MacKenzie Meagan B, Abbott Kayleigh A, Kocovski Nancy L
Department of Psychology, Ryerson University, Toronto, ON, Canada.
Department of Psychology, Wilfrid Laurier University, Waterloo, ON, Canada.
Neuropsychiatr Dis Treat. 2018 Jun 18;14:1599-1605. doi: 10.2147/NDT.S160761. eCollection 2018.
Mindfulness-based cognitive therapy (MBCT) was developed to prevent relapse in individuals with depressive disorders. This widely used intervention has garnered considerable attention and a comprehensive review of current trends is warranted. As such, this review provides an overview of efficacy, mechanisms of action, and concludes with a discussion of dissemination. Results provided strong support for the efficacy of MBCT despite some methodological shortcomings in the reviewed literature. With respect to mechanisms of action, specific elements, such as mindfulness, repetitive negative thinking, self-compassion and affect, and cognitive reactivity have emerged as important mechanisms of change. Finally, despite a lack of widespread MBCT availability outside urban areas, research has shown that self-help variations are promising. Combined with findings that teacher competence may not be a significant predictor of treatment outcome, there are important implications for dissemination. Taken together, this review shows that while MBCT is an effective treatment for depression, continued research in the areas of efficacy, mechanisms of action, and dissemination are recommended.
基于正念的认知疗法（MBCT）旨在预防抑郁症患者复发。这种广泛应用的干预措施已受到广泛关注，因此有必要对当前趋势进行全面综述。因此，本综述概述了其疗效、作用机制，并在结尾讨论了传播问题。尽管所审查文献存在一些方法学缺陷，但结果为MBCT的疗效提供了有力支持。关于作用机制，诸如正念、反复消极思维、自我同情与情感以及认知反应性等特定因素已成为重要的改变机制。最后，尽管城市以外地区缺乏广泛可得的MBCT，但研究表明自助式变体很有前景。结合教师能力可能不是治疗结果的重要预测因素这一发现，这对传播具有重要意义。综上所述，本综述表明，虽然MBCT是一种有效的抑郁症治疗方法，但建议在疗效、作用机制和传播领域继续开展研究。
