Mindfulness-Based Approaches in the Treatment of Bipolar Disorder: Potential Mechanisms and Effects
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Mindfulness-based approaches are popular in the treatment of a variety of psychiatric disorders. This article examines how mindfulness-based inventions may assist in the management of bipolar disorder and in addressing common comorbidities, such as anxiety disorders. We also examine how mindfulness mediation may ameliorate cognitive deficits associated with bipolar disorder and reduce the impact of stress in managing day-to-day life events. Initial results of mindfulness-based cognitive therapy studies for those with bipolar disorder are promising; however, further research is needed to examine the efficacy of these approaches in the long term management of this disorder.
KeywordsMindfulness MBCT Bipolar disorder Psychotherapy
The project has been funded by an NHMRC program grant (No. 222708 and 510135).
- American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington: American Psychiatric Association.Google Scholar
- Beck, A., Brown, G., & Steer, R. (1996). BDI-II manual. San Antonio: The Psychological Corporation.Google Scholar
- Bowen, S., Chawla, N., & Marlatt, G. A. (2010). Mindfulness-based relapse prevention for addictive behaviors: a clinician’s guide. New York: Guildford Press.Google Scholar
- Carlson, L. E., Speca, M., Faris, P., & Patel, K. D. (2007). One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, Behavior, and Immunity, 21(8), 1038–1049.PubMedCrossRefGoogle Scholar
- Frank, E., Soreca, I., Swartz, H. A., Fagiolini, A. M., Mallinger, A. G., Thase, M. E., et al. (2008). The role of interpersonal and social rhythm therapy in improving occupational functioning in patients with bipolar I disorder. American Journal of Psychiatry, 165(12), 1559–1565.PubMedPubMedCentralCrossRefGoogle Scholar
- Grant, B., Stinson, F., Hasin, D., Dawson, D., Chou, S., Ruan, W., et al. (2005). Prevalence, correlates, and comorbidity of bipolar I disorder and axis I and II disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 66(10), 1205–1215.PubMedCrossRefGoogle Scholar
- Gunaratana, H. V. (1991). Mindfulness in plain English. Taipei: The Corporate Body of the Buddha Educational Foundation.Google Scholar
- Hayes, S., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: an experiential approach to behavior change. New York: Guilford Press.Google Scholar
- Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Delta Books.Google Scholar
- Kabat-Zinn, J. (1994). Wherever you go, there you are. New York: Hyperion.Google Scholar
- Linehan, M. M. (1993). Skills training manual for treating borderline personality disorder. New York: Guildford Press.Google Scholar
- Miklowitz, D. J., Otto, M. W., Frank, E., Reilly-Harrington, N. A., Wisniewski, S. R., Kogan, J. N., et al. (2007). Psychosocial treatments for bipolar depression: a 1-year randomized trial from the systematic treatment enhancement program. Archives of General Psychiatry, 64(4), 419–427.PubMedPubMedCentralCrossRefGoogle Scholar
- Nibbana Meditation Association (2009). Mindfulness is not Sati? Available at: http://theravadin.wordpress.com/2009/02/13/mindfulness-is-not-sati/.
- Perich, T., Manicavasagar, V., Mitchell, P. B., Ball, J. R. (2012). A randomized controlled trial of mindfulness-based cognitive therapy for bipolar disorder. Acta Psychiatrica Scandinavica (in press)Google Scholar
- Segal, Z. V., Bieling, P., Young, T., MacQueen, G., Cooke, R., Martin, L., et al. (2010). Antidepressant monotherapy vs sequential pharmacotherapy and mindfulness-based cognitive therapy, or placebo, for relapse prophylaxis in recurrent depression. Archives of General Psychiatry, 67(12), 1256–1264.PubMedPubMedCentralCrossRefGoogle Scholar
- Speca, M., Carlson, L. E., Goodey, E., & Angen, M. (2000). A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 62(5), 613–622.PubMedCrossRefGoogle Scholar
- Suppes, T., Leverich, G. S., Keck, J. P. E., Nolen, W. A., Denicoff, K. D., Altshuler, L. L., et al. (2001). The Stanley Foundation Bipolar Treatment Outcome Network: II. Demographics and illness characteristics of the first 261 patients. Journal of Affective Disorders, 67(1–3), 45–59.PubMedCrossRefGoogle Scholar
- Williams, J. M. G., Alatiq, Y., Crane, C., Barnhofer, T., Fennell, M. J., Duggan, D. S., et al. (2008). Mindfulness-based Cognitive Therapy (MBCT) in bipolar disorder: preliminary evaluation of immediate effects on between-episode functioning. Journal of Affective Disorders, 107(1–3), 275–279.PubMedPubMedCentralCrossRefGoogle Scholar