Staying well during pregnancy and the postpartum: A pilot randomized trial of mindfulness-based cognitive therapy for the prevention of depressive relapse/recurrence

Journal of Consulting and Clinical Psychology

Volumn 84, Issue 2, 2016, Pages 134-145

  Dimidjian, Sona ^a   Goodman, Sherryl H ^b   Felder, Jennifer N ^a,e   Gallop, Robert ^c   Brown, Amanda P ^b   Beck, Arne ^d  

^a UNIVERSITY OF COLORADO   (United States)

^b EMORY UNIVERSITY   (United States)

^c WEST CHESTER UNIVERSITY   (United States)

^d KAISER PERMANENTE   (United States)

^e UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

cognitive behavioral therapy; depression; mindfulness; pregnancy; prevention

Indexed keywords

ADULT; ARTICLE; COGNITIVE THERAPY; CONTROLLED STUDY; DEPRESSION; DISEASE SEVERITY; FEMALE; HUMAN; INTERVIEW; MAJOR CLINICAL STUDY; MINDFULNESS BASED COGNITIVE THERAPY; MULTICENTER STUDY; OUTCOME ASSESSMENT; PATIENT SATISFACTION; PILOT STUDY; PREDICTION; PREGNANCY; PREGNANT WOMAN; RANDOMIZED CONTROLLED TRIAL; RECURRENT DISEASE; RELAPSE; RISK; SELF REPORT; DEPRESSION, POSTPARTUM; MINDFULNESS; PROCEDURES; TREATMENT OUTCOME;

ADULT; COGNITIVE THERAPY; DEPRESSION; DEPRESSION, POSTPARTUM; FEMALE; HUMANS; MINDFULNESS; PILOT PROJECTS; PREGNANCY; RECURRENCE; TREATMENT OUTCOME;

EID: 84955174266     PISSN: 0022006X     EISSN: 19392117     Source Type: Journal    
DOI: 10.1037/ccp0000068     Document Type: Article

References (62)

