Meditation or medication? Preventing relapse in recurrent depression
[S.l. : s.n.]
Radboud University, 13 januari 2017
Promotores : Speckens, A.E.M., Spinhoven, P. Co-promotor : Spijker, J.
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SubjectRadboud Institute for Health Sciences; Radboudumc 13: Stress-related disorders; Radboudumc 13: Stress-related disorders RIHS: Radboud Institute for Health Sciences
In this study, 249 patients with recurrent depression participated in mindfulness-based cognitive therapy (MBCT), a group training that improves skills to cope with difficult thoughts and emotions. Afterwards, half of the group was asked to stop taking their antidepressants, whereas the other half continued them. Stopping antidepressants seemed to be more difficult than expected, as almost half of the patients in the ‚stopping-group‘ could not discontinue. In addition, especially those who stopped had a larger risk of depressive relapse than the patients who kept taking their medication. In a second study, 68 recurrently depressed patients were randomly given MBCT plus antidepressants or antidepressants alone. Surprisingly, patients who participated in MBCT did not have a lower risk of depressive relapse. These unexpected findings have, however, stimulated the scientific debate and generated new research questions about mindfulness training. Consequently, our findings may contribute to a more balanced perspective of MBCT.
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