Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis

Goldberg, Simon B.; Tucker, Raymond P.; Greene, Preston A.; Davidson, Richard J.; Wampold, Bruce E.; Kearney, David J.; Simpson, Tracy L.

doi:10.1016/j.cpr.2017.10.011

Cited by 792 publications

(423 citation statements)

References 41 publications

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“…The specific active control conditions (e.g., cognitive behavioral therapy) included comparisons that were based on actual therapies (i.e., not "placebo" conditions that were not intended to be therapeutic) and included specific treatment ingredients and mechanisms of change (Wampold & Imel, 2015;Wampold et al, 1997). The decision to code using this scheme was made to minimize the number of comparisons being tested, to increase the number of studies (and statistical power) available for a given comparison, and based on evidence that whether a comparison group represents a specific active control condition significantly influences the relative efficacy of mindfulness-based interventions (Goldberg et al, 2018;Goyal et al, 2014). The comparison with other active therapies has been consistently highlighted as a key test of the efficacy of mindfulness-based interventions (Davidson & Kaszniak, 2015;Goldberg et al, 2017).…”

Section: Data Itemsmentioning

confidence: 99%

Mindfulness-based cognitive therapy for the treatment of current depressive symptoms: A meta-analysis

Goldberg¹,

Tucker²,

Greene³

et al. 2019

Preprint

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Mindfulness-based cognitive therapy (MBCT) appears to be a promising intervention for the prevention of relapse in major depressive disorder, but its efficacy in patients with current depressive symptoms is less clear. Randomized clinical trials of MBCT for adult patients with current depressive symptoms were included (k = 13, N = 1,046). Comparison conditions were coded based on whether they were intended to be therapeutic (specific active controls) or not (non-specific controls). MBCT was superior to non-specific controls at post-treatment (k = 10, d = 0.71, 95% CI [0.47, 0.96]), although not at longest follow-up (k = 2, d = 1.47, [-0.71, 3.65], mean follow-up = 5.70 months across all studies with follow-up). MBCT did not differ from other active therapies at post-treatment (k = 6, d = 0.002, [-0.43, 0.44]) and longest follow-up (k = 4, d = 0.26, [-0.24, 0.75]). There was some evidence that studies with higher methodological quality showed smaller effects at post-treatment, but no evidence that effects varied by inclusion criterion. The impact of publication bias appeared minimal. MBCT seems to be efficacious for samples with current depressive symptoms at post-treatment, although a limited number of studies tested the long-term effects of this therapy.

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Section: Data Itemsmentioning

confidence: 99%

Mindfulness-based cognitive therapy for the treatment of current depressive symptoms: A meta-analysis

Goldberg¹,

Tucker²,

Greene³

et al. 2019

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…Mindfulness-based interventions, such as a combination of mindfulness training and psychoeducation program, have become increasingly popular in recent years, and they have been found to be more effective on improving psychological well-being, when compared to mindfulness and/or meditation training alone (8). There is a growing body of evidence from meta-analyses highlighting the significant effects of mindfulnessbased interventions on psychological well-being and physical health outcomes of individuals diagnosed with cancer (9), chronic pain (10), psychiatric disorders (11), as well as healthy individuals (12). In a recent meta-analysis of ten randomized controlled trials (RCTs) of mindfulness-and acceptance-based interventions in adults with psychotic disorders, group format mindfulness-based interventions showed larger therapeutic effects (Hedge's g = 0.46, 95% CI: 0.18-0.75) than individualbased Acceptance and Commitment Therapy (g = 0.08, 95% CI: −0.23 to 0.38) (13).…”

Section: Introductionmentioning

confidence: 99%

The Role of Five Facets of Mindfulness in a Mindfulness-Based Psychoeducation Intervention for People With Recent-Onset Psychosis on Mental and Psychosocial Health Outcomes

et al. 2020

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Objective: This study aimed to examine how five facets of mindfulness may be associated with the changes in psychotic patients' health outcomes after participating in a mindfulness-based psychoeducation group (MBPEG) program.Methods: Longitudinal follow-up data from two pragmatic randomized controlled trials of MBPEG for psychotic patients were used for this study. A total of 124 patients who completed the MBPEG program were included in this analysis. Patient outcomes (psychotic symptoms, functioning, insight into illness/treatment, subjective recovery) and five facets of mindfulness were assessed at baseline and six, 12 and 24 months post-intervention. Areas under the curve of individual outcomes in repeated-measures were computed using trapezoidal method, rescaled to the original possible range of the underlying variable and used for correlation and regression analyses.Results: All mean scores of the five facets increased across time and were significantly correlated with the improvements in all patient outcomes (p-values ranged from < 0.001 to <0.05), except "non-judging" facet and symptom severity. Regression analyses revealed that only "observing" and "acting with awareness" were significantly associated with positive changes across all outcomes (increase in adjusted R 2 ranged from 5.9% to 24.2%, p < 0.001).Conclusions: Two facets of mindfulness, "observing" and "acting with awareness," were related to positive outcomes of psychotic patients after participating in the MBPEG. More efforts in addressing these two facets of mindfulness can be considered to increase the efficacy of mindfulness-based interventions in psychosis.

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“…As noted by Siegel (2007), mindfulness can be a form of self-attunement that could facilitate the attunement to others. There is increasing evidence that mindfulness training counteracts psychological distress (Goldberg et al, 2018), and that these effects are due to proposed mechanisms of action in mindfulness-based interventions (Gu, Strauss, Bond, & Cavanagh, 2015). Mindfulness training may thus constitute a form of self-care for clinicians that enables them to deal with stressors and emotional reactions in an adaptive manner.…”

Section: Discussionmentioning

confidence: 99%

Can clinical psychology students benefit from brief and intensive mindfulness training?

Schanche

Vøllestad

Binder

et al. 2019

Couns and Psychother Res

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This pilot study examined the impact of mindfulness training on skills relevant for the well‐being and therapeutic functioning of clinical psychology students. Twenty‐five psychology students took part in an intensive mindfulness training programme, consisting of three 2.5‐hr sessions and one all‐day silent retreat. The students filled out self‐report measures of rumination, emotional reactivity to stress, difficulties with emotion regulation, mindfulness and self‐compassion. They also completed two cognitive tests (revised version of the Attention Network Test and a Stroop colour‐word inference task) before and after the course. The students reported significant decreases in rumination (d = 0.75, p = .001), emotional reactivity to stress (d = 0.81, p = .001) and difficulties in emotion regulation (d = 0.57, p = .008). They also reported increased mindfulness (d = 0.93, p = .001) and self‐compassion (d = 0.81, p = .001). On both cognitive performance tests, the students showed an increase in executive control, that is the ability to prioritise among competing thoughts, feelings and responses (ANT, d = 1.48; p = .001; Stroop: d = 0.63; p = .004). The students also showed a moderate increase in cognitive flexibility (d = 0.66; p = .003), measured by Stroop. Conclusions The study indicates that it may be beneficial to introduce personal mindfulness practice as a way of preparing novice therapists for their future profession. The findings also support the potential value of including measures of attentional capacities in future studies of psychotherapy training.

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Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis

Cited by 792 publications

References 41 publications

Mindfulness-based cognitive therapy for the treatment of current depressive symptoms: A meta-analysis

Mindfulness-based cognitive therapy for the treatment of current depressive symptoms: A meta-analysis

The Role of Five Facets of Mindfulness in a Mindfulness-Based Psychoeducation Intervention for People With Recent-Onset Psychosis on Mental and Psychosocial Health Outcomes

Can clinical psychology students benefit from brief and intensive mindfulness training?

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