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Mindfulness-based stress reduction for long-term physical conditions: A systematic review.

The Australian and New Zealand journal of psychiatry
January 1, 2016
Marie Crowe et al. (6 authors)
Journal ArticleReviewSystematic ReviewHuman Study
Study Details

Study Goal

To determine whether mindfulness-based stress reduction improves physical health outcomes for long-term physical conditions.

Results Summary

The review found no significant improvements in physical health status in low-risk-of-bias studies, but preliminary evidence suggests benefits for pain conditions, primary insomnia, and irritable bowel syndrome, with small to moderate effects for asthma, tinnitus, fibromyalgia, and somatization disorders.

Population

Individuals with long-term physical conditions (e.g., pain, insomnia, irritable bowel syndrome, asthma, tinnitus, fibromyalgia, somatization disorders).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based stress reduction
increase
pain conditions
-
-
may be useful
#1
mindfulness-based stress reduction
increase
primary insomnia
-
-
may also be effective in improving
#2
mindfulness-based stress reduction
increase
irritable bowel syndrome
-
-
may also be effective in improving
#3
mindfulness-based stress reduction
increase
asthma
-
Small to moderate
Small to moderate effect sizes were also found for
#4
mindfulness-based stress reduction
increase
pain
-
Small to moderate
Small to moderate effect sizes were also found for
#5
mindfulness-based stress reduction
increase
tinnitus
-
Small to moderate
Small to moderate effect sizes were also found for
#6
mindfulness-based stress reduction
increase
fibromyalgia
-
Small to moderate
Small to moderate effect sizes were also found for
#7
mindfulness-based stress reduction
increase
somatization disorders
-
Small to moderate
Small to moderate effect sizes were also found for
#8
mindfulness-based stress reduction
no change
physical health status
studies assessed as having a low risk of bias
no significant change
demonstrated no significant improvements
#9
Abstract

OBJECTIVE: To identify whether mindfulness-based stress reduction is effective in improving physical health outcomes for long-term physical conditions. METHOD: A systematic review of the literature (retrieved from MEDLINE, PubMed and PsycINFO). RESULTS: Fifteen studies were included in the review. None of the studies assessed as having a low risk of bias demonstrated significant improvements in physical health status although there was some emerging evidence that mindfulness-based stress reduction may be useful in pain conditions. There was some preliminary evidence that it may also be effective in improving primary insomnia and irritable bowel syndrome. Small to moderate effect sizes were also found for asthma, pain, tinnitus, fibromyalgia and somatization disorders. CONCLUSION: Although there is some preliminary support for the use of mindfulness-based stress reduction in physical health conditions, further research is required before it could be considered an effective intervention for improving physical health outcomes.

Medical Subject Headings (MeSH)
AsthmaChronic DiseaseChronic PainFibromyalgiaHealth StatusHumansMindfulnessSomatoform DisordersStress, PsychologicalTinnitus
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations45
Citations/Year5.0
Relative Citation Ratio2.51
NIH Percentile80.8%
Research Impact Scores
APT Score0.75
Weight Score1.90
Normalized Score0.61
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