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Mindfulness-based cognitive therapy prevents depression relapse

Our timeline shows the development of research into using mindfulness-based cognitive therapy to treat depression. It displays the impact that research has had on influencing policy.

Published: 28 October 2022

Treating depression with mindfulness and cognitive behaviour therapy

Around 87,000 adults in the UK are at risk of recurrent depression. Antidepressants and psychotherapies can be effective at treating repeated depressive episodes in the short-term, but it means people are dependent upon taking antidepressants.

Mindfulness-based cognitive therapy (MBCT) is a group-based training programme that combines mindfulness meditation with elements of cognitive behavioural therapy.

More than 3,000 patients a year receive MBCT through the NHS, thanks to research by the NIHR and other funders.

Impact timeline

1995

Research

A new approach to preventing relapse in depression called mindfulness-based cognitive therapy (MBCT) is shown to be effective.

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Funded by: John D. and Catherine T. MacArthur Foundation, Mental Health Research Network.

Source: How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help?

2004

Impact

For the first time, clinical guidelines recommend MBCT to prevent relapse in depression, but state that more evidence is needed.

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2008

Research

Study shows that MBCT may be an alternative or better treatment option than antidepressants.

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2009

Impact

Second change in clinical guidance confirms recommendation of MBCT to prevent relapse in depression.

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2013

Research

Research shows that the Teaching Assessment Criteria are an effective tool for assessing whether MBCT is being delivered as intended.

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2015

Research

Impact

Parliamentary group recommends that all 87,000 adults at risk of recurrent depression in the UK should have access to MBCT by 2020, and 100 therapists should be trained each year.

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2016-2017

Research

Study highlights that access to MBCT varies across the UK and recommends approaches to support sustainable implementation.

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Impact

  • New implementation guidance for MBCT uses recommendations from NIHR research.
  • NHS England’s and Health Education England’s new MBCT Training Curriculum incorporates the Teaching Assessment Criteria.
  • 1,087 patients receive MBCT to prevent depression relapse (NHS Digital).

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2018

Impact

65 NHS staff are trained in MBCT, and 57% of NHS services have MBCT trained staff.

3,597 patients receive MBCT to prevent depression relapse (NHS Digital).

2019

Research

Research shows that 96% of people treated with MBCT while in remission from depression remained well throughout treatment.

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The data and sequence of events presented in the infographic is a snapshot of the wider work carried out across the research and development and health and care research ecosystem in the UK. It was not possible to undertake a comprehensive analysis of all the work that has underpinned this area.

This infographic should therefore be treated as a high-level overview.

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