The Effectiveness of Mindfulness-Based Cognitive Therapy in Primary Care and the Role of Depression Severity and Treatment Attendance

Matilde Elices, Víctor Pérez Sola, Adrián Pérez Aranda, Francesc Colom, Maria Polo, Luis Miguel Martín López, Miguel Gárriz

Research output: Contribution to journalArticleResearchpeer-review

5 Citations (Scopus)


Objectives: Evidence suggests the efficacy of mindfulness-based cognitive therapy (MBCT) to prevent depression relapse and decrease depressive symptoms during the acute phase. However, the effectiveness of MBCT in real-world heterogeneous samples treated in clinical health settings, including primary care, has received little attention. This study had two aims: 1) to evaluate the effectiveness of MBCT delivered in primary care considering pre-treatment depression scores and 2) to explore the role of participants' characteristics on symptom improvement. Methods: Data were obtained from 433 individuals who received MBCT. Participants completed the Beck Depression Inventory (BDI-II) and the Personality Inventory for ICD-11 (PiCD) pre-and-post treatment. Results: 60.3% presented moderate-to-severe depression according to scores on the BDI-II, 18.1% presented mild depression, and 21.7% were in the nondepressed range. The severity of pre-treatment depressive symptoms was associated with outcomes. Most individuals who lacked depressive symptoms at baseline remained in the non-clinical range after the treatment. Those in the severe group benefited the most from the intervention: 35.6% were considered recovered. Rates of deterioration ranged from 2.1% to 2.7%, depending on the depression-baseline scores. Depression severity at the entrance, attendance, and age, but not personality traits, appear to be related to symptom improvement. Conclusions: According to our results, MBCT can be effectively and safely delivered in primary care. Clinical and implementation-related implications are discussed.
Translated title of the contributionEfectividad de la terapia cognitiva basada en mindfulness en atención primaria y el rol de la severidad de la depresión y la asistencia al tratamiento
Original languageEnglish
Pages (from-to)1-11
Number of pages11
Early online date29 Nov 2021
Publication statusPublished - 29 Nov 2021


  • Depression
  • Effectiveness
  • Implementation
  • Mindfulness-based cognitive therapy
  • Primary care


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