The Effects of Mindfulness-based Cognitive Therapy for Depression in Buddhasothorn Hospital, Chachoengsao Province
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Abstract
Objective: To study the effects of an individual Mindfulness-Based Cognitive Therapy (Individual MBCT) program on depression symptoms, ruminative thought, and mindfulness in patients with depression, as well as to prevent relapse within a 3-month follow-up period.
Methods: A mixed-method research design was used, comprising two parts: 1) A quantitative quasi-experimental single-group study with 18 depressive patients receiving treatment at the psychiatric clinic of Buddhasothorn Hospital. The intervention consisted of six 1-hour Individual MBCT sessions over six weeks. Outcomes were measured using the 9-item depression symptom questionnaire, Ruminative Response Scale (Thai version), and Mindfulness Assessment Scale before and after the intervention, at the 3-month follow-up, and tracking depression relapse within three months. The therapist was a psychiatrist trained in MBCT. Data were analyzed using One-way repeated measures ANOVA and the Bonferroni method. 2) A qualitative study involving online group interviews with 5 depressive patients at the 3-month follow-up, analyzed using thematic analysis.
Results: Results of the 18 participants (14 women and 4 men, mean age 33.78 years, SD = 33.50), most had been depressed for 1 year, with the longest duration being 7 years, and up to 5 relapses. All participants were on antidepressants, with one dropping out due to a relapse. Quantitative results showed significant reductions in depression scores (mean decrease of 4.53 points, p<.01), rumination (mean decrease of 11.18 points, p<.01), and significant increases in mindfulness scores (mean increase of 5.77 points, p<.01). At the 3-month follow-up, 17 patients had no relapse. Qualitative results from the group interviews indicated improved awareness and understanding of the relationship between thoughts, emotions, bodily reactions, and behaviors, positive behavioral changes, reduced stress, better understanding of stress and emotion management mechanisms, and improved social adaptation.
Conclusion: The Individual MBCT program may be effective in preventing depression relapse over a 3-month period, reducing depression symptoms and rumination, and increasing mindfulness and awareness in depressive patients. It can be used in conjunction with antidepressants. However, controlled studies are needed to confirm the program's efficacy.
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