Effectiveness of mindfulness-based stress reduction and mindfulness-based cognitive therapy on depression in poststroke patients-A systematic review and meta-analysis of randomized controlled trials.
Shiqi Tao, Yi Geng, Mingxia Li, Jing Ye, Zuoyan Liu
Journal of Psychosomatic Research October 1, 2022 DOI: 10.1016/j.jpsychores.2022.111071 (opens in new tab) via Semantic Scholar
Summary
AI-generated from the abstractA meta-analysis of seven randomized controlled trials with 502 participants found that mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT) significantly reduced depressive symptoms in people who had experienced a stroke. The effect was larger for those with clinically defined depression than for those without. The analysis showed a significant overall effect on depression. The authors conclude that stroke populations may improve their mood with these interventions, but the impact on physiological disease parameters remains undetermined, and they call for further high-quality studies with long-term follow-up.
Study at a glance
| Characteristics | Systematic review and meta-analysis Randomized Peer reviewed |
|---|---|
| Sample size | 502 |
| Population | People who have experienced a stroke |
| Interventions | mindfulness-based stress reduction mindfulness-based cognitive therapy |
| Keywords | Medicine Psychology |
| Key finding | MBSR and MBCT significantly reduced depressive symptoms in poststroke participants, with a larger effect in those with clinically defined depression. |
Abstract
OBJECTIVE To evaluate the effectiveness of mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT) on depressive symptoms in people with stroke. METHODS The PubMed, CINAL, Web of Science, Embase, The Cochrane Library, CNKI, and Wangfang databases were searched for relevant articles from inception to September 1st, 2022. Only randomized controlled trials (RCTs) examining the effect of MBSR and MBCT on depressive symptoms in poststroke patients were included. Data extraction and critical appraisal were conducted independently by two investigators. RESULTS Seven trials with 502 participants were included. Using standardized mean differences, the meta-analysis showed evidence of a significant effect in depression (SMD = -0.93, 95% CI (-1.34 to -0.53), Z = 4.48, p < 0.001). MBSR and MBCT both affected depressive emotions in poststroke participants with depression (SMD = -1.27, 95% CI (-1.71 to -0.84), p < 0.001) and poststroke participants without clinically defined depression (SMD = -0.46, 95% CI (-0.75 to -0.17), p = 0.002). CONCLUSION Although populations with stroke seem to potentially improve moods from MBSR/MBCT intervention, the impact on the physiological parameters of the disease has not been determined. Further studies with long-term follow-up and higher qualities are warranted for such interventions to determine the full effectiveness.