Mindful Mood Balance

Mental Health Promising

Mindful Mood Balance (MMB), an online adaptation of Mindfulness-Based Cognitive Therapy (MBCT), aims to treat adults with depression symptoms and prevent depressive relapse through mindfulness practices. MMB is designed to teach individuals how to become aware of and manage their thoughts, feelings, and body sensations.

 

Individuals are educated on the basics of mindfulness and guided mindfulness practices such as body scan (i.e., directing attention to each part of the body), meditation, breathing exercises, and mindful movement (e.g., intentional stretching, walking, or yoga). Individuals learn how to use mindfulness to manage mood shifts and prevent depressive relapse. Each session incorporates experiential practice, video-based learning, and interactive activities. Coaches can provide motivational and technical support, including an initial orientation to MMB.


MMB is rated as a promising practice because at least one study achieved a rating of moderate or high on study design and execution and demonstrated a favorable effect on a target outcome.


Date Research Evidence Last Reviewed: May 2022


Sources

The program or service description, target population, and program or service delivery and implementation information were informed by the following sources: the program or service manual, the program or service developer’s website, and the studies reviewed.


This information does not necessarily represent the views of the program or service developers. For more information on how this program or service was reviewed, visit the Review Process page or download the Handbook.

Target Population

MMB is designed to treat adults with histories of depression and residual depression symptoms.

Dosage

Individuals complete MMB at their own pace. MMB includes eight sessions intended to be completed once per week. Participants are encouraged to engage in mindfulness practices in between sessions.

Location/Delivery Setting
Recommended Locations/Delivery Settings

MMB is delivered online.

Location/Delivery Settings Observed in the Research

  • Home
  • Mental Health Center, Treatment Center, Therapist Office
  • Online

Education, Certifications and Training

The MMB program is self-guided. If coaches are used, they should have a bachelor’s degree and professional experience in providing mental health services. Coaches must attend a 5-day MBCT workshop to learn about the basics of MBCT.

Program or Service Documentation
Book/Manual/Available documentation used for review

Segal, Z. V., & Dimidjian, S. (2020). Mindful Mood Balance [Online software]. Mindful Noggin.

Available languages

The MMB manual is available in English.

Other supporting materials

MMB Online Course Details

Contact Information for Developers

Website: https://mindfulnoggin.com/

Contact form: https://mindfulnoggin.com/contact-us/

Results of Search and Review Number of Studies Identified and Reviewed for Mindful Mood Balance
Identified in Search 5
Eligible for Review 2
Rated High 0
Rated Moderate 1
Rated Low 1
Reviewed Only for Risk of Harm 0
Outcome Effect Size Effect Size more info
and Implied Percentile Effect Implied Percentile Effect more info
N of Studies (Findings) N of Participants Summary of Findings
Adult well-being: Parent/caregiver mental or emotional health 0.35
13
1 (2) 409 Favorable: 2
No Effect: 0
Unfavorable: 0

Note: For the effect sizes and implied percentile effects reported in the table, a positive number favors the intervention group and a negative number favors the comparison group.

Outcome Effect Size Effect Size more info
and Implied Percentile Effect Implied Percentile Effect more info
N of Studies (Findings) N of Participants Summary of Findings Months after treatment
when outcome measured
Months after treatment when outcome measured more info
Adult well-being: Parent/caregiver mental or emotional health 0.35
13
1 (2) 409 Favorable: 2
No Effect: 0
Unfavorable: 0
-
Segal, 2020
Patient Health Questionnaire – 9 (.5 Months After Baseline) 0.31 *
12
- 409 - 0
Patient Health Questionnaire – 9 (1 Month After Baseline) 0.39 *
15
- 392 - 0

*p <.05

Note: For the effect sizes and implied percentile effects reported in the table, a positive number favors the intervention group and a negative number favors the comparison group. Effect sizes and implied percentile effects were calculated by the Prevention Services Clearinghouse as described in the Handbook of Standards and Procedures, Section 5.10.4 and may not align with effect sizes reported in individual publications.

Only publications with eligible contrasts that met design and execution standards are included in the individual study findings table.

Full citations for the studies shown in the table are available in the "Studies Reviewed" section.

Sometimes study results are reported in more than one document, or a single document reports results from multiple studies. Studies are identified below by their Prevention Services Clearinghouse study identification numbers.

Studies Rated Moderate

Study 11611

Segal, Z. V., Dimidjian, S., Beck, A., Boggs, J. M., Vanderkruik, R., Metcalf, C. A., Gallop, R., Felder, J. N., & Levy, J. (2020). Outcomes of online Mindfulness-Based Cognitive Therapy for patients with residual depressive symptoms: A randomized clinical trial. JAMA Psychiatry, 77(6), 563-573. https://doi.org/10.1001/jamapsychiatry.2019.4693


Studies Rated Low

Study 11483

Dimidjian, S., Beck, A., Felder, J. N., Boggs, J. M., Gallop, R., & Segal, Z. V. (2014). Web-based Mindfulness-Based Cognitive Therapy for reducing residual depressive symptoms: An open trial and quasi-experimental comparison to propensity score matched controls. Behaviour Research and Therapy, 63, 83-89. https://doi.org/10.1016/j.brat.2014.09.004

This study received a low rating because baseline equivalence of the intervention and comparison groups was necessary and not demonstrated.


