1.
Tamsin J Williams Montero-Marin Jesus Taylor Laura Crane Catherine Greenberg Mark T Ford, J Mark G García-Campayo Javier Sonley Anna Lord Liz Dalgleish Tim Blakemore Sarah-Jayne Kuyken Willem
Dans: Journal of Educational Psychology, 2021, ISSN: 0022-0663.
Résumé | Liens | BibTeX | Étiquettes: anxiété, anxiety, auto-compassion, burnout, dépression, détresse psychologique, enseignants, MBI, médiateurs, mediators, mindfulness based interventions, perceived stress, psychological distress, self-compassion, stress perçu, teachers, well-being
@article{Ford2021,
title = {Teachers “finding peace in a frantic world”: An experimental study of self-taught and instructor-led mindfulness program formats on acceptability, effectiveness, and mechanisms},
author = {Montero-Marin Jesus Taylor Laura Crane Catherine Greenberg Mark T Ford, Tamsin J Williams, J Mark G García-Campayo Javier Sonley Anna Lord Liz Dalgleish Tim Blakemore Sarah-Jayne Kuyken Willem },
editor = {American Psychological Association},
url = {http://change-et-sois.org/wp-content/uploads/2021/10/Teachers-finding-peace-in-a-frantic-world-An-experimental-study-of-self-taught-and-instructor-led-mindfulness-program-formats-on-acceptability-effectiveness-and-mechanisms.pdf},
doi = {http://dx.doi.org/10.1037/edu0000542},
issn = {0022-0663},
year = {2021},
date = {2021-10-18},
journal = {Journal of Educational Psychology},
abstract = {ABSTRACT
Mindfulness training (MT) is considered appropriate for school teachers and enhances well-being. Most research has investigated the efficacy of instructor-led MT. However, little is known about the benefits of using self-taught formats, nor what the key mechanisms of change are that contribute to enhanced teacher well-being. This study compared instructor-led and self-taught MT based on a book (Williams & Penman, 2011) in a sample of secondary school teachers. We assessed expectancy, the degree to which participants believed the intervention was effective, their program engagement, well-being and psychological distress, and evaluated whether mindfulness and self-compassion skills acted as mediators of outcomes. In total, 206 teachers from 43 schools were randomized by school to an instructor-led or self-taught course—77% female, mean age 39 years (SD = 9.0). Both MT formats showed similar rates of participant expectancy and engagement, but the instructor-led arm was perceived as more credible. Using linear mixed-effects models, we found the self-taught arm showed significant pre-post improvements in self-compassion and well-being, while the instructor-led arm showed such improvements in mindfulness, self-compassion, well-being, perceived stress, anxiety, depression, and burnout. Changes over time significantly differed between the groups in all these outcomes, favoring the instructor-led arm. The instructor-led arm, compared with the self-taught, indirectly improved teacher outcomes by enhancing mindfulness and self-compassion as mediating factors. Mindfulness practice frequency had indirect effects on teacher outcomes through mindfulness in both self-taught and instructor-led arms. Our results suggest both formats are considered reasonable, but the instructor-led is more effective than the self-taught.
expectations, teachers, well-being, mindfulness-based interventions, self-compassion, mindfulness, perceived stress},
keywords = {anxiété, anxiety, auto-compassion, burnout, dépression, détresse psychologique, enseignants, MBI, médiateurs, mediators, mindfulness based interventions, perceived stress, psychological distress, self-compassion, stress perçu, teachers, well-being},
pubstate = {published},
tppubtype = {article}
}
ABSTRACT
Mindfulness training (MT) is considered appropriate for school teachers and enhances well-being. Most research has investigated the efficacy of instructor-led MT. However, little is known about the benefits of using self-taught formats, nor what the key mechanisms of change are that contribute to enhanced teacher well-being. This study compared instructor-led and self-taught MT based on a book (Williams & Penman, 2011) in a sample of secondary school teachers. We assessed expectancy, the degree to which participants believed the intervention was effective, their program engagement, well-being and psychological distress, and evaluated whether mindfulness and self-compassion skills acted as mediators of outcomes. In total, 206 teachers from 43 schools were randomized by school to an instructor-led or self-taught course—77% female, mean age 39 years (SD = 9.0). Both MT formats showed similar rates of participant expectancy and engagement, but the instructor-led arm was perceived as more credible. Using linear mixed-effects models, we found the self-taught arm showed significant pre-post improvements in self-compassion and well-being, while the instructor-led arm showed such improvements in mindfulness, self-compassion, well-being, perceived stress, anxiety, depression, and burnout. Changes over time significantly differed between the groups in all these outcomes, favoring the instructor-led arm. The instructor-led arm, compared with the self-taught, indirectly improved teacher outcomes by enhancing mindfulness and self-compassion as mediating factors. Mindfulness practice frequency had indirect effects on teacher outcomes through mindfulness in both self-taught and instructor-led arms. Our results suggest both formats are considered reasonable, but the instructor-led is more effective than the self-taught.
expectations, teachers, well-being, mindfulness-based interventions, self-compassion, mindfulness, perceived stress
Mindfulness training (MT) is considered appropriate for school teachers and enhances well-being. Most research has investigated the efficacy of instructor-led MT. However, little is known about the benefits of using self-taught formats, nor what the key mechanisms of change are that contribute to enhanced teacher well-being. This study compared instructor-led and self-taught MT based on a book (Williams & Penman, 2011) in a sample of secondary school teachers. We assessed expectancy, the degree to which participants believed the intervention was effective, their program engagement, well-being and psychological distress, and evaluated whether mindfulness and self-compassion skills acted as mediators of outcomes. In total, 206 teachers from 43 schools were randomized by school to an instructor-led or self-taught course—77% female, mean age 39 years (SD = 9.0). Both MT formats showed similar rates of participant expectancy and engagement, but the instructor-led arm was perceived as more credible. Using linear mixed-effects models, we found the self-taught arm showed significant pre-post improvements in self-compassion and well-being, while the instructor-led arm showed such improvements in mindfulness, self-compassion, well-being, perceived stress, anxiety, depression, and burnout. Changes over time significantly differed between the groups in all these outcomes, favoring the instructor-led arm. The instructor-led arm, compared with the self-taught, indirectly improved teacher outcomes by enhancing mindfulness and self-compassion as mediating factors. Mindfulness practice frequency had indirect effects on teacher outcomes through mindfulness in both self-taught and instructor-led arms. Our results suggest both formats are considered reasonable, but the instructor-led is more effective than the self-taught.
expectations, teachers, well-being, mindfulness-based interventions, self-compassion, mindfulness, perceived stress
2.
Katherine, Stevens Francis Taber
The neuroscience of empathy and compassion in pro-social behavior Article de journal
Dans: Neuropsychologia, vol. 159, 2021.
Résumé | Liens | BibTeX | Étiquettes: affective empathy, altruisme, auto-compassion, cognition, cognitive empathy, compassion, comportement pro-social, détresse psychologique, emotion regulation, empathie, empathie affective, empathie cognitive, empathy, neuro-imagerie, neuroimaging, neurosciences, ocytocine, Oxytocin, prosocial behavior, psychological distress, régulation émotionnelle, revue littérature, self-compassion, systematic review
@article{Katherine2021,
title = {The neuroscience of empathy and compassion in pro-social behavior},
author = {Stevens Francis Taber Katherine},
editor = {Elsevier},
url = {http://change-et-sois.org/wp-content/uploads/2023/01/The-neuroscience-of-empathy-and-compassion-in-pro-social-behavior-Stevens-F-Taber-K-2021.pdf},
doi = {https://doi.org/10.1016/j.neuropsychologia.2021.107925},
year = {2021},
date = {2021-07-10},
urldate = {2021-07-10},
journal = {Neuropsychologia},
volume = {159},
abstract = {HIGHLIGHTS
• Contradictory evidence exists in the literature around empathy and pro-social behavior.
• Compassion may act as an effective strategy to regulate emotion in increasing pro-social behavior.
• Affective neuroscience demonstrates empathy consists of several brain processes.
• Engaging in pro-social behavior in response to suffering involves a multi-stage process.
ABSTRACT
Research in the scientific literature increasingly demonstrates that empathy consists of multiple dimensions, and that defining empathy as a single encompassing term may be imprecise. Recent calls have been made for increasing empathy as means to increase pro-social behavior. However, contradictory evidence exists that empathy may reduce pro-social behavior. This debate has sparked confusion around what is empathy, along with the value of empathy in promoting pro-social behavior. This paper will examine recent advances in affective neuroscience to better understand the construct of empathy and its relationship to pro-social behavior. Individuals’ responses to affective empathy, seeing the suffering of others can result in personal distress or empathic concern, which may then subsequently affect motivation for pro-social behavior. Current research in affective neuroscience suggests that combining compassion interventions in conjunction with both affective and cognitive empathy offers the most optimal likelihood that individuals will engage in pro-social behavior.
KEYWORDS
Affective empathy, Cognitive empathy, Oxytocin, Compassion, Pro-social behavior},
key = {Affective empathy, Cognitive empathy, Oxytocin, Compassion, Pro-social behavior},
keywords = {affective empathy, altruisme, auto-compassion, cognition, cognitive empathy, compassion, comportement pro-social, détresse psychologique, emotion regulation, empathie, empathie affective, empathie cognitive, empathy, neuro-imagerie, neuroimaging, neurosciences, ocytocine, Oxytocin, prosocial behavior, psychological distress, régulation émotionnelle, revue littérature, self-compassion, systematic review},
pubstate = {published},
tppubtype = {article}
}
HIGHLIGHTS
• Contradictory evidence exists in the literature around empathy and pro-social behavior.
• Compassion may act as an effective strategy to regulate emotion in increasing pro-social behavior.
• Affective neuroscience demonstrates empathy consists of several brain processes.