1. APA. (2000). Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR. Washington, DC: American Psychiatric Association.
2. Attkisson, C. C., & Zwick, R. (1982). The client satisfaction questionnaire. Psychometric properties and correlations with service utilization and psychotherapy outcome. Evaluation and Program Planning, 5, 233-237. http://dx.doi.org/10.1016/0149-7189(82)90074-X
3. Barnum, S. E., Woody, M. L., & Gibb, B. E. (2013). Predicting changes in depressive symptoms from pregnancy to postpartum: The role of brooding rumination and negative inferential styles. Cognitive Therapy and Research, 37, 71-77. http://dx.doi.org/10.1007/s10608-012-9456-5
4. Beck, C. T. (2001). Predictors of postpartum depression: An update. Nursing Research, 50, 275-285. http://dx.doi.org/10.1097/00006199-200109000-00004
5. Bieling, P. J., Hawley, L. L., Bloch, R. T., Corcoran, K. M., Levitan, R. D., Young, L. T., . . . Segal, Z. V. (2012). Treatment-specific changes in decentering following mindfulness-based cognitive therapy versus antidepressant medication or placebo for prevention of depressive relapse. Journal of Consulting and Clinical Psychology, 80, 365-372. http://dx.doi.org/10.1037/a0027483
6. Box, G. E. P., & Cox, D. R. (1964). An analysis of transformations. Journal of the Royal Statistical Society Series B: Methodological, 26, 211-243.
7. Chiesa, A., Mandelli, L., & Serretti, A. (2012). Mindfulness-based cognitive therapy versus psycho-education for patients with major depression who did not achieve remission following antidepressant treatment: A preliminary analysis. The Journal of Alternative and Complementary Medicine, 18, 756-760. http://dx.doi.org/10.1089/acm.2011.0407
8. Chiesa, A., & Serretti, A. (2011). Mindfulness based cognitive therapy for psychiatric disorders: A systematic review and meta-analysis. Psychiatry Research, 187, 441-453. http://dx.doi.org/10.1016/j.psychres.2010.08.011
9. Cohen, L. S., Altshuler, L. L., Harlow, B. L., Nonacs, R., Newport, D. J., Viguera, A. C., . . . Stowe, Z. N. (2006). Relapse of major depression during pregnancy in women who maintain or discontinue antidepressant treatment. Journal of the American Medical Association, 295, 499-507. http://dx.doi.org/10.1001/jama.295.5.499
10. Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150, 782-786. http://dx.doi.org/10.1192/bjp.150.6.782
11. Dietz, P. M., Williams, S. B., Callaghan, W. M., Bachman, D. J., Whitlock, E. P., & Hornbrook, M. C. (2007). Clinically identified maternal depression before, during, and after pregnancies ending in live births. The American Journal of Psychiatry, 164, 1515-1520. http://dx.doi.org/10.1176/appi.ajp.2007.06111893
12. Di Florio, A., Forty, L., Gordon-Smith, K., Heron, J., Jones, L., Craddock, N., & Jones, I. (2013). Perinatal episodes across the mood disorder spectrum. Journal of the American Medical Association Psychiatry, 70, 168-175. http://dx.doi.org/10.1001/jamapsychiatry.2013.279
13. Dimidjian, S., Beck, A., Felder, J. N., Boggs, J. M., Gallop, R., & Segal, Z. V. (2014). Web-based Mindfulness-based Cognitive Therapy for reducing residual depressive symptoms: An open trial and quasiexperimental comparison to propensity score matched controls. Behaviour Research and Therapy, 63, 83-89. http://dx.doi.org/10.1016/j.brat.2014.09.004
14. Dimidjian, S., & Goodman, S. H. (2014). Preferences and attitudes toward approaches to depression relapse/recurrence prevention among pregnant women. Behaviour Research and Therapy, 54, 7-11. http://dx.doi.org/10.1016/j.brat.2013.11.008
15. Dimidjian, S., Goodman, S. H., Felder, J. N., Gallop, R., Brown, A. P., & Beck, A. (2015). An open trial of mindfulness-based cognitive therapy for the prevention of perinatal depressive relapse/recurrence. Archives of Women's Mental Health, 18, 85-94. http://dx.doi.org/10.1007/s00737-014-0468-x
