Abstracts
Résumé
Objectifs : Cette revue vise à résumer les recherches antérieures et en cours portant sur la thérapie cognitive basée sur la pleine conscience (TCBPC) et à illustrer en pratique comment cette forme d’intervention peut aider les personnes à éviter la spirale qui les fera retomber dans la rumination, laquelle fait partie intégrante des épisodes dépressifs majeurs. Méthodologie : Des études comprenant des périodes de suivi à court et à long terme et reposant sur une revue de la documentation sur la TCBPC pour la prévention de rechutes chez les personnes qui présentent des antécédents de dépression majeure ont été incluses. De plus, des études récentes sur des adaptations novatrices de la TCBPC chez de nouvelles populations ont aussi été passées en revue et prises en compte dans le but de dégager les orientations à donner à la recherche future et aux nouvelles applications cliniques. Résultats : Dans la dernière décennie, la TCBPC s’est appuyée sur de solides données probantes en mettant en évidence son efficacité dans la prévention des taux de rechutes dépressives et dans le prolongement des périodes de bien-être. Des études récentes ont fait ressortir plusieurs mécanismes de changement possibles comme une diminution de la réactivité cognitive et une meilleure capacité de décentration, lesquelles déterminent et contribuent à une diminution des symptômes dépressifs. Discussion : Actuellement, de nouvelles applications de la TCBPC s’étendent au-delà de son objectif initial. Des travaux de recherche seront nécessaires pour éclairer l’efficacité et les mécanismes d’action à l’oeuvre une fois la TCBPC appliquée à ces nouvelles populations.
Mots-clés :
- thérapie cognitive basée sur la pleine conscience,
- dépression,
- prévention des rechutes,
- réactivité cognitive,
- rumination,
- décentration
Abstract
Against the backdrop of dauntingly high prevalence rates of clinical depression and subsequent relapse, Segal, Teasdale and Williams (2002) sought to develop an intervention that would address the long-term sequence of depression. In the past decade, Mindfulness-Based Cognitive Therapy has been supported with a robust evidence base, highlighting its efficacy in the short, and long-term follow-up studies. Currently, novel adaptations of this intervention are being developed and piloted with a wide range of clinical issues that share amplified ruminative processes as a core feature of pathology. This review aims to summarize current and past research on MBCT, and to practically illuminate how this intervention can aid individuals in stepping out of the ruminative spirals that are part-and-parcel with major depressive episode.
Keywords:
- Mindfulness-Based Cognitive Therapy,
- Depression,
- Relapse Prevention,
- Rumination
Appendices
Bibliographie
- Allen, M., Bromley, A., Kuyken, W. et Sonnenberg, S. J. (2009). Participants’ experiences of mindfulness-based cognitive therapy : « It changed me in just about every way possible », Behavioral and Cognitive Psychotherapy, 37, 413-430.
- American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders (3e éd., rev.). Washington, DC : Author.
- Barnhofer, T., Crane, C., Hargus, E., Amarasinghe, M., Winder, R. et Williams, J. M. (2009). Mindfulness-based cognitive therapy as a treatment for chronic depression : A preliminary study. Behaviour Research and Therapy, 47(5), 366-373.
- Bieling, P. J., Hawley, L. L., Bloch, R. T., Corcoran, K. M., Levitan, R. D., Young, L. T.,… et 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. Advance online publication. doi :10.1037/a0027483
- Bondolfi, G., Jermann, F., Van der Linden, M., Gex-Fabry, M., Bizzini, L., Rouget, B. W.,… et Bertschy, G. (2010). Depression relapse prophylaxis with mindfulness-based cognitive therapy : Replication and extension in the Swiss health care system. Journal of Affective Disorders, 122, 224-231.
- Crane, C. et Williams, J. M. G. (2010). Factors associated with attrition from mindfulness based cognitive therapy for suicidal depression. Mindfulness, 1, 10-20.
- Dobkin, P. L., Irving, J. A. et Amar, S. (2012). For whom may participation in a mindfulness-based stress reduction program be contraindicated ? Mindfulness, 3(1), 44-50.
- Eisendrath, S., Chartier, M. et McLane, M. (2011). Adapting mindfulness-based cognitive therapy for treatment-resistant depression. Cognitive and Behavioural Practice, 18, 362-370.
- Eisendrath, S. J., Delucchi, K., Bitner, R., Fenimore, P., Smit, M. et McLane, M. (2008). Mindfulness-based cognitive therapy for treatment-resistant depression : A pilot study. Psychotherapy and Psychosomatics, 77(5), 319-320.
