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Mindfulness-based treatments for posttraumatic stress disorder: a review of the treatment literature and neurobiological evidence.

Jenna E Boyd, Ruth A. Lanius, Margaret C Mckinnon

Journal of Psychiatry and Neuroscience October 2, 2017 DOI: 10.1503/jpn.170021 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Scoping review Peer reviewed
Interventions Mindfulness-based stress reduction mindfulness-based cognitive therapy metta mindfulness
Topics Meditation PTSD
Keywords Brain Humans Stress disorders, post-traumatic
Key findings The review reports that mindfulness-based treatments for PTSD show low attrition and medium to large effect sizes, and the authors argue these interventions may target emotional under- and overmodulation and help restore connectivity among large-scale brain networks, including the default mode network and the central executive and salience networks. They call for further identification of neurobiological mechanisms and direct comparison with first-line PTSD treatments.

Abstract

Mindfulness-based treatments for posttraumatic stress disorder (PTSD) have emerged as promising adjunctive or alternative intervention approaches. A scoping review of the literature on PTSD treatment studies, including approaches such as mindfulness-based stress reduction, mindfulness-based cognitive therapy and metta mindfulness, reveals low attrition with medium to large effect sizes. We review the convergence between neurobiological models of PTSD and neuroimaging findings in the mindfulness literature, where mindfulness interventions may target emotional under- and overmodulation, both of which are critical features of PTSD symptomatology. Recent emerging work indicates that mindfulness-based treatments may also be effective in restoring connectivity between large-scale brain networks among individuals with PTSD, including connectivity between the default mode network and the central executive and salience networks. Future directions, including further identification of the neurobiological mechanisms of mindfulness interventions in patients with PTSD and direct comparison of these interventions to first-line treatments for PTSD are discussed.

Comparable studies

Other narrative reviews on PTSD, most cited first.

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