Effectiveness of online mindfulness-based interventions in improving mental health during the COVID-19 pandemic: A systematic review and meta-analysis of randomized controlled trials

Witarto, Bendix Samarta; Visuddho, Visuddho; Witarto, Andro Pramana; Bestari, Damba; Sawitri, Brihastami; Melapi, Tando Abner Sivile; Wungu, Citrawati Dyah Kencono

doi:10.1371/journal.pone.0274177

Cited by 29 publications

(18 citation statements)

References 69 publications

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“…The availability and reach of telehealth mental health services, including app-based mental health care, increased substantially throughout the pandemic (AlRasheed et al, 2022 ; Cantor et al, 2022 ; Farrer et al, 2022 ). Individual-level interventions with demonstrated effectiveness at reducing stress and improving symptoms of depression and anxiety, such as cognitive-behavioral therapy and mindfulness-based stress reduction, could be expanded and delivered in targeted fashion via digital platforms during acute public health emergencies as well as incorporated into routine care platforms (Cuthbert et al, 2022 ; Witarto et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Stressors and Maternal Mental Health in the U.S. During the First Wave of the COVID-19 Pandemic: A Cross-Sectional Analysis

Parcesepe

Kulkarni

Grov

et al. 2023

Matern Child Health J

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Objectives The COVID pandemic has had widespread impacts on maternal mental health. This research aims to examine the relationship between psychosocial stressors and symptoms of depression and anxiety and the extent to which emotional support or resilient coping moderates the relationship between psychosocial stressors and maternal mental health during the first wave of the COVID pandemic. Methods This analysis includes data collected in October and November 2020 from a geographically and sociodemographically diverse sample of 776 mothers in the U.S. with children ≤ 18 years of age. Log binomial models were used to estimate the association between moderate or severe symptoms of anxiety and depression and psychosocial stressors. Results Symptoms of moderate or severe anxiety and depression were reported by 37.5% and 37.6% of participants, respectively. Moderate (aRR 2.76 [95% CI 1.87, 4.07]) and high (aRR 4.95 [95% CI 3.40, 7.20]) levels of perceived stress were associated with greater risk of moderate or severe anxiety symptoms. Moderate and high levels of parental burnout were also associated with greater prevalence of moderate or severe anxiety symptoms in multivariable models. Results were similar when examining the relationship among stress, parental burnout, and depressive symptoms. Neither resilient coping nor social support modified the relationship between psychosocial stressors and mental health. Conclusions for Practice Evidence-based strategies to reduce stress and parental burnout and improve the mental health of mothers are urgently needed. Strategies focused on bolstering coping and social support may be insufficient to improve maternal mental health during acute public health emergencies.

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Section: Discussionmentioning

confidence: 99%

Psychosocial Stressors and Maternal Mental Health in the U.S. During the First Wave of the COVID-19 Pandemic: A Cross-Sectional Analysis

Parcesepe

Kulkarni

Grov

et al. 2023

Matern Child Health J

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“…Overall, our results may provide empirical evidence for mental health intervention strategies applicable during the COVID-19 pandemic, such as digital health technologies, and online intervention techniques based on online mindfulness and meditation ( 59–61 ). Utilizing online platforms, these low-cost and easily accessible interventions ( 61 ) can benefit individuals who are in emotional distress.…”

Section: Discussionmentioning

confidence: 99%

Effects of risk exposure on emotional distress among Chinese adults during the COVID-19 pandemic: The moderating role of disruption of life and perceived controllability

