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The efficacy of mindfulness-based interventions in primary care: a meta-analytic review
Demarzo, Marcelo M.P.; Montero-Marin, Jesús; Cuijpers, Pim; Zabaleta-del-Olmo, Edurne; Mahtani, Kamal R.; Vellinga, Akke; Vicens, Caterina; López-del-Hoyo, Yolanda; García-Campayo, Javier
PURPOSE Positive effects have been reported after mindfulness-based interventions (MBIs) in diverse clinical and nonclinical populations. Primary care is a key health care setting for addressing common chronic conditions, and an effective MBI designed for this setting could benefit countless people worldwide. Meta-analyses of MBIs have become popular, but little is known about their efficacy in primary care. Our aim was to investigate the application and efficacy of MBIs that address primary care patients.METHODS We performed a meta-analytic review of randomized controlled trials addressing the effect of MBIs in adult patients recruited from primary care settings. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and Cochrane guidelines were followed. Effect sizes were calculated with the Hedges g in random effects models.RESULTS The meta-analyses were based on 6 trials having a total of 553 patients. The overall effect size of MBI compared with a control condition for improving general health was moderate (g = 0.48; P = .002), with moderate heterogeneity (I-2 = 59; P . 05).CONCLUSIONS Although the number of randomized controlled trials applying MBIs in primary care is still limited, our results suggest that these interventions are promising for the mental health and quality of life of primary care patients. We discuss innovative approaches for implementing MBIs, such as complex intervention and stepped care. Dr Demarzo is grateful to the CNPq - Brazilian National Council for Research and Technology Development for his postdoctoral fellowship (Science Without Borders Programme).
Keyword(s): Mindfulness based interventions; Primary care; Meta-analysis; Randomized controlled trials; Complex interventions; Practice based research; Medically unexplained symptoms; Cognitive therapy; Publication bias; Depression; Meditation; Quality; Anxiety; Relapse; Stress
Publication Date:
2017
Type: Journal article
Peer-Reviewed: Yes
Language(s): English
Contributor(s): |~|
Institution: NUI Galway
Publisher(s): Annals of Family Medicine
File Format(s): application/pdf
First Indexed: 2017-07-10 05:33:26 Last Updated: 2019-09-20 07:10:44