16. Duncan, L. G., & Bardacke, N. (2010). Mindfulness-based childbirth and parenting education: Promoting family mindfulness during the perinatal period. Journal of Child and Family Studies, 19, 190-202. http://dx.doi.org/10.1007/s10826-009-9313-7
17. Dunn, C., Hanieh, E., Roberts, R., & Powrie, R. (2012). Mindful pregnancy and childbirth: Effects of a mindfulness-based intervention on women's psychological distress and well-being in the perinatal period. Archives of Women's Mental Health, 15, 139-143. http://dx.doi.org/10.1007/s00737-012-0264-4
18. Fine, J. P., & Gray, R. J. (1999). A proportional hazards model for the subdistribution of a competing risk. Journal of the American Statistical Association, 94, 496-509. http://dx.doi.org/10.1080/01621459.1999.10474144
19. First, M. B., Miriam, G., Spitzer, R. L., Williams, J. B. W., & Lorna, B. (1997). Structured clinical interview for DSM-IV axis II personality disorders. Washington, DC: American Psychiatric Press.
20. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV-TR axis I disorders, research version, patient edition. (SCID-I/P). New York, NY: Biometrics Research.
21. Gavin, N. I., Gaynes, B. N., Lohr, K. N., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal depression: A systematic review of prevalence and incidence. Obstetrics and Gynecology, 106(Pt. 1), 1071-1083. http://dx.doi.org/10.1097/01.AOG.0000183597.31630.db
22. Goodman, J. H., Guarino, A., Chenausky, K., Klein, L., Prager, J., Petersen, R., & Freeman, M. (2014). CALM Pregnancy: Results of a pilot study of mindfulness-based cognitive therapy for perinatal anxiety. Archives of Women's Mental Health, 17, 373-387.
23. Goodman, S. H., Dimidjian, S., & Williams, K. G. (2013). Pregnant African American women's attitudes toward perinatal depression prevention. Cultural Diversity and Ethnic Minority Psychology, 19, 50-57. http://dx.doi.org/10.1037/a0030565
24. Goodman, S. H., Rouse, M. H., Connell, A. M., Broth, M. R., Hall, C. M., & Heyward, D. (2011). Maternal depression and child psychopathology: A meta-analytic review. Clinical Child and Family Psychology Review, 14, 1-27. http://dx.doi.org/10.1007/s10567-010-0080-1
25. Goodman, S. H., & Tully, E. C. (2009). Recurrence of depression during pregnancy: Psychosocial and personal functioning correlates. Depression and Anxiety, 26, 557-567.
26. Gooley, T. A., Leisenring, W., Crowley, J., & Storer, B. E. (1999). Estimation of failure probabilities in the presence of competing risks: New representations of old estimators. Statistics in Medicine, 18, 695-706. http://dx.doi.org/10.1002/(SICI)1097-0258(19990330)18:6〈695::AID-SIM60〉3.0.CO;2-O
27. Keller, M. B., Lavori, P. W., Friedman, B., Nielsen, E., Endicott, J., McDonald-Scott, P., & Andreasen, N. C. (1987). The longitudinal interval follow-up evaluation. A comprehensive method for assessing outcome in prospective longitudinal studies. Archives of General Psychiatry, 44, 540-548. http://dx.doi.org/10.1001/archpsyc.1987.01800180050009
28. Kingston, T., Dooley, B., Bates, A., Lawlor, E., & Malone, K. (2007). Mindfulness-based cognitive therapy for residual depressive symptoms. Psychology and Psychotherapy: Theory, Research and Practice, 80(Pt. 2), 193-203. http://dx.doi.org/10.1348/147608306X116016
29. Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., . . . Dalgleish, T. (2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48, 1105-1112. http://dx.doi.org/10.1016/j.brat.2010.08.003
30. Le, H. N., Perry, D. F., & Stuart, E. A. (2011). Randomized controlled trial of a preventive intervention for perinatal depression in high-risk Latinas. Journal of Consulting and Clinical Psychology, 79, 135-141. http://dx.doi.org/10.1037/a0022492
31. Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 31-40. http://dx.doi.org/10.1037/0022-006X.72.1.31
32. Manicavasgar, V., Parker, G., & Perich, T. (2011). Mindfulness-based cognitive therapy vs cognitive behaviour therapy as a treatment for non-melancholic depression. Journal of Affective Disorders, 130, 138-144. http://dx.doi.org/10.1016/j.jad.2010.09.027
