Allen Mark, Bromley Andrew, Kuyken Willem, Sonnenberg Stefanie J
University of Exeter, UK.
Behav Cogn Psychother. 2009 Jul;37(4):413-30. doi: 10.1017/S135246580999004X. Epub 2009 Jun 10.
Mindfulness-Based Cognitive Therapy (MBCT) is a promising approach to help people who suffer recurrent depression prevent depressive relapse. However, little is known about how MBCT works. Moreover, participants' subjective experiences of MBCT as a relapse prevention treatment remain largely unstudied.
This study examines participants' representations of their experience of MBCT and its value as a relapse-prevention program for recurrent depression.
Twenty people who had participated in MBCT classes for recurrent depression within a primary care setting were interviewed 12 months after treatment. The focus of the interview was on participants' reflections on what they found helpful, meaningful and difficult about MBCT as a relapse prevention program. Thematic analysis was used to identify the key patterns and elements in participants' accounts.
Four overarching themes were extracted: control, acceptance, relationships and struggle. The theoretical, clinical and research implications are discussed.
基于正念的认知疗法（MBCT）是一种很有前景的方法，可帮助患有复发性抑郁症的人预防抑郁复发。然而，对于MBCT的作用机制知之甚少。此外，参与者对MBCT作为预防复发治疗的主观体验在很大程度上仍未得到研究。
本研究考察参与者对其MBCT体验的描述，以及MBCT作为复发性抑郁症预防项目的价值。
对20名在初级保健机构参加过复发性抑郁症MBCT课程的人在治疗12个月后进行访谈。访谈重点是参与者对MBCT作为预防复发项目中哪些方面对他们有帮助、有意义以及困难的反思。采用主题分析法确定参与者描述中的关键模式和要素。
提取了四个总体主题：控制、接纳、关系和挣扎。并讨论了其理论、临床和研究意义。
