Positive Shifts in Emotion Evaluation Following Mindfulness-Based Cognitive Therapy (MBCT) in Remitted Depressed Partici
- PDF / 753,163 Bytes
- 13 Pages / 595.276 x 790.866 pts Page_size
- 10 Downloads / 226 Views
ORIGINAL PAPER
Positive Shifts in Emotion Evaluation Following Mindfulness-Based Cognitive Therapy (MBCT) in Remitted Depressed Participants Kate Williams 1,2
&
Rebecca Elliott 1 & Thorsten Barnhofer 3 & Roland Zahn 4 & Ian M. Anderson 1
Accepted: 10 October 2020 # The Author(s) 2020
Abstract Objectives A combination of negatively biased information processing and a reduced ability to experience positive emotions can persist into remission from major depression (rMDD). Studies have shown that mindfulness-based cognitive therapy (MBCT) can increase self-reported positive emotions in rMDD participants; similar changes using neuropsychological tasks have not been shown. In this study, we investigated neuropsychological change in emotional processing following MBCT in rMDD participants. Methods Seventy-three rMDD participants, 40 of whom received MBCT and 33 of whom continued with treatment as usual (TAU), and 42 never depressed participants took part; neither the TAU nor never depressed participants received MBCT. All were assessed at baseline and immediately following MBCT or after an 8-week gap for those without active intervention. Participants completed emotion evaluation and face emotion recognition tasks with self-report measures (mood, mindfulness) at each session. Results Results showed an MBCT-specific shift in ratings from less negative to more positive emotion evaluations, which correlated with mindfulness practice and self-report mindfulness change. Both the MBCT and TAU groups showed a small increase in overall face emotion recognition accuracy compared with no change in never depressed participants. Conclusions These findings support a specific role for MBCT in encouraging more positive evaluations of life situations in those with previous depression rather than influencing lower-level processing of emotions. Results should be interpreted cautiously given that this was a non-randomised, preference choice trial. Trial Registration NCT02226042 Keywords Mindfulness-based cognitive therapy . MBCT . Mindfulness . Remitted major depression . Emotion processing . Positive emotions
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s12671-020-01521-4) contains supplementary material, which is available to authorized users. * Kate Williams [email protected] 1
Neuroscience and Psychiatry Unit, University of Manchester, Manchester M13 9PT, UK
2
Present address: Division of Clinical Psychology, University of Manchester, 2nd Floor Zochonis Building, Brunswick Street, Manchester M13 9PL, UK
3
Department of Psychology, University of Surrey, Guildford GU2 7XH, UK
4
Centre for Affective Disorders, King’s College London, London SE5 8AF, UK
The cognitive model underlying depression outlines how the experience of early adverse events can lead to the internalisation of negative self-referential thoughts, leading to the development of “latent schemas” (Beck 2008). Such schemas may then be reactivated by either internal or external events whereby repeated
Data Loading...
