The effectiveness of mindfulness-based interventions on anxiety disordersa systematic meta-review

  1. Ascensión Fumero 1
  2. Wenceslao Peñate 1
  3. Cristián Oyanadel 2
  4. Bárbara Porter 2
  1. 1 Departamento de Psicología Clínica, Psicobiología y Metodología, Universidad de La Laguna
  2. 2 Facultad de Ciencias Sociales, Universidad de Concepción
Zeitschrift:
EJIHPE: European Journal of Investigation in Health, Psychology and Education

ISSN: 2174-8144,  2254-9625

Datum der Publikation: 2020

Titel der Ausgabe: Developing a messaging graphic for storage times of refrigerated ready-to-eat (RTE) foods for a consumer food safety health campaign

Ausgabe: 10

Nummer: 3

Seiten: 704-719

Art: Artikel

DOI: 10.3390/EJIHPE10030052 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Andere Publikationen in: EJIHPE: European Journal of Investigation in Health, Psychology and Education

Zusammenfassung

Objective: There has been a growing interest in the study of the effectiveness of mindfulness-based interventions (MBIs). Many clinical trials and experimental designs have been implemented, with different samples and diverse MBI procedures. Reviews have shown unclear results, apart from a tendency to identify low-to-moderate effectiveness. The purpose of this review is to examine the effectiveness of MBIs on anxiety complaints, analyzing available systematic reviews and meta-analyses. Method: The literature search was done in MEDLINE (PubMed) and PsycINFO, from the first available review in 2003 until March 2020. From 82 initial references, 12 reviews were selected. Results: Reviews confirmed a moderate effect size of MBIs in improving anxiety symptoms. This efficacy was similar to that of well-established therapies for reducing anxiety symptoms, such as cognitive behavioral therapies. A large effect size was found when well-developed MBI protocols were applied. Discussion: More refined clinical trials are needed to establish clear conditions of MBI effectiveness (protocols, samples, psychological mechanisms, etc.). In addition, considering mindfulness processes, new outcome measures are needed (such as acceptance, self-awareness, or well-being) to test the incremental value of MBIs.

