Group CT May Reduce Relapse and Recurrence

For example, Teasdale et al. (2000) randomized patients with recurrent MDD who were in recovery/remission (i.e., who did not meet MDE criteria) for 12 or more weeks after discontinuing antidepressant medication, to treatment as usual (TAU; i.e., patients sought help on their own, as needed) or to TAU plus mindfulness-based cognitive therapy (MBCT). CT included eight weekly group sessions followed by four monthly group sessions lasting 2 hours. Over 60 weeks, for 105 patients with a history of more than three depressive episodes, CT reduced relapse (40%; defined as meeting MDE criteria) compared to TAU (67%) alone. For a smaller subset of 32 patients with two depressive episodes, relapse/recurrence rates did not differ significantly (56% CT, 31% TAU). Very similar results were found in a replication study (Ma & Teasdale, 2004). Over 60 weeks, MBCT reduced relapse

(defined as meeting MDE criteria) compared to TAU for patients with more than three episodes (36 vs. 78%; N = 55), but the effect was not significant for patients with two depressive episodes (50 vs. 20%; N = 18). However, the null results for the latter may be due to low power and replication in a larger sample is needed.

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Natural Depression Cures

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