Cognitive Behavioral Therapy and Mindfulness-Based Cognitive Therapy for Depressive Disorders: Enhancing Access and Tailoring Interventions in Diverse Settings.
Marie Drüge, Lisa Guthardt, Elisa Haller, Johannes Michalak, Jennifer Apolinário-hagen
Advances in experimental medicine and biology January 1, 2024 DOI: 10.1007/978-981-97-4402-2_11 via PubMed
Summary
AI-generated from the abstractDepressive disorders impose a heavy societal burden due to their high prevalence and impact on relationships, emotions, and motivation. Cognitive behavioral therapy (CBT) is the gold standard treatment for major depression, while mindfulness-based cognitive therapy (MBCT) effectively prevents relapse and can be integrated into individual therapy. Various delivery modes, including therapist-guided digital CBT, blended therapy, and digitalized MBIs, offer efficacious supplements to face-to-face therapy, improving accessibility. This chapter reviews the principles and evidence for CBT and MBCT and different delivery modes for depressive disorders in adults, discussing integration opportunities and challenges, along with practice implications and future research recommendations.
Study at a glance
| Characteristics | Review Peer reviewed |
|---|---|
| Population | Adults with depressive disorders |
| Keywords | Blended care Cognitive behavioral therapy Depressive disorders Digital mental health Digital therapeutics |
| Citations | 8 |
| Key finding | CBT is the gold standard for major depression, and MBCT is effective for relapse prevention; therapist-guided digital CBT, blended therapy, and digitalized MBIs can be efficacious supplements to face-to-face therapy. |
Abstract
Depressive disorders are an enormous societal burden given their high prevalence and impact on all facets of being human (e.g., relationships, emotions, motivation). There is a variety of evidence-based psychological treatments, with cognitive behavioral therapy (CBT) being the gold standard for major depression. Research has shown that mindfulness-based interventions (MBIs) such as mindfulness-based cognitive therapy (MBCT) are an effective relapse prevention and treatment for depression and that MBIs can be integrated in individual therapy. Furthermore, various delivery modes (e.g., digital-delivered therapy) and settings are offered to best meet different needs and improve accessibility: Evidence suggests that therapist-guided digital CBT, blended therapy, and, to some degree, digitalized MBIs may be an efficacious supplement to traditional face-to-face therapy. This chapter provides an overview of the principles and evidence base for CBT and MBCT as well as different delivery modes for depressive disorders in adults. Finally, chances and challenges of integration are discussed as implications for practice, as well as recommendations and ideas for future research.