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Compassion and Loving-Kindness Meditation: An Overview and Prospects for the Application in Clinical Samples.

Harvard review of psychiatry
January 1, 2018
Johannes Graser et al. (2 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to review the empirical evidence for mindfulness and compassion-based interventions (CBIs) and loving-kindness meditation (LKM), comparing their efficacy across various clinical conditions.

Results Summary

Mindfulness-based interventions showed well-documented efficacy, while CBIs and LKM demonstrated promising but less-established benefits for conditions like psychotic disorders, depression, chronic pain, and borderline personality disorder. Larger nonrandomized studies suggest broader potential applications for CBIs and LKM.

Population

Clinical populations with psychotic disorders, affective disorders, major depressive disorder, eating disorders, chronic pain, and borderline personality disorder.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (17)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based stress reduction
neutral
-
-
-
efficacy has been documented
#1
mindfulness-based cognitive therapy
neutral
-
-
-
efficacy has been documented
#2
compassion-based interventions
decrease
psychotic disorders
-
-
were effective in treating
#3
compassion-based interventions
decrease
affective disorders with psychotic features
-
-
were effective in treating
#4
compassion-based interventions
decrease
major depressive disorder
-
-
were effective in treating
#5
compassion-based interventions
decrease
eating disorders
-
-
were effective in treating
#6
compassion-based interventions
decrease
-
patients with suicide attempts in the past year
-
were effective in treating
#7
loving-kindness meditation
decrease
chronic pain
-
-
was effective in treating
#8
combination of compassion-based interventions and loving-kindness meditation
decrease
borderline personality disorder
-
-
was effective for
#9
compassion-based interventions
decrease
depression
-
-
may be effective in treating
#10
compassion-based interventions
decrease
anxiety disorders
-
-
may be effective in treating
#11
compassion-based interventions
decrease
chronic pain
-
-
may be effective in treating
#12
compassion-based interventions
decrease
posttraumatic stress disorder
-
-
may be effective in treating
#13
loving-kindness meditation
decrease
depression
-
-
may be effective in treating
#14
loving-kindness meditation
decrease
anxiety disorders
-
-
may be effective in treating
#15
loving-kindness meditation
decrease
chronic pain
-
-
may be effective in treating
#16
loving-kindness meditation
decrease
posttraumatic stress disorder
-
-
may be effective in treating
#17
Abstract

OBJECTIVES: This article presents a brief overview of the empirical evidence of well-established mindfulness interventions and an in-depth review of less-established compassion-based interventions (CBIs) and loving-kindness meditation (LKM). Definitions, cognitive and physiological mechanisms, and methods of assessment are discussed. METHOD: A literature review using the databases Google Scholar, PsycINFO, and PubMed was conducted. RESULTS: Whereas the efficacy of mindfulness-based stress reduction and mindfulness-based cognitive therapy has been documented in many trials, only seven randomized, controlled trials have been completed on CBIs and LKM. In these trials, CBIs were effective in treating psychotic disorders, affective disorders with psychotic features, major depressive disorder, eating disorders, and patients with suicide attempts in the past year; LKM was effective in treating chronic pain; and a combination of both was effective for borderline personality disorder. A larger number of nonrandomized studies indicate that CBIs and LKM may be effective in treating a wide range of clinical conditions, including depression, anxiety disorders, chronic pain, and posttraumatic stress disorder. CONCLUSIONS: Further studies are needed to confirm the promising effects of CBIs and LKM. Preliminary evidence suggests that both approaches might be beneficial across various clinical populations. Future studies need to clarify whether these approaches might be options as stand-alone treatments or as adjuncts or augmentation of evidence-based methods in psychotherapy.

Medical Subject Headings (MeSH)
EmpathyHumansMeditationMental DisordersMindfulnessPsychotherapy
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations30
Citations/Year4.3
Relative Citation Ratio2.38
NIH Percentile79.4%
Research Impact Scores
APT Score0.75
Weight Score2.19
Normalized Score0.66
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