Mindfulness-based therapy and behavioral activation: A randomized controlled trial with depressed college students

Behaviour Research and Therapy

Volumn 77, Issue , 2016, Pages 118-128

  McIndoo, C C ^a   File, A A ^a   Preddy, T ^a   Clark, C G ^a   Hopko, D R ^a  

^a UNIVERSITY OF TENNESSEE   (United States)

Author keywords

Behavioral activation; Depression; Mindfulness based therapy; Randomized controlled trial

Indexed keywords

ANXIETY; CLINICAL ARTICLE; COLLEGE STUDENT; CONTROL GROUP; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DATA ANALYSIS; EFFECT SIZE; FOLLOW UP; HUMAN; MINDFULNESS; PATIENT COMPLIANCE; PATIENT SATISFACTION; RANDOMIZED CONTROLLED TRIAL; REMISSION; RUMINATION; STRESS; ADOLESCENT; ANXIETY DISORDER; BEHAVIOR THERAPY; COUNSELING; DEPRESSION; DEPRESSIVE DISORDER, MAJOR; FEMALE; MALE; PROCEDURES; PSYCHOLOGY; QUALITY OF LIFE; STUDENT; TREATMENT OUTCOME; UNIVERSITY; YOUNG ADULT;

ADOLESCENT; ANXIETY; ANXIETY DISORDERS; BEHAVIOR THERAPY; COUNSELING; DEPRESSION; DEPRESSIVE DISORDER, MAJOR; FEMALE; HUMANS; MALE; MINDFULNESS; QUALITY OF LIFE; STUDENTS; TREATMENT OUTCOME; UNIVERSITIES; YOUNG ADULT;

EID: 84960920769     PISSN: 00057967     EISSN: 1873622X     Source Type: Journal    
DOI: 10.1016/j.brat.2015.12.012     Document Type: Article

References (88)