• Engaging in pro-social behavior in response to suffering involves a multi-stage process.
ABSTRACT
Research in the scientific literature increasingly demonstrates that empathy consists of multiple dimensions, and that defining empathy as a single encompassing term may be imprecise. Recent calls have been made for increasing empathy as means to increase pro-social behavior. However, contradictory evidence exists that empathy may reduce pro-social behavior. This debate has sparked confusion around what is empathy, along with the value of empathy in promoting pro-social behavior. This paper will examine recent advances in affective neuroscience to better understand the construct of empathy and its relationship to pro-social behavior. Individuals’ responses to affective empathy, seeing the suffering of others can result in personal distress or empathic concern, which may then subsequently affect motivation for pro-social behavior. Current research in affective neuroscience suggests that combining compassion interventions in conjunction with both affective and cognitive empathy offers the most optimal likelihood that individuals will engage in pro-social behavior.
KEYWORDS
Affective empathy, Cognitive empathy, Oxytocin, Compassion, Pro-social behavior
• Contradictory evidence exists in the literature around empathy and pro-social behavior.
• Compassion may act as an effective strategy to regulate emotion in increasing pro-social behavior.
• Affective neuroscience demonstrates empathy consists of several brain processes.
• Engaging in pro-social behavior in response to suffering involves a multi-stage process.
ABSTRACT
Research in the scientific literature increasingly demonstrates that empathy consists of multiple dimensions, and that defining empathy as a single encompassing term may be imprecise. Recent calls have been made for increasing empathy as means to increase pro-social behavior. However, contradictory evidence exists that empathy may reduce pro-social behavior. This debate has sparked confusion around what is empathy, along with the value of empathy in promoting pro-social behavior. This paper will examine recent advances in affective neuroscience to better understand the construct of empathy and its relationship to pro-social behavior. Individuals’ responses to affective empathy, seeing the suffering of others can result in personal distress or empathic concern, which may then subsequently affect motivation for pro-social behavior. Current research in affective neuroscience suggests that combining compassion interventions in conjunction with both affective and cognitive empathy offers the most optimal likelihood that individuals will engage in pro-social behavior.
KEYWORDS
Affective empathy, Cognitive empathy, Oxytocin, Compassion, Pro-social behavior
3.
Ha, Thi Hong Thai Bui Thi Nhu Trang Nguyen Hanh Dung Pham Cong Thanh Tran Thanh Hien
The mediating role of self-compassion between proactive coping and perceived stress among students Article de journal
Dans: Science Progress, vol. 104, no. Issue 2, 2021.
Résumé | Liens | BibTeX | Étiquettes: auto-compassion, bonté, coping émotionnel, gentillesse, proactive coping, self-compassion, stress
@article{Ha2021,
title = {The mediating role of self-compassion between proactive coping and perceived stress among students},
author = {Thi Hong Thai Bui Thi Nhu Trang Nguyen Hanh Dung Pham Cong Thanh Tran Thanh Hien Ha},
editor = {SAGE Journals},
url = {http://change-et-sois.org/wp-content/uploads/2021/05/The-mediating-role-of-self-compassion-between-proactive-coping-and-perceived-stress-among-students.pdf},
doi = {10.1177/00368504211011872},
year = {2021},
date = {2021-05-06},
journal = { Science Progress},
volume = {104},
number = {Issue 2},
abstract = {Abstract
Proactive coping has been documented as a significant predictor of perceived stress. When facing stressful events, the more individuals use proactive coping strategies, the lower their stress level will be. However, there is still little research of possible latent factors participating in this relationship to explain how proactive coping can reduce of perceived stress, directly and indirectly. This study aimed to examine whether self-compassion can mediate the relationship between proactive coping and perceived stress among students. In a cross-sectional study carried out in 2019, we invited 384 undergraduate students in Hanoi (Vietnam) to voluntarily complete a self-report questionnaire that measured proactive coping, self-compassion and perceived stress scale. Results showed that proactive coping was positively related to level of self-compassion, and both proactive coping and self-compassion were negatively related to stress scores. The effect of proactive coping on stress was eliminated when self-compassion was controlled, showing the mediating role of self-compassion in the relationship between proactive coping and perceived stress score. Furthermore, among six factors contributing to the concept of self-compassion, data documented mediating role of "self-kindness,""self-judgment," and "mindfulness" while no mediating role of "common humanity,""isolation," and "over-identification" was observed. Among three mediating factors, mindfulness appeared to be the most important factor explaining the relationship between proactive coping and perceived stress. These results consolidate existing literature of the protective role of self-compassion on psychological health, and hence provide more support for the application of self-compassion, especially of mindfulness, in working with people with stress.
Keywords: Self-compassion; Vietnam; proactive coping; stress; students.},
keywords = {auto-compassion, bonté, coping émotionnel, gentillesse, proactive coping, self-compassion, stress},
pubstate = {published},
tppubtype = {article}
}
Abstract
Proactive coping has been documented as a significant predictor of perceived stress. When facing stressful events, the more individuals use proactive coping strategies, the lower their stress level will be. However, there is still little research of possible latent factors participating in this relationship to explain how proactive coping can reduce of perceived stress, directly and indirectly. This study aimed to examine whether self-compassion can mediate the relationship between proactive coping and perceived stress among students. In a cross-sectional study carried out in 2019, we invited 384 undergraduate students in Hanoi (Vietnam) to voluntarily complete a self-report questionnaire that measured proactive coping, self-compassion and perceived stress scale. Results showed that proactive coping was positively related to level of self-compassion, and both proactive coping and self-compassion were negatively related to stress scores. The effect of proactive coping on stress was eliminated when self-compassion was controlled, showing the mediating role of self-compassion in the relationship between proactive coping and perceived stress score. Furthermore, among six factors contributing to the concept of self-compassion, data documented mediating role of "self-kindness,""self-judgment," and "mindfulness" while no mediating role of "common humanity,""isolation," and "over-identification" was observed. Among three mediating factors, mindfulness appeared to be the most important factor explaining the relationship between proactive coping and perceived stress. These results consolidate existing literature of the protective role of self-compassion on psychological health, and hence provide more support for the application of self-compassion, especially of mindfulness, in working with people with stress.
Keywords: Self-compassion; Vietnam; proactive coping; stress; students.
Proactive coping has been documented as a significant predictor of perceived stress. When facing stressful events, the more individuals use proactive coping strategies, the lower their stress level will be. However, there is still little research of possible latent factors participating in this relationship to explain how proactive coping can reduce of perceived stress, directly and indirectly. This study aimed to examine whether self-compassion can mediate the relationship between proactive coping and perceived stress among students. In a cross-sectional study carried out in 2019, we invited 384 undergraduate students in Hanoi (Vietnam) to voluntarily complete a self-report questionnaire that measured proactive coping, self-compassion and perceived stress scale. Results showed that proactive coping was positively related to level of self-compassion, and both proactive coping and self-compassion were negatively related to stress scores. The effect of proactive coping on stress was eliminated when self-compassion was controlled, showing the mediating role of self-compassion in the relationship between proactive coping and perceived stress score. Furthermore, among six factors contributing to the concept of self-compassion, data documented mediating role of "self-kindness,""self-judgment," and "mindfulness" while no mediating role of "common humanity,""isolation," and "over-identification" was observed. Among three mediating factors, mindfulness appeared to be the most important factor explaining the relationship between proactive coping and perceived stress. These results consolidate existing literature of the protective role of self-compassion on psychological health, and hence provide more support for the application of self-compassion, especially of mindfulness, in working with people with stress.
Keywords: Self-compassion; Vietnam; proactive coping; stress; students.
4.
Lee, Teoh Letchumanan
Can Mindfulness Help to Alleviate Loneliness? A Systematic Review and Meta-Analysis Article de journal
Dans: Frontiers in Psychology, vol. 12, 2021.
Résumé | Liens | BibTeX | Étiquettes: loneliness, meta-analysis, solitude
@article{Lee2021,
title = {Can Mindfulness Help to Alleviate Loneliness? A Systematic Review and Meta-Analysis},
author = {Teoh Letchumanan Lee},
editor = {Frontiers Media SA},
url = {http://change-et-sois.org/wp-content/uploads/2021/03/Can-Mindfulness-Help-to-Alleviate-Loneliness-A-Systematic-Review-and-Meta-Analysis.pdf},
doi = {10.3389/fpsyg.2021.633319},
year = {2021},
date = {2021-02-25},
journal = {Frontiers in Psychology},
volume = {12},
abstract = {Objective: Mindfulness-based intervention (MBI) has been proposed to alleviate loneliness and improve social connectedness. Several randomized controlled trials (RCTs) have been conducted to evaluate the effectiveness of MBI. This study aimed to critically evaluate and determine the effectiveness and safety of MBI in alleviating the feeling of loneliness. Methods: We searched Medline, Embase, PsycInfo, Cochrane CENTRAL, and AMED for publications from inception to May 2020. We included RCTs with human subjects who were enrolled in MBI with loneliness as an outcome. The quality of evidence was assessed using Cochrane's Risk of Bias (ROB) tool and Grading of Recommendations Assessment, Development, and Evaluation (GRADE). A random-effects model was used for meta-analysis. Results: Out of 92 articles identified, eight studies involving 815 participants were included in this study. Most (7/8) trials conducted a minimum of 8 weeks of MBI. Most of the trials (5/8) used UCLA-Loneliness Scale. A pooled analysis combining three trials and compared with wait-list showed significant improvement in loneliness score reduction using the UCLA-R scale with MD of -6.33 [95% confidence interval (CI): -9.39, -3.26]. Subgroup analysis with only two Cognitively-Based Compassion Training (CBCT) trials also showed similar MD of -6.05 (95% CI: -9.53, 2.58). The overall quality of evidence (GRADE) was low. Conclusions: Mindfulness intervention with an average length of 8-week duration significantly improved the population's loneliness level with no mental health issue. However, this evidence had a low GRADE level.
