Mindfulness and chronic pain: limited evidence of effectiveness

Bawa, F. L. M., et al. (2015). Does mindfulness improve outcomes in patients with chronic pain? Systematic review and meta-analysis. British Journal of General Practice, 65, 635, e387-e400. Full text.

Background: Chronic pain and its associated distress and disability are common reasons for seeking medical help. Patients with chronic pain use primary healthcare services five times more than the rest of the population. Mindfulness has become an increasingly popular self-management technique.

Aim: To assess the effectiveness of mindfulness-based interventions for patients with chronic pain.

Conclusion: There is limited evidence for effectiveness of mindfulness-based interventions for patients with chronic pain. Better-quality studies are required.

Mindfulness interventions with cardiovascular disease patients (a meta-analysis)

Abbott, R. A., et al. (2014). Effectiveness of mindfulness-based stress reduction and mindfulness based cognitive therapy in vascular disease: A systematic review and meta-analysis of randomised controlled trials. Journal of Psychosomatic ResearchFull text. Accepted manuscript.

Objective. To determine the effectiveness of mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT) on psychological and physical outcomes for people with vascular disease.

Conclusion. Whilst populations with vascular disease appear to derive a range of psychological benefits from MBSR/MBCT intervention, the effects on physical parameters of disease are not yet established. More robust studies, with longer term follow-up, are required to ascertain full effectiveness of such intervention.

MBI reduce psychological distress in working adults: meta-analysis

Virgili, M. (2013). Mindfulness-Based Interventions Reduce Psychological Distress in Working Adults: a Meta-Analysis of Intervention Studies. Mindfulness. Published online Dec. 2013.

From the Abstract: The aim of this study was to assess the effectiveness of mindfulness-based interventions (MBIs) for reducing psychological distress in working adults. A comprehensive literature search of relevant databases included articles written in English published on December 2012. The meta-analysis included 19 controlled and uncontrolled intervention studies with a total of 1,139 participants.

Analyses based on subgroup comparisons suggested that brief versions of mindfulness-based stress reduction developed for organisational settings are equally effective as standard 8-week versions originally developed for clinical settings. However, there is little evidence to suggest that MBIs are more effective than other types of occupational stress management interventions, such as relaxation training and yoga, for reducing psychological distress in working adults. Overall, these findings support the use of MBIs in organisational settings for the reduction of psychological distress.

Supports treatment for anxiety (10-year review of research literature)

Manzoni, G. M., et al. (2008). Relaxation training for anxiety: a ten-years systematic review with meta-analysis. BMC Psychiatry, 8(14). [from the Abstract]. Read article in full.

Relxation training is a common treatment for anxiety problems. acking is a recent quantitative meta-analysis that enhances understanding of the variability and clinical significance of anxiety reduction outcomes after relaxation treatment. Twenty-seven studies were included, drawing on international research between 1997 and 2007.

The authors concluded that their meta-analytical study shows consistent and significant efficacy of relaxation training in reducing anxiety. They found that applied relaxation, progressive relaxation and meditation showed greater effect sizes than other techniques.