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dc.contributor.authorMann, J
dc.contributor.authorKuyken, W
dc.contributor.authorO'Mahen, H
dc.contributor.authorUkoumunne, OC
dc.contributor.authorEvans, A
dc.contributor.authorFord, T
dc.date.accessioned2020-12-22T05:06:34Z
dc.date.available2020-12-22T05:06:34Z
dc.date.issued2016-10-01
dc.identifierpii: 543
dc.identifier.citationMann, J., Kuyken, W., O'Mahen, H., Ukoumunne, O. C., Evans, A. & Ford, T. (2016). Manual Development and Pilot Randomised Controlled Trial of Mindfulness-Based Cognitive Therapy Versus Usual Care for Parents with a History of Depression. MINDFULNESS, 7 (5), pp.1024-1033. https://doi.org/10.1007/s12671-016-0543-7.
dc.identifier.issn1868-8527
dc.identifier.urihttp://hdl.handle.net/11343/258212
dc.description.abstractParental depression can adversely affect parenting and children's development. We adapted mindfulness-based cognitive therapy (MBCT) for parents (MBCT-P) with a history of depression and describe its development, feasibility, acceptability and preliminary estimates of efficacy. Manual development involved interviews with 12 parents who participated in MBCT groups or pilot MBCT-P groups. We subsequently randomised 38 parents of children aged between 2 and 6 years to MBCT-P plus usual care (n = 19) or usual care (n = 19). Parents were interviewed to assess the acceptability of MBCT-P. Preliminary estimates of efficacy in relation to parental depression and children's behaviour were calculated at 4 and 9 months post-randomisation. Levels of parental stress, mindfulness and self-compassion were measured. Interviews confirmed the acceptability of MBCT-P; 78 % attended at least half the sessions. In the pilot randomised controlled trial (RCT), at 9 months, depressive symptoms in the MBCT-P arm were lower than in the usual care arm (adjusted mean difference = -7.0; 95 % confidence interval (CI) = -12.8 to -1.1; p = 0.02) and 11 participants (58 %) in the MBCT-P arm remained well compared to 6 (32 %) in the usual care arm (mean difference = 26 %; 95 % CI = -4 to 57 %; p = 0.02). Levels of mindfulness (p = 0.01) and self-compassion (p = 0.005) were higher in the MBCT-P arm, with no significant differences in parental stress (p = 0.2) or children's behaviour (p = 0.2). Children's behaviour problems were significantly lower in the MBCT-P arm at 4 months (p = 0.03). This study suggests MBCT-P is acceptable and feasible. A definitive trial is needed to test its efficacy and cost effectiveness.
dc.languageEnglish
dc.publisherSPRINGER
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titleManual Development and Pilot Randomised Controlled Trial of Mindfulness-Based Cognitive Therapy Versus Usual Care for Parents with a History of Depression
dc.typeJournal Article
dc.identifier.doi10.1007/s12671-016-0543-7
melbourne.affiliation.departmentPaediatrics (RCH)
melbourne.source.titleMindfulness
melbourne.source.volume7
melbourne.source.issue5
melbourne.source.pages1024-1033
dc.rights.licenseCC BY
melbourne.elementsid1186946
melbourne.contributor.authorUkoumunne, Obioha
dc.identifier.eissn1868-8535
melbourne.accessrightsOpen Access


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