NDLI: Mindfulness-based cognitive therapy improves emotional reactivity to social stress: results from a randomized controlled trial.

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Mindfulness-based cognitive therapy improves emotional reactivity to social stress: results from a randomized controlled trial.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Britton, Willoughby B. Shahar, Ben Szepsenwol, Ohad Jacobs, W. Jake
Description	Country affiliation: United States Author Affiliation: Britton WB ( Department of Psychiatry and Human Behavior, Warren Alpert Medical School at Brown University, 185 Brown Street, Providence, RI 02906, USA. Willoughby_Britton@Brown.edu)
Abstract	The high likelihood of recurrence in depression is linked to a progressive increase in emotional reactivity to stress (stress sensitization). Mindfulness-based therapies teach mindfulness skills designed to decrease emotional reactivity in the face of negative affect-producing stressors. The primary aim of the current study was to assess whether Mindfulness-Based Cognitive Therapy (MBCT) is efficacious in reducing emotional reactivity to social evaluative threat in a clinical sample with recurrent depression. A secondary aim was to assess whether improvement in emotional reactivity mediates improvements in depressive symptoms. Fifty-two individuals with partially remitted depression were randomized into an 8-week MBCT course or a waitlist control condition. All participants underwent the Trier Social Stress Test (TSST) before and after the 8-week trial period. Emotional reactivity to stress was assessed with the Spielberger State Anxiety Inventory at several time points before, during, and after the stressor. MBCT was associated with decreased emotional reactivity to social stress, specifically during the recovery (post-stressor) phase of the TSST. Waitlist controls showed an increase in anticipatory (pre-stressor) anxiety that was absent in the MBCT group. Improvements in emotional reactivity partially mediated improvements in depressive symptoms. Limitations include small sample size, lack of objective or treatment adherence measures, and non-generalizability to more severely depressed populations. Given that emotional reactivity to stress is an important psychopathological process underlying the chronic and recurrent nature of depression, these findings suggest that mindfulness skills are important in adaptive emotion regulation when coping with stress.
File Format	HTM / HTML
ISSN	00057894
e-ISSN	18781888
DOI	10.1016/j.beth.2011.08.006
Journal	Behavior Therapy
Issue Number	2
Volume Number	43
Language	English
Publisher	Elsevier
Publisher Date	2012-06-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Therapeutics Discipline Behavioral Sciences Cognitive Therapy Depression Therapy Stress, Psychological Anxiety Psychology Anxiety Disorders Depressive Disorder Emotions Psychiatric Status Rating Scales Recurrence Randomized Controlled Trial Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Clinical Psychology

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