Keywords: loneliness; meta-analysis; mindfulness; randomized controlled trial; systematic review. },
keywords = {loneliness, meta-analysis, solitude},
pubstate = {published},
tppubtype = {article}
}
Objective: Mindfulness-based intervention (MBI) has been proposed to alleviate loneliness and improve social connectedness. Several randomized controlled trials (RCTs) have been conducted to evaluate the effectiveness of MBI. This study aimed to critically evaluate and determine the effectiveness and safety of MBI in alleviating the feeling of loneliness. Methods: We searched Medline, Embase, PsycInfo, Cochrane CENTRAL, and AMED for publications from inception to May 2020. We included RCTs with human subjects who were enrolled in MBI with loneliness as an outcome. The quality of evidence was assessed using Cochrane's Risk of Bias (ROB) tool and Grading of Recommendations Assessment, Development, and Evaluation (GRADE). A random-effects model was used for meta-analysis. Results: Out of 92 articles identified, eight studies involving 815 participants were included in this study. Most (7/8) trials conducted a minimum of 8 weeks of MBI. Most of the trials (5/8) used UCLA-Loneliness Scale. A pooled analysis combining three trials and compared with wait-list showed significant improvement in loneliness score reduction using the UCLA-R scale with MD of -6.33 [95% confidence interval (CI): -9.39, -3.26]. Subgroup analysis with only two Cognitively-Based Compassion Training (CBCT) trials also showed similar MD of -6.05 (95% CI: -9.53, 2.58). The overall quality of evidence (GRADE) was low. Conclusions: Mindfulness intervention with an average length of 8-week duration significantly improved the population's loneliness level with no mental health issue. However, this evidence had a low GRADE level.
Keywords: loneliness; meta-analysis; mindfulness; randomized controlled trial; systematic review.
Keywords: loneliness; meta-analysis; mindfulness; randomized controlled trial; systematic review.
5.
Zammit, Pernet Belov Delorme
Mindfulness related changes in grey matter: a systematic review and meta‐analysis Article de journal
Dans: Brain Imaging and Behavior, 2021.
Résumé | Liens | BibTeX | Étiquettes: grey matter, meta-analysis, mindfulness, neuro-imagerie, neuroimaging
@article{etetetZammit2021,
title = {Mindfulness related changes in grey matter: a systematic review and meta‐analysis},
author = {Pernet Belov Delorme Zammit},
editor = {Springer},
url = {http://change-et-sois.org/wp-content/uploads/2021/03/Mindfulness-related-changes-in-grey-matter-a-systematic-review-and-meta‐analysis.pdf},
doi = {10.1007/s11682-021-00453-4},
year = {2021},
date = {2021-02-24},
journal = { Brain Imaging and Behavior},
abstract = {Abstract
Knowing target regions undergoing strfuncti changes caused by behavioural interventions is paramount in evaluating the effectiveness of such practices. Here, using a systematic review approach, we identified 25 peer-reviewed magnetic resonance imaging (MRI) studies demonstrating grey matter changes related to mindfulness meditation. An activation likelihood estimation (ALE) analysis (n = 16) revealed the right anterior ventral insula as the only significant region with consistent effect across studies, whilst an additional functional connectivity analysis indicates that both left and right insulae, and the anterior cingulate gyrus with adjacent paracingulate gyri should also be considered in future studies. Statistical meta-analyses suggest medium to strong effect sizes from Cohen's d ~ 0.8 in the right insula to ~ 1 using maxima across the whole brain. The systematic review revealed design issues with selection, information, attrition and confirmation biases, in addition to weak statistical power. In conclusion, our analyses show that mindfulness meditation practice does induce grey matter changes but also that improvements in methodology are needed to establish mindfulness as a therapeutic intervention.
Keywords: Grey matter; MRI; Meta‐analysis; Mindfulness meditation; Systematic review.},
keywords = {grey matter, meta-analysis, mindfulness, neuro-imagerie, neuroimaging},
pubstate = {published},
tppubtype = {article}
}
Abstract
Knowing target regions undergoing strfuncti changes caused by behavioural interventions is paramount in evaluating the effectiveness of such practices. Here, using a systematic review approach, we identified 25 peer-reviewed magnetic resonance imaging (MRI) studies demonstrating grey matter changes related to mindfulness meditation. An activation likelihood estimation (ALE) analysis (n = 16) revealed the right anterior ventral insula as the only significant region with consistent effect across studies, whilst an additional functional connectivity analysis indicates that both left and right insulae, and the anterior cingulate gyrus with adjacent paracingulate gyri should also be considered in future studies. Statistical meta-analyses suggest medium to strong effect sizes from Cohen's d ~ 0.8 in the right insula to ~ 1 using maxima across the whole brain. The systematic review revealed design issues with selection, information, attrition and confirmation biases, in addition to weak statistical power. In conclusion, our analyses show that mindfulness meditation practice does induce grey matter changes but also that improvements in methodology are needed to establish mindfulness as a therapeutic intervention.
Keywords: Grey matter; MRI; Meta‐analysis; Mindfulness meditation; Systematic review.
Knowing target regions undergoing strfuncti changes caused by behavioural interventions is paramount in evaluating the effectiveness of such practices. Here, using a systematic review approach, we identified 25 peer-reviewed magnetic resonance imaging (MRI) studies demonstrating grey matter changes related to mindfulness meditation. An activation likelihood estimation (ALE) analysis (n = 16) revealed the right anterior ventral insula as the only significant region with consistent effect across studies, whilst an additional functional connectivity analysis indicates that both left and right insulae, and the anterior cingulate gyrus with adjacent paracingulate gyri should also be considered in future studies. Statistical meta-analyses suggest medium to strong effect sizes from Cohen's d ~ 0.8 in the right insula to ~ 1 using maxima across the whole brain. The systematic review revealed design issues with selection, information, attrition and confirmation biases, in addition to weak statistical power. In conclusion, our analyses show that mindfulness meditation practice does induce grey matter changes but also that improvements in methodology are needed to establish mindfulness as a therapeutic intervention.
Keywords: Grey matter; MRI; Meta‐analysis; Mindfulness meditation; Systematic review.
6.
Davidson, Goldberg Riordan Sun
The Empirical Status of Mindfulness-Based Interventions: A Systematic Review of 44 Meta-Analyses of Randomized Controlled Trials Article de journal
Dans: Perspectives on Psychological Science, 2021.
Résumé | Liens | BibTeX | Étiquettes: MBI, meta-analysis, mindfulness based interventions
@article{Davidson2021,
title = {The Empirical Status of Mindfulness-Based Interventions: A Systematic Review of 44 Meta-Analyses of Randomized Controlled Trials},
author = {Goldberg Riordan Sun Davidson},
editor = {SAGE Journals},
doi = {10.1177/1745691620968771},
year = {2021},
date = {2021-02-16},
journal = {Perspectives on Psychological Science},
abstract = {Abstract
In response to questions regarding the scientific basis for mindfulness-based interventions (MBIs), we evaluated their empirical status by systematically reviewing meta-analyses of randomized controlled trials (RCTs). We searched six databases for effect sizes based on four or more trials that did not combine passive and active controls. Heterogeneity, moderators, tests of publication bias, risk of bias, and adverse effects were also extracted. Representative effect sizes based on the largest number of studies were identified across a wide range of populations, problems, interventions, comparisons, and outcomes (PICOS). A total of 160 effect sizes were reported in 44 meta-analyses (k = 336 RCTs, N = 30,483 participants). MBIs showed superiority to passive controls across most PICOS (ds = 0.10-0.89). Effects were typically smaller and less often statistically significant compared with active controls. MBIs were similar or superior to specific active controls and evidence-based treatments. Heterogeneity was typically moderate. Few consistent moderators were found. Results were generally robust to publication bias, although other important sources of bias were identified. Reporting of adverse effects was inconsistent. Statistical power may be lacking in meta-analyses, particularly for comparisons with active controls. Because MBIs show promise across some PICOS, future RCTs and meta-analyses should build on identified strengths and limitations of this literature.
Keywords: evidence-based treatments; meditation; meta-analysis; mindfulness.},
keywords = {MBI, meta-analysis, mindfulness based interventions},
pubstate = {published},
tppubtype = {article}
}
Abstract
In response to questions regarding the scientific basis for mindfulness-based interventions (MBIs), we evaluated their empirical status by systematically reviewing meta-analyses of randomized controlled trials (RCTs). We searched six databases for effect sizes based on four or more trials that did not combine passive and active controls. Heterogeneity, moderators, tests of publication bias, risk of bias, and adverse effects were also extracted. Representative effect sizes based on the largest number of studies were identified across a wide range of populations, problems, interventions, comparisons, and outcomes (PICOS). A total of 160 effect sizes were reported in 44 meta-analyses (k = 336 RCTs, N = 30,483 participants). MBIs showed superiority to passive controls across most PICOS (ds = 0.10-0.89). Effects were typically smaller and less often statistically significant compared with active controls. MBIs were similar or superior to specific active controls and evidence-based treatments. Heterogeneity was typically moderate. Few consistent moderators were found. Results were generally robust to publication bias, although other important sources of bias were identified. Reporting of adverse effects was inconsistent. Statistical power may be lacking in meta-analyses, particularly for comparisons with active controls. Because MBIs show promise across some PICOS, future RCTs and meta-analyses should build on identified strengths and limitations of this literature.
Keywords: evidence-based treatments; meditation; meta-analysis; mindfulness.
