Mindfulness-based stress reduction for long-term physical conditions: A systematic review

Crowe, Marie; Jordan, Jennifer; Burrell, Beverley; Jones, Virginia; Gillon, Deborah; Harris, Shirley

doi:10.1177/0004867415607984

Cited by 77 publications

(42 citation statements)

References 55 publications

(93 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the treatment of long-term medical conditions, mindfulness-based therapies (excluding MBCT) have some evidence [11]. Applications of mindfulness to tinnitus are in their infancy, and as yet there have been just 7 relevant studies published, of which only 2 are randomized controlled trials [12,13].…”

Section: Introductionmentioning

confidence: 99%

Mindfulness-Based Cognitive Therapy as a Treatment for Chronic Tinnitus: A Randomized Controlled Trial

McKenna

Marks

Hallsworth

et al. 2017

Psychother Psychosom

View full text Add to dashboard Cite

Background: Tinnitus is experienced by up to 15% of the population and can lead to significant disability and distress. There is rarely a medical or surgical target and psychological therapies are recommended. We investigated whether mindfulness-based cognitive therapy (MBCT) could offer an effective new therapy for tinnitus. Methods: This single-site randomized controlled trial compared MBCT to intensive relaxation training (RT) for chronic, distressing tinnitus in adults. Both treatments involved 8 weekly, 120-min sessions focused on either relaxation (RT) or mindfulness meditation (MBCT). Assessments were completed at baseline and at treatment commencement 8 weeks later. The primary outcomes were tinnitus severity (Tinnitus Questionnaire) and psychological distress (Clinical Outcomes in Routine Evaluation - Non-Risk, CORE-NR), 16 weeks after baseline. The analysis utilized a modified intention-to-treat approach. Results: A total of 75 patients were randomly allocated to MBCT (n = 39) or RT (n = 36). Both groups showed significant reductions in tinnitus severity and loudness, psychological distress, anxiety, depression, and disability. MBCT led to a significantly greater reduction in tinnitus severity than RT, with a mean difference of 6.3 (95% CI 1.3-11.4, p = 0.016). Effects persisted 6 months later, with a mean difference of 7.2 (95% CI 2.1-2.3, p = 0.006) and a standardized effect size of 0.56 (95% CI 0.16-0.96). Treatment was effective regardless of initial tinnitus severity, duration, or hearing loss. Conclusions: MBCT is effective in reducing tinnitus severity in chronic tinnitus patients compared to intensive RT. It also reduces psychological distress and disability. Future studies should explore the generalizability of this approach and how outcome relates to different aspects of the intervention.

show abstract

Section: Introductionmentioning

confidence: 99%

Mindfulness-Based Cognitive Therapy as a Treatment for Chronic Tinnitus: A Randomized Controlled Trial

McKenna

Marks

Hallsworth

et al. 2017

Psychother Psychosom

View full text Add to dashboard Cite

show abstract

“…25, 27 Clinical trials in adults have shown that various forms of mindfulness meditation result in improvement in pain, physical function, anxiety, and depression. 28–32 There are also data that support the use of MBSR in children and adolescents both for reducing perceived stress and for improving psychological health. 33 In this pilot study, we assessed the feasibility of an MBSR program for adolescents with widespread chronic pain and other persistent somatic symptoms, and to make preliminary assessments of its clinical utility.…”

mentioning

confidence: 99%

Mindfulness-Based Stress Reduction for Adolescents with Functional Somatic Syndromes: A Pilot Cohort Study

