| Summary: | 碩士 === 國立臺灣師範大學 === 教育心理與輔導學系 === 100 === Rare studies about effects of mindfulness-based cognitive therapy(MBCT） used in remission phase of depressive patients in Taiwan. The purpose of this research aimed to apply MBCT group therapy in those patients who came from psychiatric OPD to explore the outcome of MBCT, and researcher hypothesized that patients’ depressive mood and cognitive-oriented tactics will improve after MBCT treatment. Research participators included ten treatment group members they attended 8 weeks group program and also completed research scales at the group beginning, end group and five months follow-up, and accepted videoing and taping in group. Thirteen patients were control group members who will wait for MBCT treatment. Research methods: This research acquired quantified outcome from five scales: personal information, BDI-II, the habit of negative self-thinking scale, mindful of attention awareness scale, self-monitoring awareness scale, and obtained qualitative results from analyzing the verbatim of eight weeks group process. Quantified results: 1. The treatment group’s depression, depressive physical-affective dimension and depressive cognitive dimension had significantly lower than the control group’s after MBCT treatment, reaching large effect size, two groups were nearly significant difference in mindful attention awareness, reaching large effect size, but they had no difference in subjective stress feeling, the habit of negative self-thinking, and self-monitoring awareness. 2. The treatment group’s depression, depressive physical-affective dimension, the habit of negative self-thinking, mindful attention awareness, and self-monitoring awareness had significantly difference after MBCT treatment, reaching medium to large effect size, but their subjective stress feeling and depressive cognitive dimension had no difference. Their depression, depressive physical-affective dimension, the habit of negative self-thinking, self-monitoring awareness had significantly difference in five months follow-up, reaching medium to large effect size; although their mindful attention awareness had no difference, it still reached large effect size. However, their subjective stress feeling and depressive cognitive dimension had no difference in five months follow-up. Qualitative research found that MBCT treatment could impact depression remission patients’ two cognitive abilities and two attitudes, including: self-regulation of attention, self-monitoring awareness, exceptional attitude orientation, intention and beneficial life manners. Those core elements were relating each other during the mindfulness practicing process and gradually transformed into more mindful in 8 weeks learning course by way of adjusting patients’ physical and mental health and living validly. Based on the findings, researcher took discussions and provided suggestions as references for future studies and practices.
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