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Improvement of mindfulness skills during Mindfulness-Based Cognitive Therapy predicts long-term reductions of neuroticism in persons with recurrent depression in remission

Spinhoven, P., Huijbers, M. J., Ormel, J. & Speckens, A. E. M., 15-Apr-2017, In : Journal of Affective Disorders. 213, p. 112-117 6 p.

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  • Improvement of mindfulness skills during Mindfulness-Based Cognitive Therapy

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DOI

  • Philip Spinhoven
  • Marloes J. Huijbers
  • Johan Ormel
  • Anne E. M. Speckens

Background: This study examined whether changes in mindfulness skills following Mindfulness-based Cognitive Therapy (MBCT) are predictive of long-term changes in personality traits.

Methods: Using data from the MOMENT study, we included 278 participants with recurrent depression in remission allocated to Mindfulness-Based Cognitive Therapy (MBCT). Mindfulness skills were measured with the FFMQ at baseline, after treatment and at 15-month follow-up and personality traits with the NEO-PI-R at baseline and follow-up.

Results: For 138 participants, complete repeated assessments of mindfulness and personality traits were available. Following MBCT participants manifested significant improvement of mindfulness skills. Moreover, at 15-month follow-up participants showed significantly lower levels of neuroticism and higher levels of conscientiousness. Large improvements in mindfulness skills after treatment predicted the long-term changes in neuroticism but not in conscientiousness, while controlling for use of maintenance antidepressant medication, baseline depression severity and change in depression severity during follow-up (IDS-C). In particular improvements in the facets of acting with awareness predicted lower levels of neuroticism. Sensitivity analyses with multiple data imputation yielded similar results.

Limitations: Uncontrolled clinical study with substantial attrition based on data of two randomized controlled trials.

Conclusions: The design of the present study precludes to establish whether there is any causal association between changes in mindfulness and subsequent changes in neuroticism. MBCT could be a viable intervention to directly target one of the most important risk factors for onset and maintenance of recurrent depression and other mental disorders, i.e. neuroticism.

Original languageEnglish
Pages (from-to)112-117
Number of pages6
JournalJournal of Affective Disorders
Volume213
Publication statusPublished - 15-Apr-2017

    Keywords

  • Mindfulness, Big five personality traits, Recurrent depression, Mindfulness-Based Cognitive Therapy, Remission, IMPROVING MENTAL-HEALTH, ANTIDEPRESSANT MEDICATION, DISPOSITIONAL MINDFULNESS, PSYCHOMETRIC PROPERTIES, MULTIPLE IMPUTATION, EMOTION REGULATION, MOOD DISORDERS, METAANALYSIS, ANXIETY, TRIAL

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