Bibliographische Referenzen

  • Williams, J.M.G.; Kabat-Zinn, J. Mindfulness: Diverse perspectives on its meaning, origins, and multiple applications at the intersection of science and dharma. Contemp. Buddhism. 2011, 12, 1–18.
  • Crane, R.S.; Brewer, J.; Feldman, C.; Kabat-Zinn, J.; Santorelli, S.; Williams, J.M.G.; Kuyken, W. What defines mindfulness-based programs? The warp and the weft. Psychol. Med. 2017, 47, 990–999.
  • Tang, Y.Y.; Hölzel, B.K.; Posner, M.I. The neuroscience of mindfulness meditation. Nat. Rev. Neurosci. 2015, 16, 213.
  • Hofmann, S.G.; Asmundson, G.J. Acceptance and mindfulness-based therapy: New wave or old hat? Clin. Psychol. Rev. 2008, 28, 1–16.
  • Kabat-Zinn, J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. Gen. Hosp. Psychiat. 1982, 4, 33–47.
  • Ritter, A.; Alvarez, I. Mindfulness and Executive Functions: Making the Case for Elementary School Practice. Eur. J. Investig. Health Psychol. Educ. 2020, 10, 544–553.
  • Kabat-Zinn, J. Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain and Illness; Piatkus: London, UK, 1996.
  • Segal, Z.V.; Teasdale, J.D.; Williams, J.M.; Gemar, M.C. The mindfulness-based cognitive therapy adherence scale: Inter-rater reliability, adherence to protocol and treatment distinctiveness. Clin. Psychol. Psychot. 2002, 9, 131–138.
  • Roemer, L.; Orsillo, S.M. Mindfulness- and Acceptance-Based Behavioral Therapies in Practice; Guilford Press: New York, NY, USA, 2009.
  • Germer, C.K.; Neff, K.D. Self-compassion in clinical practice. J. Clin. Psychol. 2013, 69, 856–867.
  • Perestelo-Perez, L.; Barraca, J.; Peñate, W.; Rivero-Santana, A.; Alvarez-Perez, Y. Mindfulness-based interventions for the treatment of depressive rumination: Systematic review and meta-analysis. Int. J. Clin. Health Psychol. 2017, 17, 282–295.
  • Gotink, R.A.; Chu, P.; Busschbach, J.J.; Benson, H.; Fricchione, G.L.; Hunink, M.M. Standardised mindfulness-based interventions in healthcare: An overview of systematic reviews and meta-analyses of RCTs. PLoS ONE 2015, 10, e0124344.
  • Strauss, C.; Cavanagh, K.; Oliver, A.; Pettman, D. Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: A meta-analysis of randomised controlled trials. PLoS ONE. 2014, 9, e96110.
  • Piet, J.; Hougaard, E. The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: A systematic review and meta-analysis. Clin. Psychol. Rev. 2011, 31, 1032–1040.
  • Veehof, M.M.; Oskam, M.J.; Schreurs, K.M.; Bohlmeijer, E.T. Acceptance-based interventions for the treatment of chronic pain: A systematic review and meta-analysis. Pain 2011, 152, 533–542.
  • Roche, A.I.; Kroska, E.B.; Denburg, N.L. Acceptance-and mindfulness-based interventions for health behavior change: Systematic reviews and meta-analyses. J. Contextual Behav. Sci. 2019, 13, 74–93.
  • Kreplin, U.; Farias, M.; Brazil, I.A. The limited prosocial effects of meditation: A systematic review and meta-analysis. Sci. Rep. 2018, 8, 2403.
  • Cebolla, A.; Demarzo, M.; Martins, P.; Soler, J.; Garcia-Campayo, J. Unwanted effects: Is there a negative side of meditation? A multicentre survey. PLoS ONE 2017, 12, e0183137.
  • Regehr, C.; Glancy, D.; Pitts, A. Interventions to reduce stress in university students: A review and meta-analysis. J. Affect. Disorders 2013, 148, 1–11.
  • Halladay, J.E.; Dawdy, J.L.; McNamara, I.F.; Chen, A.J.; Vitoroulis, I.; McInnes, N.; Munn, C. Mindfulness for the Mental Health and Well-Being of Post-Secondary Students: A Systematic Review and Meta-Analysis. Mindfulness 2019, 10, 397–414.
  • Goldberg, S.B.; Tucker, R.P.; Greene, P.A.; Davidson, R.J.; Wampold, B.E.; Kearney, D.J.; Simpson, T.L. Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis. Clin. Psychol. Rev. 2018, 59, 52–60.
  • Chiesa, A.; Serretti, A. Mindfulness based cognitive therapy for psychiatric disorders: A systematic review and meta-analysis. Psychiat. Res. 2011, 187, 441–453.
  • Khoury, B.; Lecomte, T.; Fortin, G.; Masse, M.; Therien, P.; Bouchard, V.; Chapleau, M.A.; Paquin, K.; Hofmann, S.G. Mindfulness-based therapy: A comprehensive meta-analysis. Clin. Psychol. Rev. 2013, 33, 763–771.
