study's findings are consistent with literature on self-help mindfulness-based interventions, especially significant improvements in mindfulness, anxiety, depression, psychological distress, and negative self-oriented cognition in intervention but not control, with effect sizes similar to or slightly better than literature.

    “This study's findings appear consistent with those in the literature regarding self-help, mindfulness-based interventions-especially the significant improvements in mindfulness, anxiety, depression, psychological distress, and negative self-oriented cognition throughout the program in the intervention condition but not in the control condition-and the effect sizes were similar to or slightly”

    From A Mindfulness-Based Intervention: Differential Effects on Affective and Processual Evolution (2018) · cites this paper as Dimidjian et al., 2014

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  • Self-help mindfulness-based interventions have been validated in student, general, and clinical populations.

    “Self-help, mindfulness-based interventions have been validated in student samples (Cavanagh et al., 2013;Hazlett-Stevens & Oren, 2017;Lever Taylor et al., 2014), the general population (Bhayee et al., 2016;Krusche, Cyhlarova, King, & Williams, 2012;Wimberley, Mintz, & Suh, 2016), and clinical populations (Dimidjian et al., 2014;Morledge et al., 2013).”

    From A Mindfulness-Based Intervention: Differential Effects on Affective and Processual Evolution (2018) · cites this paper as Dimidjian et al., 2014

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1 of the 48 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. First MB Spitzer RL Gibbon M Williams JBW 1994 Structured Clinical Interview for Axis I DSM-IV Disorders--Patient Edition Washington, DC American Psychiatric Press
  2. Unutzer J Katon W Callahan CM Williams JW Jr Hunkeler E Harpole L Lin EH 2002 Collaborative care management of late-life depression in the primary care setting JAMA: the journal of the American Medical Association 288 22 2836 2845 12472325

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Authors
Dimidjian, S., Beck, A., Felder, J. N., Boggs, J. M., Gallop, R., & Segal, Z. V.
Affiliations
  • University of Colorado Boulder (US)
  • Kaiser Permanente (US)
  • West Chester University (US)
  • University of Toronto (CA)
Corresponding author
Dimidjian, Sona
ORCID
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2014-12
Volume
63
Pages
83-89
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/j.brat.2014.09.004
PMC
PMC5714615
OpenAlex
W1985865095
Cited by
87
References
48
Citations by year
2026: 4 · 2025: 1 · 2024: 6 · 2023: 8 · 2022: 4 · 2021: 8 · 2020: 6 · 2019: 8 · 2018: 11 · 2017: 11 · 2016: 12 · 2015: 7 · 2014: 1
FWCI
12.23
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (R34MH087723)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
mindfulness-based cognitive therapy, online intervention, residual depressive symptoms, recurrent depression, depression prevention, rumination, mindful awareness, program engagement, usual care comparison
MeSH terms
Chronic Disease, Depression, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Male, Middle Aged, Recurrence, Thinking, Cognitive Behavioral Therapy, Case-Control Studies, Treatment Outcome, Telemedicine, Internet, Propensity Score, Mindfulness

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