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Title: | The efficacy of meditation-based mind-body interventions for mental disorders: A meta-review of 17 meta-analyses of randomized controlled trials |
Authors: | Vancampfort, D Stubbs, B Van Damme, T Smith, L Hallgren, M Schuch, F Deenik, J Rosenbaum, S Ashdown-Franks, G Mugisha, J Firth, J |
Keywords: | ADHD;depression;mindfulness;qigong;schizophrenia;tai chi;yoga |
Issue Date: | 21-Dec-2020 |
Publisher: | Elsevier |
Citation: | Vancampfort, D. et al. (2021) 'The efficacy of meditation-based mind-body interventions for mental disorders: A meta-review of 17 meta-analyses of randomized controlled trials', Journal of Psychiatric Research, 134, pp. 181 - 191. doi: 10.1016/j.jpsychires.2020.12.048. |
Abstract: | There is increasing interest in the potential efficacy of meditation-based mind-body interventions (MBIs) within mental health care. We conducted a systematic metareview of the published randomized control trial (RCT) evidence. MEDLINE/PubMed, PsycARTICLES and EMBASE were searched from inception to 06/2020 examining MBIs (mindfulness, qigong, tai chi, yoga) as add-on or monotherapy versus no treatment, minimal treatment and passive and active control conditions in people with a mental disorder. The quality of the methods of the included meta-analyses using A Measurement Tool to Assess Systematic Reviews (AMSTAR) and the methodological quality of the RCTs using AMSTAR-Plus. Sixteen (94%) of 17 meta-analyses had good overall methodological quality. The content validity of the included RCTs was considered good in 9 (53%) meta-analyses. In meta-analyses with good methodological quality (AMSTAR 8≤) and content validity (AMSTAR+ 4≤), large effect sizes (0.80 or higher) were observed for mindfulness in schizophrenia and in ADHD, a moderate (0.50 ≤ 0.80) effect size for mindfulness in PTSD and a small (0.20 < 0.50) effect size for yoga in schizophrenia No serious adverse events were reported (n RCTs = 43, n in the MBI arms = 1774), while the attrition rates were comparable with the rates in passive and active control conditions. Our meta-review demonstrates that mindfulness and to a lesser extent yoga may serve as an efficacious supplement to pharmacotherapy, and psychotherapy and can be complementary in healthy lifestyle interventions for people with mental disorders. Meta-analytic evidence of high methodological quality and content validity of included trials is currently lacking for qigong and tai chi. |
URI: | https://bura.brunel.ac.uk/handle/2438/29383 |
DOI: | https://doi.org/10.1016/j.jpsychires.2020.12.048 |
ISSN: | 0022-3956 |
Other Identifiers: | ORCiD: Garcia Ashdown-Franks https://orcid.org/0000-0002-5032-0171 |
Appears in Collections: | Dept of Life Sciences Research Papers |
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