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The efficacy of MBCT on the treatment of depression

Introduction

A significant mental disorder, depression is often associated with various medical problems. It is characterized by continuous emotions of melancholy and despair, as well as a general lack of interest in daily routines and hobbies that are pleasurable. Approximately 300 million individuals suffer from depression across the globe. Depression also ranks first among all causes of disability in the world. Depression has a negative impact on many aspects of one’s life, including one’s quality of life, productivity, job performance, and the risk of harming oneself or others. The treatment of depression can include a variety of approaches such as psychotherapy (cognitive behavioral therapy), psychopharmacological medications (SSRIs), and electroconvulsive therapy (ECT), among others; however, evidence suggests that mindfulness-based cognitive therapy (MBCT) may be as effective as psychotherapy or medication alone in the treatment of depression. These medications have been demonstrated to be successful in the treatment of depression, and there is evidence to suggest that depression may have a hereditary basis. Segal and his colleagues created Mindfulness-Based Cognitive Therapy (MBCT), which teaches patients how to build a healthy life style through the use of meditation and other mindfulness techniques.

Main Body

CBT (Cognitive Behavioral Therapy) is the most often utilized psychotherapy (psychotherapy in which psychotherapists use the patients’ psyche) in the treatment of depression today. It is a time-honored style of therapy that use approaches such as behavioral tactics and self-reflection to assist people in identifying, understanding, and changing thoughts, emotions, and behaviors that contribute to emotional discomfort and distressing situations. With cognitive behavioral therapy, the goal is to assist people in learning more adaptive strategies to cope with the symptoms of depression at their own speed and in their own manner. Furthermore, it is intended to assist individuals in recognizing and changing maladaptive attitudes and behaviors via the use of a set of organized therapeutic techniques.

The mindfulness-based cognitive therapy (MBCT) movement began in the late 1990s, and it is considered the third wave of Cognitive Behavioral Therapy (CBT) today (MBCT). Patients learn how to control their emotions via mindfulness techniques in this therapy approach, which was created by Zindel Segal and a group of researchers. This has been shown to be as effective as medicine and psychotherapy while having less or fewer adverse effects than the former. At the Centre for Addiction and Mental Health in Toronto, Ontario, Segal and his colleagues, all of whom are licensed therapists, work together on a variety of projects. The first wave of behavioral treatments was created in the 1930s; the second wave of behavioral therapies was produced in the 1960s and 1970s; and the third wave of cognitive behavioral therapy (CBT) was developed by Zindel Segal and his colleagues in the 1990s. Patient’s learn to be more aware of their internal processes, feelings, and thoughts, all of which are elements that lead to depression via mindfulness-based cognitive therapy (MBCT) techniques. Although MBCT does not advocate for the avoidance of unpleasant thoughts and emotions, it does advocate for the acceptance of negative feelings and emotions as appropriate responses to stressful situations.

In psychotherapy, a subset of new techniques known as third wave cognitive behavioral treatments (TWCBTs) are a development and extension of conventional cognitive behavioral treatment techniques. TWCBTs are a subset of new techniques known as third wave cognitive behavioral treatments. When it comes to third wave therapies, psychological and behavioral processes that are connected to health and well-being take precedence above the reduction or elimination of psychological and emotional symptoms, although this is frequently regarded a “side benefit” of the therapy. Throughout what would usually be considered standard behavioral treatments, psychological ideas such as metacognition (the capacity to understand and accept one’s own thoughts and emotions), acceptance, mindfulness, personal values, and spirituality are often woven in. Psychologists that practice third wave behavioral therapy are less concerned with the content of a person’s beliefs and internal experiences and are instead more interested with the context, processes, and functions of how a person reacts to interior experiences (i.e., thoughts, urges, sensations). Several methods and interventions used in third wave cognitive behavioral therapies are complementary to classic cognitive behavioral treatments such as exposure therapy (for example, systematic desensitization) and behavioral activation, in addition to classic cognitive behavioral treatments such as exposure therapy (for example, systematic desensitization).

