Analysis of Participants' Experiences of Mindfulness Based Cognitive Therapy for Perinatal Depression Público
Breazeale, Kathryn Garrett (2013)
Abstract
This study examined the exit interviews of women who participated in Mindfulness-Based Cognitive Therapy for Perinatal Depression (MBCT-PD), a modification of Mindfulness-Based Cognitive Therapy (MBCT) designed to prevent the recurrence of depression in perinatal women with histories of major depression. This study had three aims related to furthering understanding of mechanisms associated with MBCT in the prevention of depression recurrence: 1) to compare the extent to which themes identified in qualitative studies of exit interviews of MBCT participants were identified in the exit interviews of women who participated in MBCT-PD; 2) to describe the extent to which themes specific to the alterations made to MBCT-PD were present in the exit interviews of MBCT-PD participants; and 3) to test for corroboration between the themes from the interview data and data from psychometrically sound questionnaire measures of theorized mechanisms of MBCT (decentering, mindfulness, and experiental avoidance). The study found few significant differences between the themes identified in MBCT participants and those found in interviews of MBCT-PD participants. Themes consistent with the alterations made to MBCT-PD were also identified in MBCT participants' exit interviews. Contrary to hypotheses, data generated from exit interviews were generally not significantly associated with women's scores from the questionnaire measures of theorized mechanisms. Findings were considered to be supportive of the adaptation of MBCT to MBCT-PD. We generally replicated the reported experiences of participants in MBCT in the MBCT-PD participants. The failure to find corroboration between two approaches to measure theory-based mechanisms suggests that both sources of information on potential mechanisms are needed to more fully capture women's experiences relative to either one alone.
Table of Contents
I. Introduction……………..………………………………………....…………………………..1
II. Method……………………………………………………………………...………………...12
III. Results…………………………………………………………………………….…………17
IV. Discussion…………………………………………………………………………………...41
V.References…………………………………………………………………………………….47
VI. Tables
1. Table 1: Themes Reported by Allen et. al (2009)………………………………...…...52
2. Table 2: Themes Reported by Baillie et. al (2012)……………………………………53
3. Table 3: Additional Themes Drawn from other Literature……………………………54
4. Table 4: Justifications for Individual Pairing of Themes and Mechanisms…….…….55
5. Table 5: Justifications for Individual Pairing of Themes and Mechanisms, Continued..........................................................................................................................56
6. Table 6: Themes Specific to the Alterations of MBCT-PD…………………………...57
7. Table 7: Theme Mentions by Percentage and Count (M and SD)……………………58
8. Table 8: Results of T-Test of Proportions Between Study Sample and Baillie et. al (2012)…………………………………………………………………………………....59
9. Table 9: Percent of MBCT-PD Participants Mentioning Themes Compared with Allen et. al (2009)……………………………………………………………………………..60
10. Table 10: Question Responses, 1-6…………………………………………………61
11. Table 11: Question Responses, 7-15………………………………………………..62
VII. Appendices
1. Appendix A: Text of the six-month postpartum exit interviewer script……………..63
2. Appendix B: Count of Participant Mentions of Theme per Question……………….69
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