Mindfulness-Based Cognitive Therapy: Theoretical Considerations and Practical Implications for Health Care Systems

Depression is a disorder that typically has a complex and cyclical course. Recurrent depression can be distinguished from a single episode of the disorder by unique cognitive processes, such as cognitive reactivity and rumination, which play roles relapse and sustaining recurrent depression. Mindfulness-Based Cognitive Therapy (MBCT) is a treatment utilizing the practice of daily mindfulness to prevent recurrence in people with extensive histories of depression. In the literature review presented here MBCT and recurrent depression are examined from the perspective of the Interacting Cognitive Subsystem (Teasdale & Barnard, 1993). Research describing the use of MBCT with cancer patients is also discussed. Following this, an MBCT program is delineated. Designed for implementation within a large health care network, a comprehensive referral system is explain as well as the foundational elements of the program itself and a number of continuation groups and MBCT for cancer patients. Methods of evaluation are described.