Abstract

Mindfulness Based Cognitive Therapy (MBCT) continues to gain evidential support as an intervention to impact on relapse and recurrence of depression. Researchers and MBCT Clinicians seek higher levels of treatment fidelity to maximise positive outcomes, through the use of treatment manuals, assessment scales and other supporting tools. Semi-structured group interviews with MBCT trained clinicians and subsequent thematic analysis, identified core elements of a new MBCT Self-Assessment scale and benefits, challenges, and enablers to implementation of MBCT training. The study findings support inclusion of an MBCT-Self Assessment Scale in MBCT Program implementation and suggest a range of other practical strategies for improved treatment fidelity.

Highlights

  • The World Health Organisation 2012 report estimates that by 2030 levels of depression will have risen to be the leading cause of disease burden globally [1]

  • Mindfulness Based Cognitive Therapy (MBCT) has proven to be an effective psychosocial intervention for assisting clients who suffer from recurrent depression leading to a fifty percent decrease in relapse for patients who experience three or more depressive episodes, when compared to treatment as usual [2,3,4,5,6]

  • Participants agreed that a self-assessment tool could assist in improving fidelity of the delivery of the MBCT Program

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Summary

Introduction

The World Health Organisation 2012 report estimates that by 2030 levels of depression will have risen to be the leading cause of disease burden globally [1]. Mindfulness Based Cognitive Therapy (MBCT) has proven to be an effective psychosocial intervention for assisting clients who suffer from recurrent depression leading to a fifty percent decrease in relapse for patients who experience three or more depressive episodes, when compared to treatment as usual [2,3,4,5,6]. MBCT is a group-based program delivered over an eight-week period. The adoption of a group based structure for treating depression is considered a cost effective treatment within the primary health care setting when compared to individual therapies [911]. A known benefit of the practice of MBCT is its potential to decrease emotional reactivity generated by negative affect-producing stressors [13]. Patients learn to avoid identification with negative thought patterns and to interrupt the feedback loop from stressor to thought pattern to depressed affect

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