Mindfulness-Based Therapies in the Treatment of Somatization Disorders: A Systematic Review and Meta-Analysis
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{"title"=>"Mindfulness-Based Therapies in the Treatment of Somatization Disorders: A Systematic Review and Meta-Analysis", "type"=>"journal", "authors"=>[{"first_name"=>"Shaheen E.", "last_name"=>"Lakhan", "scopus_author_id"=>"6507263704"}, {"first_name"=>"Kerry L.", "last_name"=>"Schofield", "scopus_author_id"=>"55838798400"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"23990997", "doi"=>"10.1371/journal.pone.0071834", "sgr"=>"84883147994", "isbn"=>"EN :1932-6203", "scopus"=>"2-s2.0-84883147994", "issn"=>"19326203", "pui"=>"369685969"}, "id"=>"a381cc1b-e45c-3772-846d-5b97c6dbfd3e", "abstract"=>"BACKGROUND: Mindfulness-based therapy (MBT) has been used effectively to treat a variety of physical and psychological disorders, including depression, anxiety, and chronic pain. Recently, several lines of research have explored the potential for mindfulness-therapy in treating somatization disorders, including fibromyalgia, chronic fatigue syndrome, and irritable bowel syndrome.\\n\\nMETHODS: Thirteen studies were identified as fulfilling the present criteria of employing randomized controlled trials to determine the efficacy of any form of MBT in treating somatization disorders. A meta-analysis of the effects of mindfulness-based therapy on pain, symptom severity, quality of life, depression, and anxiety was performed to determine the potential of this form of treatment.\\n\\nFINDINGS: While limited in power, the meta-analysis indicated a small to moderate positive effect of MBT (compared to wait-list or support group controls) in reducing pain (SMD = -0.21, 95% CI: -0.37, -0.03; p<0.05), symptom severity (SMD = -0.40, 95% CI: -0.54, -0.26; p<0.001), depression (SMD = -0.23, 95% CI: -0.40, -0.07, p<0.01), and anxiety (SMD = -0.20, 95% CI: -0.42, 0.02, p = 0.07) associated with somatization disorders, and improving quality of life (SMD = 0.39, 95% CI: 0.19, 0.59; p<0.001) in patients with this disorder. Subgroup analyses indicated that the efficacy of MBT was most consistent for irritable bowel syndrome (p<0.001 for pain, symptom severity, and quality of life), and that mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MCBT) were more effective than eclectic/unspecified MBT.\\n\\nCONCLUSIONS: Preliminary evidence suggests that MBT may be effective in treating at least some aspects of somatization disorders. Further research is warranted.", "link"=>"http://www.mendeley.com/research/mindfulnessbased-therapies-treatment-somatization-disorders-systematic-review-metaanalysis-3", "reader_count"=>237, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>9, "Student > Doctoral Student"=>35, "Researcher"=>30, "Student > Ph. D. Student"=>37, "Student > Postgraduate"=>20, "Student > Master"=>43, "Other"=>18, "Student > Bachelor"=>27, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>3, "Professor"=>7, "Librarian"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>9, "Student > Doctoral Student"=>35, "Researcher"=>30, "Student > Ph. D. Student"=>37, "Student > Postgraduate"=>20, "Student > Master"=>43, "Other"=>18, "Student > Bachelor"=>27, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>3, "Professor"=>7, "Librarian"=>1}, "reader_count_by_subject_area"=>{"Engineering"=>2, "Unspecified"=>8, "Nursing and Health Professions"=>13, "Biochemistry, Genetics and Molecular Biology"=>1, "Materials Science"=>1, "Medicine and Dentistry"=>64, "Agricultural and Biological Sciences"=>8, "Neuroscience"=>5, "Business, Management and Accounting"=>1, "Sports and Recreations"=>1, "Psychology"=>121, "Social Sciences"=>12}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>2}, "Materials Science"=>{"Materials Science"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>64}, "Neuroscience"=>{"Neuroscience"=>5}, "Social Sciences"=>{"Social Sciences"=>12}, "Sports and Recreations"=>{"Sports and Recreations"=>1}, "Psychology"=>{"Psychology"=>121}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>8}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>13}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>8}}, "reader_count_by_country"=>{"Argentina"=>1, "Uruguay"=>1, "United States"=>1, "United Kingdom"=>1, "Malaysia"=>1, "Spain"=>4, "Greece"=>1, "Saudi Arabia"=>1, "Austria"=>1, "Norway"=>1, "Ireland"=>1, "Brazil"=>2, "Denmark"=>1, "South Africa"=>1, "Australia"=>1, "Chile"=>1, "Germany"=>1}, "group_count"=>10}

