Application Study Of Mindfulness-based Cognitive Therapy Combined With Loving-kindness Meditation On Patients With Major Depressive Disorder

ObjectivesThe purpose of this study was to explore the viability and efficacy of mindfulness-based cognitive therapy(MBCT)combined with loving-kindness mindfulness(LKM)guided by psychiatric nurse practitioner with qualification of psychological consultant treating major depressive disorder inpatients in psychiatric hospital.Methods126 inpatients admitted from outpatient of Suzhou Guangji Hospital through July 2015 to June 2016 were randomizedly divided into conventional treatment(control)group(65 cases)and MBCT+LKM+ conventional treatment(intervention)group(61 cases).Intervention group was adding to MBCT and LKM at the basis of conventional treatment and nursing measures.Scores of Five-Facet MindfulnessQuestionnaire(FFMQ),Rumination Response Scale(RRS),Hamilton Depression Scale(HAMD)and World Health OrganizationQuality of Life(WHOQOL-bref)at baseline and 13 weeks post-treatment in both groups were obtained and compared to evaluate the level of mindfulness,rumination,depression severity of patients and life quality.Results1.There were no significant differences in scores of FFMQ、RRS、HAMD and WHOQOL –bref at baseline(P>0.05).2.Higher scores in FFMQ and its factors were found in intervention group than in control group after treatment(P<0.001).Lower scores of RRS and its factors were found in intervention group than in control group after treatment(P<0.05).Scores of HAMD and its factors except weight change were apparently lower in intervention group than in control group(P<0.001),but no differences were found in weight change(P>0.05).Scores of WHOQOL-Bref and its factors were higher in intervention group than in control group(P<0.01).ConclusionMBCT combined with LKM could promote mindfulness level,decrease rumination,reduce severity of depressive symptoms and improve life quality in depression inpatients.It is effective and feasible for psychiatric nurse practitioner with qualification of psychological consultant to perform psychotherapy like MBCT combined with LKM to treat major depressive disorders in China.