In response to questions regarding the scientific basis for mindfulness-based interventions (MBIs), we evaluated their empirical status by systematically reviewing meta-analyses of randomized controlled trials (RCTs). We searched six databases for effect sizes based on four or more trials that did not combine passive and active controls. Heterogeneity, moderators, tests of publication bias, risk of bias, and adverse effects were also extracted. Representative effect sizes based on the largest number of studies were identified across a wide range of populations, problems, interventions, comparisons, and outcomes (PICOS). A total of 160 effect sizes were reported in 44 meta-analyses (k = 336 RCTs, N = 30,483 participants). MBIs showed superiority to passive controls across most PICOS (ds = 0.10-0.89). Effects were typically smaller and less often statistically significant compared with active controls. MBIs were similar or superior to specific active controls and evidence-based treatments. Heterogeneity was typically moderate. Few consistent moderators were found. Results were generally robust to publication bias, although other important sources of bias were identified. Reporting of adverse effects was inconsistent. Statistical power may be lacking in meta-analyses, particularly for comparisons with active controls. Because MBIs show promise across some PICOS, future RCTs and meta-analyses should build on identified strengths and limitations of this literature.
Keywords: evidence-based treatments; meditation; meta-analysis; mindfulness.
7.
Yu, Chio Mak
Dans: Clinical Psychology Review, vol. 85, 2021.
Résumé | Liens | BibTeX | Étiquettes: auto-compassion, compassion, meta-analysis, self-compassion
@article{Yu2021,
title = {Meta-analytic review on the differential effects of self-compassion components on well-being and psychological distress The moderating role of dialecticism on self-compassion},
author = {Chio Mak Yu},
editor = {Elsevier Science},
url = {http://change-et-sois.org/wp-content/uploads/2021/03/Meta-analytic-review-on-the-differential-effects-of-self-compassion-components-on-well-being-and-psychological-distress-The-moderating-role-of-dialecticism-on-self-compassion.pdf},
doi = {10.1016/j.cpr.2021.101986},
year = {2021},
date = {2021-02-08},
journal = {Clinical Psychology Review},
volume = {85},
abstract = {Highlights
- Strengths of the Self-compassion Scale (SCS) components with distress and well-being were meta-analyzed.
- 183 effect sizes across 27 cultures with SCS, well-being, or distress were identified.
- Negative SCS components have stronger associations with psychological distress.
- Dialecticism moderates the association between positive and negative SCS components.
Abstract
Although self-compassion has been extensively studied in the recent decades, the representation of self-compassion as a unitary measure or the presence of self-warmth (i.e., presence of the positive components: self-kindness, common humanity, and mindfulness) and self-coldness (i.e., presence of the negative components: self-judgment, isolation, and mindfulness) remains controversial. Moreover, the differential effects of the six components of self-compassion on mental well-being and psychological distress have not been systematically investigated. To synthesize the differential effects of the six components of self-compassion and to examine how people in different cultures may associate the positive and negative components of self-compassion differentially, the present meta-analysis synthesized 183 effect sizes across 27 cultures. Results showed that the negative components of self-compassion (rs = 0.44 to 0.45) showed greater effect sizes with psychological distress than the positive counterparts (rs = -0.17 to -0.29) whereas the positive components of SCS (rs = 0.29 to.39) showed greater effect sizes with mental well-being than the negative counterparts (rs = -0.29 to -0.36), with the exception of common humanity and isolation (r = 0.29 and - 0.36). Cultural orientation of dialecticism moderated the association between the positive and the negative components of self-compassion, with dialectical cultures showing lower associations between the two opposing components. Findings have implications on the design and implementation of self-compassion interventions cross-culturally.
Keywords: Collectivism; Dialecticism; Distress; Self-compassion; Well-being.},
keywords = {auto-compassion, compassion, meta-analysis, self-compassion},
pubstate = {published},
tppubtype = {article}
}
Highlights
- Strengths of the Self-compassion Scale (SCS) components with distress and well-being were meta-analyzed.
- 183 effect sizes across 27 cultures with SCS, well-being, or distress were identified.
- Negative SCS components have stronger associations with psychological distress.
- Dialecticism moderates the association between positive and negative SCS components.
Abstract
Although self-compassion has been extensively studied in the recent decades, the representation of self-compassion as a unitary measure or the presence of self-warmth (i.e., presence of the positive components: self-kindness, common humanity, and mindfulness) and self-coldness (i.e., presence of the negative components: self-judgment, isolation, and mindfulness) remains controversial. Moreover, the differential effects of the six components of self-compassion on mental well-being and psychological distress have not been systematically investigated. To synthesize the differential effects of the six components of self-compassion and to examine how people in different cultures may associate the positive and negative components of self-compassion differentially, the present meta-analysis synthesized 183 effect sizes across 27 cultures. Results showed that the negative components of self-compassion (rs = 0.44 to 0.45) showed greater effect sizes with psychological distress than the positive counterparts (rs = -0.17 to -0.29) whereas the positive components of SCS (rs = 0.29 to.39) showed greater effect sizes with mental well-being than the negative counterparts (rs = -0.29 to -0.36), with the exception of common humanity and isolation (r = 0.29 and - 0.36). Cultural orientation of dialecticism moderated the association between the positive and the negative components of self-compassion, with dialectical cultures showing lower associations between the two opposing components. Findings have implications on the design and implementation of self-compassion interventions cross-culturally.
Keywords: Collectivism; Dialecticism; Distress; Self-compassion; Well-being.
- Strengths of the Self-compassion Scale (SCS) components with distress and well-being were meta-analyzed.
- 183 effect sizes across 27 cultures with SCS, well-being, or distress were identified.
- Negative SCS components have stronger associations with psychological distress.
- Dialecticism moderates the association between positive and negative SCS components.
Abstract
Although self-compassion has been extensively studied in the recent decades, the representation of self-compassion as a unitary measure or the presence of self-warmth (i.e., presence of the positive components: self-kindness, common humanity, and mindfulness) and self-coldness (i.e., presence of the negative components: self-judgment, isolation, and mindfulness) remains controversial. Moreover, the differential effects of the six components of self-compassion on mental well-being and psychological distress have not been systematically investigated. To synthesize the differential effects of the six components of self-compassion and to examine how people in different cultures may associate the positive and negative components of self-compassion differentially, the present meta-analysis synthesized 183 effect sizes across 27 cultures. Results showed that the negative components of self-compassion (rs = 0.44 to 0.45) showed greater effect sizes with psychological distress than the positive counterparts (rs = -0.17 to -0.29) whereas the positive components of SCS (rs = 0.29 to.39) showed greater effect sizes with mental well-being than the negative counterparts (rs = -0.29 to -0.36), with the exception of common humanity and isolation (r = 0.29 and - 0.36). Cultural orientation of dialecticism moderated the association between the positive and the negative components of self-compassion, with dialectical cultures showing lower associations between the two opposing components. Findings have implications on the design and implementation of self-compassion interventions cross-culturally.
Keywords: Collectivism; Dialecticism; Distress; Self-compassion; Well-being.
8.
Caplovitz, Im Stavas Lee Mir Hazlett-Stevens
Does mindfulness-based intervention improve cognitive function?: A meta-analysis of controlled studies Article de journal
Dans: Clinical Psychology Review, vol. 84, 2021.
Résumé | Liens | BibTeX | Étiquettes: attention, cognitive function, fonctions cognitives, fonctions exécutives, mémoire, mémoire à long terme, mémoire de travail, meta-analysis
@article{Caplovitz2021,
title = {Does mindfulness-based intervention improve cognitive function?: A meta-analysis of controlled studies},
author = {Im Stavas Lee Mir Hazlett-Stevens Caplovitz},
editor = {Elsevier},
url = {http://change-et-sois.org/wp-content/uploads/2021/03/Does-mindfulness-based-intervention-improve-cognitive-function-A-meta-analysis-of-controlled-studies.pdf},
doi = {10.1016/j.cpr.2021.101972},
year = {2021},
date = {2021-01-28},
journal = {Clinical Psychology Review},
volume = {84},
abstract = {Highlights
- MBIs demonstrated small effects on executive function, but little evidence was found for attention, working memory, and long-term memory.
- Considerable heterogeneity was observed for attention and executive function across studies.
- Meta-regression analyses indicate significant moderation effects by intervention type, but not by other proposed moderators.
Abstract
Theoretical accounts and preliminary evidence suggest that Mindfulness-Based Interventions (MBIs) improve cognitive function, but reviews of empirical studies have provided mixed results. To clarify empirical evidence, we conducted a meta-analysis of 25 studies (n = 1439) and examined the effects of MBIs on four cognitive domains: attention, working memory, long-term memory, and executive function. The summary effect sizes indicate that MBIs produce non-significant effects on attention (SMD = 0.07), working memory (SMD = 0.16), and long-term memory (SMD = −0.12), while a small effect was observed for executive function (SMD = 0.29). Given significant heterogeneity across studies, we conducted meta-regression analyses with sample characteristics, age, number of treatment sessions, treatment duration, intervention type, control group type, and study design. We found moderating effects of intervention type on attention and executive function. Although the current study highlights preliminary evidence for improvements in executive function, overall results suggest non-significant findings for attention, working memory, and long-term memory. To draw a firm conclusion, further research is needed to address methodological challenges in meta-analysis and the limitations of existing studies.
Keywords: Cognitive function; Meta-analysis; Mindfulness-based intervention},
keywords = {attention, cognitive function, fonctions cognitives, fonctions exécutives, mémoire, mémoire à long terme, mémoire de travail, meta-analysis},
pubstate = {published},
tppubtype = {article}
}
Highlights
- MBIs demonstrated small effects on executive function, but little evidence was found for attention, working memory, and long-term memory.
- Considerable heterogeneity was observed for attention and executive function across studies.
- Meta-regression analyses indicate significant moderation effects by intervention type, but not by other proposed moderators.