1. American College Health Association American College Health Association- National College Health Assessment II: Reference Group Executive Summary Spring 2013 2013, Retrieved July 17, 2014, from. http://www.acha-ncha.org/reports_ACHA-NCHAII.html.
2. Antony M.M., Orsillo S.M., Roemer L. Practitioner's guide to empirically based measures of anxiety 2001, Kluwer, New York.
3. Armento M.E.A., McNulty J.K., Hopko D.R. Behavioral activation of religious behaviors (BARB): randomized trial with depressed college students. Psychology of Religion and Spirituality 2012, 4:206-222.
4. Baer R.A. Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice 2003, 10:125-143.
5. Baer R.A., Smith G.T., Hopkins J., Krietemeyer J., Toney L. Using self-report assessment methods to explore facets of mindfulness. Assessment 2006, 13:27-45.
6. Baer R.A., Smith G.T., Lykins E., Button D., Krietemeyer J., Sauer S., et al. Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment 2008, 15:329-342.
7. Barlow D.H. Anxiety and its disorders: The nature and treatment of anxiety and panic 2002, Guilford, New York. 2nd ed.
8. Barnhofer T., Crane C., Hargus E., Amarasinghe M., Winder R., Williams J.M.G. Mindfulness-based cognitive therapy as a treatment for chronic depression: a preliminary study. Behaviour Research and Therapy 2009, 47:366-373.
9. Beck A.T., Steer R.A. Beck anxiety inventory: Manual 1993, The Psychiatric Corporation, San Antonio, TX. 2nd ed.
10. Beck A.T., Steer R.A., Brown G.K. Manual for the beck depression inventory-II 1996, Psychological Corporation, San Antonio, TX.
11. Benton S.A., Robertson J.M., Tseng W., Newton F.B., Benton S.L. Changes in counseling center client problems across 13 years. Professional Psychology: Research and Practice 2003, 34:66-72.
12. Bishop S.R., Lau M., Shapiro S., Carlson L., Anderson N.D., Carmody J., et al. Mindfulness: a proposed operational definition. Clinical Psychology Science and Practice 2004, 11:230-241.
13. Bohlmeijer E., Prenger R., Taal E., Cuijpers P. The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: a meta-analysis. Journal of Psychosomatic Research 2010, 68:539-544.
14. Bränström R., Kvillemo P., Brandberg Y., Moskowitz J.T. Self-reported mindfulness as a mediator of psychological well-being in a stress reduction intervention for cancer patients: a randomized study. Annals of Behavioral Medicine 2010, 39:151-161.
15. Brown T.A., Di Nardo P.A., Lehman C.L., Campbell L.A. Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders. Journal of Abnormal Psychology 2001, 110:49-58.
16. Brown T.A., Di Nardo P., Barlow D.H. Anxiety disorders interview schedule for DSM-IV 1994, The Psychological Corporation, San Antonio, TX.
17. Califano J.A. Depression, substance abuse and college student engagement: A review of the literature 2003, Retrieved March 14, 2011, from The National Center on Addiction and Substance Abuse Web site:. http://www.bringingtheorytopractice.org/pdfs/LitReviewDec03.pdf.
18. Chambless D.L., Hollon S.D. Defining empirically supported treatments. Journal of Consulting and Clinical Psychology 1998, 66:7-18.
19. Chiesa A., Serretti A. Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. The Journal of Alternative and Complementary Medicine 2009, 15:593-600.
20. Cohen J., Cohen P. Applied multiple regression/correlation analysis for the behavioral sciences 1983, Erlbaum, Hillsdale, NJ.
21. Cohen S., Kamarck T., Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior 1983, 24:385-396.
22. Cohen J.S., Miller L.J. Interpersonal mindfulness training for well-being: a pilot study with psychology graduate students. Teachers College Record 2009, 111:2760-2774.
23. Cuijpers P., van Straten F.S. Psychological treatments of subthreshold depression: a meta-analytic review. Acta Psychiatrica Scandinavica 2007, 115:434-441.
24. Cuijpers P., van Straten A., Smit F., Mihalopoulos C., Beekman A. Preventing the onset of depressive disorders: a meta-analytic review of psychological interventions. The American Journal of Psychiatry 2008, 165:1272-1280.
25. Cuijpers P., Van Straten A., Warmerdam L. Behavioral activation treatments of depression: a meta-analysis. Clinical Psychology Review 2007, 27:318-326.
26. Deckro G., Ballinger K., Hoyt M., Wilcher M., Dusek J., Myers P., et al. The evaluation of a mind/body intervention to reduce psychological distress and perceived stress in college students. Journal of American College Health 2002, 50:281-287.
27. DeRubeis R.J., Crits-Christoph P. Empirically supported individual and group psychological treatments for adult mental disorders. Journal of Consulting and Clinical Psychology 1998, 66:37-52.
28. Dimidjian S., Hollon S., Dobson K., Schmaling K., Kohlenberg B., Addis M.E., et al. Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology 2006, 74:658-670.
29. Dobkin P.L. Mindfulness-based stress reduction: what processes are at work?. Complementary Therapies in Clinical Practice 2008, 14:8-16.
