Eficacia de los tratamientos psicológicos basados en mindfulness para los trastornos de ansiedad y depresiónuna revisión sistemática

  1. Miró Barrachina, María Teresa
  2. Perestelo Pérez, Lilisbeth
  3. Pérez Ramos, Jeanette
  4. Rivero Santana, Amado
  5. González Lorenzo, Marién
  6. Fuente Portero, Juan Antonio de la
  7. Serrano Castro, Pedro Jesús
Journal:
Revista de psicopatología y psicología clínica

ISSN: 1136-5420

Year of publication: 2011

Volume: 16

Issue: 1

Pages: 1-14

Type: Article

DOI: 10.5944/RPPC.VOL.16.NUM.1.2011.10347 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista de psicopatología y psicología clínica

Abstract

The aim of this study was to determine the degree of clinical efficacy of mindfulness based treatments in the treatment of anxiety and/or depressive disorders, from a systematic review of relevant studies in the scientific literature. From a total of 1450 references identified, 15 studies met the selection criteria. Systematic analysis of these studies showed that interventions based on Mindfulness, using a group format and structured exercises, were moderately effective in reducing depressive and anxious symptoms. Given that mindfulness based treatments can be administered in group format, they can be an important co-adjuvant in treating such symptoms. Nevertheless, more randomized studies with controls are needed to clearly establish the efficacy of this kind of treatments.