Abstract
Theoretical accounts and preliminary evidence suggest that Mindfulness-Based Interventions (MBIs) improve cognitive function, but reviews of empirical studies have provided mixed results. To clarify empirical evidence, we conducted a meta-analysis of 25 studies (n = 1439) and examined the effects of MBIs on four cognitive domains: attention, working memory, long-term memory, and executive function. The summary effect sizes indicate that MBIs produce non-significant effects on attention (SMD = 0.07), working memory (SMD = 0.16), and long-term memory (SMD = −0.12), while a small effect was observed for executive function (SMD = 0.29). Given significant heterogeneity across studies, we conducted meta-regression analyses with sample characteristics, age, number of treatment sessions, treatment duration, intervention type, control group type, and study design. We found moderating effects of intervention type on attention and executive function. Although the current study highlights preliminary evidence for improvements in executive function, overall results suggest non-significant findings for attention, working memory, and long-term memory. To draw a firm conclusion, further research is needed to address methodological challenges in meta-analysis and the limitations of existing studies.
Keywords: Cognitive function; Meta-analysis; Mindfulness-based intervention
- MBIs demonstrated small effects on executive function, but little evidence was found for attention, working memory, and long-term memory.
- Considerable heterogeneity was observed for attention and executive function across studies.
- Meta-regression analyses indicate significant moderation effects by intervention type, but not by other proposed moderators.
Abstract
Theoretical accounts and preliminary evidence suggest that Mindfulness-Based Interventions (MBIs) improve cognitive function, but reviews of empirical studies have provided mixed results. To clarify empirical evidence, we conducted a meta-analysis of 25 studies (n = 1439) and examined the effects of MBIs on four cognitive domains: attention, working memory, long-term memory, and executive function. The summary effect sizes indicate that MBIs produce non-significant effects on attention (SMD = 0.07), working memory (SMD = 0.16), and long-term memory (SMD = −0.12), while a small effect was observed for executive function (SMD = 0.29). Given significant heterogeneity across studies, we conducted meta-regression analyses with sample characteristics, age, number of treatment sessions, treatment duration, intervention type, control group type, and study design. We found moderating effects of intervention type on attention and executive function. Although the current study highlights preliminary evidence for improvements in executive function, overall results suggest non-significant findings for attention, working memory, and long-term memory. To draw a firm conclusion, further research is needed to address methodological challenges in meta-analysis and the limitations of existing studies.
Keywords: Cognitive function; Meta-analysis; Mindfulness-based intervention
9.
Göritz, Fendel Bürkle
Mindfulness-Based Interventions to Reduce Burnout and Stress in Physicians A Systematic Review and Meta-Analysis Article de journal
Dans: Academic Medecine (AAMC), 2021.
Résumé | Liens | BibTeX | Étiquettes: burnout, meta-analysis, physicians, stress
@article{Göritz2021,
title = {Mindfulness-Based Interventions to Reduce Burnout and Stress in Physicians A Systematic Review and Meta-Analysis},
author = {Fendel Bürkle Göritz},
editor = {Wolters Kluwer},
url = {http://change-et-sois.org/wp-content/uploads/2021/03/Mindfulness-Based-Interventions-to-Reduce-Burnout-and-Stress-in-Physicians-A-Systematic-Review-and-Meta-Analysis.pdf},
doi = {10.1097/ACM.0000000000003936},
year = {2021},
date = {2021-01-25},
journal = { Academic Medecine (AAMC)},
abstract = {Purpose: To perform a systematic review and meta-analysis of studies evaluating the effectiveness of mindfulness-based interventions (MBIs) in reducing burnout and stress among physicians.
Method: The authors searched records in MEDLINE, Embase, PsycINFO, PSYNDEX, Web of Science, CINAHL, and CENTRAL from database inception to August 8, 2019, using combinations of terms for mindfulness, interventions, and physicians. Eligible studies were randomized controlled trials (RCTs) and non-randomized trials (NRTs), including controlled and non-controlled before-after studies, all assessing burnout and stress among physicians pre- and post-intervention via validated instruments. Two reviewers independently screened records, extracted data, assessed risk of bias, and rated overall quality of evidence. The authors used random-effects modelling to calculate pooled effect sizes and conducted prespecified subgroup and sensitivity analyses to explore potential moderators.
Results: Of 6,831 identified records, 25 studies (with 925 physicians) were ultimately included. MBIs were associated with significant small reductions in burnout in the between-group (5 comparisons: standardized mean differences [SMD] = -0.26, 95% CI = -0.50; -0.03) and pre-post analyses (21 comparisons: SMD = -0.26, 95% CI = -0.37; -0.15), and with a significant medium reduction in stress in the between-group analysis (4 comparisons: SMD = -0.55, 95% CI = -0.95; -0.14) and a significant small reduction in stress in the pre-post analysis (17 comparisons: SMD = -0.41, 95% CI = -0.61; -0.20). Versions of established MBIs showed higher effectiveness in reducing stress than other forms of MBIs or a mindfulness app. Reductions were maintained over an average follow-up of 5.3 months. The risk of bias was moderate with RCTs and high with NRTs. The overall quality of evidence was low to very low.
Conclusions: MBIs can be effective in reducing physicians' burnout and stress. Shortcomings in the quality of evidence highlight the need for high-quality controlled trials providing long-term follow-up data.},
keywords = {burnout, meta-analysis, physicians, stress},
pubstate = {published},
tppubtype = {article}
}
Purpose: To perform a systematic review and meta-analysis of studies evaluating the effectiveness of mindfulness-based interventions (MBIs) in reducing burnout and stress among physicians.
Method: The authors searched records in MEDLINE, Embase, PsycINFO, PSYNDEX, Web of Science, CINAHL, and CENTRAL from database inception to August 8, 2019, using combinations of terms for mindfulness, interventions, and physicians. Eligible studies were randomized controlled trials (RCTs) and non-randomized trials (NRTs), including controlled and non-controlled before-after studies, all assessing burnout and stress among physicians pre- and post-intervention via validated instruments. Two reviewers independently screened records, extracted data, assessed risk of bias, and rated overall quality of evidence. The authors used random-effects modelling to calculate pooled effect sizes and conducted prespecified subgroup and sensitivity analyses to explore potential moderators.
Results: Of 6,831 identified records, 25 studies (with 925 physicians) were ultimately included. MBIs were associated with significant small reductions in burnout in the between-group (5 comparisons: standardized mean differences [SMD] = -0.26, 95% CI = -0.50; -0.03) and pre-post analyses (21 comparisons: SMD = -0.26, 95% CI = -0.37; -0.15), and with a significant medium reduction in stress in the between-group analysis (4 comparisons: SMD = -0.55, 95% CI = -0.95; -0.14) and a significant small reduction in stress in the pre-post analysis (17 comparisons: SMD = -0.41, 95% CI = -0.61; -0.20). Versions of established MBIs showed higher effectiveness in reducing stress than other forms of MBIs or a mindfulness app. Reductions were maintained over an average follow-up of 5.3 months. The risk of bias was moderate with RCTs and high with NRTs. The overall quality of evidence was low to very low.
Conclusions: MBIs can be effective in reducing physicians' burnout and stress. Shortcomings in the quality of evidence highlight the need for high-quality controlled trials providing long-term follow-up data.
Method: The authors searched records in MEDLINE, Embase, PsycINFO, PSYNDEX, Web of Science, CINAHL, and CENTRAL from database inception to August 8, 2019, using combinations of terms for mindfulness, interventions, and physicians. Eligible studies were randomized controlled trials (RCTs) and non-randomized trials (NRTs), including controlled and non-controlled before-after studies, all assessing burnout and stress among physicians pre- and post-intervention via validated instruments. Two reviewers independently screened records, extracted data, assessed risk of bias, and rated overall quality of evidence. The authors used random-effects modelling to calculate pooled effect sizes and conducted prespecified subgroup and sensitivity analyses to explore potential moderators.
Results: Of 6,831 identified records, 25 studies (with 925 physicians) were ultimately included. MBIs were associated with significant small reductions in burnout in the between-group (5 comparisons: standardized mean differences [SMD] = -0.26, 95% CI = -0.50; -0.03) and pre-post analyses (21 comparisons: SMD = -0.26, 95% CI = -0.37; -0.15), and with a significant medium reduction in stress in the between-group analysis (4 comparisons: SMD = -0.55, 95% CI = -0.95; -0.14) and a significant small reduction in stress in the pre-post analysis (17 comparisons: SMD = -0.41, 95% CI = -0.61; -0.20). Versions of established MBIs showed higher effectiveness in reducing stress than other forms of MBIs or a mindfulness app. Reductions were maintained over an average follow-up of 5.3 months. The risk of bias was moderate with RCTs and high with NRTs. The overall quality of evidence was low to very low.
Conclusions: MBIs can be effective in reducing physicians' burnout and stress. Shortcomings in the quality of evidence highlight the need for high-quality controlled trials providing long-term follow-up data.
10.
Viviani, Messina Grecucci
Neurobiological models of emotion regulation: a meta-analysis of neuroimaging studies of acceptance as an emotion regulation strategy Article de journal
Dans: Social Cognitive and Affective Neuroscience, vol. 16, p. 257–267, 2021.
