Depression is one of the most prevalent mental health conditions worldwide. In China, it affects approximately 6.8% of adults, making it a major public health concern. While pharmacological treatments are available, many patients lack access or prefer non-drug alternatives. Mindfulness-Based Cognitive Therapy (MBCT) emerges as an effective solution, especially in its online format.
What is MBCT?
Mindfulness-Based Cognitive Therapy (MBCT) integrates mindfulness meditation practices with cognitive therapy techniques. It helps participants:
- Observe their thoughts and emotions without reacting impulsively.
- Accept challenging experiences instead of avoiding or resisting them.
- Reduce identification with negative thoughts through "decentering."
Unlike traditional Cognitive Behavioral Therapy (CBT), MBCT emphasizes acceptance over change.
MBCT in the Online Setting
Online MBCT overcomes barriers of geography, cost, and accessibility, allowing patients to receive treatment from home. However, challenges include reduced face-to-face interaction and building group cohesion. This study investigates the effectiveness of group-based online MBCT for Chinese patients with depression.
Study Methodology
- Population: 88 patients diagnosed with depression, aged 18–65 years.
- Duration: 10 weeks of group-based MBCT delivered via a video conferencing platform.
- Evaluation Tools:
- HAMD-24: Depression severity.
- HAMA: Anxiety symptoms.
- SDS: Self-reported depression symptoms.
- MAAS: Mindfulness level.
- SAQ: Self-acceptance.
Study Results
High Adherence and Participation
Over 85.2% of participants attended more than 4 sessions, with a low dropout rate of 12.5%.
Significant Reduction in Symptoms
Both depression (HAMD-24) and anxiety (HAMA) scores improved significantly, regardless of medication use. More than 30% of patients experienced a 50% reduction in depression severity.
Areas for Improvement
Self-reported symptoms (SDS), mindfulness (MAAS), and self-acceptance (SAQ) showed minimal changes. These areas may require longer or more intensive interventions.
Conclusions
This study highlights the feasibility and effectiveness of online group MBCT for treating depression. By eliminating geographical and logistical barriers, online MBCT offers a viable, accessible, and promising alternative for mental health treatment.
Future Directions
Future research should focus on:
- Comparing online MBCT with face-to-face MBCT.
- Exploring participants' subjective experiences and challenges.
- Conducting long-term follow-ups to assess sustained benefits.