Effectiveness of mindfulness-based stress reduction and attachment-based compassion therapy for the treatment of depressive, anxious, and adjustment disorders in mental health settings: A randomized controlled trial.
Por:
Collado-Navarro C, Navarro-Gil M, Pérez A, López-Del-Hoyo Y, Garcia-Campayo J and Montero-Marin J
Publicada:
1 nov 2021
Ahead of Print:
20 jul 2021
Categoría:
Clinical psychology
Resumen:
OBJECTIVES: To study the effectiveness of attachment-based compassion therapy (ABCT) for reducing affective distress in a sample of outpatients with depressive, anxiety, or adjustment disorders, and to explore its mechanisms of action. METHODS: This randomized controlled trial involved the assessment time points of pretreatment, posttreatment and 6-month follow-up. A total of 90 patients from three mental health units in Castellón, Spain, were recruited and randomly assigned to "ABCT + treatment as usual (TAU)," "Mindfulness-based stress reduction (MBSR) + TAU" or "TAU" alone. Affective distress, as measured by the "Depression, Anxiety and Stress Scales" (DASS-21) was the main outcome; self-compassion and mindfulness were also assessed. Multilevel mixed-effects models were used to estimate the effectiveness of the program, and path analyses were conducted to study the potential mechanistic role of mindfulness and self-compassion. RESULTS: ABCT was not superior to MBSR in any outcome or at any assessment point. ABCT was superior to TAU alone both posttreatment (B = -13.20; 95% confidence interval [CI]: -19.57, -6.84) and at 6-month follow-up (B = -7.20; 95% CI: -13.63, -0.76) for reducing DASS-21, and MBSR was superior to TAU alone both posttreatment (B = -11.51; 95% CI: -17.97, -5.05) and at 6-month follow-up (B = -8.59; 95% CI: -15.09, -2.10), with large effects (d = 0.90). Changes produced by ABCT in DASS-21 were mediated by self-compassion, whereas changes produced by MBSR were mediated by both mindfulness and self-compassion. CONCLUSION: ABCT is effective for reducing affective distress in patients with anxiety, depressive and adjustment disorders, although its effect is not superior to that offered by MBSR. Self-compassion seems to be a significant mediator of the effects of ABCT.
Filiaciones:
Collado-Navarro C:
Department of Psychology, University and Polytechnic La Fe Hospital, Valencia, Spain
Department of Psychology and Sociology, Department of Psychiatry, University of Zaragoza, Zaragoza, Spain
Navarro-Gil M:
Primary Care Prevention and Health Promotion Research Network (RedIAPP), Zaragoza, Spain
Pérez A:
Research Group on Mental Health in Primary Care, Institute of Health Research of Aragon (IIS Aragón), Miguel Servet University Hospital, Zaragoza, Spain
Research, Innovation and Teaching Unit, AGORA Research Group, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
López-Del-Hoyo Y:
Department of Psychology and Sociology, Department of Psychiatry, University of Zaragoza, Zaragoza, Spain
Primary Care Prevention and Health Promotion Research Network (RedIAPP), Zaragoza, Spain
Research Group on Mental Health in Primary Care, Institute of Health Research of Aragon (IIS Aragón), Miguel Servet University Hospital, Zaragoza, Spain
Garcia-Campayo J:
Department of Psychology and Sociology, Department of Psychiatry, University of Zaragoza, Zaragoza, Spain
Primary Care Prevention and Health Promotion Research Network (RedIAPP), Zaragoza, Spain
Research Group on Mental Health in Primary Care, Institute of Health Research of Aragon (IIS Aragón), Miguel Servet University Hospital, Zaragoza, Spain
Montero-Marin J:
Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, UK
Green Submitted, gold, Green Accepted
|