Résumé | Liens | BibTeX | Étiquettes: acceptance, acceptation, emotion regulation, émotions, meta-analysis, neuro-imagerie, neuroimaging, régulation, régulation émotionnelle
@article{Viviani2021,
title = {Neurobiological models of emotion regulation: a meta-analysis of neuroimaging studies of acceptance as an emotion regulation strategy},
author = {Messina Grecucci Viviani},
editor = {Oxford University Press},
url = {http://change-et-sois.org/wp-content/uploads/2021/03/Neurobiological-models-of-emotion-regulation-a-meta-analysis-of-neuroimaging-studies-of-acceptance-as-an-emotion-regulation-strategy.pdf},
doi = {10.1093/scan/nsab007},
year = {2021},
date = {2021-01-21},
journal = {Social Cognitive and Affective Neuroscience},
volume = {16},
pages = {257–267},
abstract = {Abstract
Emotional acceptance is an important emotion regulation strategy promoted by most psychotherapy approaches. We adopted the Activation Likelihood Estimation technique to obtain a quantitative summary of previous fMRI (functional Magnetic Resonance Imaging) studies of acceptance and test different hypotheses on its mechanisms of action. The main meta-analysis included 13 experiments contrasting acceptance to control conditions, yielding a total of 422 subjects and 170 foci of brain activity. Additionally, subgroups of studies with different control conditions (react naturally or focus on emotions) were identified and analysed separately. Our results showed executive areas to be affected by acceptance only in the subgroup of studies in which acceptance was compared to natural reactions. In contrast, a cluster of decreased brain activity located in the posterior cingulate cortex (PCC)/precuneus was associated with acceptance regardless of the control condition. These findings suggest that high-level executive cortical processes are not a distinctive feature of acceptance, whereas functional deactivations in the PCC/precuneus constitute its specific neural substrate. The neuroimaging of emotional acceptance calls into question a key tenet of current neurobiological models of emotion regulation consisting in the necessary involvement of high-level executive processes to actively modify emotional states, suggesting a complementary role for limbic portions of the default system.
Keywords : acceptance, emotion regulation, meta-analysis, ALE, Default Mode Network, mindfulness, posterior cingulate},
keywords = {acceptance, acceptation, emotion regulation, émotions, meta-analysis, neuro-imagerie, neuroimaging, régulation, régulation émotionnelle},
pubstate = {published},
tppubtype = {article}
}
Abstract
Emotional acceptance is an important emotion regulation strategy promoted by most psychotherapy approaches. We adopted the Activation Likelihood Estimation technique to obtain a quantitative summary of previous fMRI (functional Magnetic Resonance Imaging) studies of acceptance and test different hypotheses on its mechanisms of action. The main meta-analysis included 13 experiments contrasting acceptance to control conditions, yielding a total of 422 subjects and 170 foci of brain activity. Additionally, subgroups of studies with different control conditions (react naturally or focus on emotions) were identified and analysed separately. Our results showed executive areas to be affected by acceptance only in the subgroup of studies in which acceptance was compared to natural reactions. In contrast, a cluster of decreased brain activity located in the posterior cingulate cortex (PCC)/precuneus was associated with acceptance regardless of the control condition. These findings suggest that high-level executive cortical processes are not a distinctive feature of acceptance, whereas functional deactivations in the PCC/precuneus constitute its specific neural substrate. The neuroimaging of emotional acceptance calls into question a key tenet of current neurobiological models of emotion regulation consisting in the necessary involvement of high-level executive processes to actively modify emotional states, suggesting a complementary role for limbic portions of the default system.
Keywords : acceptance, emotion regulation, meta-analysis, ALE, Default Mode Network, mindfulness, posterior cingulate
Emotional acceptance is an important emotion regulation strategy promoted by most psychotherapy approaches. We adopted the Activation Likelihood Estimation technique to obtain a quantitative summary of previous fMRI (functional Magnetic Resonance Imaging) studies of acceptance and test different hypotheses on its mechanisms of action. The main meta-analysis included 13 experiments contrasting acceptance to control conditions, yielding a total of 422 subjects and 170 foci of brain activity. Additionally, subgroups of studies with different control conditions (react naturally or focus on emotions) were identified and analysed separately. Our results showed executive areas to be affected by acceptance only in the subgroup of studies in which acceptance was compared to natural reactions. In contrast, a cluster of decreased brain activity located in the posterior cingulate cortex (PCC)/precuneus was associated with acceptance regardless of the control condition. These findings suggest that high-level executive cortical processes are not a distinctive feature of acceptance, whereas functional deactivations in the PCC/precuneus constitute its specific neural substrate. The neuroimaging of emotional acceptance calls into question a key tenet of current neurobiological models of emotion regulation consisting in the necessary involvement of high-level executive processes to actively modify emotional states, suggesting a complementary role for limbic portions of the default system.
Keywords : acceptance, emotion regulation, meta-analysis, ALE, Default Mode Network, mindfulness, posterior cingulate
11.
Hsiao, Liu Li
Effectiveness of mindfulness‐based intervention on psychotic symptoms for patients with schizophrenia: A meta‐analysis of randomized controlled trials Article de journal
Dans: Journal of Advanced Nursing, 2021.
Résumé | Liens | BibTeX | Étiquettes: meta-analysis, psychose, psychosis, psychotic symptoms, schizophrenia, schizophrénie, symptômes psychotiques
@article{Hsiao2021,
title = {Effectiveness of mindfulness‐based intervention on psychotic symptoms for patients with schizophrenia: A meta‐analysis of randomized controlled trials},
author = {Liu Li Hsiao},
editor = {John Wiley & Sons},
url = {http://change-et-sois.org/wp-content/uploads/2021/03/Effectiveness-of-mindfulness‐based-intervention-on-psychotic-symptoms-for-patients-with-schizophrenia-A-meta‐analysis-of-randomized-controlled-trials.pdf},
doi = {10.1111/jan.14750},
year = {2021},
date = {2021-01-15},
journal = { Journal of Advanced Nursing},
abstract = {Aims: To evaluate the effects of mindfulness-based intervention on psychotic symptoms, positive symptoms, negative symptoms, depressive symptoms, anxiety, and rehospitalization.
Design: A meta-analysis of randomized controlled trials.
Data sources: Medline, Embase, Cochrane Central Register of Controlled Trials, PsycINFO, CINAHL, National Digital Library of Theses and Dissertations in Taiwan, and Airiti Library were searched from their earliest available date up to April 2019.
Review methods: The guidelines of the Cochrane Collaboration were followed to report this systematic review. Two authors conducted this meta-analysis independently.
Results: Nine randomized controlled trials were included. Meta-analysis showed that mindfulness-based intervention significantly decreased psychotic symptoms, positive symptoms, negative symptoms, depressive symptoms, and duration of rehospitalization among patients with schizophrenia, and that the reduction in negative symptoms lasted through short-term follow-up. The moderation analysis showed that significantly decreased positive symptoms occurred in the nurse-led intervention group, while no significant impact was found in the psychologist-led intervention group.
Conclusion: The psychotic symptoms of the patients with schizophrenia are improved after mindfulness-based intervention and the effects on the negative symptoms can be maintained for at least 3 to 6 months. Mindfulness-based intervention provided by nurses produces more improvements in positive symptoms than intervention provided by psychologists.
Impact: A growing number of mindfulness-based interventions have been implemented for patients with schizophrenia, although the effectiveness had not previously been established by meta-analysis. Mindfulness-based interventions appear to reduce the symptom severity of schizophrenia patients. Further suggestions for healthcare providers and researchers are provided and discussed.
Keywords: meta-analysis; mindfulness; nurses; nursing; psychosis; schizophrenia. },
keywords = {meta-analysis, psychose, psychosis, psychotic symptoms, schizophrenia, schizophrénie, symptômes psychotiques},
pubstate = {published},
tppubtype = {article}
}
Aims: To evaluate the effects of mindfulness-based intervention on psychotic symptoms, positive symptoms, negative symptoms, depressive symptoms, anxiety, and rehospitalization.
Design: A meta-analysis of randomized controlled trials.
Data sources: Medline, Embase, Cochrane Central Register of Controlled Trials, PsycINFO, CINAHL, National Digital Library of Theses and Dissertations in Taiwan, and Airiti Library were searched from their earliest available date up to April 2019.
Review methods: The guidelines of the Cochrane Collaboration were followed to report this systematic review. Two authors conducted this meta-analysis independently.
Results: Nine randomized controlled trials were included. Meta-analysis showed that mindfulness-based intervention significantly decreased psychotic symptoms, positive symptoms, negative symptoms, depressive symptoms, and duration of rehospitalization among patients with schizophrenia, and that the reduction in negative symptoms lasted through short-term follow-up. The moderation analysis showed that significantly decreased positive symptoms occurred in the nurse-led intervention group, while no significant impact was found in the psychologist-led intervention group.
Conclusion: The psychotic symptoms of the patients with schizophrenia are improved after mindfulness-based intervention and the effects on the negative symptoms can be maintained for at least 3 to 6 months. Mindfulness-based intervention provided by nurses produces more improvements in positive symptoms than intervention provided by psychologists.
Impact: A growing number of mindfulness-based interventions have been implemented for patients with schizophrenia, although the effectiveness had not previously been established by meta-analysis. Mindfulness-based interventions appear to reduce the symptom severity of schizophrenia patients. Further suggestions for healthcare providers and researchers are provided and discussed.
Keywords: meta-analysis; mindfulness; nurses; nursing; psychosis; schizophrenia.
Design: A meta-analysis of randomized controlled trials.
Data sources: Medline, Embase, Cochrane Central Register of Controlled Trials, PsycINFO, CINAHL, National Digital Library of Theses and Dissertations in Taiwan, and Airiti Library were searched from their earliest available date up to April 2019.
Review methods: The guidelines of the Cochrane Collaboration were followed to report this systematic review. Two authors conducted this meta-analysis independently.
Results: Nine randomized controlled trials were included. Meta-analysis showed that mindfulness-based intervention significantly decreased psychotic symptoms, positive symptoms, negative symptoms, depressive symptoms, and duration of rehospitalization among patients with schizophrenia, and that the reduction in negative symptoms lasted through short-term follow-up. The moderation analysis showed that significantly decreased positive symptoms occurred in the nurse-led intervention group, while no significant impact was found in the psychologist-led intervention group.
Conclusion: The psychotic symptoms of the patients with schizophrenia are improved after mindfulness-based intervention and the effects on the negative symptoms can be maintained for at least 3 to 6 months. Mindfulness-based intervention provided by nurses produces more improvements in positive symptoms than intervention provided by psychologists.