  • Goyal, M.; Singh, S.; Sibinga, E.M.; Gould, N.F.; Rowland-Seymour, A.; Sharma, R.; Berger, Z.; Sleicher, D.; Maron, D.D.; Shihab, H.M.; et al. Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. JAMA Intern. Med. 2014, 174, 357–368.
  • Soriano, J.G.; Pérez-Fuentes, M.C.; Molero, M.M.; Tortosa, B.M.; González, A. Beneficios de las intervenciones psicológicas en relación al estrés y ansiedad: Revisión sistemática y metaanálisis. Eur. J. Investig. Health Psychol. Educ. 2019, 12, 191–206.
  • Baer, R.A. Mindfulness training as a clinical intervention: A conceptual and empirical review. Clin. Psychol. Sci. Pract. 2003, 10, 125–143.
  • Kabat-Zinn, J.; Maisson, A.O.; Kristeller, J.; Gay Peterson, L.; Fletcher, K.E.; Pbert, L.; Lenderking, W.R.; Santorelli, S.F. Effectiveness of a Meditation Based Stress Reduction program in the treatment of anxiety disorders. Am. J. Psychiatry 1992, 149, 936–943.
  • Miller, J.J.; Fletcher, K.; Kabat-Zinn, J. Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. Gen. Hosp. Psychiatry 1995, 17, 192–200.
  • Hofmann, S.G.; Sawyer, A.T.; Witt, A.A.; Oh, D. The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. J. Consult. Clin. Psychol. 2010, 78, 169–183.
  • Vøllestad, J.; Nielsen, M.B.; Nielsen, G.H. Mindfulness and acceptance based interventions for anxiety disorders: A systematic review and meta-analysis. Brit. J. Clin. Psychol. 2012, 51, 239–260.
  • Galante, J.; Iribarren, S.J.; Pearce, P.F. Effects of mindfulness-based cognitive therapy on mental disorders: A systematic review and meta-analysis of randomised controlled trials. J. Res. Nurs. 2013, 18, 133–155.
  • Hodann-Caudevilla, R.M.; Serrano-Pintado, I. Revisión sistemática de la eficacia de los tratamientos basados en mindfulness para los trastornos de ansiedad [Systematic review of the efficacy of mindfulness-based therapy for anxiety disorders]. Ansiedad Estrés 2016, 22, 39–45.
  • Kishita, N.; Takei, Y.; Stewart, I. A meta-analysis of third wave mindfulness-based cognitive behavioral therapies for older people. Int. J. Geriatr. Psych. 2017, 32, 1352–1361.
  • Spijkerman, M.P.J.; Pots, W.T.M.; Bohlmeijer, E.T. Effectiveness of online mindfulness-based interventions in improving mental health: A review and meta-analysis of randomised controlled trials. Clin. Psychol. Rev. 2016, 45, 102–114.
  • Singh, S.K.; Gorey, K.M. Relative effectiveness of mindfulness and cognitive behavioral interventions for anxiety disorders: Meta-analytic review. Soc. Work Ment. Health. 2018, 16, 238–251.
  • Abreu-Costa, M.; de Oliveira, G.S.D.A.; Tatton-Ramos, T.; Manfro, G.G.; Salum, G.A. Anxiety and Stress-Related Disorders and Mindfulness-Based Interventions: A systematic review and multilevel Meta-analysis and Meta-regression of multiple outcomes. Mindfulness 2019, 10, 996–1005.
  • Liberati, A.; Altman, D.G.; Tetzlaff, J.; Mulrow, C.; Gøtzsche, P.C.; Ioannidis, J.P.; Clarke, M.; Devereaux, P.J.; Kleijnen, J.; Moher, D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. J. Clin. Epid. 2009, 62, e1–e34.
  • Shea, B.J.; Hamel, C.; Wells, G.A.; Bouter, L.M.; Kristjansson, E.; Grimshaw, J.; Henry, D.A.; Boers, M. AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews. J. Clin. Epid. 2009, 62, 1013–1020.
  • Chen, K.W.; Berger, C.C.; Manheimer, E.; Forde, D.; Magidson, J.; Dachman, L.; Lejuez, C.W. Meditative therapies for reducing anxiety: A systematic review and meta-analysis of randomized controlled trials. Depress. Anxiety 2012, 29, 545–562.
  • Carsley, D.; Khoury, B.; Heath, N.L. Effectiveness of mindfulness Interventions for mental health in schools: A comprehensive meta-analysis. Mindfulness 2018, 9, 693–707.
  • Norton, A.R.; Abbott, M.J.; Norberg, M.M.; Hunt, C. A systematic review of mindfulness and acceptance-based treatments for social anxiety disorder. J. Clin. Psychol. 2015, 71, 283–301.
  • Pulido-Acosta, F.; Herrera-Clavero, F. Anxiety and happiness as opposite emotional states in childhood. Eur. J. Investig. Health Psychol. Educ. 2018, 8, 65–77.
  • Pagnini, F.; Cavalera, C.; Rovaris, M.; Mendozzi, L.; Molinari, E.; Phillips, D.; Langerb, E. Longitudinal associations between mindfulness and well-being in people with multiple sclerosis. Int. J. Clin. Health. Psychol. 2019, 19, 22–30.
Fuente de los datos: Dialnet