Ali¹,

Weiss²,

Dutton³

et al. 2017

The Journal of Pediatrics

108

View full text Add to dashboard Cite

Objective To assess the feasibility of a Mindfulness-based stress reduction (MBSR) program for adolescents with widespread chronic pain and other functional somatic symptoms, and to make preliminary assessments of its clinical utility. Study design Three cohorts of subjects completed an 8-week MBSR program. Child- and parent-completed measures were collected at baseline and 8 and 12 weeks later. Measures included the Functional Disability Inventory (FDI), the Fibromyalgia/Symptom Impact Questionnaire (FIQR/SIQR), the Pediatric Quality of Life Inventory (PedsQL), the Multidimensional Anxiety Scale (MASC2), and the Perceived Stress Scale (PSS). Subjects and parents were interviewed following the program to assess feasibility. Results Fifteen of 18 subjects (83%) completed the 8-week program. No adverse events occurred. Compared with baseline scores, significant changes were found in mean scores on the FDI (33% improvement, p=0.026), FIQR/SIQR (26% improvement, p=0.03), and MASC2 (child: 12% improvement, p=0.02; parent report: 17% improvement, p=0.03) at 8 weeks. MASC2 scores (child and parent) and PSS scores were significantly improved at 12 weeks. More time spent doing home practice was associated with better outcomes in the FDI and FIQR/SIQR (44% and 26% improvement, respectively). Qualitative interviews indicated that subjects and parents reported social support as a benefit of the MBSR class, as well as a positive impact of MBSR on activities of daily living, and on pain and anxiety. Conclusions MBSR is a feasible and acceptable intervention in adolescents with functional somatic syndromes, and has preliminary evidence for improving functional disability, symptom impact, and anxiety, with consistency between parent and child measures. Trial registration ClinicalTrials.gov: NCT02190474

show abstract

“…Both studies were approved by University of Otago Human Ethics Committee (Feasibility—H13/102 & Pilot—H15/003). In parallel with the preliminary studies, we undertook two literature reviews (Crowe et al., , ). Our review on Mindfulness‐based Stress Reduction (MBSR) aimed to identify whether the MBSR modality improved physical health for people with LTCs (Crowe et al., ).…”

Section: Step 1: Needs Assessment Data From Two Preliminary Studies mentioning

confidence: 99%

“…In parallel with the preliminary studies, we undertook two literature reviews (Crowe et al., , ). Our review on Mindfulness‐based Stress Reduction (MBSR) aimed to identify whether the MBSR modality improved physical health for people with LTCs (Crowe et al., ). A second review on transdiagnostic health management interventions was conducted to assess their clinical effectiveness for older people with multimorbidity (Crowe et al., ).…”

Section: Step 1: Needs Assessment Data From Two Preliminary Studies mentioning

confidence: 99%

Using intervention mapping to design a self‐management programme for older people with chronic conditions

et al. 2018

Self Cite

View full text Add to dashboard Cite

Self‐management programmes provide strategies to optimise health while educating and providing resources for living with enduring illnesses. The current paper describes the development of a community‐based programme that combines a transdiagnostic approach to self‐management with mindfulness to enhance psychological coping for older people with long‐term multimorbidity. The six steps of intervention mapping (IM) were used to develop the programme. From a needs assessment, the objectives of the programme were formulated; the theoretical underpinnings then aligned to the objectives, which informed programme design, decisions on implementation, programme adoption and evaluation steps. Bandura's social cognitive theory informed the methods and practical strategies of delivery. Among the features addressed with participants are transdiagnostic dimensions such as fatigue, pain, breathlessness, sleep disturbances. The programme utilises mindfulness to aid coping and ameliorate the psychological distresses associated with chronicity. Findings from an initial feasibility study and subsequent pilot assisted in conceptualising our programme. In conclusion, applying IM gave the planners confidence the programme is robust and evidence‐based with clearly articulated links between the behavioural goals and design elements to obtain the desired outcomes.

show abstract

Mindfulness-based stress reduction for long-term physical conditions: A systematic review

Abstract: Although there is some preliminary support for the use of mindfulness-based stress reduction in physical health conditions, further research is required before it could be considered an effective intervention for improving physical health outcomes.

Cited by 77 publications

References 55 publications

Mindfulness-Based Cognitive Therapy as a Treatment for Chronic Tinnitus: A Randomized Controlled Trial

Mindfulness-Based Cognitive Therapy as a Treatment for Chronic Tinnitus: A Randomized Controlled Trial

Mindfulness-Based Stress Reduction for Adolescents with Functional Somatic Syndromes: A Pilot Cohort Study

Using intervention mapping to design a self‐management programme for older people with chronic conditions

Contact Info

Product

Resources

About