Impact: A growing number of mindfulness-based interventions have been implemented for patients with schizophrenia, although the effectiveness had not previously been established by meta-analysis. Mindfulness-based interventions appear to reduce the symptom severity of schizophrenia patients. Further suggestions for healthcare providers and researchers are provided and discussed.
Keywords: meta-analysis; mindfulness; nurses; nursing; psychosis; schizophrenia.
12.
Kraenzle-Schneider, Reangsing Punsuwun
Effects of mindfulness interventions on depressive symptoms in adolescents: A meta-analysis Article de journal
Dans: International Journal of Nursing Studies, vol. 115, 2020.
Résumé | Liens | BibTeX | Étiquettes: adolescents, dépression, meta-analysis
@article{Kraenzle-Schneider2020,
title = {Effects of mindfulness interventions on depressive symptoms in adolescents: A meta-analysis},
author = {Reangsing Punsuwun Kraenzle-Schneider},
editor = {Elsevier},
url = {http://change-et-sois.org/wp-content/uploads/2021/03/Effects-of-mindfulness-interventions-on-depressive-symptoms-in-adolescents-A-meta-analysis.pdf},
doi = {10.1016/j.ijnurstu.2020.103848},
year = {2020},
date = {2020-12-08},
journal = {International Journal of Nursing Studies},
volume = {115},
abstract = {Background: Depression among adolescents is rising globally and is the leading cause of illness and disability among adolescents. While antidepressants and psychotherapy are effective, only about 40% of depressed adolescents receive treatments due to lack of professionals and barriers such as cost and personal obstacles including stigma, lack of motivation, and negative perceptions of treatment. Use of alternative and complementary treatments for depression is growing. One such treatment is mindfulness meditation.
Objective: We examined the effects of mindfulness interventions on depression among adolescents and explored the moderator effects of participants, methods, and intervention characteristics.
Methods: We searched 17 databases from their inception to April 2019 to identify studies written in English. Search terms included depress* AND mindful* OR meditat* AND adolescen* OR student*; 29 studies met inclusion criteria. Two researchers independently coded data from all primary studies. Discrepancies were discussed with a third researcher to reach consensus. Using the random effects model, we computed the effect sizes (ESs) of mindfulness interventions on depression using standardized mean differences (Hedge's g) with 95% confidence intervals (CI). Funnel plot, Q statistics, and I2 were used to test the heterogeneity across studies. We examined moderators to explore sources of heterogeneity.
Results: Across 29 studies (N=3688), 1839 adolescents participated in mindfulness interventions; 1849 served as controls. Mean ages ranged from 10.2 to 19.5 years. Mindfulness groups showed reduced depression compared to control groups (g=.14, 95%CI[.01-.28], p<.042). Funded studies showed greater improvement in depression (g=.34, 95%CI[.09-.58], p<.008) compared to unfunded (g=.05, 95%CI[-.12-.22], p<.554). Interestingly, while only two research teams studied mindfulness-based cognitive therapy, they showed trends toward improvement (p=0.09) in depression (g=.76, 95%CI[.18-1.34], p<.010, s=2) compared to adapted mindfulness interventions (g=.13, 95%CI[-.04-.30], p<.140, s=16) or mindfulness-based stress reduction (g=.07, 95%CI[-.16-.29], p<.559, s=11). Mindfulness interventions with individual counseling tended (p=0.09) to improve depression (g=.46, 95%CI[.07-.85], p<.021, s=3) more than without (g=.10, 95%CI[-.04-.24], p<.168, s=26). Depression improved more when follow-up measures occurred further from the intervention (Slope=.002, τ2=.74, Qbetween=4.10, p=.043, s=29). No quality indicators moderated the ES of mindfulness interventions on depression.
Conclusion: Mindfulness interventions are mildly effective interventions to reduce depressive symptoms among adolescents. Clinicians trained in mindfulness interventions might encourage mindfulness meditation as adjunctive/alternative treatment for adolescents with mild or moderate depressive symptoms as well as for at-risk adolescents to prevent depression. Funding, type of mindfulness interventions, individual counseling, and time to follow up were moderators of the effects of mindfulness interventions on depression in adolescents.
Keywords: Adolescents; Depression; Meta-analysis; Mindfulness. },
keywords = {adolescents, dépression, meta-analysis},
pubstate = {published},
tppubtype = {article}
}
Background: Depression among adolescents is rising globally and is the leading cause of illness and disability among adolescents. While antidepressants and psychotherapy are effective, only about 40% of depressed adolescents receive treatments due to lack of professionals and barriers such as cost and personal obstacles including stigma, lack of motivation, and negative perceptions of treatment. Use of alternative and complementary treatments for depression is growing. One such treatment is mindfulness meditation.
Objective: We examined the effects of mindfulness interventions on depression among adolescents and explored the moderator effects of participants, methods, and intervention characteristics.
Methods: We searched 17 databases from their inception to April 2019 to identify studies written in English. Search terms included depress* AND mindful* OR meditat* AND adolescen* OR student*; 29 studies met inclusion criteria. Two researchers independently coded data from all primary studies. Discrepancies were discussed with a third researcher to reach consensus. Using the random effects model, we computed the effect sizes (ESs) of mindfulness interventions on depression using standardized mean differences (Hedge's g) with 95% confidence intervals (CI). Funnel plot, Q statistics, and I2 were used to test the heterogeneity across studies. We examined moderators to explore sources of heterogeneity.
Results: Across 29 studies (N=3688), 1839 adolescents participated in mindfulness interventions; 1849 served as controls. Mean ages ranged from 10.2 to 19.5 years. Mindfulness groups showed reduced depression compared to control groups (g=.14, 95%CI[.01-.28], p<.042). Funded studies showed greater improvement in depression (g=.34, 95%CI[.09-.58], p<.008) compared to unfunded (g=.05, 95%CI[-.12-.22], p<.554). Interestingly, while only two research teams studied mindfulness-based cognitive therapy, they showed trends toward improvement (p=0.09) in depression (g=.76, 95%CI[.18-1.34], p<.010, s=2) compared to adapted mindfulness interventions (g=.13, 95%CI[-.04-.30], p<.140, s=16) or mindfulness-based stress reduction (g=.07, 95%CI[-.16-.29], p<.559, s=11). Mindfulness interventions with individual counseling tended (p=0.09) to improve depression (g=.46, 95%CI[.07-.85], p<.021, s=3) more than without (g=.10, 95%CI[-.04-.24], p<.168, s=26). Depression improved more when follow-up measures occurred further from the intervention (Slope=.002, τ2=.74, Qbetween=4.10, p=.043, s=29). No quality indicators moderated the ES of mindfulness interventions on depression.
Conclusion: Mindfulness interventions are mildly effective interventions to reduce depressive symptoms among adolescents. Clinicians trained in mindfulness interventions might encourage mindfulness meditation as adjunctive/alternative treatment for adolescents with mild or moderate depressive symptoms as well as for at-risk adolescents to prevent depression. Funding, type of mindfulness interventions, individual counseling, and time to follow up were moderators of the effects of mindfulness interventions on depression in adolescents.
Keywords: Adolescents; Depression; Meta-analysis; Mindfulness.
Objective: We examined the effects of mindfulness interventions on depression among adolescents and explored the moderator effects of participants, methods, and intervention characteristics.
Methods: We searched 17 databases from their inception to April 2019 to identify studies written in English. Search terms included depress* AND mindful* OR meditat* AND adolescen* OR student*; 29 studies met inclusion criteria. Two researchers independently coded data from all primary studies. Discrepancies were discussed with a third researcher to reach consensus. Using the random effects model, we computed the effect sizes (ESs) of mindfulness interventions on depression using standardized mean differences (Hedge's g) with 95% confidence intervals (CI). Funnel plot, Q statistics, and I2 were used to test the heterogeneity across studies. We examined moderators to explore sources of heterogeneity.
Results: Across 29 studies (N=3688), 1839 adolescents participated in mindfulness interventions; 1849 served as controls. Mean ages ranged from 10.2 to 19.5 years. Mindfulness groups showed reduced depression compared to control groups (g=.14, 95%CI[.01-.28], p<.042). Funded studies showed greater improvement in depression (g=.34, 95%CI[.09-.58], p<.008) compared to unfunded (g=.05, 95%CI[-.12-.22], p<.554). Interestingly, while only two research teams studied mindfulness-based cognitive therapy, they showed trends toward improvement (p=0.09) in depression (g=.76, 95%CI[.18-1.34], p<.010, s=2) compared to adapted mindfulness interventions (g=.13, 95%CI[-.04-.30], p<.140, s=16) or mindfulness-based stress reduction (g=.07, 95%CI[-.16-.29], p<.559, s=11). Mindfulness interventions with individual counseling tended (p=0.09) to improve depression (g=.46, 95%CI[.07-.85], p<.021, s=3) more than without (g=.10, 95%CI[-.04-.24], p<.168, s=26). Depression improved more when follow-up measures occurred further from the intervention (Slope=.002, τ2=.74, Qbetween=4.10, p=.043, s=29). No quality indicators moderated the ES of mindfulness interventions on depression.
Conclusion: Mindfulness interventions are mildly effective interventions to reduce depressive symptoms among adolescents. Clinicians trained in mindfulness interventions might encourage mindfulness meditation as adjunctive/alternative treatment for adolescents with mild or moderate depressive symptoms as well as for at-risk adolescents to prevent depression. Funding, type of mindfulness interventions, individual counseling, and time to follow up were moderators of the effects of mindfulness interventions on depression in adolescents.
Keywords: Adolescents; Depression; Meta-analysis; Mindfulness.
13.
Khoury, Louis-Nascan Gill Robin Renault Emma Campbell Pierre Rainville Bassam
Mindfulness induction and cognition: A systematic review and meta-analysis Article de journal
Dans: Consciousness and Cognition, vol. 84, 2020.
