Unformatted text preview: n and anxiety are amongst the commonest reasons for consultation in UK general practice [5,6]. The
problem of relapse in depression is a significant one and
for many individuals depression is a chronic relapsing
condition. In a recent review on the natural history of
depression Judd concludes that "unipolar depression is a
chronic and life long illness, the risk of repeated episodes
exceeds 80% and patients will experience an average of 4
lifetime major depressive episodes of 20 weeks duration"
. While a high percentage of first episodes of depression
are triggered by a major life event, further episodes are less
likely to have such a clear precipitant . A ruminative
thinking style in response to low mood appears to be a key
feature in relapsing depression [9,10]. Nolen-Hoeksema
defines rumination as 'behaviours and thoughts that focus
one's attention on one's depressive symptoms and on the
implications of those symptoms' . Ruminative thinking
often involves extended pondering over personal shortcomings and problematic situations and perpetuates
rather than alleviates the depressed state .
MBCT teaches participants to recognise and let go of ruminative thinking about negative affect and instead participants are encouraged to simply remain open to what is
there – to experience it fully, without aversion or attachment. Hence mindfulness training involves an attitudinal
shift toward difficult experience. The heart of MBCT lies in
acquainting patients with the modes of mind that often
characterize mood disorders while simultaneously inviting them to develop a new relationship to these modes.
Patients learn to view thoughts as events in the mind,
independent of their content and emotional charge.
While the two major studies cited above [2,3] have
focused on patients who have recovered from depression,
it is not known whether MBCT may have a wider role to
play in treating chronic mood disorders during their
active phase, which is when patients tend to seek help
from primary ca...
View Full Document
This note was uploaded on 03/12/2013 for the course ECON 101 taught by Professor H during the Spring '11 term at ENGECON University.
- Spring '11