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Zindel Segal

2 papers in the library · 7 citations · publishing 2019-2023

Papers

Preventing Depression Relapse: A Qualitative Study on the Need for Additional Structured Support Following Mindfulness-Based Cognitive Therapy.

Global advances in integrative medicine and health January 1, 2023 Chelsea J Siwik, Shelley R Adler, Patricia J Moran et al. 7 citations

Mindfulness-based cognitive therapy (MBCT) reduces depression relapse, but about one-third of graduates relapse within a year. Focus groups with MBCT graduates and teachers revealed that the course is highly valued and sometimes life-changing. However, graduates struggle to maintain mindfulness practices and sustain benefits after the course ends, despite using community groups, apps, or retaking the course. One participant described finishing MBCT as feeling like "falling off a cliff." Both graduates and teachers strongly desired additional support, such as a maintenance program, to help sustain long-term benefits and reduce relapse risk.

Therapeutic Mindfulness and Depression

Depression October 1, 2019 Evan Collins, Zindel Segal

Mindfulness-based cognitive therapy (MBCT) effectively prevents depressive relapse in people with recurrent unipolar depression, supported by systematic reviews, meta-analyses, and inclusion in treatment guidelines. Other mindfulness-based interventions, such as mindfulness-based stress reduction (MBSR), dialectical behavioral therapy, and acceptance and commitment therapy, are also used to treat depression in groups and individuals. This chapter examines these applications, the evidence base, and the mechanisms of action.