Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis.
Simon B. Goldberg, Raymond P. Tucker, Preston A. Greene, R. Davidson, B. Wampold, D. Kearney, Tracy L. Simpson
Clinical Psychology Review February 1, 2018 DOI: 10.1016/j.cpr.2017.10.011 (opens in new tab) via Semantic Scholar
Summary
AI-generated from the abstractMindfulness-based interventions are superior to no treatment, minimal treatment, non-specific active controls, and specific active controls for reducing disorder-specific symptoms in clinical populations at post-treatment, with effect sizes ranging from d=0.23 to d=0.55. At follow-up, mindfulness-based interventions remain superior to no treatment, non-specific active controls, and specific active controls (d=0.29 to d=0.52). They do not differ from evidence-based treatments at either post-treatment or follow-up. The most consistent evidence supports mindfulness for depression, pain conditions, smoking, and addictive disorders. These findings suggest mindfulness-based interventions are effective evidence-based treatments.
Study at a glance
| Characteristics | Meta-analysis Peer reviewed |
|---|---|
| Sample size | 12,005 |
| Population | Clinical populations with disorder-specific symptoms |
| Keywords | Psychology Medicine |
| Key finding | Mindfulness-based interventions are superior to no treatment, minimal treatment, non-specific active controls, and specific active controls for disorder-specific symptoms at post-treatment and follow-up, and do not differ from evidence-based treatments. |
Abstract
Despite widespread scientific and popular interest in mindfulness-based interventions, questions regarding the empirical status of these treatments remain. We sought to examine the efficacy of mindfulness-based interventions for clinical populations on disorder-specific symptoms. To address the question of relative efficacy, we coded the strength of the comparison group into five categories: no treatment, minimal treatment, non-specific active control, specific active control, and evidence-based treatment. A total of 142 non-overlapping samples and 12,005 participants were included. At post-treatment, mindfulness-based interventions were superior to no treatment (d=0.55), minimal treatment (d=0.37), non-specific active controls (d=0.35), and specific active controls (d=0.23). Mindfulness conditions did not differ from evidence-based treatments (d=-0.004). At follow-up, mindfulness-based interventions were superior to no treatment conditions (d=0.50), non-specific active controls (d=0.52), and specific active controls (d=0.29). Mindfulness conditions did not differ from minimal treatment conditions (d=0.38) and evidence-based treatments (d=0.09). Effects on specific disorder subgroups showed the most consistent evidence in support of mindfulness for depression, pain conditions, smoking, and addictive disorders. Results support the notion that mindfulness-based interventions hold promise as evidence-based treatments.