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Mind-body medicine therapies for a range of depression severity: a systematic review.

Psychosomatics
January 1, 2012
Sahana D'Silva et al. (5 authors)
Journal ArticleReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to review the evidence for using mind-body therapies, including mindfulness, to address depressive symptoms in populations with and without chronic comorbidities.

Results Summary

The study found that 74% of the selected quality papers demonstrated positive effects on improving depressive symptoms, with mindfulness showing positive effects on depression severity in diagnosed depression and fibromyalgia. All included mind-body modalities had at least one positive study.

Population

Adult populations with and without chronic comorbidities, including cancer patients and those with diagnosed depression or fibromyalgia.

Effective Dosage

Not specified

Duration

At least 2 weeks

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mind-body medicine therapies
neutral
anxiety/depression
adult Americans
24%
used
#1
mind-body therapies
increase
improvement of depressive symptoms
-
74%
positive effects
#2
yoga
decrease
depression severity
cancer patients
-
positive effects
#3
combination therapies
decrease
depression severity
cancer patients
-
positive effects
#4
mindfulness
decrease
depression severity
diagnosed depression
-
positive effects
#5
mindfulness
decrease
depression severity
fibromyalgia
-
positive effects
#6
evidence-based mind-body therapies
decrease
depression severity
-
-
alleviate
#7
Abstract

OBJECTIVE: Of the 34 million adult Americans (17%) using mind-body medicine therapies, 8 million (24%) have anxiety/depression. The evidence for using mind-body therapies to address varying depressive symptoms in populations with and without other chronic comorbidities is reviewed. METHODS: Systematic literature searches of PubMed (Medline), Embase, CINAHL, and the seven databases encompassed by Current Contents, Web of Science, and Web of Knowledge were conducted. Studies designed as prospective control-comparison, adult population, English, at least 2 weeks long, sample size >30, and with primary or secondary outcome as depression measured on an established scale were included. Methodologic quality was evaluated using the modified scale for assessing scientific quality of investigations (SASQI) for Complementary and Alternative Medicine (CAM). RESULTS: Ninety papers of about 2900 met both inclusion and exclusion criteria; 60% of them scored a SASQI >9 and were deemed of sufficient quality to be included in the review; 74% of these selected quality papers demonstrated positive effects on the improvement of depressive symptoms. All mind-body modalities included in the study had at least one positive study. For cancer patients, several studies noted the positive effects of yoga and combination therapies on depression severity. For both diagnosed depression and fibromyalgia, several studies noted the positive effects of mindfulness on depression severity. CONCLUSION: The use of evidence-based mind-body therapies can alleviate depression severity. They could be used with established psychiatric treatments of therapy and medications. The likely long-term increased cost-effectiveness of integrating these therapies deserves further investigation.

Medical Subject Headings (MeSH)
DepressionDepressive DisorderFibromyalgiaHumansMind-Body TherapiesNeoplasms
Study Links
Quality Scores
SafetyNot Assessed
Efficacy80/10
Quality85/10
Citation Metrics
Total Citations55
Citations/Year4.2
Relative Citation Ratio2.45
NIH Percentile80.3%
Research Impact Scores
APT Score0.95
Weight Score1.59
Normalized Score0.69
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Mind-body medicine therapies for a range of depression sever... | Panacea Index