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  • {"files"=>["https://ndownloader.figshare.com/files/1181341"], "description"=>"<p>Funnel plot for pain.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Maladjustment", "psychology", "behavior", "Clinical psychology", "Cognitive psychology", "Psychological stress", "therapies", "psychotherapy"], "article_id"=>781350, "categories"=>["Medicine"], "users"=>["Shaheen E. Lakhan", "Kerry L. Schofield"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0071834.g002", "stats"=>{"downloads"=>2, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Funnel_plot_for_pain_/781350", "title"=>"Funnel plot for pain.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-08-26 01:28:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/1181354"], "description"=>"<p>Standardised mean difference between experimental and control group indicates that the mindfulness-based therapy group showed significantly more improvement than the control group, in only IBS.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Maladjustment", "psychology", "behavior", "Clinical psychology", "Cognitive psychology", "Psychological stress", "therapies", "psychotherapy", "mindfulness"], "article_id"=>781364, "categories"=>["Medicine"], "users"=>["Shaheen E. Lakhan", "Kerry L. Schofield"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0071834.g010", "stats"=>{"downloads"=>4, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Forest_plot_showing_the_effect_of_mindfulness_therapy_on_the_quality_of_life_outcome_measure_/781364", "title"=>"Forest plot showing the effect of mindfulness therapy on the quality of life outcome measure.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-08-26 01:28:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/1181352"], "description"=>"<p>Standardised mean difference between experimental and control group indicates that the mindfulness-based therapy group showed significantly more improvement than the control group, in only IBS.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Maladjustment", "psychology", "behavior", "Clinical psychology", "Cognitive psychology", "Psychological stress", "therapies", "psychotherapy", "mindfulness"], "article_id"=>781361, "categories"=>["Medicine"], "users"=>["Shaheen E. Lakhan", "Kerry L. Schofield"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0071834.g009", "stats"=>{"downloads"=>2, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Forest_plot_showing_the_effect_of_mindfulness_therapy_on_the_pain_outcome_measure_/781361", "title"=>"Forest plot showing the effect of mindfulness therapy on the pain outcome measure.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-08-26 01:28:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/1181350"], "description"=>"<p>Standardised mean difference between experimental and control group indicates that the MBSR and MCBT subgroups showed significantly more improvement than the control group, whereas the eclectic/unspecified subgroup did not.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Maladjustment", "psychology", "behavior", "Clinical psychology", "Cognitive psychology", "Psychological stress", "therapies", "psychotherapy", "mindfulness", "severity"], "article_id"=>781359, "categories"=>["Medicine"], "users"=>["Shaheen E. Lakhan", "Kerry L. Schofield"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0071834.g008", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Forest_plot_showing_the_effect_of_type_of_mindfulness_therapy_on_the_symptom_severity_outcome_measure_/781359", "title"=>"Forest plot showing the effect of type of mindfulness therapy on the symptom severity outcome measure.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-08-26 01:28:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/1181364"], "description"=>"<p>BDI  =  Beck Depression Inventory; BSI  =  Brief Symptom Inventory; CES-D  =  Center for Epidemiological Studies depression inventory; CFS  =  chronic fatigue syndrome; Exp.  =  experimental group; FIQ  =  Fibromyalgia Impact Questionnaire; FM  =  fibromyalgia; HADS  =  Hospital Anxiety and Depression Scale; IBS  =  irritable bowel syndrome; IBS-GSS  =  IBS Global Symptom Score; IBS-QoL  =  IBS Quality of Life Instrument; IBS-SS  =  IBS Symptom Severity scale; MADRS  =  Montgomery Asberg Depression Rating Scale; N  =  number of participants; PCS  =  Physical Component Summary; S  =  somatization disorder; SCL-8  =  Symptom Checklist; SCL-90-R  =  Symptom Checklist 90 Revised; SF-36  =  SF-36 health survey, STAI  =  State Trait Anxiety Inventory, Quality of Life subscale; QoL  =  Quality of Life; VAS  =  Visual Analogue Scale.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Maladjustment", "psychology", "behavior", "Clinical psychology", "Cognitive psychology", "Psychological stress", "therapies", "psychotherapy", "included", "studies"], "article_id"=>781373, "categories"=>["Medicine"], "users"=>["Shaheen E. Lakhan", "Kerry L. Schofield"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0071834.t001", "stats"=>{"downloads"=>1, "page_views"=>15, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_included_studies_for_meta_analysis_/781373", "title"=>"Characteristics of included studies for meta-analysis.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-08-26 01:28:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/1181346"], "description"=>"<p>Funnel plot for anxiety.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Maladjustment", "psychology", "behavior", "Clinical psychology", "Cognitive psychology", "Psychological stress", "therapies", "psychotherapy"], "article_id"=>781355, "categories"=>["Medicine"], "users"=>["Shaheen E. Lakhan", "Kerry L. Schofield"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0071834.g006", "stats"=>{"downloads"=>2, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Funnel_plot_for_anxiety_/781355", "title"=>"Funnel plot for anxiety.