Mental health professionals Zindel Segal and colleagues developed mindfulness-based cognitive therapy (MBCT) in the late 1990s. MBCT is a kind of psychological therapy that is founded on Buddhist ideas of mindfulness. It is one of several types of psychological treatments that are available (awareness or attention to internal or external stimuli). mindfulness-based cognitive therapy (MBCT) combines components of mindfulness meditation with elements of cognitive therapy, such as emotion management and awareness. Therapists who practice mindfulness-based cognitive therapy (MBCT) want to assist their clients in learning new strategies to cope with thoughts, emotions, and body sensations that are associated with stressful events. It educates patients how to live a better life style by emphasizing mindfulness techniques in their daily activities. When mindfulness-based cognitive therapy (MBCT) is performed consistently, it has shown to be a beneficial treatment for depression. It also has the potential to be an effective treatment for depression.

In their research, Segal and his colleagues looked at how mindfulness-based cognitive therapy (MBCT) might assist people in overcoming negative thoughts and feelings connected with stress. The outcomes of the research suggested that adopting MBCT may assist persons who are suffering negative thoughts and emotions linked with stress, while the majority of patients did not demonstrate substantial clinical improvement at the six-month post-treatment follow-up. Based on the findings, it seems that mindfulness-based cognitive therapy (MBCT) is a viable technique for treating depression, especially given the evidence that nothing works as well as medicine or psychotherapy alone in treating depression.

Cognitive Behavioral Therapy approach to treating depression has significantly changed over the last 15 years. While previous interventions centered on treatment focused on pharmacological approaches, medication-free interventions using a patient-centered approach are beginning to gain favor. The patients are allowed to make their own decisions about which treatment is best for them and work with therapists who are able to offer insights into a patient’s condition in order to customize the treatment plan. This patient-focused view of the therapeutic relationship is called the Person-Centered Approach (PCA). As part of a modern psychotherapy, CBT is designed to address the unconscious thoughts, feelings and behaviors that contribute to a person’s psychological problems or illnesses. The main benefit of this treatment is that it does not have the same side effects that drugs can have. A person who is being treated for depression or any other psychological or physical problem with cognitive therapy will not be provided with drugs in order to lessen their symptoms. Because CBT gradually alters a patient’s feelings and behaviors, it has been shown to be very effective in treating depression specifically, as well as many other psychological problems.

According to the findings of a research done by Ferme and colleagues from the University of Exeter in the United Kingdom, mindfulness-based cognitive therapy (MBCT) may be an effective treatment for depression in older persons. The practice of mindfulness meditation has been demonstrated to be beneficial in the prevention of relapse in those who have had three or more prior bouts of depression. MBCT treatment is intended to assist individuals in improving their capacity to live their lives free of repeated depressive episodes and is more than a mere extension of cognitive behavioral therapy (CBT). In reality, the mindfulness practices taught by MBCT have nothing in common with the cognitive behavioral therapy (CBT) strategies used to avoid relapses in addiction treatment. Moreover, depression might be resistant to traditional cognitive treatment due to the fact that it is frequently difficult for individuals to recollect prior events and recognize their current worries. According to the new understanding into mindfulness, individuals may develop a new way of reacting to life events based on reclaiming their attention and integrating their present-moment experience with their previous and future experiences by practicing mindfulness. In addition to promoting a feeling of well-being, mindfulness meditation assists individuals in focusing on the present moment and bringing them closer to themselves. According to the findings of a 2010 research undertaken by Dr. Joanne Woodall of the University of Exeter and based on the principles of MBCT, it was proven to be an effective therapy for older persons who were suffering from depression. Participants in this research who practiced mindfulness meditation exhibited statistically significant improvement compared to those who did not.

