The Effects of a Standardized Cognitive-Behavioural Therapy and an Additional Mindfulness-Based Training on Interoceptive Abilities in a Depressed Cohort
Open Access
- 15 October 2021
- journal article
- research article
- Published by MDPI AG in Brain Sciences
- Vol. 11 (10), 1355
- https://doi.org/10.3390/brainsci11101355
Abstract
Background: Interoceptive accuracy and sensibility are decreased in depressive samples. However, different studies showed that cognitive-behavioural therapy (CBT) and mindfulness interventions are promising approaches to improve interoceptive abilities. Based on these findings, the study aims to investigate the pre–post effect of CBT in a depressive sample. Additionally, we examined the effect of mindfulness-based stress reduction (MBSR) training in the context of CBT. Methods: Sixty depressive patients were investigated over four weeks, with two conditions—CBT vs. CBT + MBSR. Further, the changes in interoceptive abilities (interoceptive accuracy and sensibility) of the depressive patients were compared to baseline data of healthy controls. Results: The depressive patients showed significantly higher levels of depression and lower mindfulness and interoceptive abilities than healthy controls. The depressive sample showed a significant decrease in depressive symptoms and increased mindfulness and interoceptive abilities after CBT. Lastly, depressive patients of the CBT + MBSR condition did not differ from those who only received CBT in the levels of depression, mindfulness or interoceptive abilities over the time course. Discussion: This study demonstrates a positive effect of CBT on interoceptive abilities in a depressive sample. It is shown that the depressive sample did not profit from additional mindfulness training. It can be concluded that CBT is an efficient treatment, resulting in increased interoceptive abilities. Unexpectedly, the combination of CBT and MBSR has no additional effect on these changes. Future studies should investigate the effect of MBSR as a stand-alone therapy.This publication has 52 references indexed in Scilit:
- The Multidimensional Assessment of Interoceptive Awareness (MAIA)PLOS ONE, 2012
- Heartbeat evoked potentials mirror altered body perception in depressed patientsClinical Neurophysiology, 2012
- Mindfulness-based cognitive therapy: a promising new approach to preventing depressive relapseThe British Journal of Psychiatry, 2012
- Dispositional mindfulness moderates the relation between neuroticism and depressive symptomsPersonality and Individual Differences, 2011
- The Healthy Quality of Mindful Breathing: Associations With Rumination and DepressionCognitive Therapy and Research, 2010
- Can you feel the beat? Interoceptive awareness is an interactive function of anxiety- and depression-specific symptom dimensionsBehaviour Research and Therapy, 2010
- Interoception in anxiety and depressionBrain Structure and Function, 2010
- Abnormal body perception and neural activity in the insula in depression: An fMRI study of the depressed “material me”The World Journal of Biological Psychiatry, 2010
- Heartbeat perception in depressionBehaviour Research and Therapy, 2007
- Full Catastrophe LivingThe Nurse Practitioner, 1992