Résumé | Liens | BibTeX | Étiquettes: cognition, fonctions cognitives, fonctions exécutives, mémoire, meta-analysis
@article{Khoury2020,
title = {Mindfulness induction and cognition: A systematic review and meta-analysis},
author = {Louis-Nascan Gill Robin Renault Emma Campbell Pierre Rainville Bassam Khoury},
editor = {Elsevier},
url = {http://change-et-sois.org/wp-content/uploads/2021/09/Mindfulness-induction-and-cognition-A-systematic-review-and-meta-analysis.pdf},
doi = {https://doi.org/10.1016/j.concog.2020.102991},
year = {2020},
date = {2020-07-31},
journal = {Consciousness and Cognition},
volume = {84},
abstract = {Highlights
Thirty-four studies (n = 3524) of mindful attention induction were reviewed.
Methodological quality of the studies was generally poor.
Meta-analysis revealed a small positive effect of mindfulness inductions on cognitive functioning.
Effects were robust only in higher-order functions.
Abstract
Mindfulness meditation might improve a variety of cognitive processes, but the available evidence remains fragmented. This preregistered meta-analysis (PROSPERO-CRD42018100320) aimed to provide insight into this hypothesis by assessing the effects of brief mindful attention induction on cognition. Articles were retrieved from Pubmed, PsycInfo and Web of Science up until August 1, 2018. A total of 34 studies were included. The outcomes were categorized into four cognitive domains: attentional functioning, memory, executive functioning and higher-order function. A small effect was found across all cognitive domains (Hedges’ g = 0.18, 95% IC = 0.07–0.29). Separated analyses for each cognitive domain revealed an effect only in higher-order cognitive functions (k = 10, Hedges’ g = 0.35, 95% IC = 0.20–0.50). Results suggest that mindfulness induction improves cognitive performance in tasks involving complex higher-order functions. There was no evidence of publication bias, but studies generally presented many methodological flaws.
Keywords
Mindfulness meditation, Mindfulness induction, Cognition, Attention, Memory, Executive functions, Higher-order functions, Systematic review, Meta-analysis},
keywords = {cognition, fonctions cognitives, fonctions exécutives, mémoire, meta-analysis},
pubstate = {published},
tppubtype = {article}
}
Highlights
Thirty-four studies (n = 3524) of mindful attention induction were reviewed.
Methodological quality of the studies was generally poor.
Meta-analysis revealed a small positive effect of mindfulness inductions on cognitive functioning.
Effects were robust only in higher-order functions.
Abstract
Mindfulness meditation might improve a variety of cognitive processes, but the available evidence remains fragmented. This preregistered meta-analysis (PROSPERO-CRD42018100320) aimed to provide insight into this hypothesis by assessing the effects of brief mindful attention induction on cognition. Articles were retrieved from Pubmed, PsycInfo and Web of Science up until August 1, 2018. A total of 34 studies were included. The outcomes were categorized into four cognitive domains: attentional functioning, memory, executive functioning and higher-order function. A small effect was found across all cognitive domains (Hedges’ g = 0.18, 95% IC = 0.07–0.29). Separated analyses for each cognitive domain revealed an effect only in higher-order cognitive functions (k = 10, Hedges’ g = 0.35, 95% IC = 0.20–0.50). Results suggest that mindfulness induction improves cognitive performance in tasks involving complex higher-order functions. There was no evidence of publication bias, but studies generally presented many methodological flaws.
Keywords
Mindfulness meditation, Mindfulness induction, Cognition, Attention, Memory, Executive functions, Higher-order functions, Systematic review, Meta-analysis
Thirty-four studies (n = 3524) of mindful attention induction were reviewed.
Methodological quality of the studies was generally poor.
Meta-analysis revealed a small positive effect of mindfulness inductions on cognitive functioning.
Effects were robust only in higher-order functions.
Abstract
Mindfulness meditation might improve a variety of cognitive processes, but the available evidence remains fragmented. This preregistered meta-analysis (PROSPERO-CRD42018100320) aimed to provide insight into this hypothesis by assessing the effects of brief mindful attention induction on cognition. Articles were retrieved from Pubmed, PsycInfo and Web of Science up until August 1, 2018. A total of 34 studies were included. The outcomes were categorized into four cognitive domains: attentional functioning, memory, executive functioning and higher-order function. A small effect was found across all cognitive domains (Hedges’ g = 0.18, 95% IC = 0.07–0.29). Separated analyses for each cognitive domain revealed an effect only in higher-order cognitive functions (k = 10, Hedges’ g = 0.35, 95% IC = 0.20–0.50). Results suggest that mindfulness induction improves cognitive performance in tasks involving complex higher-order functions. There was no evidence of publication bias, but studies generally presented many methodological flaws.
Keywords
Mindfulness meditation, Mindfulness induction, Cognition, Attention, Memory, Executive functions, Higher-order functions, Systematic review, Meta-analysis
14.
Cañadas-De La Fuente GA Aguayo-Estremera R, De La Fuente-Solana EI
The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis Article de journal
Dans: Journal of Advanced Nursing, vol. 76, iss. 5, p. 1124-1140, 2020.
Résumé | Liens | BibTeX | Étiquettes: burnout, health promotion, literature review, mindfulness, mindfulness based interventions, nursing, systematic review
@article{nokey,
title = {The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis},
author = {Aguayo-Estremera R, Cañadas-De La Fuente GA, De La Fuente-Solana EI, Albendín-García L.},
editor = {John Wiley & Sons Ltd},
url = {http://change-et-sois.org/wp-content/uploads/2022/08/The-effect-of-mindfulness-training-on-burnout-syndrome-in-nursing-A-systematic-review-and-meta-analysis-Journal-of-Advanced-Nursing-2020.pdf},
doi = {10.1111/jan.14318},
year = {2020},
date = {2020-02-05},
urldate = {2020-02-05},
journal = {Journal of Advanced Nursing},
volume = {76},
issue = {5},
pages = {1124-1140},
abstract = {Aim
To analyse the effect of mindfulness training on levels of burnout among nurses.
Background
Burnout syndrome is a common occupational hazard for nursing staff. Mindfulness training has been proposed as a valid intervention for burnout.
Design
Systematic review and meta-analysis.
Data sources
The CINAHL, LILACS, Medline, ProQuest, PsycINFO, Scielo and Scopus databases were consulted, using the search equation ‘Nurs * AND burnout AND mindfulness’. There was no restriction on the year of publication.
Review methods
Papers were selected for analysis in accordance with the PRISMA guidelines. The meta-analysis was carried out using Review Manager 5.3 software.
Results
The sample was of 17 articles including 632 nurses. Mindfulness training reduces levels of burnout, producing lower scores for emotional exhaustion and depersonalization and higher for personal accomplishment. The differences in the means were 1.32 (95% CI: −9.41–6.78), 1.91 (95% CI: −4.50–0.68) and 2.12 (95% CI: −9.91–14.14), respectively, between the intervention and control groups.
Conclusion
Mindfulness training reduces the emotional burden and hence levels of burnout, among nurses. However, further randomized clinical trials are required.
Keywords
burnout; health promotion; intervention; literature review; mindfulness; nursing; systematic review. },
keywords = {burnout, health promotion, literature review, mindfulness, mindfulness based interventions, nursing, systematic review},
pubstate = {published},
tppubtype = {article}
}
Aim
To analyse the effect of mindfulness training on levels of burnout among nurses.
Background
Burnout syndrome is a common occupational hazard for nursing staff. Mindfulness training has been proposed as a valid intervention for burnout.
Design
Systematic review and meta-analysis.
Data sources
The CINAHL, LILACS, Medline, ProQuest, PsycINFO, Scielo and Scopus databases were consulted, using the search equation ‘Nurs * AND burnout AND mindfulness’. There was no restriction on the year of publication.
Review methods
Papers were selected for analysis in accordance with the PRISMA guidelines. The meta-analysis was carried out using Review Manager 5.3 software.
Results
The sample was of 17 articles including 632 nurses. Mindfulness training reduces levels of burnout, producing lower scores for emotional exhaustion and depersonalization and higher for personal accomplishment. The differences in the means were 1.32 (95% CI: −9.41–6.78), 1.91 (95% CI: −4.50–0.68) and 2.12 (95% CI: −9.91–14.14), respectively, between the intervention and control groups.
Conclusion
Mindfulness training reduces the emotional burden and hence levels of burnout, among nurses. However, further randomized clinical trials are required.
Keywords
burnout; health promotion; intervention; literature review; mindfulness; nursing; systematic review.
To analyse the effect of mindfulness training on levels of burnout among nurses.
Background
Burnout syndrome is a common occupational hazard for nursing staff. Mindfulness training has been proposed as a valid intervention for burnout.
Design
Systematic review and meta-analysis.
Data sources
The CINAHL, LILACS, Medline, ProQuest, PsycINFO, Scielo and Scopus databases were consulted, using the search equation ‘Nurs * AND burnout AND mindfulness’. There was no restriction on the year of publication.
Review methods
Papers were selected for analysis in accordance with the PRISMA guidelines. The meta-analysis was carried out using Review Manager 5.3 software.
Results
The sample was of 17 articles including 632 nurses. Mindfulness training reduces levels of burnout, producing lower scores for emotional exhaustion and depersonalization and higher for personal accomplishment. The differences in the means were 1.32 (95% CI: −9.41–6.78), 1.91 (95% CI: −4.50–0.68) and 2.12 (95% CI: −9.91–14.14), respectively, between the intervention and control groups.
Conclusion
Mindfulness training reduces the emotional burden and hence levels of burnout, among nurses. However, further randomized clinical trials are required.
Keywords
burnout; health promotion; intervention; literature review; mindfulness; nursing; systematic review.