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-08-26 01:28:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/1181363"], "description"=>"<p>CFS  =  chronic fatigue syndrome; FM  =  fibromyalgia; IBS  =  irritable bowel syndrome; S  =  somatization disorder.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Maladjustment", "psychology", "behavior", "Clinical psychology", "Cognitive psychology", "Psychological stress", "therapies", "psychotherapy", "studies", "excluded", "meta-analysis", "included", "systematic"], "article_id"=>781372, "categories"=>["Medicine"], "users"=>["Shaheen E. Lakhan", "Kerry L. Schofield"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0071834.t002", "stats"=>{"downloads"=>1, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_studies_excluded_from_meta_analysis_yet_included_in_systematic_review_/781372", "title"=>"Characteristics of studies excluded from meta-analysis yet included in systematic review.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-08-26 01:28:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/1181357"], "description"=>"<p>Standardised mean difference between experimental and control group indicates that the mindfulness-based therapy group showed significantly more improvement than the control group, in only general somatization.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Maladjustment", "psychology", "behavior", "Clinical psychology", "Cognitive psychology", "Psychological stress", "therapies", "psychotherapy", "mindfulness"], "article_id"=>781366, "categories"=>["Medicine"], "users"=>["Shaheen E. Lakhan", "Kerry L. Schofield"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0071834.g011", "stats"=>{"downloads"=>1, "page_views"=>14, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Forest_plot_showing_the_effect_of_mindfulness_therapy_on_the_depression_outcome_measure_/781366", "title"=>"Forest plot showing the effect of mindfulness therapy on the depression outcome measure.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-08-26 01:28:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/1181367"], "description"=>"<div><p>Background</p><p>Mindfulness-based therapy (MBT) has been used effectively to treat a variety of physical and psychological disorders, including depression, anxiety, and chronic pain. Recently, several lines of research have explored the potential for mindfulness-therapy in treating somatization disorders, including fibromyalgia, chronic fatigue syndrome, and irritable bowel syndrome.</p><p>Methods</p><p>Thirteen studies were identified as fulfilling the present criteria of employing randomized controlled trials to determine the efficacy of any form of MBT in treating somatization disorders. A meta-analysis of the effects of mindfulness-based therapy on pain, symptom severity, quality of life, depression, and anxiety was performed to determine the potential of this form of treatment.</p><p>Findings</p><p>While limited in power, the meta-analysis indicated a small to moderate positive effect of MBT (compared to wait-list or support group controls) in reducing pain (SMD  = −0.21, 95% CI: −0.37, −0.03; p<0.05), symptom severity (SMD  = −0.40, 95% CI: −0.54, −0.26; p<0.001), depression (SMD  = −0.23, 95% CI: −0.40, −0.07, p<0.01), and anxiety (SMD  = −0.20, 95% CI: −0.42, 0.02, p = 0.07) associated with somatization disorders, and improving quality of life (SMD  = 0.39, 95% CI: 0.19, 0.59; p<0.001) in patients with this disorder. Subgroup analyses indicated that the efficacy of MBT was most consistent for irritable bowel syndrome (p<0.001 for pain, symptom severity, and quality of life), and that mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MCBT) were more effective than eclectic/unspecified MBT.</p><p>Conclusions</p><p>Preliminary evidence suggests that MBT may be effective in treating at least some aspects of somatization disorders. Further research is warranted.</p></div>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Mental health", "psychiatry", "Anxiety disorders", "Maladjustment", "psychology", "behavior", "Clinical psychology", "Cognitive psychology", "Psychological stress", "therapies", "psychotherapy", "somatization", "systematic"], "article_id"=>781375, "categories"=>["Medicine"], "users"=>["Shaheen E. Lakhan", "Kerry L. Schofield"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0071834", "stats"=>{"downloads"=>4, "page_views"=>22, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Mindfulness_Based_Therapies_in_the_Treatment_of_Somatization_Disorders_A_Systematic_Review_and_Meta_Analysis_/781375", "title"=>"Mindfulness-Based Therapies in the Treatment of Somatization Disorders: A Systematic Review and Meta-Analysis", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-08-26 01:28:51"}

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Relative Metric

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