Impacts of mindfulness-based interventions in people undergoing hemodialysis: a systematic review.
Jornal brasileiro de nefrologia 2022 DOI: 10.1590/2175-8239-jbn-2021-0116 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Systematic review Randomized Peer reviewed |
|---|---|
| Population | People with chronic kidney disease undergoing hemodialysis |
| Intervention | Mindfulness-based interventions |
| Topics | Meditation |
| Key findings | Across 6 randomized controlled trials, mindfulness-based interventions were associated with significant improvements in anxiety, depression, self-efficacy, sleep quality, and quality of life (3 trials), as well as in blood pressure, heart rate, and respiratory rate (1 trial). The authors conclude these interventions may be a promising and safe complementary therapy for people with CKD on hemodialysis. |
Abstract
Abstract
Introduction: Chronic kidney disease (CKD) is a serious public health problem worldwide, leading to a series of physical and psychological comorbidities, in addition to costly treatments, lifestyle and dietary restrictions. There is evidence that mindfulness-based interventions (MBIs) offer complementary treatment for people with chronic illnesses, including CKD, with the aim of improving overall health, reducing side effects and treatment costs. This review aims to investigate the MBIs impact on people with CKD undergoing hemodialysis, and to identify the methodological quality of the current literature in order to support future studies.
Methods: We ran searches in five databases (MEDLINE via PubMed, PsycINFO, Embase, Web of Science and Scopus) in July 2020. The papers were selected and evaluated by two reviewers independently, using predefined criteria, including the Cochrane Group's risk of bias tool and its recommendations (CRD42020192936).
Results: Of the 175 studies found, 6 randomized controlled trials met the inclusion criteria, and ranged from 2014 to 2019. There were significant improvements in symptoms of anxiety, depression, self-efficacy, sleep quality, and quality of life (n=3) in the groups submitted to the intervention, in addition to physical measures such as blood pressure, heart rate and respiratory rate (n=1).
Conclusions: MBIs can offer a promising and safe complementary therapy for people with CKD undergoing hemodialysis, acting on quality of life and physical aspects of the disease.
Comparable studies
Other systematic reviews and meta-analyses on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Meditation Programs for Psychological Stress and Well-being Diverse adult clinical populations | 2014 | Meta-analysis | n = 3,515 |
| Mindfulness-Based Stress Reduction for Stress Management in Healthy People: A Review and Meta-Analysis Healthy subjects | 2009 | Systematic review and meta-analysis | |
| The psychological effects of meditation: A meta-analysis. Nonclinical groups of adult meditators | 2012 | Meta-analysis | n = 163 |
| Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse Adults with recurrent depression in full or partial remission | 2016 | Meta-analysis of individual patient data from randomized controlled trials | n = 1,258 |
| Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials | 2011 | Systematic review |
Citations in the library
Cited by 8
- Experiences of People with Kidney Disease Following the Implementation of the Compassionate Mindful Resilience Programme: Qualitative Findings from the COSMIC Study. Healthcare November 8, 2023
- Examining the acceptability and feasibility of the Compassionate Mindful Resilience (CMR) programme in adults living with chronic kidney disease: the COSMIC study findings. BMC nephrology January 31, 2024
- Contemplative Practices as a Form of Stress Management for Patients with Kidney Disease. Clinical journal of the American Society of Nephrology : CJASN July 18, 2025
- Feasibility of the Hemomindful Program: a mindfulness-based program performed during hemodialysis. Jornal brasileiro de nefrologia 2025
- Mindfulness-based intervention as a symptom management strategy in patients with end-stage renal disease: A controlled clinical trial. International Journal of Nursing Practice December 1, 2024
and 3 more in the library
Cites 18
- Mindfulness: A proposed operational definition. Clinical Psychology Science and Practice 2004
- Mechanisms of mindfulness Journal of Clinical Psychology December 29, 2005
- Mindfulness: Theoretical Foundations and Evidence for its Salutary Effects Psychological Inquiry October 19, 2007
- Meditation Programs for Psychological Stress and Well-being JAMA Internal Medicine January 6, 2014
- Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse Psychotherapy Research March 1, 2003
and 13 more in the library