Bibliographic References

  • Baer, R.A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125-143.
  • Barnhofer, T., Crane, C., Hargus, E., Amarasingue, M., Winder, R., & Williams, J.M. (2009). Mindfulness based cognitive therapy as a treatment for chronic depression: A preliminary study. Behaviour Research and Therapy, 47, 366-373.
  • Bishop, S.R., Lau, M., Shapiro, S., Carlson, L., Anderson, N.D., Carmody, J., et al. (2004). Mindfulness: A Proposed Operational Defi nition. Clinical Psychology: Science and Practice, 11, 230-241.
  • Cebolla, A., y Miró, M.T. (2007). Efi cacia de la terapia cognitiva basada en la AP en el tratamiento de la depresión. Revista de Psicoterapia, 66-67, 133-156.
  • Damasio, A. (1999). The Feeling of What Happens: Body and Emotion in the Making of Consciousness. New York: Harcourt Trade Publishers.
  • Davidson, R.J., Kabat-Zinn, J., Schumacher, J., Rosenkrantz, M., Muller, D., Santorelli, S.F., et al. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine, 65, 564-570.
  • Davis, E.N., & Nolen-Hoesksema, S. (2000). Cognitive infl exibility among ruminators and non-ruminators. Cognitive Therapy and Research, 24, 699-711.
  • Echeburúa, E., de Corral, P., y Salaberría, K. (2010). Efectividad de las terapias psicológicas: Un análisis de la realidad actual. Revista de Psicopatología y Psicología Clínica, 15, 85-99.
  • Estabrooks, C.A., Goel, V., Thiel, E., Pinfold, S.P., Sawka, C., y Williams, J. (2000). Consumer Decision Aids: Where do we stand? A systematic review of structured consumer decision aids. ICES 2000.
  • Evans, S., Ferrando, S., Findler, M., Strowell, C., Smart, C., & Haglin, D. (2007). Mindfulness based cognitive therapy for generalized anxiety disorder. Journal of Anxiety Disorders, 23, 612-618.
  • Farb, N.A., Segal, Z.V., Mayberg, H., Bean, J., McKeon, D., Fatima, Z., et al. (2007), Attending to the present: Mindfulness meditation reveals distinct neural modes of self-reference. Social Cognitive and Affective Neuroscience, 2, 259-263.
  • Fresco, D.M., Frankel, A.N., Mennin, D.S., Turk, C.L., & Heimberg, R.G. (2002). Distinct and overlapping features of rumination and worry: The relationship of cognitive production to negative affective styles. Cognitive Therapy and Research, 26, 179-188.
  • Grossman, P., Niemann, L., Schmid, S., & Walach, H. (2004). Mindfulness based stress reduction and health benefi ts: A meta-analysis. Journal of Psychosomatic Research, 57, 35-43.
  • Hofmann, S., Sawyer, A.T., Witt, A.A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting Clinical Psychology, 78, 169-183.
  • Jadad, A.R., Moore, R.A., Carroll, D., Jenkinson, C., Reynolds, J.M., Gavaghan, D.J., et al. (1996). Assessing the quality of reports of randomized clinical trials: Is blinding necessary? Controlled Clinical Trials, 17, 1-12.
  • Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33-47.
  • Kabat-Zinn, J. (2003). Mindfulness based interventions in context: Past, present and future. Clinical Psychology: Science and Practice, 10, 144-156.
  • Kabat-Zinn, J. (2009). Foreword. In F. Didonna (Ed.) Clinical Handbook of mindfulness. New York. Springer.
  • Kabat-Zinn, J., Massion, A.O., Kristeller, J., Peterson, L.G., Fletcher, K.E., Pbert, L., et al. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. The American Journal of Psychiatry, 149, 936-943.
  • Katz, L.Y., Cox, B.J., Gunasekara, S., & Miller, A.L. (2004). Feasibility of dialectical behavior therapy for suicidal adolescent inpatients. The Journal of the American Academy of Child and Adolescent Psychiatry, 43, 276-282.
  • Keeny, M.A., & Williams, J.M. (2007). Treatment-resistant depressed patients show a good response to mindfulness based cognitive therapy. Behaviour Research and Therapy, 45, 617-625.
  • Kendall, P., & Imgram, R. (1989). Cognitive-behavioural perspectives: Theory and Research on depresión and anxiety. In P. Kendal y D. Watson (Eds.), Anxiety and depression: Distinctive and overlapping features (pp. 27-53). Orlando, F.L.: Academic Press.
  • Kim, Y.W., Lee, S.H., Choi, T.K., Suh, S.Y, Kim, B., Kim, C.M., et al. (2009). Effectiveness of mindfulness based cognitive therapy as an adjuvant to pharmacotherapy in patients with panic disorder or generalized anxiety disorder. Depression and Anxiety, 26, 601-606.
  • Kingston, T., Dooley, B., Bates, A., Lawlor, E., & Malone, K. (2007). Mindfulness-based cognitive therapy for residual depressive symptoms. Psychology and Psychotherapy: Theory, Research and Practice, 80, 193- 203.
  • Ledesma, D., & Kumano, H. (2008). Mindfulness-based stress reduction and cancer: A meta-analysis. Psycooncology, 18, 571-579.
  • Lee, S.H., Ahn, S.C., Lee, Y.J., Choi, T.K., Yook, K.H., & Suh, S.Y. (2007). Effectiveness of a meditation-based stress management program as an adjunct to pharmacotherapy in patients with anxiety disorder. Journal of Psychosomatic Research, 62, 189-195.
  • Lutz, A., Slagter, H.A., Dunne, J.D., & Davidson, R.J. (2008). Attention regulation and monitoring in meditation. Trends in Cognitive Science, 12, 163-169.
  • Lynch, T.R., Cheavens, J.S., Cukrowicz, K.C., Thorp, S.R., Bronner, L., & Beyer, J. (2007). Treatment of older adults with co-morbid personality disorder and depression: A dialectical behavior therapy approach. International Journal of Geriatric Psychiatry, 22, 131-143.
  • Lynch, T.R., Morse, J.Q., Mendelson, T., & Robins, C.J. (2003). Dialectical behavior therapy for depressed older adults: A randomized pilot study. The American Journal of Geriatric Psychiatry, 11, 33-45.
  • Ma, S.H., & Teasdale, J.D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psyc hology, 72, 31-40.
  • Miller, J.J., Fletcher, K., & Kabat-Zinn, J. (1995). Threeyear follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorder. General Hospital Psychiatry, 17, 192-200.
  • Miró, M.T. (2007). La AP (mindfulness) como intervención clínica para aliviar el sufrimiento y mejorar la convivencia. Revista de Psicoterapia, 66-67, 31-76.
  • Oxman, A.D., Cook, D.J., & Guyatt, G.H. (1994). Users’ guides to the medical literature. VI. How to use an overview. The Evidence-Based Medicine Working Group. Journal of the American Medical Association, 272, 1367-1371.
  • Pelechano, V. (2007). Viejas y nuevas cuestiones en las viejas y nuevas terapias psicológicas. Revista de Psicopatología y Psicología Clínica, 12, 71-90.
  • Ramel, W., Goldin, P.R., Carmona, P.E., & McQuaid, J.R. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28 , 433-455.
  • Roemer, L., & Orsillo, S.M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9, 54-68.
  • Roemer, L., & Orsillo, S.M. (2005). An acceptance-based behavior therapy for generalizad anxiety disorder. In S.M. Orsillo y L. Roemer (Eds.) Acceptance and mindfulness based approaches to anxiety: Conceptualization and treatment. New York: Springer, 213-240.
  • Segal, Z., Williams, M., & Teasdale, J. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.
  • Teasdale, J. (1988). Cognitive vulnerability to persistent depression. Cognition and Emotion, 2, 247-274.
  • Teasdale, J.D., Moore, R.G., Hayhurst, H., Pope, M., Williams, S., & Segal, Z.V. (2002). Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Consulting and Clinical Psychology, 70, 275-287.
  • Teasdale, J.D., Segal, Z.V., Williams, J.M., Ridgeway, V.A., Soulsby, J.M., & Lau, M.A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615-623.
  • The National Institute for Clinical Excellence. (2004). Depression: Management of depression in primary and secondary care (National clinical Practice Guideline number 23; December).
  • Toneatto, T., & Nguyen, L. (2007). Does mindfulness meditation improve anxiety and mood symptoms? A review of the controlled research. La Revue Canadienne de Psychiatrie, 52, 260-266.
  • Wallace, A.B. (2006). The attention revolution. Chicago: Open Cort Press.
  • Weiss, M., Nordlie, J.W., & Siegel, E.P. (2005). Mindfulness-based stress reduction as an adjunct to outpatient psychotherapy. Psychotherapy and Psychosomatics, 74, 108-112.
  • Williams, J.M. (2010). Mindfulness and psychological process. Emotion, 10, 1-7.
  • Williams, J.M., Teasdale, J.D., Segal, Z.V., & Soulsby, J. (2000). Mindfulness-based cognitive therapy reduces overgeneral autobiographical memory in formerly depressed patients. Journal of Abnormal Psychology, 109, 150-155.
  • Williams, J.M., Alatiq, Y., Crane, C., Banhofer, T., Fennell, M.J.V., 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, 275-279.
Data source: Dialnet