NDLI: Turning Towards or Turning Away: A Comparison of Mindfulness Meditation and Guided Imagery Relaxation in Patients with Acute Depression.

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Turning Towards or Turning Away: A Comparison of Mindfulness Meditation and Guided Imagery Relaxation in Patients with Acute Depression.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Costa, Ana Barnhofer, Thorsten
Description	Country affiliation: United kingdom Author Affiliation: Costa A ( Institute of Psychiatry,Psychology and Neuroscience,King's College London,UK.); Barnhofer T ( Institute of Psychiatry,Psychology and Neuroscience,King's College London,UK and Freie Universität Berlin,Germany.)
Abstract	BACKGROUND: Disengaging from maladaptive thinking is an important imperative in the treatment of depression. Mindfulness training is aimed at helping patients acquire relevant skills for this purpose. It remains unclear, however, whether this practice is helpful when patients are acutely depressed. AIMS: In order to investigate effects of mindfulness on symptoms and self-regulatory capacities in this group, the current study compared a brief training in mindfulness (n = 19) to guided imagery relaxation (n = 18). METHOD: Participants were introduced to the respective techniques in a single session, and practised daily over one week. Self-reported severity of symptoms, difficulties in emotion-regulation, attentional control, the ability to decentre, and mindfulness were assessed pre and postintervention, and at a one-week follow-up. RESULTS: Symptoms of depression significantly decreased and self-regulatory functioning significantly increased in both groups, with changes being maintained during follow-up. When controlling for change in depressive symptoms, results showed significantly higher improvements in emotion regulation at follow-up in the mindfulness group. The ability to decentre predicted changes in symptoms from pre to postintervention, while mindfulness skills predicted changes in symptoms during the maintenance phase. CONCLUSIONS: The findings suggest that both practices can help to instigate reductions in symptoms and enhance self-regulatory functioning in depression. However, in order to improve emotion regulation above levels explained by reductions in symptoms more intentional mental training seems necessary. Furthermore, while the ability to disengage from negative patterns of thinking seems crucial for initial reduction of symptoms, maintenance of gains might require broader skills in mindfulness.
File Format	HTM / HTML
ISSN	13524658
Issue Number	4
Journal	Behavioural and Cognitive Psychotherapy
Volume Number	44
e-ISSN	14691833
Language	English
Publisher	Cambridge University Press
Publisher Date	2016-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Behavioral Sciences
Content Type	Text
Resource Type	Article
Subject	Medicine Clinical Psychology

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