Mindfulness‐based stress reduction and health benefits: a meta‐analysis

Grossman, Paul; Niemann, Ludger; Schmidt, Stefan; Walach, Harald

doi:10.1111/j.2042-7166.2003.tb04008.x

Cited by 920 publications

(1,113 citation statements)

References 37 publications

Supporting

Mentioning

989

Contrasting

Unclassified

Order By: Relevance

“…Chopko & Schwartz, 2009; Follette, Palm, & Pearson, 2006; Thompson, Arnkoff, & Glass, 2011). A vast body of literature from interventions and associational studies has demonstrated the health benefits of mindfulness in both clinical and community samples (Brown & Ryan, 2003; Grossman, Niemann, Schmidt, & Walach, 2004; Khusid & Vythilingam, 2016). Based on a mindfulness stress-buffering hypothesis, which posits that mindfulness mitigates stress appraisals and reduces stress reactivity responses, and that these stress reduction effects partly or entirely explain how mindfulness affects mental and physical health outcomes, mindfulness could influence posttraumatic stress symptoms (Creswell, 2014, pp.…”

Section: Introductionmentioning

confidence: 99%

Dispositional mindfulness mediates the relationships of parental attachment to posttraumatic stress disorder and academic burnout in adolescents following the Yancheng tornado

Yuan

Liu

et al. 2018

European Journal of Psychotraumatology

View full text Add to dashboard Cite

Background: Previous studies have shown that parental attachment is associated with low severity of posttraumatic stress disorder (PTSD) and low academic burnout in individuals who have experienced traumatic events. Objective: The present study investigated the ways in which parental attachment is related to PTSD symptoms and academic burnout in Chinese traumatized adolescents by considering the role of dispositional mindfulness. Method: A total of 443 Chinese adolescents who had experienced a severe tornado one year prior to this study completed measures of parental attachment, dispositional mindfulness, PTSD and academic burnout. Results: The results showed that our model fitted the data well [χ2/df = 2.968, CFI = 0.971, TLI = 0.955, RMSEA (90% CI) = 0.067 (0.052–0.082)] and revealed that dispositional mindfulness partially mediates the relationship between parental attachment, PTSD severity and academic burnout. Conclusions: The findings suggested that dispositional mindfulness and parental attachment may be two critical resources in dealing with traumatization and academic burnout.

show abstract

Section: Introductionmentioning

confidence: 99%

Dispositional mindfulness mediates the relationships of parental attachment to posttraumatic stress disorder and academic burnout in adolescents following the Yancheng tornado

Yuan

Liu

et al. 2018

European Journal of Psychotraumatology

View full text Add to dashboard Cite

show abstract

“…However, it was of course not representative for mindfulness in general. Mindfulness was closely associated with well-being (Brown et al, 2007;Kabat-Zinn, 1990;Shapiro et al, 2006;Tang et al, 2007) and represents the basis for psychotherapeutic concepts such as mindfulness based cognitive therapy for depression (MBCT, Teasdale et al, 1999) or mindfulness based stress reduction (Grossman et al, 2004), which are increasingly applied in psychotherapeutic and psychiatric practice (Allen et al, 2006). Mindfulness has been defined as a receptive attention to and awareness of present experience (Brown and Ryan, 2003).…”

