Mindfulness-Based Cognitive Therapy for Treatment-Resistant Depression

Deen, Serina; Sipe, Walter E.B.; Eisendrath, Stuart J.

doi:10.1007/978-3-319-29866-5_12

Cited by 4 publications

(2 citation statements)

References 62 publications

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“…De hecho, está integrada dentro de las guías NICE (Instituto Nacional de la Salud y la Excelencia Clínica del Reino unido) y en las guías de Australia y nueva Zelanda como tratamiento de elección. Las IBM muestran además mejores resultados en pacientes con mayores síntomas residuales, pacientes más graves (Kuyken et al, 2016) o depresiones resistentes al tratamiento (Deen, Sipe y Eisendrath, 2016). Esto ha hecho que haya terapeutas que hayan utilizado las IBM también en el tratamiento de la sintomatología depresiva y ansiosa.…”

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Intervenciones psicológicas basadas en mindfulness y sus beneficios: estado actual de la cuestión

2016

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Las intervenciones basadas en mindfulness (IBM) se fundamentan en antiguas prácticas del budismo, actualizadas y adaptadas al contexto occidental. En la presente revisión se describirán las técnicas más usadas, para a continuación analizar los mecanismos de acción que el mindfulness (i.e., atención plena) parece activar como intervención psicológica. En la segunda parte se revisarán los estudios de tipo aplicado. Se comenzará analizando los ensayos clínicos y metaanálisis relativos a las intervenciones sobre problemas mentales. En un segundo momento se analizarán los estudios de eficacia y metaanálisis relativos a los problemas de salud física. En la parte final se tratan algunos temas importantes, como los posibles efectos adversos o los perfiles más adecuados a este tipo de intervención, y se revisan los temas que requieren de más investigación, como la eficacia comparada con otras técnicas de intervención ya validadas. La conclusión global en función de la investigación revisada es que las IBM son técnicas de gran versatilidad, ideales para contextos de atención primaria o similares y que logran sus mayores tasas de eficacia en pacientes con sintomatología de estrés, ansiedad o depresión.

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Section: Trastornos Del Estado De áNimounclassified

Intervenciones psicológicas basadas en mindfulness y sus beneficios: estado actual de la cuestión

2016

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“…Cognitive therapy has also demonstrated its efficacy as a first‐line treatment of OCD (Grant, 2014; Hirschtritt et al, 2017; Olatunji et al, 2013; Öst et al, 2015), although the evidence is not as extensive. Cognitive therapy looks at the irrational and dysfunctional beliefs relating to the meaning and significance of the intrusive thoughts, such as perfectionism, overestimation of threat, desire for certainty, an inflated sense of personal responsibility and thought–action fusion (Didonna, 2020; Knopp et al, 2013). Recent research found that primary health care professionals who correctly identified OCD were significantly more likely to recommend a first‐line evidence‐based intervention than those who did not (Glazier et al, 2015).…”

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Recognition rates, treatment recommendations and stigma attributions for clients presenting with taboo intrusive thoughts: A vignette‐based survey of psychotherapists

Canavan

2022

Couns and Psychother Res

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IntroductionObsessive compulsive disorder (OCD) is a prevalent mental health disorder which is characterised by high levels of morbidity. Most individuals with OCD do not receive adequate psychotherapeutic intervention. Research suggests that taboo intrusive thoughts are less likely to be recognised as OCD in comparison to more recognisable forms. Stigma attributions are higher for individuals with taboo intrusive thoughts. The aim of this study is to examine psychotherapists' capacity to recognise different forms of OCD, their recommendations for psychotherapeutic intervention, and stigma attributions towards clients with OCD symptoms.MethodologyFive hundred fourteen psychotherapists in Ireland were randomly assigned a vignette describing a client with different OCD presentations—paedophilia, aggressive, religious, homosexuality, contamination and symmetry. Participants gave their interpretations of the presenting symptoms, their therapy recommendations and rated their confidence in their responses. Perceived dangerousness and willingness to work with the client were also investigated.ResultsThe taboo intrusive thoughts vignettes were significantly less likely to be recognised as OCD than the contamination and symmetry vignettes. Participants attributed greater levels of stigma to clients with aggressive and paedophilia intrusive thoughts. Recommendations for evidence‐based therapies were low. Participants who recognised OCD were significantly more likely to recommend an evidence‐based therapy. Confidence was a poor predictor of OCD identification and evidence‐based therapy recommendation.ConclusionsThe results suggest a lack of awareness of certain types of OCD presentation amongst psychotherapists, the meaning of the symptoms and of evidence‐based psychotherapeutic interventions for OCD. The implications of this, and possible applications of these results, are discussed.

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Epigenetic Consequences of Adversity and Intervention Throughout the Lifespan: Implications for Public Policy and Healthcare

et al. 2020

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Behavioral epigenetics posits that both nature and nurture must be considered when determining the etiology of behavior or disease. The epigenome displays a remarkable ability to respond to environmental input in early sensitive periods but also throughout the lifespan. These responses are dependent on environmental context and lead to behavioral outcomes. While early adversity has been shown to perpetuate issues of mental health, there are numerous intervention strategies shown efficacious to ameliorate these effects. This includes diet, exercise, childhood intervention programs, pharmacological therapeutics, and talk therapies. Understanding the underlying mechanisms of the ability of the epigenome to adapt in different contexts is essential to advance our understanding of mechanisms of adversity and pathways to resilience. The present review draws on evidence from both humans and animal models to explore the responsivity of the epigenome to adversity and its malleability to intervention. Behavioral epigenetics research is also discussed in the context of public health practice and policy, as it provides a meaningful source of evidence concerning child development and disease intervention and prevention.

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Mindfulness-Based Cognitive Therapy for Treatment-Resistant Depression

Cited by 4 publications

References 62 publications

Intervenciones psicológicas basadas en mindfulness y sus beneficios: estado actual de la cuestión

Intervenciones psicológicas basadas en mindfulness y sus beneficios: estado actual de la cuestión

Recognition rates, treatment recommendations and stigma attributions for clients presenting with taboo intrusive thoughts: A vignette‐based survey of psychotherapists

Epigenetic Consequences of Adversity and Intervention Throughout the Lifespan: Implications for Public Policy and Healthcare

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