MBCT (Mindfulness-Based Cognitive Therapy): Origin, Scope, and Effectiveness

Abstract

Mindfulness-Based cognitive therapy (MBCT) is the result of the integration of Mindfulness and the cognitive-behavioral therapy for depression. Initially conceived as an intervention to prevent relapses in patients with recurrent depression, its scope has evolved to be taught to a much wider range of people and environments. The first objective of this article is to provide an understanding of the context in which the program develops –the cognitive model of depression– and its theoretical premises. The second objective is to review the research on its efficacy and the action mechanisms of change. Finally, different areas where the program has proved to be effective are reviewed, beyond mood disorders. Research consistently shows how the MBCT intervention improves well-being in clinical population and a growing number of studies reveal the same positive effects in healthy adults. In line with theoretical predictions, increases in Mindfulness skills, awareness and self-compassion and decreases in worry and ruminations are the mechanisms that mediate the change after an intervention with MBCT.