Cited by 285Mindfulness and Compassion InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and Applications

Mindfulness-Based Cognitive Therapy: Theory and Practice

Open access
Sipe, Walter E B, Eisendrath, Stuart J·2012·The Canadian Journal of Psychiatry

Abstract

Mindfulness-based cognitive therapy (MBCT) incorporates elements of cognitive-behavioural therapy with mindfulness-based stress reduction into an 8-session group program. Initially conceived as an intervention for relapse prevention in people with recurrent depression, it has since been applied to various psychiatric conditions. Our paper aims to briefly describe MBCT and its putative mechanisms of action, and to review the current findings about the use of MBCT in people with mood and anxiety disorders. The therapeutic stance of MBCT focuses on encouraging patients to adopt a new way of being and relating to their thoughts and feelings, while placing little emphasis on altering or challenging specific cognitions. Preliminary functional neuroimaging studies are consistent with an account of mindfulness improving emotional regulation by enhancing cortical regulation of limbic circuits and attentional control. Research findings from several randomized controlled trials suggest that MBCT is a useful intervention for relapse prevention in patients with recurrent depression, with efficacy that may be similar to maintenance antidepressants. Preliminary studies indicate MBCT also shows promise in the treatment of active depression, including treatment-resistant depression. Pilot studies have also evaluated MBCT in bipolar disorder and anxiety disorders. Patient and clinician resources for further information on mindfulness and MBCT are provided.

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Crossref · 10.1177/070674371205700202

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Authors
Sipe, W. E. B., & Eisendrath, S. J.
Affiliations
University of California, San Francisco (US)
Corresponding author
Sipe, Walter E B
Venue
The Canadian Journal of Psychiatry
Published
2012-02
Volume
57
Issue
2
Pages
63-69
ISSN
  • 0706-7437 (ISSN-L)
  • 1497-0015
OpenAlex
W2270478308
Cited by
285
References
51
Citations by year
2026: 29 · 2025: 43 · 2024: 30 · 2023: 33 · 2022: 28 · 2021: 15 · 2020: 13 · 2019: 22 · 2018: 13 · 2017: 4 · 2016: 16 · 2015: 13 · 2014: 10 · 2013: 13 · 2012: 3
FWCI
1.80
Type
journal article
Language
en
Open access
Locations
  • The Canadian Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01at004572-04)
  • Health Canada
  • National Center for Complementary and Alternative Medicine
  • National Center for Complementary and Integrative Health (R01AT004572-01A1 968)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
mindfulness-based cognitive therapy, mindfulness-based stress reduction, relapse prevention, recurrent depression, treatment-resistant depression, mood disorders, anxiety disorders, bipolar disorder, emotion regulation, attentional control, mechanism of action, group therapy
MeSH terms
Anxiety Disorders, Attention, Awareness, Depressive Disorder, Humans, Cognitive Behavioral Therapy, Meditation, Secondary Prevention, Functional Neuroimaging

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