Abbreviated Mindfulness-Based Therapy for a Depressed College Student

Abstract

Mindfulness-based therapy (MBT) has shown promise in reducing depression and psychological distress among individuals presenting with various medical and psychiatric problems. This case study examined the implementation of MBT with an undergraduate student with recurrent major depression and generalized anxiety disorder. A novel four-session MBT protocol was utilized and the patient demonstrated significant decreases in depressive and anxiety symptoms and an overall increase in quality of life at the posttreatment assessment. Treatment gains were maintained at the 1-month follow-up assessment. Consistent with previous treatment outcome studies examining the efficacy of comprehensive MBT interventions, results indicate that an abbreviated MBT protocol may be effective in treating depression and anxiety in younger adults.

Keywords

MBT depression college

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References

American College Health Association. (2011, Fall). American College Health Association—National College Health Assessment II: Undergraduate Students Reference Group Executive Summary. Retrieved from http://www.acha-ncha.org/docs/ACHA-NCHA-II_UNDERGRAD_ReferenceGroup_ExecutiveSummary_Fall2011.pdf

American College Health Association. (2012, Spring). American College Health Association—National College Health Assessment II: Undergraduate Students Reference Group Executive Summary. Retrieved from http://www.acha-ncha.org/docs/ACHA-NCHA-II_UNDERGRAD_ReferenceGroup_ExecutiveSummary_Spring2012.pdf

Antony

M. M.

Orsillo

S. M.

Roemer

L. E.

(2001). Practitioner’s guide to empirically based measures of anxiety. New York, NY: Kluwer Academic.

Armento

M. E.

McNulty

J. K.

Hopko

D. R.

(2012). Behavioral activation of religious behaviors (BARB): Randomized trial with depressed college students. Psychology of Religion and Spirituality, 4, 206-222.

Astin

J. A.

(1997). Stress reduction through mindfulness meditation: Effects on psychological symptomatology, sense of control, and spiritual experiences. Psychotherapy and Psychosomatics, 66, 97-106.

Baer

R. A.

Smith

G. T.

Lykins

Hopkins

Krietemeyer

Toney

(2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27-45.

Beck

A. T.

(1964). Thinking and depression: II. Theory and therapy. Archives of General Psychiatry, 10, 561-571.

Beck

A. T.

(1995). Cognitive therapy: Basics and beyond. New York, NY: Guilford.

Beck

A. T.

Steer

R. A.

(1993). Beck Anxiety Inventory: Manual (2nd ed.). San Antonio, TX: Psychological Corporation.

10.

Beck

A. T.

Steer

R. A.

Brown

G. K.

(1996). Manual for Beck Depression Inventory–II. San Antonio, TX: Psychological Corporation.

11.

Benton

S. A.

Robertson

J. M.

Tseng

W.-C.

Newton

F. B.

Benton

S. L.

(2003). Changes in counseling center client problems across 13 years. Professional Psychology: Research and Practice, 34, 66-72.

12.

Bishop

S. R.

(2002). What do we really know about mindfulness-based stress reduction? Psychosomatic Medicine, 64, 71-84.

13.

Bohlmeijer

Prenger

Taal

Cuijpers

(2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with chronic medical disease: A meta-analysis. Journal of Psychosomatic Research, 68, 539-544.

14.

Bränström

Kvillemo

Brandberg

Moskowitz

J. T.

(2010). Self-report mindfulness as a mediator of psychological well-being in a stress reduction intervention for cancer patients—A randomized study. Annals of Behavioral Medicine, 39, 151-161.

15.

Brown

T. A.

Di Nardo

Barlow

D. H.

(1994). Anxiety disorders interview schedule for DSM-IV. San Antonio, TX: Psychological Corporation.

16.

Cohen

Kamarck

Mermelstein

(1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385-396.

17.

Dobkin

P. L.

(2008). Mindfulness-based stress reduction: What processes are at work? Complementary Therapies in Clinical Practice, 14, 8-16.

18.

Eisenberg

Gollust

S. E.

Golberstein

Hefner

J. L.

(2007). Prevalence and correlates of depression, anxiety, and suicidality among university students. American Journal of Orthopsychiatry, 77, 534-542.

19.

Gallagher

R. P.

(2007). National Survey of Counseling Center Directors. Washington, DC: International Association of Counseling Services.

20.

Gallagher

R. P.

(2012). National Survey of Counseling Center Directors 2012. Washington, DC: International Association of Counseling Services.

21.

Gawrysiak

Nicholas

Hopko

D. R.

(2009). Behavioral activation for moderately depressed university students: Randomized controlled trial. Journal of Counseling Psychology, 56, 468-475.

22.

Grossman

Niemann

Schmidt

Walach

(2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57, 35-43.

23.

Haaga

D. A.

Dyck

M. J.

Ernst

(1991). Empirical status of cognitive theory of depression. Psychological Bulletin, 110, 215-236.

24.

Hamilton

(1960). A rating scale for depression. Journal of Neurology, Neurosurgery & Psychiatry, 23, 56-61.

