title: Mindful mood balance: a case report of Web-based treatment of residual depressive symptoms.
abstract: Residual depressive symptoms are associated with increased risk for relapse and impaired functioning. Although there is no definitive treatment for residual depressive symptoms, Mindfulness-Based Cognitive Therapy has been shown to be effective, but access is limited. Mindful Mood Balance (MMB), a Web-based adaptation of Mindfulness-Based Cognitive Therapy, was designed to address this care gap. In this case study, we describe a composite case that is representative of the course of intervention with MMB and its implementation in a large integrated delivery system. Specifically, we describe the content of each of eight weekly sessions, and the self-management skills developed by participating in this program. MMB may be a cost-effective and scalable option in primary care for increasing access to treatments for patients with residual depressive symptoms.
authors.affiliation: Doctoral Candidate in the Psychology and Neuroscience Department at the University of Colorado Boulder. jennifer.felder@colorado.edu.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Felder
authors.affiliation: Associate Professor in Psychology and Neuroscience at the University of Colorado Boulder. sona.dimidjian@colorado.edu.
authors.forename: Sona
authors.initials: S
authors.lastname: Dimidjian
authors.affiliation: Director for Quality Improvement and Strategic Research at the Kaiser Permanente Institute for Health Research in Denver, CO. arne.beck@kp.org.
authors.forename: Arne
authors.initials: A
authors.lastname: Beck
authors.affiliation: Doctoral Candidate in the Health Services Research Program at University of Colorado Denver: School of Public Health and a Project Coordinator at the Kaiser Permanente Institute for Health Research in Denver, CO. jennifer.m.boggs@kp.org.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Boggs
authors.affiliation: Distinguished Professor of Psychology in Mood Disorders at the University of Toronto in Ontario, Canada. zindel.segal@utoronto.ca.
authors.forename: Zindel
authors.initials: Z
authors.lastname: Segal
mesh_terms: D003863:Depression / Q000628:therapy*; D006801:Humans; D020407:Internet; D064866:Mindfulness; D011320:Primary Health Care; D012648:Self Care; D017216:Telemedicine