PMID- 34868374
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 1868-8527 (Print)
IS  - 1868-8535 (Electronic)
IS  - 1868-8527 (Linking)
VI  - 13
IP  - 2
DP  - 2022
TI  - The Effectiveness of Mindfulness-Based Cognitive Therapy in Primary Care and the 
      Role of Depression Severity and Treatment Attendance.
PG  - 362-372
LID - 10.1007/s12671-021-01794-3 [doi]
AB  - OBJECTIVES: Evidence suggests the efficacy of mindfulness-based cognitive therapy 
      (MBCT) to prevent depression relapse and decrease depressive symptoms during the 
      acute phase. However, the effectiveness of MBCT in real-world heterogeneous 
      samples treated in clinical health settings, including primary care, has received 
      little attention. This study had two aims: (1) to evaluate the effectiveness of 
      MBCT delivered in primary care considering pre-treatment depression scores and 
      (2) to explore the role of participants' characteristics on symptom improvement. 
      METHODS: Data were obtained from 433 individuals who received MBCT. Participants 
      completed the Personality Inventory for ICD-11 (PiCD) pretreatment and the Beck 
      Depression Inventory (BDI-II) pre- and post-treatment. RESULTS: Sixty percent 
      presented moderate-to-severe depression according to scores on the BDI-II, 18.1% 
      presented mild depression, and 21.7% were in the non-depressed range. The 
      severity of pre-treatment depressive symptoms was associated with outcomes. Most 
      individuals who lacked depressive symptoms at baseline remained in the 
      non-clinical range after the treatment. Those in the severe group benefited the 
      most from the intervention, since 35.6% were considered recovered. Rates of 
      deterioration ranged from 2.1 to 2.7%, depending on the depression-baseline 
      scores. Depression severity at the entrance, attendance, and age, but not 
      personality traits, appear to be related to symptom improvement. CONCLUSIONS: 
      According to our results, MBCT can be effectively and safely delivered in primary 
      care.
CI  - (c) The Author(s) 2021.
FAU - Elices, Matilde
AU  - Elices M
AD  - Institut de Neuropsiquiatria i Addiccions (INAD), Institut Hospital del Mar 
      d'Investigacions Mediques, (IMIM), Parc de Salut Mar, Barcelona, Spain.
AD  - Centro de Investigacion Biomedica en Red de Salud Mental, CIBERSAM, Madrid, 
      Spain. GRID: grid.469673.9. ISNI: 0000 0004 5901 7501
FAU - Perez-Sola, Victor
AU  - Perez-Sola V
AD  - Institut de Neuropsiquiatria i Addiccions (INAD), Institut Hospital del Mar 
      d'Investigacions Mediques, (IMIM), Parc de Salut Mar, Barcelona, Spain.
AD  - Centro de Investigacion Biomedica en Red de Salud Mental, CIBERSAM, Madrid, 
      Spain. GRID: grid.469673.9. ISNI: 0000 0004 5901 7501
FAU - Perez-Aranda, Adrian
AU  - Perez-Aranda A
AD  - Institut de Neuropsiquiatria i Addiccions (INAD), Institut Hospital del Mar 
      d'Investigacions Mediques, (IMIM), Parc de Salut Mar, Barcelona, Spain.
AD  - Departament de Psicologia Basica, Facultat de Psicologia, Universitat Autonoma de 
      Barcelona (UAB), Edifici B, 08193, Bellaterra, Cerdanyola del Valles, Barcelona, 
      Spain. GRID: grid.7080.f. ISNI: 0000 0001 2296 0625
FAU - Colom, Francesc
AU  - Colom F
AD  - Institut de Neuropsiquiatria i Addiccions (INAD), Institut Hospital del Mar 
      d'Investigacions Mediques, (IMIM), Parc de Salut Mar, Barcelona, Spain.
AD  - Centro de Investigacion Biomedica en Red de Salud Mental, CIBERSAM, Madrid, 
      Spain. GRID: grid.469673.9. ISNI: 0000 0004 5901 7501
FAU - Polo, Maria
AU  - Polo M
AD  - Institut de Neuropsiquiatria i Addiccions (INAD), Institut Hospital del Mar 
      d'Investigacions Mediques, (IMIM), Parc de Salut Mar, Barcelona, Spain.
FAU - Martin-Lopez, Luis Miguel
AU  - Martin-Lopez LM
AD  - Institut de Neuropsiquiatria i Addiccions (INAD), Institut Hospital del Mar 
      d'Investigacions Mediques, (IMIM), Parc de Salut Mar, Barcelona, Spain.
FAU - Garriz, Miguel
AU  - Garriz M
AD  - Institut de Neuropsiquiatria i Addiccions (INAD), Institut Hospital del Mar 
      d'Investigacions Mediques, (IMIM), Parc de Salut Mar, Barcelona, Spain.
AD  - Universitat Abat Oliba CEU, Barcelona, Spain. GRID: grid.448532.c
LA  - eng
PT  - Journal Article
DEP - 20211129
PL  - United States
TA  - Mindfulness (N Y)
JT  - Mindfulness
JID - 101518348
PMC - PMC8628140
OTO - NOTNLM
OT  - Depression
OT  - Effectiveness
OT  - Implementation
OT  - Mindfulness-based cognitive therapy
OT  - Primary care
COIS- Conflict of InterestThe authors declare no competing interests.
EDAT- 2021/12/07 06:00
MHDA- 2021/12/07 06:01
PMCR- 2021/11/29
CRDT- 2021/12/06 09:10
PHST- 2021/11/14 00:00 [accepted]
PHST- 2021/12/07 06:00 [pubmed]
PHST- 2021/12/07 06:01 [medline]
PHST- 2021/12/06 09:10 [entrez]
PHST- 2021/11/29 00:00 [pmc-release]
AID - 1794 [pii]
AID - 10.1007/s12671-021-01794-3 [doi]
PST - ppublish
SO  - Mindfulness (N Y). 2022;13(2):362-372. doi: 10.1007/s12671-021-01794-3. Epub 2021 
      Nov 29.