Korean J Biol Psychiatry.  2017 Nov;24(4):212-218. 10.0000/kjbp.2017.24.4.212.

The Relationship between Depressive Symptoms and the Five Facets of Mindfulness in Patients with Mood Disorders through Mindfulness-Based Cognitive Therapy

Affiliations
  • 1Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Korea. aym@snu.ac.kr
  • 2Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Korea.

Abstract


OBJECTIVES
We aimed to examine whether mindfulness skills are mediating the improvements of depressive symptoms in patients with mood disorders who practiced Mindfulness-Based Cognitive Therapy (MBCT).
METHODS
A total of 19 patients with mood disorder were included in this study. The participants were divided into two subgroups: a normal to mild depression group and a moderate depression group. The participants completed questionnaires to assess depressive symptoms, anxiety, quality of life, suicidal idea, and mindfulness skills which were measured by the Five Facets of Mindfulness Questionnaire (FFMQ) before and after MBCT course.
RESULTS
The moderate depression group showed improvements through MBCT in depressive symptoms and suicidal idea, but not in anxiety and quality of life. The normal to mild depression group showed no significant change through MBCT. The improvement of depressive symptoms in the moderate depression group was predictable by improvements of the five facets of mindfulness, especially by "˜observe' and "˜non-react' components.
CONCLUSIONS
This study showed that currently depressive patients with moderate severity but not with normal to mild severity benefit from MBCT in reducing depressive symptoms and suicidal idea. The improvement of depressive symptoms was mediated by improved mindfulness skills through MBCT.

Keyword

Mindfulness-based cognitive therapy; Mindfulness; Five facets of mindfulness; Mood disorder

MeSH Terms

Anxiety
Cognitive Therapy*
Depression*
Humans
Mindfulness*
Mood Disorders*
Negotiating
Quality of Life
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