Xiong

Chen

et al. 2023

Front. Psychiatry

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BackgroundCOVID-19 affects not only the physical health of individuals but also their mental health and different types of risk exposures are believed to have different effects on individual emotional distress.ObjectiveThis study explores the relationships between risk exposure, disruption of life, perceived controllability, and emotional distress among Chinese adults during the COVID-19 outbreak.MethodsThis study is based on an online survey conducted during the COVID-19 pandemic, from 1 to 10 February 2020, with a total of 2,993 Chinese respondents recruited through convenience and snowball sampling. Multiple linear regression analysis were used to examine the relationships among risk exposure, disruption of life, perceived controllability, and emotional distress.ResultsThis study found that all types of risk exposures were significantly associated with emotional distress. Individuals with neighborhood infection, family member infection/close contact, and self-infection/close contact had higher levels of emotional distress (B = 0.551, 95% CI: −0.019, 1.121; B = 2.161, 95% CI: 1.067, 3.255; B = 3.240, 95% CI: 2.351, 4.129) than those without exposure. The highest levels of emotional distress occurred among individuals experiencing self-infection/close contact, while the lowest levels of emotional distress occurred among individuals experiencing neighborhood infection and the moderate levels of emotional distress occurred among individuals experiencing family member infection (Beta = 0.137; Beta = 0.073; Beta = 0.036). Notably, the disruption of life aggravated the effect of self-infection/close contact on emotional distress and family member infection/close contact on emotional distress (B = 0.217, 95% CI: 0.036, 0.398; B = 0.205, 95% CI: 0.017, 0.393). More importantly, perceived controllability lowered the strength of the association between self-infection/close contact and emotional distress, as well as family member infection/close contact and emotional distress (B = −0.180, 95% CI: −0.362, 0.002; B = −0.187, 95% CI: −0.404, 0.030).ConclusionThese findings shed light on mental health interventions for people exposed to or infected with COVID-19 near the beginning of the pandemic, particularly those who themselves had COVID or had family members with COVID-19 risk exposure, including being infected/having close contact with an infected person. We call for appropriate measures to screen out individuals or families whose lives were, or remain, more severely affected by COVID-19. We advocate providing individuals with material support and online mindfulness-based interventions to help them cope with the after-effects of COVID-19. It is also essential to enhance the public’s perception of controllability with the help of online psychological intervention strategies, such as mindfulness-based stress reduction programs and mindfulness-oriented meditation training programs.

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“…Studies have shown that mindfulness is strongly associated with emotion regulation and psychological health and is widely considered as an adaptive emotion regulation strategy (33); it has been associated with less psychological di culties, including eating disorders (34). Furthermore, growing evidence has pointed to mindfulness as an effective intervention target to improve emotion regulation and psychological health (35)(36)(37)(38)(39)(40) A recent study showed positive effects of mindfulness-based interventions on COVID-19-related distress and global mental health during this period (41). Thus, mindfulness represents an interesting avenue to understand the processes underlying the relationships between COVID-19-related distress, body dissatisfaction and disordered eating.…”

Section: Main Textmentioning

confidence: 99%

COVID-19-Related Distress, Body Image, and Eating Behaviors: A Cross-sectional Explanatory Model

Rodrigue

Rodgers

Carbonneau

et al. 2023

Preprint

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Background: The COVID-19 pandemic has been associated with increased body dissatisfaction and disordered eating behaviors in adolescents. To better understand these associations, this study tested an explanatory model in which appearance-focused social media use, internalisation of social media pressure, and mindfulness abilities mediated the relationship between COVID-related distress and body dissatisfaction, which in turn was associated with dietary restraint and binge eating episodes. Methods: Adolescents (N =498, Mage= 16.7, 47.2% girls) recruited within high schools completed online measures. Results: A final well-adjusted model was revealed using path analyses, confirming the proposed mediational effects. Conclusions: Findings suggest that mindfulness, media use and the internalisation of social media pressure are potential key processes explaining body dissatisfaction and eating disorders among adolescents who experienced higher level of COVID-related distress.

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Effectiveness of online mindfulness-based interventions in improving mental health during the COVID-19 pandemic: A systematic review and meta-analysis of randomized controlled trials

Cited by 29 publications

References 69 publications

Psychosocial Stressors and Maternal Mental Health in the U.S. During the First Wave of the COVID-19 Pandemic: A Cross-Sectional Analysis

Psychosocial Stressors and Maternal Mental Health in the U.S. During the First Wave of the COVID-19 Pandemic: A Cross-Sectional Analysis

Effects of risk exposure on emotional distress among Chinese adults during the COVID-19 pandemic: The moderating role of disruption of life and perceived controllability

COVID-19-Related Distress, Body Image, and Eating Behaviors: A Cross-sectional Explanatory Model

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