30. Eisenberg D., Golberstein E., Hunt J.B. Mental health and academic success in college. Journal of Economic Analysis & Policy 2009, 9. Article 40.
31. Ekers D., Richards D., Gilbody S. A meta-analysis of randomized trials of behavioural treatment of depression. Psychological Medicine 2008, 38:611-623.
32. Fazio N.M., Palm L.J. Attributional style, depression, and grade point averages of college students. Psychological Reports 1998, 83:159-162.
33. First M.B., Spitzer R.L., Gibbon M., Williams J. Structured clinical interview for DSM-IV Axis I disorders-patient edition (SCID-I/P, version 2.0) 1996, Biometrics Research Department, New York Psychiatric Institute, New York.
34. Fjorback L.O., Arendt M., Ørnbøl E., Fink P., Walach H. Mindfulness-based stress reduction and mindfulness-based cognitive therapy: a systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica 2011, 124:102-119.
35. Gallagher R.P. National survey of counseling center directors (2010) 2010, International Association of Counseling Services, Washington, DC, Retrieved August 19, 2014, from. http://www.Iacsinc.org/.
36. Gawrysiak M., Nicholas C., Hopko D.R. Behavioral activation for moderately depressed university students: randomized controlled trial. Journal of Counseling Psychology 2009, 56:468-475.
37. Hamilton M. A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry 1960, 23:56-61.
38. Hammen C.L., Glass D.R. Depression, activity, and evaluation of reinforcement. Journal of Abnormal Psychology 1975, 84:729-731.
39. Hodgson J.W. Cognitive versus behavioral-interpersonal approaches to the group treatment of depressed college students. Journal of Counseling Psychology 1981, 28:243-249.
40. Hofmann S.G., Sawyer A.T., Witt A.A., Oh D. The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology 2010, 78:169-183.
41. Hogg J.A., Deffenbacher J.L. A comparison of cognitive and interpersonal-process group therapies in the treatment of depression among college students. Journal of Counseling Psychology 1988, 35:304-310.
42. Hollis S., Campbell F. What is meant by intention to treat analysis? Survey of published randomised controlled trials. British Medical Journal 1999, 319:670-674.
43. Hollon S.D., Ponniah K. A review of empirically supported psychological therapies for mood disorders in adults. Depression and Anxiety 2010, 27:891-932.
44. Hopko D.R., Armento M.E.A., Robertson S.M.C., Ryba M., Carvalho J.P., Coleman L., et al. Brief behavioral activation and problem-solving therapy for depressed breast cancer patients: randomized trial. Journal of Consulting and Clinical Psychology 2011, 79:834-849.
45. Hopko D.R., Bell J.L., M.Armento, Robertson S., Mullane C., Wolf N., Lejuez C.W. Cognitive-behavior therapy for depressed cancer patients in a medical care setting. Behavior Therapy 2008, 39(2):126-136.
46. Hopko D.R., Lejuez C.W., Ruggiero K.J., Eifert G.H. Contemporary behavioral activation treatments for depression: procedures, principles, progress. Clinical Psychology Review 2003, 23:699-717.
47. Hopko D.R., Mullane C. Exploring the relation of depression and overt behavior with daily diaries. Behaviour Research and Therapy 2008, 46:1085-1089.
48. Hopko D.R., Robertson S., Lejuez C.W. Behavioral activation for anxiety disorders. Behavior Analyst Today 2006, 7:212-232.
49. Ibrahim A.K., Kelly S.J., Adams C.E., Glazebrook C. A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research 2013, 47:391-400.
50. Jacobson N.S., Truax P. Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology 1991, 59:12-19.
51. Jain S., Shapiro S.L., Swanick S., Roesch S.C., Mills P.J., Bell I., et al. A randomized controlled trial of mindfulness meditation versus relaxation training: effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine 2007, 33:11-21.
52. Jakupcak M., Roberts L., Martell C., Mulick P., Michael S., Reed R., et al. A pilot study of behavioral activation for veterans with posttraumatic stress disorder. Journal of Traumatic Stress 2006, 19:387-391.
53. Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry 1982, 4:33-47.
54. Kabat-Zinn J., Massion A.O., Kristeller J., Peterson L.G., Fletcher K.E., Pbert L., et al. Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry 1992, 149:936-943.
55. Kitzrow M.A. The mental health needs of today's college students: challenges and recommendations. NASPA Journal 2003, 41:167-181.
56. Klatt M.D., Buckworth J.B., Malarkey W.B. Effects of low-dose mindfulness-based stress reduction (MBSR-ld) on working adults. Health Education & Behavior 2009, 36:601-614.
57. Kupfer D., Frank E., Perel J. The advantage of early treatment intervention in recurrent depression. Archives of General Psychiatry 1989, 46:771-775.
58. Larsen D.L., Attkisson C.C., Hargreaves W.A., Nguyen T.D. Assessment of client/patient satisfaction: development of a general scale. Evaluation and Program Planning 1979, 2:197-207.
59. Ledesma D., Kumano H. Mindfulness-based stress reduction and cancer: a meta-analysis. Psycho-oncology 2009, 18:571-579.
