Meta-Analytic Insights Into Mindfulness Approaches for Depression and Diabetes Comorbidity Care.
Diabetes spectrum : a publication of the American Diabetes Association January 1, 2025 Kenni Wojujutari Ajele, Erhabor Sunday Idemudia
Mindfulness-based interventions (MBIs) significantly reduce depressive symptoms and improve glycemic control in people with both diabetes and depression. A meta-analysis of 17 randomized controlled trials (1,336 participants) found a large effect on depressive symptoms (SMD -0.88) and a small improvement in A1C levels (SMD -0.23). Mindfulness-based stress reduction and mindfulness-based cognitive therapy each showed strong effects. Effects varied by region, with Asian studies showing greater benefits than North American ones. The authors argue that culturally adapted approaches are important and call for further research to refine MBI applications in diabetes care.