25.

Hofmann

S. G.

Sawyer

A. T.

Witt

A. A.

(2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169-183.

26.

Hopko

D. R.

Armento

M. E.

Robertson

S. M. C.

Ryba

M. M.

Carvalho

J. P.

Colman

L. K.

Lejuez

C. W.

(2011). Brief behavioral activation and problem-solving therapy for depressed breast cancer patients: Randomized trial. Journal of Consulting and Clinical Psychology, 79, 834-849.

27.

Jacobson

N. S.

Truax

(1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19.

28.

Jain

Sharpiro

S. L.

Swanick

Roesch

S. C.

Mills

P. J.

Bell

Schwartz

G. E.

(2007). A randomized controlled trial of mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33, 11-21.

29.

Kabat-Zinn

(1982). 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, 4, 33-47.

30.

Kabat-Zinn

(2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144-156.

31.

Kabat-Zinn

Lipworth

Burney

(1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8, 163-190.

32.

Kabat-Zinn

Massion

A. O.

Kristeller

Peterson

L. G.

Fletcher

K. E.

Pbert

Santorelli

S. F.

(1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry, 149, 936-943.

33.

Kessler

R. C.

Berglund

Demler

Jin

Merikangas

K. R.

Walters

E. E.

(2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593-602.

34.

Larsen

D. L.

Attkisson

C. C.

Hargreaves

W. A.

Nguyen

T. D.

(1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2, 197-207.

35.

Lee

(2005). Evidence-based treatment of depression in the college population. Journal of College Student Psychotherapy, 20, 23-31.

36.

Lewinsohn

P. M.

(1974). A behavioral approach to depression. In Friedman

R. M.

Katz

M. M.

(Eds.), The psychology of depression: Contemporary theory and research (pp. 157-178). New York, NY: Wiley.

37.

McIndoo

C. C.

Hopko

D. R.

(2012). The brief mindfulness-based stress reduction treatment for depression (B-MBSR): Therapist manual for treating college students with depression. Unpublished treatment manual, University of Tennessee, Konxville.

38.

The National Center on Addition and Substance Abuse at Columbia University. (2007). Wasting the best and brightest: Substance abuse at America’s colleges and universities. New York, NY: Author.

39.

Nezu

A. M.

Ronan

G. F.

Meadows

E. A.

McClure

K. S.

(2000). Practitioner’s guide to empirically based measures of depression. New York, NY: Kluwer Academic.

40.

Nolen-Hoeksema

Morrow

(1991). A prospective study of depression and distress following a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 105-121.

41.

Nolen-Hoeksema

Morrow

Fredrickson

B. L.

(1993). Response styles and the duration of episodes of depressed mood. Journal of Abnormal Psychology, 102, 20-28.

42.

Nolen-Hoeksema

Parker

Larson

(1994). Ruminative coping with depressive mood following loss. Journal of Personality and Social Psychology, 67, 92-104.

43.

Osman

Kopper

B. A.

Barrios

F. X.

Osman

J. R.

Wade

(1997). The Beck Anxiety Inventory: Reexamination of factor structure and psychometric properties. Journal of Clinical Psychology, 53, 7-14.

44.

Pace

T. M.

Dixon

D. N.

(1993). Changes in depressive self-schemata and depressive symptoms following cognitive psychotherapy. Journal of Counseling Psychology, 40, 288-294.

45.

Ramel

Goldin

Carmona

McQuaid

(2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28, 433-455.

46.

Reagin

D. M.

(1982). Time-limited cognitive-behavioral therapy for depressed college students. Dissertation Abstracts International, 43, 1481-1482.

47.

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.

48.

Shapiro

S. L.

Schwartz

G. E.

Bonner

(1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21, 581-599.

49.

Sprinkle

S. D.

Lurie

Insko

S. L.

Atkinson

Jones

G. L.

Logan

A. R.

Bissada

N. N.

(2002). Criterion validity, severity cut scores, and test–retest reliability of the Beck Depression Inventory–II in a university counseling center sample. Journal of Counseling Psychology, 49, 381-385.

50.

Stahl

Goldstein

(2010). A mindfulness-based stress reduction workbook. Oakland, CA: New Harbinger.

51.

Vázquez

F. L.

Torres

Blanco

Díaz

Otero

Hermida

(2012). Comparison of relaxation training with a cognitive-behavioural intervention for indicated prevention of depression in university students: A randomized controlled trial. Journal of Psychiatric Research, 46, 1456-1463.

52.

Voelker

(2003). Mounting student depression taxing campus mental health services. Journal of the American Medical Association, 289, 2055-2056.

53.

Wahbeh

Lane

J. B.

Goodrich

Miller

Oken

B. S.

(2012). One-on-one mindfulness meditation training in a research setting. Mindfulness. Advance online publication.

54.

Weitzman

E. R.

(2004). Poor mental health, depression, and associations with alcohol consumption, harm, and abuse in a national sample of young adults in college. The Journal of Nervous and Mental Disease, 192, 269-277.