Outcomes of Online Mindfulness-Based Cognitive Therapy for Patients With Residual Depressive Symptoms

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Abstract
Depression is the second leading cause of disability worldwide, with the frequently chronic and recurrent nature of the disorder contributing significantly to the global burden of disease.1 Even low to moderate levels of residual depressive symptoms (RDS) are associated with significant impairment,2 greater social role strain,3 and risk of a negative prognosis.4 Despite the availability of antidepressant medication, most patients with depression who achieve a clinical response to antidepressant medications experience RDS.5 The public health risks of failing to address RDS are substantial, with the per capita costs of RDS ($2144) approaching the costs associated a major depressive episode ($3133).6 Patients with RDS often face a gap in care, whereby having achieved a marginal treatment response, they often are not provided resources for managing the lingering effects of the illness6,7 or achieving remission.

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