- Evans, S., Ferrando, S., Findler, M., Stowell, C., Smart, C. et Haglin, D. (2008). Mindfulness-based cognitive therapy for anxiety. Journal of Anxiety Disorders, 22, 716-721.
- Finucane, A. et Mercer, S. W. (2006). An exploratory mixed-methods study of the acceptability and effectiveness of mindfulness-based cognitive therapy for patients with active depression and anxiety in primary care. BMC Psychiatry, 6(14).
- Foley, E., Baillie, A., Huxter, M., Price, M. et Sinclair, E. (2010). Mindfulness-Based cognitive therapy for individuals whose lives have been affected by cancer : A randomized controlled trial. Journal of Consulting and Clinical Psychology, 78(1), 72-79.
- Geschwind, N., Peeters, F., Drukker, M., van Os, J. et Wichers, M. (2011). Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression : A randomized controlled trial. Journal of Consulting and Clinical Psychology. Advance online publication.
- Godfrin, K. A. et van Heeringen, C. (2010). The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes, mental health and quality of life : A randomized controlled study. Behaviour Research and Therapy, 48, 738-746.
- Greenberg, P. E., Kessler, R. C., Birnbaum, H. G., Leong, S. A., Lowe, S. W., Berglund, P. A. et al. (2003). The economic burden of depression in the United States : how did it change between 1990 and 2000 ? J Clin Psychiatry, 64 :1465-1475.
- Kabat-Zinn, J. (1990). Full Catastrophe Living : Using the Wisdom of your Mind to Face Stress, Pain and Illness. New York : Dell Publishing.
- Kendler, K. S., Thornton, L. M. et Gardner, C. O. (2000). Stressful life events and previous episodes in the etiology of major depression in women : An evaluation of the « kindling » hypothesis. The American Journal of Psychiatry, 157(8), 1243-1251.
- Keller, M. B., Lavori, P. W., Lewis, C. E. et Klerman, G. L. (1983). Predictors of relapse in major depressive disorder. JAMA, 250 :3299-3304.
- Kenny, M. A., & Williams, J. M. G. (2007). Treatment-resistant depressed patients show a good response to mindfulness-based cognitive therapy. Behaviour Research and Therapy, 45(3), 617-625.
- Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshlerman, S., … et Kendler, K. S. (1994). Lifetime and twelve-month prevalence of DSM-III-R psychiatric disorders in the United States : Results from the National Comorbidity Study. Archives of General Psychiatry, 51, 8-19.
- Kingston, T., Dooley, B., Bates, A., Lawlor, E. et Malone, K. (2007). Mindfulness-based cognitive therapy for residual depressive symptoms. Psychology and Psychotherapy : Theory, Research and Practice, 80(2), 193-203.
- Kuyken, W., Byford, S., Taylor, R. S., Watkins, E., Holden, E., White, K., … et Teasdale, J. D. (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology, 76(6), 966-978.
- Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., … et Dalgleish, T. (2010). How does mindfulness-based cognitive therapy work ? Behaviour Research and Therapy, 48, 1105-1112.
- Lau, M. A., Segal, Z. V. et Williams, J. M. G. (2004). Teasdale’s differential activation hypothesis : Implications for mechanisms of depressive relapse and suicidal behaviour. Behaviour Research and Therapy, 42, 1001-1017.
- Ma, S. H. et 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.
- Mason, O. et Hargreaves, I. (2001). A qualitative study of mindfulness-based cognitive therapy for depression. British Journal of Medical Psychology, 74, 197-212.
- McManus, F., Surawy, C., Muse, K., Vazquez-Montes, M. et Williams, J. M. G. (2012). A Randomized Clinical Trial of Mindfulness-Based Cognitive Therapy Versus Unrestricted Services for Health Anxiety (Hypochondriasis). Journal of Consulting and Clinical Psychology.
- Piet, J., Hougaard, E., Hecksher, M. S. et Rosenberg, N. K. (2010). A randomized pilot study of mindfulness-based cognitive therapy and group cognitive-behavioral therapy for young adults with social phobia. Scandinavian Journal of Psychology, 51(5), 403-410.
- Post, R. M. (1992). Transduction of psychosocial stress into the neurobiology of recurrent affective disorder. American Journal of Psychiatry, 149, 999-1010.
