Mindfulness-Based Interventions for People Diagnosed with a Current Episode of an Anxiety or Depressive Disorder: A Meta-Analysis of Randomised Controlled Trials
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{"title"=>"Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: A meta-analysis of randomised controlled trials", "type"=>"journal", "authors"=>[{"first_name"=>"Clara", "last_name"=>"Strauss", "scopus_author_id"=>"37038599500"}, {"first_name"=>"Kate", "last_name"=>"Cavanagh", "scopus_author_id"=>"7004494055"}, {"first_name"=>"Annie", "last_name"=>"Oliver", "scopus_author_id"=>"56147134600"}, {"first_name"=>"Danelle", "last_name"=>"Pettman", "scopus_author_id"=>"55886273200"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84899721936", "sgr"=>"84899721936", "pui"=>"373008126", "isbn"=>"1932-6203", "pmid"=>"24763812", "doi"=>"10.1371/journal.pone.0096110"}, "id"=>"0c85570a-87e5-3587-baaf-d40fedb4f6f9", "abstract"=>"OBJECTIVE: Mindfulness-based interventions (MBIs) can reduce risk of depressive relapse for people with a history of recurrent depression who are currently well. However, the cognitive, affective and motivational features of depression and anxiety might render MBIs ineffective for people experiencing current symptoms. This paper presents a meta-analysis of randomised controlled trials (RCTs) of MBIs where participants met diagnostic criteria for a current episode of an anxiety or depressive disorder.\\n\\nMETHOD: Post-intervention between-group Hedges g effect sizes were calculated using a random effects model. Moderator analyses of primary diagnosis, intervention type and control condition were conducted and publication bias was assessed.\\n\\nRESULTS: Twelve studies met inclusion criteria (n = 578). There were significant post-intervention between-group benefits of MBIs relative to control conditions on primary symptom severity (Hedges g = -0.59, 95% CI = -0.12 to -1.06). Effects were demonstrated for depressive symptom severity (Hedges g = -0.73, 95% CI = -0.09 to -1.36), but not for anxiety symptom severity (Hedges g = -0.55, 95% CI = 0.09 to -1.18), for RCTs with an inactive control (Hedges g = -1.03, 95% CI = -0.40 to -1.66), but not where there was an active control (Hedges g = 0.03, 95% CI = 0.54 to -0.48) and effects were found for MBCT (Hedges g = -0.39, 95% CI = -0.15 to -0.63) but not for MBSR (Hedges g = -0.75, 95% CI = 0.31 to -1.81).\\n\\nCONCLUSIONS: This is the first meta-analysis of RCTs of MBIs where all studies included only participants who were diagnosed with a current episode of a depressive or anxiety disorder. Effects of MBIs on primary symptom severity were found for people with a current depressive disorder and it is recommended that MBIs might be considered as an intervention for this population.", "link"=>"http://www.mendeley.com/research/mindfulnessbased-interventions-people-diagnosed-current-episode-anxiety-depressive-disorder-metaanal-14", "reader_count"=>321, "reader_count_by_academic_status"=>{"Unspecified"=>6, "Professor > Associate Professor"=>11, "Librarian"=>3, "Researcher"=>34, "Student > Doctoral Student"=>50, "Student > Ph. D. Student"=>50, "Student > Postgraduate"=>19, "Student > Master"=>63, "Other"=>26, "Student > Bachelor"=>44, "Lecturer"=>4, "Lecturer > Senior Lecturer"=>2, "Professor"=>9}, "reader_count_by_user_role"=>{"Unspecified"=>6, "Professor > Associate Professor"=>11, "Librarian"=>3, "Researcher"=>34, "Student > Doctoral Student"=>50, "Student > Ph. D. 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  • {"files"=>["https://ndownloader.figshare.com/files/1474432"], "description"=>"<p>CBT = Cognitive Behavioural Therapy, MBCT = Mindfulness-based Cognitive Therapy, MBSR = Mindfulness-based Stress reduction, PBCT = Person-based Cognitive Therapy.</p><p>HA = Health Anxiety, SAD = Social Anxiety Disorder, MDD = Major Depressive Disorder, OCD = Obsessive Compulsive Disorder, PTSD = Post-Traumatic Stress Disorder, PD = Panic Disorder, AG = Agoraphobia, GAD = Generalised Anxiety Disorder.</p><p>ADIS-IV-L = Anxiety Disorders Interview Schedule for DSM-IV-Lifetime version (Di Nardo, Brown, & Barlow, 1994), BDI-II = Beck Depression Inventories second edition (BDI–II: Beck, Steer & Brown, 1996), CIDI = Composite International Diagnostic Interview (WHO, 1997), PHQ-9 = Patient Health Questionnaire-9 for depression (PHQ-9; Kroenke, Spitzer, & Williams, 2001), HAMD = Hamilton Rating Scale for Depression (Hamilton, 1960), FFMQ = Five Facet Mindfulness Questionnaire (FFMQ: Baer et al., 2008), KIMS = Kentucky Inventory of Mindfulness (Baer et al, 2004), LSAS-SR = Liebowitz Social Anxiety Scale-Self-Report (Fresco et al., 2001), LSAS-avoidance subscale (Liebowitz, 1987), LSAS-fear subscale (Liebowitz, 1987), MAAS = Mindfulness Attention and Awareness Scale (Brown & Ryan, 2003), MASQ-AA = Mini Mood and Anxiety Symptom Questionnaire (Casillas & Clark, 2000), PSWQ = Penn State Worry Questionnaire (Meyer et al, 1990), SHAI = Short Health Anxiety Inventory (Salkovskis et al.,2002), MINI = Mini International Neuropsychiatric Interview (Sheehan et al, 1998), SCID = Structured Clinical Interview for DSM–IV–TR Axis I disorders (First, Gibbon, Spitzer, & Williams, 2002, STAI = Spielberger State Trait Anxiety Inventory (Spielberger et al,1983), SMQ = Southampton Mindfulness Questionnaire (Chadwick et al., 2008), Y-BOCS = Yale Brown Obsessive Compulsive Scale (Goodman et al, 2006).