Section: Emotion Introspection and Clinical Implicationsmentioning

confidence: 99%

Self-related awareness and emotion regulation

et al. 2010

View full text Add to dashboard Cite

The regulation of emotions is an ongoing internal process and often a challenge. Current related neural models concern the intended control of reactions towards external events, mediated by prefrontal cortex regions upon basal emotion processing as in the amygdala. Cognitive strategies to regulate emotions in the context of affective disorders or stress reduction, increasingly applied in clinical practice, are also related to mindfulness techniques. We questioned their effects on neural emotion processing and investigated brain activity during purely internal mental self-referential processes of making current emotions and self-related cognitions aware. Thirty healthy subjects performed a task comprising periods of cognitive self-reflection, of introspection for actual own emotions and feelings, and of a neutral condition, while they were scanned with functional magnetic resonance imaging. Brain activations of twenty-seven subjects during emotion-introspection and self-reflection, and also a conjunction of both, were compared with the neutral condition. The conditions of self-reflection and emotion-introspection showed distinguishable activations in medial and ventrolateral prefrontal areas, in parietal regions and in the amygdala. Notably, amygdala activity decreased during emotion-introspection and increased compared to 'neutral' during self-reflection. The results indicate that already the self-referential mental state of making the actual emotional state aware is capable of attenuating emotional arousal. This extends current theories of emotion regulation and has implications for the application of mindfulness techniques as a component of psychotherapeutic strategies in affective disorders and also for possible everyday emotion regulation. AbstractThe regulation of emotions is an ongoing internal process and often a challenge. Current related neural models concern the intended control of reactions towards external events, mediated by prefrontal cortex regions upon basal emotion processing as in the amygdala. Cognitive strategies to regulate emotions in the context of affective disorders or stress reduction, increasingly applied in clinical practice, are also related to mindfulness techniques. We questioned their effects on neural emotion processing and investigated brain activity during purely internal mental selfreferential processes of making current emotions and self-related cognitions aware. Thirty healthy subjects performed a task comprising periods of cognitive self-reflection, of introspection for actual own emotions and feelings, and of a neutral condition, while they were scanned with functional magnetic resonance imaging. Brain activations of twenty-seven subjects during emotion-introspection and self-reflection, and also a conjunction of both, were compared with the neutral condition. The conditions of self-reflection and emotion-introspection showed distinguishable activations in medial and ventrolateral prefrontal areas, in parietal regions and in the amygdala. Notably, amygdala activ...

show abstract

“…However, it appears that RT was more than an inactive control and was effective in its own right, as has been shown in past work. [54][55][56] Thus the simpler and briefer RT was as effective as the more complex, two-step CBT intervention coupled with a physician education program. The equivalence of the two treatments may partly reflect the fact that the study population was not severely hypochondriacal: less than a third met DSM-IV diagnostic criteria for hypochondriasis at baseline, and their mean Whiteley Index score was substantially lower than that of patients meeting full diagnostic criteria.…”

Section: Discussionmentioning

confidence: 99%

A Randomized Trial of Treatments for High-Utilizing Somatizing Patients

et al. 2013

View full text Add to dashboard Cite

BACKGROUND: Somatization and hypochondriacal health anxiety are common sources of distress, impairment, and costly medical utilization in primary care practice. A range of interventions is needed to improve the care of these patients. OBJECTIVE: To determine the effectiveness of two cognitive behavioral interventions for high-utilizing, somatizing patients, using the resources found in a routine care setting. DESIGN: Patients were randomly assigned to a two-step cognitive behavioral treatment program accompanied by a training seminar for their primary care physicians, or to relaxation training. Providers routinely working in these patients' primary care practices delivered the cognitive behavior therapy and relaxation training. A follow-up assessment was completed immediately prior to treatment and 6 and 12 months later. SUBJECTS: Eighty-nine medical outpatients with elevated levels of somatization, hypochondriacal health anxiety, and medical care utilization. MEASUREMENTS: Somatization and hypochondriasis, overall psychiatric distress, and role impairment were assessed with well-validated, self-report questionnaires. Outpatient visits and medical care costs before and after the intervention were obtained from the encounter claims database. RESULTS: At 6 month and 12 month follow-up, both intervention groups showed significant improvements in somatization (p< 0.01), hypochondriacal symptoms (p<0.01), overall psychiatric distress (p< 0.01), and role impairment (p<0.01). Outcomes did not differ significantly between the two groups. When both groups were combined, ambulatory visits declined from 10.3 to 8.8 (p=0.036), and mean ambulatory costs decreased from $3,574 to $2,991 (p=0.028) in the year preceding versus the year following the interventions. Psychiatric visits and costs were unchanged. CONCLUSIONS: Two similar cognitive behavioral interventions, delivered with the resources available in routine primary care, improved somatization, hypochondriacal symptoms, overall psychiatric distress, and role function. They also reduced the ambulatory visits and costs of these high utilizing outpatients.K E Y W O R D S : co g n it i v e b e ha v i or t h e ra p y ; so m a t i z a t i o n; hypochondriasis; medical utilization; medical care costs.

show abstract

Mindfulness‐based stress reduction and health benefits: a meta‐analysis

Cited by 920 publications

References 37 publications

Dispositional mindfulness mediates the relationships of parental attachment to posttraumatic stress disorder and academic burnout in adolescents following the Yancheng tornado

Dispositional mindfulness mediates the relationships of parental attachment to posttraumatic stress disorder and academic burnout in adolescents following the Yancheng tornado

Self-related awareness and emotion regulation

A Randomized Trial of Treatments for High-Utilizing Somatizing Patients

Contact Info

Product

Resources

About