60. Lee C. Evidence-based treatment of depression in the college population. Journal of College Student Psychotherapy 2005, 20:23-31.
61. Lejuez C.W., Hopko D.R., Acierno R., Daughters S.B., Pagoto S.L. Ten year revision of the brief behavioral activation treatment for depression: revised treatment manual. Behavior Modification 2011, 35:111-161.
62. Lejuez C.W., Hopko D.R., Hopko S.D. A brief behavioral activation treatment for depression: treatment manual. Behavior Modification 2001, 25:255-286.
63. Lenz B. Tobacco, depression and lifestyle choices in the pivotal early college years. Journal of American College Health 2004, 52:213-219.
64. Lewinsohn P.M. A behavioral approach to depression. The psychology of depression: Contemporary theory and research 1974, 157-178. Wiley, Oxford. R.M. Friedman, M.M. Katz (Eds.).
65. Lewinsohn P.M., Rohde P., Seeley J.R. Major depressive disorder in older adolescents: prevalence, risk factors, and clinical implications. Clinical Psychology Review 1998, 18:765-794.
66. Little R.J.A., Rubin D.B. Statistical analysis with missing data 1987, Wiley, New York.
67. Ly K.H., Trüschel A., Jarl L., Magnusson S., Windahl T., Johansson R., et al. Behavioural activation versus mindfulness-based guided self-help treatment administered through a smartphone application: a randomized controlled trial. BMJ Open 2014, 4:e003440.
68. Manicavasgar V., Parker G., Perich T. Mindfulness-based cognitive therapy vs cognitive behaviour therapy as a treatment for non-melancholic depression. Journal of Affective Disorders 2011, 130:138-144.
69. Ma S.H., Teasdale J.D. Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology 2004, 72:31-40.
70. Michael K.D., Huelsman T.J., Gerard C.G., Gilligan T.M., Gustafson M.R. Depression among college students: trends in prevalence and treatment seeking. Counseling and Clinical Psychology Journal 2006, 3:60-70.
71. Mowbray C.T., Mandiberg J., Stein C.H., Kopels S., Curlin C., Megivern D., et al. Campus mental health services: recommendations for change. American Journal of Orthopsychiatry 2006, 76:226-237.
72. Nezu A.M., Ronan G.F., Meadows E.A., McClure K.S. Practitioner's guide to empirically based measures of depression 2000, Kluwer, New York.
73. Nolen-Hoeksema S., Morrow J. A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Lorna Prieta earthquake. Journal of Personality and Social Psychology 1991, 61:115-121.
74. Pace T.M., Dixon D.N. Changes in depressive self-schemata and depressive symptoms following cognitive therapy. Journal of Counseling Psychology 1993, 40:288-294.
75. Pritchard M.E., Wilson G. Using emotional and social factors to predict student success. Journal of College Student Development 2003, 44:18-27.
76. Ramel W., Goldin P., Carmona P., McQuaid J. The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research 2004, 28:433-455.
77. Regehr C., Glancy D., Pitts A. Interventions to reduce stress in university students: a review and meta-analysis. Journal of Affective Disorders 2013, 148:1-11.
78. Rubin D.B. Multiple imputation for nonresponse in surveys 1987, Wiley, New York.
79. Saules K.K., Pomerleau C.S., Snedecor S.M., Mehringer A.M., Shadle M.B., Kurth C., et al. Relationship of onset of cigarette smoking during college to alcohol use, dieting concerns, and depressed mood: results from the Young Women's Health Survey. Addictive Behaviors 2004, 29:893-899.
80. Segal Z.V., Teasdale J.D., Williams J.M., et al. The mindfulness-based cognitive therapy adherence scale: Inter-rater reliability, adherence to protocol and treatment distinctiveness. Clinical Psychology and Psychotherapy 2002, 9:131-138.
81. Serras A., Saules K., Cranford J., Eisenberg D. Self-injury, substance use, and associated risk factors in a multi-campus probability sample of college students. Psychology of Addictive Behaviors 2010, 24:119-128.
82. Sharkin B.S. Being a college counselor on today's campus: Roles, contributions, and special challenges 2012, Routledge.
83. Shaw B.F. Comparison of cognitive therapy and behavior therapy in the treatment of depression. Journal of Consulting and Clinical Psychology 1977, 45:543-551.
84. Taylor F.G., Marshall W.L. Experimental analysis of a cognitive-behavioral therapy for depression. Cognitive Therapy and Research 1977, 1:59-72.
85. Teasdale J.D., Segal Z.V., Williams J.M.G., Ridgeway V.A., Soulsby J.M., Lau M.A. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology 2000, 68:615-623.
86. Treynor W., Gonzalez R., Nolen-Hoekserna S. Rumination reconsidered: a psychometric analysis. Cognitive Therapy and Research 2003, 27:247-259.
87. Voelker R. Mounting student depression taxing campus mental health services. Journal of the American Medical Association 2003, 289:2055-2056.
88. Voelker R. Stress, sleep loss, and substance abuse create potent recipe for college depression. Journal of the American Medical Association 2004, 291:2177-2179.