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ABSTRACT
Background: In this studyMindfulness and CBT were combined to investigate the enhance of psychotropic work. Both therapies have integrated acceptance-based mindfulness approaches with change-based cognitive behavioral therapies to create efficacious treatments. That is, introduce use of MBCT in active phase of treatment and chronic depression.
Objectives: This study was done to evaluate efficacy of Mindfulness Based Cognitive Therapy (MBCT) and traditional Cognitive Behavior Therapy (CBT) with Treatments as usual (TAU) to reduce psychiatric symptoms in a sample of patients with Major Depressive Disorder (MDD).
Materials and Methods: 90 patients who were referred to clinics of university of Social Welfare and Rehabilitation Sciences and Tehran University Counseling Centre and met DSM-IV criteria for MDD were selected. They were randomly assigned to MBCT (n = 30), CBT (n = 30), or TAU (n = 30). They were aged between 18 and 45 years (M = 28, SD = 8), with an average of two previous depression episodes. They were interviewed through the Structured Clinical Interview for DSM-IV and self-report by Brief Symptom Inventory, pre and post treatment. Patients in MBCT and CBT group received the treatment, while TAU group continued therapy (anti-depressant).
Results: The results indicated that MBCT and CBT groups have significant efficacy on reduction of MDD symptoms.
Conclusions: MBCT appears to be as effective as CBT in the treatment of current depression.
Keywords: Cognitive Behavior Therapy, Major depressive Disorder, psychiatric
Copyright © 2 013, Iranian Red Crescent Medical Journal; Published by Kowsar Corp.
1. Background
The emotional, social and economic burden of depres- sion for suffers, their families and society is significant, with 12 month prevalence rates estimated at 2.9-12.6% and lifetime risk estimated at 17-19% (l). The fact that depres- sion is often a chronic relapsing and pervasive condition, with relapse rates of 50-80% in those who have been depressed before (2) has contributed to the WHO predic- tion that, by 2020, depression will be the second biggest contributor to ill-health burden world-wide (l). These patients report continuing symptoms of depression and accompanying distress about these symptoms. Nolen- Hoeksema's Responses Styles Theory (1991) suggests that people who engage in "repetitive and passive thinking about one's symptoms of depression "tend to prolong the very symptoms they are trying to reduce. Ruminators often...