title: Manual Development and Pilot Randomised Controlled Trial of Mindfulness-Based Cognitive Therapy Versus Usual Care for Parents with a History of Depression.
abstract: Parental 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.
authors.affiliation: Peninsula Medical School, University of Exeter, Oxford Institute of Clinical Psychology Training, University of Oxford, Oxford, UK.
authors.forename: Joanna
authors.initials: J
authors.lastname: Mann
authors.affiliation: Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, 0X3 7JX UK.
authors.forename: Willem
authors.initials: W
authors.lastname: Kuyken
authors.affiliation: Mood Disorders Centre, University of Exeter, Exeter, UK.
authors.forename: Heather
authors.initials: H
authors.lastname: O'Mahen
authors.affiliation: NIHR CLAHRC South West Peninsula (PenCLAHRC), University of Exeter, Exeter, UK.
authors.forename: Obioha C
authors.initials: OC
authors.lastname: Ukoumunne
authors.affiliation: Mood Disorders Centre, University of Exeter, Exeter, UK.
authors.forename: Alison
authors.initials: A
authors.lastname: Evans
authors.affiliation: Peninsula Medical School, University of Exeter, Exeter, UK.
authors.forename: Tamsin
authors.initials: T
authors.lastname: Ford
keywords: Children’s behaviour; Depression; Mindfulness-based cognitive therapy; Parenting; Parents