- Post, R. M. et Weiss, S. R. B. (1998). Sensitization and kindling phenomena in mood, anxiety, and obsessive-compulsive disorders : The role of serotonergic mechanisms in illness progression. Biological Psychiatry, 44, 193-206.
- Roemer, L. et Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder : Integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology : Science and Practice, 9, 54-68.
- Rush, A. J., Trivedi, M. H., Wisniewski, S. R., Nierenberg, A. A., Stewart, J. W., Warden, D. et al. (2006). Acute and longer-term outcomes in depressed outpatients requiring one or several treatment steps : a STAR*D report. Am J Psychiatry, 163 :1905-1917.
- Semple, R. J., Lee, J., Rosa, D. et Miller, L. F. (2010). A randomized trial of mindfulness-based cognitive therapy for children : Promoting mindful attention to enhance social-emotional resilience in children. Journal of Child and Family Studies, 19, 218-229.
- Segal, Z. V., Bierling, P., Young, T., MacQueen, G., Cooke, R., Martin, L., … et Levitan, R. D. (2010). Antidepressant monotherapy versus sequential pharmacotherapy and mindfulness-based cognitive therapy, or placebo, for relapse prophylaxis in recurrent depression. Archives of General Psychiatry, 67(12), 1256-1264.
- Segal Z. V., Williams J. M. G. et Teasdale J. D. (2002). Mindfulness-based cognitive therapy for depression : A new approach to preventing relapse. New York : Guilford.
- Segal, Z. V., Williams, J. M. G., et Teasdale, J. D. (2012). Mindfulness-based cognitive therapy for depression : A new approach for preventing relapse. (2e éd.). New York : Guilford Press.
- Segal, Z. V., Williams, J. M., Teasdale, J. D. et Gemar, M. (1996). A cognitive science perspective on kindling and episode sensitization in recurrent affective disorder. Psychological Medicine, 26, 371-380.
- Smith, A., Graham, L. et Senthinathan, S. (2007). Mindfulness Based Cognitive Therapy for recurring depression in older people : A qualitative study. Aging and Mental Health, 11, 346-357.
- Spitzer, R. L., Williams, J. B. W., Gibbon, M. et First, M. B. (1992). The Structured Clinical Interview for DSM-III-R (SCID). I : History, rationale, and description. Archives of General Psychiatry, 49, 624-629.
- Teasdale, J. D. (1988). Cognitive vulnerability to persistent depression. Cognition and Emotion, 2, 247-274.
- Teasdale, J. D. et Cox, S. G. (2001). Dysphoria : self-devaluative and affective components in recovered depressed patients and never depressed controls. Journal of Psychological Medicine, 31, 1311-1316.
- Teasdale, J. D., Segal, Z. V. et Williams, J. M. G. (1995). How does cognitive therapy prevent relapse and why should attentional control (mindfulness) training help ? Behaviour Research and Therapy, 33, 25-39.
- Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M., Williams, S. et Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression : Empirical evidence. Journal of Consulting and Clinical Psychology, 70, 275-287.
- Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M. et 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.
- Solomon, D. A., Keller, M. B., Leon, A. C., Mueller, T. I., … et Endicott, M. (2000). Multiple Recurrences of Major Depressive Disorder. American Journal of Psychiatry, 157, 229-233.
- Weber, B., Jermann, F., Gex-Fabry, M., Nallet, A., Bondolfi, G. et Aubry, J. M. (2010). Mindfulness-based cognitive therapy for bipolar disorder : A feasibility trial. European Psychiatry, 25(6), 334-337.
- Williams, J. M. G., Alatiq, Y., Crane, C., Barnhofer, T., Fennell, M. J. V., Duggan, D. S., … et Goodwin, G. M. (2007). Mindfulness-based cognitive therapy (TCBPC) in bipolar disorder : Preliminary evaluation of immediate effects on between-episode functioning. Journal of Affective Disorders, 107(1-3), 275-279.
- Williams, J. M. G., Duggan, D. S., Crane, C. et Fennell, M. J. V. (2006). Mindfulness-Based cognitive therapy for prevention of recurrence of suicidal behaviour. Journal of Clinical Psychology, 62, 201-210.
- Williams, J. M. G., Alatiq, Y., Crane, C., Barnhofer, T., Fennell, M. J. V., Duggan, D. S., … et Goodwin, G. M. (2008). Mindfulness-based cognitive therapy (TCBPC) in bipolar disorder : Preliminary evaluation of immediate effects on between-episode functioning. Journal of Affective Disorders, 107(1-3), 275-279.