33. Michalak, J., Hölz, A., & Teismann, T. (2011). Rumination as a predictor of relapse in mindfulness-based cognitive therapy for depression. Psychology and Psychotherapy: Theory, Research and Practice, 84, 230-236. http://dx.doi.org/10.1348/147608310X520166
34. Murray, L., & Carothers, A. D. (1990). The validation of the Edinburgh Post-natal Depression Scale on a community sample. The British Journal of Psychiatry, 157, 288-290. http://dx.doi.org/10.1192/bjp.157.2.288
35. O'Hara, M. W., & Swain, A. M. (1996). Rates and risk of postpartum depression: A meta-analysis. International Review of Psychiatry, 8, 37-54. http://dx.doi.org/10.3109/09540269609037816
36. O'Mahen, H. A., Flynn, H. A., & Nolen-Hoeksema, S. (2010). Rumination and Interpersonal Functioning in Perinatal Depression. Journal of Social and Clinical Psychology, 29, 646-667. http://dx.doi.org/10.1521/jscp.2010.29.6.646
37. Patel, S. R., & Wisner, K. L. (2011). Decision making for depression treatment during pregnancy and the postpartum period. Depression and Anxiety, 28, 589-595. http://dx.doi.org/10.1002/da.20844
38. Pearson, R. M., Evans, J., Kounali, D., Lewis, G., Heron, J., Ramchandani, P. G., . . . Stein, A. (2013). Maternal depression during pregnancy and the postnatal period: Risks and possible mechanisms for offspring depression at age 18 years. [Advance online publication]. Journal of the American Medical Association Psychiatry, 70, 1312-1319. http://dx.doi.org/10.1001/jamapsychiatry.2013.2163
39. Piet, J., & Hougaard, E. (2011). The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: A systematic review and meta-analysis. Clinical Psychology Review, 31, 1032-1040. http://dx.doi.org/10.1016/j.cpr.2011.05.002
40. Roca, A., Imaz, M. L., Torres, A., Plaza, A., Subirà, S., Valdés, M., . . . Garcia-Esteve, L. (2013). Unplanned pregnancy and discontinuation of SSRIs in pregnant women with previously treated affective disorder. Journal of Affective Disorders, 150, 807-813. http://dx.doi.org/10.1016/j.jad.2013.02.040
41. Segal, Z. V., Kennedy, S., Gemar, M., Hood, K., Pedersen, R., & Buis, T. (2006). Cognitive reactivity to sad mood provocation and the prediction of depressive relapse. Archives of General Psychiatry, 63, 749-755. http://dx.doi.org/10.1001/archpsyc.63.7.749
42. Segal, Z. V., Teasdale, J. D., Williams, J. M. G., & Gemar, M. C. (2002). The mindfulness-based cognitive therapy adherence scale: Inter-rater reliability, adherence to protocol and treatment distinctiveness. Clinical Psychology & Psychotherapy, 9, 131-138. http://dx.doi.org/10.1002/cpp.320
43. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based Cognitive Therapy for Depression: A New Approach to Preventing Relapse. New York, NY: Guilford Press.
44. Shahar, B., Britton, W. B., Sbarra, D. A., Figueredo, A. J., & Bootzin, R. R. (2010). Mechanisms of change in mindfulness-based cognitive therapy for depression: Preliminary evidence from a randomized controlled trial. International Journal of Cognitive Therapy, 3, 402-418. http://dx.doi.org/10.1521/ijct.2010.3.4.402
45. Sockol, L. E., Epperson, C. N., & Barber, J. P. (2014). The relationship between maternal attitudes and symptoms of depression and anxiety among pregnant and postpartum first-time mothers. Archives of Women's Mental Health, 17, 199-212. http://dx.doi.org/10.1007/s00737-014-0424-9
46. Stein, A., Pearson, R. M., Goodman, S. H., Rapa, E., Rahman, A., McCallum, M., . . . Pariante, C. M. (2014). Effects of perinatal mental disorders on the fetus and child. The Lancet, 384, 1800-1819. http://dx.doi.org/10.1016/S0140-6736(14)61277-0
47. Szychowski, J. M., Roth, D. L., Clay, O. J., & Mittelman, M. S. (2010). Patient death as a censoring event or competing risk event in models of nursing home placement. Statistics in Medicine, 29, 371-381.