A recent investment of time and energy has been put into clinical trials designed to show the effectiveness of MBCT in treating depression. One study that was conducted by Bendersky, Solymosi and colleagues, demonstrated significant improvement amongst participants who had experienced three or more previous episodes of depression after receiving eight weeks of MBCT compared to a control group that received a wait-list. Researchers from the University of Exeter in the United Kingdom conducted a study on how mindfulness based cognitive therapy (MBCT) could be an effective treatment for depression. This study showed that mindfulness meditation can help at least some people with depression manage their symptoms. Additional evidence that supports the efficacy of MBCT in treating depression comes from another study, which found that MBCT is an effective treatment for depression. The researchers conducted a study to see if MBCT could be an effective treatment for depression. This study also showed that mindfulness-based cognitive therapy (MBCT) was an effective treatment for at least some patients with depression, but that some patients still did not benefit from the intervention treatment. Studies indicate that MBCT (Mindfulness Based Cognitive Therapy) can be used effectively in leading to remission from depression. While CBT is minimally invasive and eases the burden on caregivers, MBCT is more time intensive and adeptly addresses the above issues of CBT.

Conclusion

To summarize, depression is a mental condition in which individuals who are depressed suffer great sorrow and a lack of interest in activities that they used to like. Depression is characterized by a lack of interest, which acts as its distinguishing trait. However, it is crucial to remember that depression may develop to other medical diseases such as anxiety disorders and post-traumatic stress disorder, which have symptoms that are very similar to depression. The most common symptoms of severe depression include fatigue, problems with concentration, insomnia or hypersomnia (usually too much sleep) or erratic sleeping patterns, a lack of appetite or overeating, constant feelings of worthlessness and guilt, thoughts of death and suicide, and other symptoms. It is anticipated that with the use of these types of therapies, depression and the other symptoms that have been connected with it might be better treated. However, there is still more work to be done in order for researchers to fully understand why some individuals react well to one kind of therapy while others do not. Furthermore, with further study, it may be feasible for scientists to produce new and more effective kinds of therapy, as well as new therapies that are even more successful than those that have been discovered so far. However, this will only be achievable if we continue to raise funds from whatever sources are available in order to do more study on this issue. These treatments will be excellent instruments in the battle against depression, but they will only be successful if we are able to raise enough funds to do research and perform more studies that demonstrate the usefulness of these therapies.

References

Parsons, C. E., Crane, C., Parsons, L. J., Fjorback, L., & Kuken, W. (2017). Home Practice In Mindfulness-Based Cognitive Therapy And Mindfulness-Based Stress Reduction: A Systematic Review And Metaanalysis Of Participants’ Mindfulness Practice And Its Association With Outcomes. Behaviour Research And Therapy.

Alsubaie, M., Abbott, R., Dunn, B., Dickens, C., Keil, T., Henley, W., & Kuyken, W. (2017). Mechanisms Of Action In Mindfulness-based Cognitive Therapy (MBCT) And Mindfulness-based Stress Reduction (MBSR) In People With Physical And/or Psychological Conditions: A Systematic Review. Clinical Psychology Review.

Finucane, A., & Mercer, S. W. (2006). An Exploratory Mixed Methods Study Of the Acceptability And Effectiveness Of Mindfulness -based Cognitive Therapy for Patients With Active Depression And Anxiety In Primary Care.

Panahi, F., & Faramarzi, M. (2016). The Effects Of Mindfulness-Based Cognitive Therapy On Depression And Anxiety In Women With Premenstrual Syndrome.

Michalak, J., Holz, A., & Teismann, T. (2011). Rumination As a Predictor Of Relapse In Mindfulness-based Cognitive Therapy for Depression.

Manicavasagar, V., Perich, T., & Parker, G. (2011). Cognitive Predictors Of Change In Cognitive Behaviour Therapy And Mindfulness-Based Cognitive Therapy for Depression.

Mindfulness–Based Cognitive Therapy. (2009, September 15). Mindfulness–Based Cognitive Therapy. https://www.goodtherapy.org/learn-about-therapy/types/mindfulness- based-cognitive-therapy.

Horowitz, M. (2014, February 5). Be Mindful Of the Gap: What We Know About ‘third Wave’ Cognitive Behavioural Therapies Compared To Other Psychological Therapies. National Elf Service. https://www.nationalelfservice.net/mental-health/depression/be-mindful-of- the-gap-what-we-know-about-third-wave-cognitive-behavioural-therapies-compared-to- other-psychological-therapies/.

Cognitive Behavioral Therapy for Depression: Does It Work?. (2020, October 22). WebMD. https://www.webmd.com/depression/guide/cognitive-behavioral-therapy-for-depression.


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