Mindfulness-Based Cognitive Therapy (MBCT) and Mindfulness-Based Stress Reduction (MBSR) in the treatment of Post-Traumatic Stress Disorder (PTSD): A literature review
##plugins.themes.bootstrap3.article.main##
Abstract
Objective. The aim of this report is to systematically review existing literature about the association between standardized mindfulness-based interventions and PTSD with the aim of identifying implications for practice and recommendations for future research.
Method. The CINAHL Complete, PsycINFO, Medline, and PsycArticles databases were searched, looking for full-text articles from 2018 up to march 2022.
Results. There was a significant improvement in PTSD symptoms in MBCT participants, even if some experienced a high increase at baseline. MBSR participants with moderate to severe trauma symptoms showed a greater reduction in symptoms whereas mild trauma symptoms at baseline showed slightly higher symptomatology at the end of treatment.
Discussion and conclusion. From the results, MBCT, MBSR, and their variations seem to tackle different domains of the diagnosis. Whilst MBSR is associated with improvements in terms of attentional difficulties, MBCT facilitates the connection between dysfunctional cognitive concepts and avoidant behaviours that maintain the symptomatology. Nevertheless, the active components of MBCT or MBSR that have an impact on symptom reduction are undetermined. Future studies will be enhanced by monitoring the change in underlying mechanisms attached to the practice of mindfulness through outcome measurements, among other considerations.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington DC: American Psychiatric Publishing.
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27-45. doi: 10.1177/1073191105283504
Beck, A. T. (1976/1989). Cognitive therapy and the emotional disorders. New York: Penguin.
Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., & Forneris, C. A. (1996). Psychometric properties of the PTSD checklist (PCL). Behaviour Research and Therapy, 34(8), 669-673. doi: 10.1016/0005-7967(96)00033-2
Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489-98. doi: 10.1002/jts.22059
Fortuna, L. R., Porche, M. V., & Padilla, A. (2018). A treatment development study of cognitive and mindfulness-based therapy for adolescents with co-occurring post-traumatic stress and substance use disorder. Psychology and Psychotherapy, 91(1), 42-62. doi: 10.1111/papt.12143
Hong, Q. N., Fàbregues, S., Bartlett, G., Boardman, F., Cargo, M., Dagenais, P., ... Pluye, P. (2018). The mixed methods appraisal tool (MMAT) version 2018 for information professionals and researchers. Education for Information, 34(4), 285-291. doi: 10.3233/EFI-180221
Jasbi, M., Sadeghi, D., Karami, G., Omidbeygi, M., Peyravi, M., Panahi, A., … Brand, S. (2018). Influence of adjuvant mindfulness-based cognitive therapy (MBCT) on symptoms of post-traumatic stress disorder (PTSD) in veterans - results from a randomized control study. Cognitive Behaviour Therapy, 47(5), 431-446. doi: 10.1080/16506073.2018.1445773
Kabat-Zinn, J. (1994). Wherever you go, there you are mindfulness meditation in everyday life. New York: Hyperion.
Kennerley, H., Kirk, J., & Westbrook, D. (2007). Introduction to cognitive behavior therapy. London: Sage publications.
Kummar, A. S. (2018). Mindfulness and fear extinction: A brief review of its current neuropsychological literature and possible implications for posttraumatic stress disorder. Psychological Reports, 121(5), 792-814. doi: 10.1177/0033294117740137
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The Prisma Group. (2009). Reprint—Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Physical Therapy, 89(9), 873-880. doi: 10.1093/ptj/89.9.873
Norton, A. R., Abbott, M. J., Norberg, M. M., & Hunt, C. (2015). A systematic review of mindfulness and acceptance-based treatments for social anxiety disorder. Journal of Clinical Psychology, 71(4), 283-301. doi: 10.1002/jclp.22144
Rice, V., Liu, B., & Schroeder, P. (2018). Impact of in-person and virtual world mindfulness training on symptoms of post-traumatic stress disorder and attention deficit and hyperactivity disorder. Military Medicine, 183(Sup 1), 413-420. doi: 10.1093/milmed/usx227
Rosenberg, H. J., Jankowski, M. K., Fortuna, L. R., Rosenberg, S. D., & Mueser, K. T. (2011). A pilot study of a cognitive restructuring program for treating posttraumatic disorders in adolescents. Psychological Trauma: Theory, Research, Practice, and Policy, 3(1), 94-99. doi: 10.1037/a0019889
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression (2nd ed.). New York: Guilford Press.
The National Institute for Health and Care Excellence [NICE]. (2016a). Post-traumatic stress disorder: Management of PTSD in children, young people, and adults (NG116). Retrieved from https://www.nice.org.uk/guidance/ng116/chapter/Recommendations#management-of-ptsd-in-children-young-people-and-adults
The National Institute for Health and Care Excellence [NICE]. (2016b). Depression in adults: Recognition and management (CG90). Retrieved from https://www.nice.org.uk/guidance/cg90
The National Institute for Health and Care Excellence [NICE]. (2016c). Social anxiety disorder: Recognition, assessment, and treatment (CG159). Retrieved from https://www.nice.org.uk/guidance/cg159
Waldron, E. M., & Burnett-Zeigler, I. (2022). The impact of participation in a mindfulness-based intervention on posttraumatic stress symptomatology among Black women: A pilot study. Psychological Trauma: Theory, Research, Practice, and Policy, 14(1), 29-37. doi: 10.1037/tra0001107
Williston, S. K., Grossman, D., Mori, D. L., & Niles, B. L. (2021). Mindfulness interventions in the treatment of posttraumatic stress disorder. Professional Psychology: Research and Practice, 52(1), 46-57. doi: 10.1037/pro0000363
Wills, F., & Sanders, D. (2013). Cognitive behavior therapy. SAGE Publications.
World Health Organization. (2020). Listing of WHO’s response to COVID-19. Retrieved from https://www.who.int/news/item/29-06-2020-covidtimeline