</p>", "links"=>[], "tags"=>["psychology", "Clinical psychology", "Mental health and psychiatry", "Mental health therapies", "psychotherapy", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "research design", "Clinical research design", "included"], "article_id"=>1007204, "categories"=>["Biological Sciences"], "users"=>["Clara Strauss", "Kate Cavanagh", "Annie Oliver", "Danelle Pettman"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0096110.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Details_of_included_studies_/1007204", "title"=>"Details of included studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-04-24 03:59:25"}
  • {"files"=>["https://ndownloader.figshare.com/files/1474433"], "description"=>"<div><p>Objective</p><p>Mindfulness-based interventions (MBIs) can reduce risk of depressive relapse for people with a history of recurrent depression who are currently well. However, the cognitive, affective and motivational features of depression and anxiety might render MBIs ineffective for people experiencing current symptoms. This paper presents a meta-analysis of randomised controlled trials (RCTs) of MBIs where participants met diagnostic criteria for a current episode of an anxiety or depressive disorder.</p><p>Method</p><p>Post-intervention between-group Hedges <i>g</i> effect sizes were calculated using a random effects model. Moderator analyses of primary diagnosis, intervention type and control condition were conducted and publication bias was assessed.</p><p>Results</p><p>Twelve studies met inclusion criteria (n = 578). There were significant post-intervention between-group benefits of MBIs relative to control conditions on primary symptom severity (Hedges <i>g</i> = −0.59, 95% CI = −0.12 to −1.06). Effects were demonstrated for depressive symptom severity (Hedges <i>g</i> = −0.73, 95% CI = −0.09 to −1.36), but not for anxiety symptom severity (Hedges <i>g</i> = −0.55, 95% CI = 0.09 to −1.18), for RCTs with an inactive control (Hedges <i>g</i> = −1.03, 95% CI = −0.40 to −1.66), but not where there was an active control (Hedges <i>g</i> = 0.03, 95% CI = 0.54 to −0.48) and effects were found for MBCT (Hedges <i>g</i> = −0.39, 95% CI = −0.15 to −0.63) but not for MBSR (Hedges <i>g</i> = −0.75, 95% CI = 0.31 to −1.81).</p><p>Conclusions</p><p>This is the first meta-analysis of RCTs of MBIs where all studies included only participants who were diagnosed with a current episode of a depressive or anxiety disorder. Effects of MBIs on primary symptom severity were found for people with a current depressive disorder and it is recommended that MBIs might be considered as an intervention for this population.</p></div>", "links"=>[], "tags"=>["psychology", "Clinical psychology", "Mental health and psychiatry", "Mental health therapies", "psychotherapy", "mathematics", "Statistics (mathematics)", "Statistical methods", "meta-analysis", "research design", "Clinical research design", "interventions", "diagnosed", "depressive", "randomised", "controlled"], "article_id"=>1007205, "categories"=>["Biological Sciences"], "users"=>["Clara Strauss", "Kate Cavanagh", "Annie Oliver", "Danelle Pettman"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0096110"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Mindfulness_Based_Interventions_for_People_Diagnosed_with_a_Current_Episode_of_an_Anxiety_or_Depressive_Disorder_A_Meta_Analysis_of_Randomised_Controlled_Trials_/1007205", "title"=>"Mindfulness-Based Interventions for People Diagnosed with a Current Episode of an Anxiety or Depressive Disorder: A Meta-Analysis of Randomised Controlled Trials", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-04-24 03:59:25"}

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Relative Metric

{"start_date"=>"2014-01-01T00:00:00Z", "end_date"=>"2014-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Biology and life sciences", "average_usage"=>[291]}, {"subject_area"=>"/Biology and life sciences/Psychology", "average_usage"=>[307]}, {"subject_area"=>"/Medicine and health sciences/Diagnostic medicine", "average_usage"=>[257]}, {"subject_area"=>"/Medicine and health sciences/Mental health and psychiatry", "average_usage"=>[299, 481]}, {"subject_area"=>"/Social sciences", "average_usage"=>[318]}]}
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