Panacea Index Logo

Command Palette

Search for a command to run...

A randomized controlled trial of a 14-day mindfulness ecological momentary intervention (MEMI) for generalized anxiety disorder.

European psychiatry : the journal of the Association of European Psychiatrists
January 1, 1970
Nur Hani Zainal et al. (2 authors)
Randomized Controlled TrialJournal ArticleResearch Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to assess the efficacy of a 14-day smartphone mindfulness ecological momentary intervention (MEMI) for reducing generalized anxiety disorder (GAD) severity and improving executive functioning compared to a self-monitoring placebo.

Results Summary

The MEMI group showed greater reductions in GAD severity and perseverative cognitions compared to the placebo group, with modest yet potentially meaningful effects on pathological worry, trait mindfulness, and executive functioning.

Population

Participants with generalized anxiety disorder (GAD).

Effective Dosage

Five prompts per day for 14 consecutive days.

Duration

14 days.

Interactions

None mentioned.

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
14-day smartphone mindfulness ecological momentary intervention (MEMI)
decrease
GAD severity
Participants with GAD
-
produced greater pre-1-month follow-up reductions
#1
14-day smartphone mindfulness ecological momentary intervention (MEMI)
decrease
perseverative cognitions
Participants with GAD
-
produced greater pre-1-month follow-up reductions
#2
14-day smartphone mindfulness ecological momentary intervention (MEMI)
decrease
pathological worry
Participants with GAD
-
produced greater pre-1-month follow-up reductions
#3
14-day smartphone mindfulness ecological momentary intervention (MEMI)
decrease
trait mindfulness
Participants with GAD
-
produced greater pre-1-month follow-up reductions
#4
14-day smartphone mindfulness ecological momentary intervention (MEMI)
decrease
executive functioning (EF)
Participants with GAD
-
produced greater pre-1-month follow-up reductions
#5
unguided brief MEMI
decrease
pathological worry
-
modest yet potentially meaningful
beneficial effect
#6
unguided brief MEMI
increase
trait mindfulness
-
modest yet potentially meaningful
beneficial effect
#7
unguided brief MEMI
increase
executive functioning (EF)
-
modest yet potentially meaningful
beneficial effect
#8
Abstract

BACKGROUND: Little is known about whether brief mindfulness ecological momentary interventions (MEMIs) yield clinically beneficial effects. This gap exists despite the rapid growth of smartphone mindfulness applications. Specifically, no prior brief MEMI has targeted generalized anxiety disorder (GAD). Moreover, although theories propose that MEMIs can boost executive functioning (EF), they have largely gone untested. Thus, this randomized controlled trial (RCT) aimed to address these gaps by assessing the efficacy of a 14-day smartphone MEMI (versus self-monitoring placebo [SMP]). METHOD: Participants with GAD were randomly assigned to either condition (68 MEMI and 42 SMP). MEMI participants exercised multiple core mindfulness strategies and were instructed to practice mindfulness continually. Comparatively, SMP participants were prompted to practice self-monitoring and were not taught any mindfulness strategies. All prompts occurred five times a day for 14 consecutive days. Participants completed self-reports and neuropsychological assessments at baseline, posttreatment, and 1-month follow-up (1MFU). Piecewise hierarchical linear modeling analyses were conducted. RESULTS: MEMI (versus SMP) produced greater pre-1MFU reductions in GAD severity and perseverative cognitions (between-group CONCLUSIONS: Preliminary findings suggest that the beneficial effect of an unguided brief MEMI to target pathological worry, trait mindfulness, and EF is modest yet potentially meaningful. Other theoretical and clinical implications were discussed.

Medical Subject Headings (MeSH)
HumansMindfulnessAnxiety DisordersAnxietyCognitionTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality80/10
Citation Metrics
Total Citations15
Citations/Year7.5
Relative Citation Ratio5.66
NIH Percentile94.3%
Research Impact Scores
APT Score0.75
Weight Score1.70
Normalized Score0.62
Related Supplements
A randomized controlled trial of a 14-day mindfulness ecolog... | Panacea Index