Studies Not Eligible for Review

Study 11445

Cillessen, L., Schellekens, M. P. J., van de Ven, M. O. M., Donders, A. R. T., Compen, F. R., Bisseling, E. M., van der Lee, M. L., & Speckens, A. E. M. (2018). Consolidation and prediction of long-term treatment effect of group and online mindfulness-based cognitive therapy for distressed cancer patients. Acta Oncologica, 57(10), 1293-1302. https://doi.org/10.1080/0284186X.2018.1479071

Compen, F. R., Bisseling, E. M., van der Lee, M. L., Adang, E. M. M., Donders, A. R. T., & Speckens, A. E. M. (2015). Study protocol of a multicenter randomized controlled trial comparing the effectiveness of group and individual internet-based Mindfulness-Based Cognitive Therapy with treatment as usual in reducing psychological distress in cancer patients: The BeMind study. BMC psychology, 3, Article 27. https://doi.org/10.1186/s40359-015-0084-1

Compen, F., Bisseling, E., Schellekens, M., Donders, R., Carlson, L., van der Lee, M., Speckens, A., & Compen, F. (2018). Face-to-face and internet-based Mindfulness-Based Cognitive Therapy compared with treatment as usual in reducing psychological distress in patients with cancer: A multicenter randomized controlled trial. Journal of Clinical Oncology, 36(23), 2413-2421. https://doi.org/10.1200/JCO.2017.76.5669

Bisseling, E., Cillessen, L., Spinhoven, P., Schellekens, M., Compen, F., van der Lee, M., & Speckens, A. (2019). Development of the therapeutic alliance and its association with internet-based Mindfulness-Based Cognitive Therapy for distressed cancer patients: Secondary analysis of a multicenter randomized controlled trial. Journal of Medical Internet Research, 21(10), Article e14065. https://doi.org/10.2196/14065

Bisseling, E., Cillessen, L., Spinhoven, P., Schellekens, M., Compen, F., van der Lee, M., & Speckens, A. (2019). Development of therapeutic alliance and its association with treatment outcome in internet based Mindfulness-Based Cognitive Therapy (eMBCT) compared to group-based MBCT (MBCT) for distressed cancer patients. Journal of Psychosomatic Research, 121, 146-147. https://doi.org/10.1016/j.jpsychores.2019.03.141

Bisseling, E. M., Schellekens, M. P. J., Spinhoven, P., Compen, F. R., Speckens, A. E. M., & van der Lee, M. L. (2019). Therapeutic alliance—not therapist competence or group cohesion—contributes to reduction of psychological distress in group‐based Mindfulness‐Based Cognitive Therapy for cancer patients. Clinical Psychology & Psychotherapy, 26(3), 309-318. https://doi.org/10.1002/cpp.2352

Compen, F., Adang, E., Bisseling, E., van der Lee, M., & Speckens, A. (2019). Cost-effectiveness of individual internet-based and face-to-face Mindfulness-Based Cognitive Therapy compared to treatment as usual in reducing psychological distress in cancer patients. Journal of Psychosomatic Research, 121, 146. https://doi.org/10.1016/j.jpsychores.2019.03.140

Cillessen, L., van de Ven, M. O. M., Compen, F. R., Bisseling, E. M., van der Lee, M. L., & Speckens, A. E. M. (2020). Predictors and effects of usage of an online mindfulness intervention for distressed cancer patients: Usability study. Journal of Medical Internet Research, 22(10), Article e17526. https://doi.org/10.2196/17526

Compen, F., Adang, E., Bisseling, E., Lee, M., Speckens, A., & van der Lee, M. (2020). Cost-utility of individual internet-based and face-to-face Mindfulness-Based Cognitive Therapy compared with treatment as usual in reducing psychological distress in cancer patients. Psycho-Oncology, 29(2), 294-303. https://doi.org/10.1002/pon.5246

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

Study 11455

Bruggeman-Everts, F. Z., Wolvers, M. D. J., van de Schoot, R., Vollenbroek-Hutten, M. M. R., & van der Lee, M. L. (2017). Effectiveness of two web-based interventions for chronic cancer-related fatigue compared to an active control condition: Results of the "Fitter na kanker" randomized controlled trial. Journal of Medical Internet Research, 19(10), Article e366. https://doi.org/10.2196/jmir.7180

Wolvers, M. D., Bruggeman-Everts, F. Z., van der Lee, M. L., van de Schoot, R., & Vollenbroek-Hutten, M. M. (2015). Effectiveness, mediators, and effect predictors of internet interventions for chronic cancer-related fatigue: The design and an analysis plan of a 3-armed randomized controlled trial. JMIR Research Protocols, 4(2), Article e77. https://doi.org/10.2196/resprot.4363

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

Study 11576

Nissen, E. R., O'Connor, M., Kaldo, V., Højris, I., Borre, M., Zachariae, R., & Mehlsen, M. (2020). Internet-delivered Mindfulness-Based Cognitive Therapy for anxiety and depression in cancer survivors: A randomized controlled trial. Psycho-Oncology, 29(1), 68-75. https://doi.org/10.1002/pon.5237

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).