48. Tandon, S. D., Perry, D. F., Mendelson, T., Kemp, K., & Leis, J. A. (2011). Preventing perinatal depression in low-income home visiting clients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 79, 707-712. http://dx.doi.org/10.1037/a0024895
49. Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M., Williams, S., & Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Consulting and Clinical Psychology, 70, 275-287. http://dx.doi.org/10.1037/0022-006X.70.2.275
50. Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615-623. http://dx.doi.org/10.1037/0022-006X.68.4.615
51. Thompson, N. J., Walker, E. R., Obolensky, N., Winning, A., Barmon, C., Diiorio, C., & Compton, M. T. (2010). Distance delivery of mindfulness-based cognitive therapy for depression: Project UPLIFT. Epilepsy & Behavior, 19, 247-254. http://dx.doi.org/10.1016/j.yebeh.2010.07.031
52. van der Velden, A. M., Kuyken, W., Wattar, U., Crane, C., Pallesen, K. J., Dahlgaard, J., ...Piet, J. (2015). A systematic review of mechanisms of change in mindfulness-based cognitive therapy in the treatment of recurrent major depressive disorder. Clinical Psychology Review, 37, 26-39. http://dx.doi.org/10.1016/j.cpr.2015.02.001
53. Vieten, C., & Astin, J. (2008). Effects of a mindfulness-based intervention during pregnancy on prenatal stress and mood: Results of a pilot study. Archives of Women's Mental Health, 11, 67-74. http://dx.doi.org/10.1007/s00737-008-0214-3
54. Williams, J. M. G., Teasdale, J. D., Segal, Z. V., & Soulsby, J. (2000). Mindfulness-based cognitive therapy reduces overgeneral autobiographical memory in formerly depressed patients. Journal of Abnormal Psychology, 109, 150-155. http://dx.doi.org/10.1037/0021-843X.109.1.150
55. Wisner, K. L., Perel, J. M., Peindl, K. S., Hanusa, B. H., Findling, R. L., & Rapport, D. (2001). Prevention of recurrent postpartum depression: A randomized clinical trial. Journal of Clinical Psychiatry, 62, 82-86. http://dx.doi.org/10.4088/JCP.v62n0202
56. Wisner, K. L., Perel, J. M., Peindl, K. S., Hanusa, B. H., Piontek, C. M., & Findling, R. L. (2004). Prevention of postpartum depression: A pilot randomized clinical trial. The American Journal of Psychiatry, 161, 1290-1292. http://dx.doi.org/10.1176/appi.ajp.161.7.1290
57. Wisner, K. L., Zarin, D. A., Holmboe, E. S., Appelbaum, P. S., Gelenberg, A. J., Leonard, H. L., & Frank, E. (2000). Risk-benefit decision making for treatment of depression during pregnancy. The American Journal of Psychiatry, 157, 1933-1940. http://dx.doi.org/10.1176/appi.ajp.157.12.1933
58. Woolhouse, H., Mercuri, K., Judd, F., & Brown, S. J. (2014). Antenatal mindfulness intervention to reduce depression, anxiety and stress: A pilot randomised controlled trial of the MindBabyBody program in an Australian tertiary maternity hospital. BMC Pregnancy and Childbirth, 14, 369. http://dx.doi.org/10.1186/s12884-014-0369-z
59. Yonkers, K. A., Blackwell, K. A., Glover, J., & Forray, A. (2014). Antidepressant use in pregnant and postpartum women. Annual Review of Clinical Psychology, 10, 369-392. http://dx.doi.org/10.1146/annurevclinpsy-032813-153626
60. Yonkers, K. A., Lockwood, C. J., & Wisner, K. (2010). The management of depression during pregnancy: A report from the American Psychiatric Association and the American College of Obstetricians and Gynecologists reply. Obstetrics and Gynecology, 115, 189. http://dx.doi.org/10.1097/AOG.0b013e3181c8b2bf
61. Zlotnick, C., Johnson, S. L., Miller, I. W., Pearlstein, T., & Howard, M. (2001). Postpartum depression in women receiving public assistance: Pilot study of an interpersonal-therapy-oriented group intervention. The American Journal of Psychiatry, 158, 638-640. http://dx.doi.org/10.1176/appi.ajp.158.4.638
62. Zlotnick, C., Miller, I. W., Pearlstein, T., Howard, M., & Sweeney, P. (2006). A preventive intervention for pregnant women on public assistance at risk for postpartum depression. The American Journal of Psychiatry, 163, 1443-1445. http://dx.doi.org/10.1176/appi.ajp.163.8.1443