Volume 26, Issue 8 (Nov 2019)
JSSU 2019, 26(8): 646-661 |
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Hoseyni Z S, yousefi Afrashteh M, Morovati Z.
Meta-analysis of the effectiveness of mindfulness-based treatments for depression and anxiety (research studies in Iran from 1380 to 1395)
. JSSU. 2019; 26 (8) :646-661
URL: http://jssu.ssu.ac.ir/article-1-4399-en.html
URL: http://jssu.ssu.ac.ir/article-1-4399-en.html
Abstract: (641 Views)
Introdution: Depression and anxiety are the most common psychiatric disorders. Therefore, it is necessary to evaluate the effectiveness of various therapies in order to improve the therapeutic methods. In this regard, this research aimed to examine the effectiveness of mindfulness-based treatments on depression and anxiety, based on research studies in Iran from 1380 to 1395.
Methods: Meta-analysis method was employed in this research and a total of 38 publications were selected after a careful study of large number of articles and research studies by using databases such as SID, Magiran, Irandoc, Civilica, Ricest, Noormags and Ensani.ir. Moreover, a checklist was used to check inclusion criteria and extracted data from each study and finally 59 effect sizes were reported. The comprehensive meta analysis software (CMA-2) was used to analyze the collected data.
Results: The results showed that mindfulness-based treatments had been effective for depression and anxiety at significant level less than 0.05. The size of the combined effect for depression and anxiety in terms of scale correlation were reported 0.574 and 0.607, in terms of scale standardized mean difference 1.427 and 1.554 and in terms of scale Hedge's g 1.389 and 1.511, respectively. In addition, study of gender as a moderating variable has not shown significant difference.
Conclusion: The results of this meta-analysis showed that mindfulness-based therapies by using techniques such as paying attention to the present time and accepting without judgment emotions significantly and with high effect size improved the symptoms of depression and anxiety.
Methods: Meta-analysis method was employed in this research and a total of 38 publications were selected after a careful study of large number of articles and research studies by using databases such as SID, Magiran, Irandoc, Civilica, Ricest, Noormags and Ensani.ir. Moreover, a checklist was used to check inclusion criteria and extracted data from each study and finally 59 effect sizes were reported. The comprehensive meta analysis software (CMA-2) was used to analyze the collected data.
Results: The results showed that mindfulness-based treatments had been effective for depression and anxiety at significant level less than 0.05. The size of the combined effect for depression and anxiety in terms of scale correlation were reported 0.574 and 0.607, in terms of scale standardized mean difference 1.427 and 1.554 and in terms of scale Hedge's g 1.389 and 1.511, respectively. In addition, study of gender as a moderating variable has not shown significant difference.
Conclusion: The results of this meta-analysis showed that mindfulness-based therapies by using techniques such as paying attention to the present time and accepting without judgment emotions significantly and with high effect size improved the symptoms of depression and anxiety.
References
1. 1-Vos T. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet 2015; 386(9995): 743.
2. 2- World Health Organization. Depression: a global crisis. Geneva WHO Press; 2012.
3. 3- Alonso J, Lépine JP. Overview of key data from the European Study of the Epidemiology of Mental Disorders (ESEMeD). J Clin Psychiatry 2007; 68: 3-9.
4. 4- Bromet E, Andrade LH, Hwang I, Sampson NA, Alonso J, Girolamo G, et al. Cross-national epidemiology of DSM-IV major depressive episode. BMC Med 2011; 9(1): 90.
5. 5- He B, Fan J, Liu N, Li H, Wang Y, Williams J, et al. Depression risk of ‘left-behind children’in rural China. Psychiatry Res 2012; 200(2): 306-12.
6. 6- Merikangas KH, Jian-ping He, Burstein M, Swendsen J, Avenevoli SH, Case B, et al. Service utilization for lifetime mental disorders in US adolescents: results of the National Comorbidity Survey–Adolescent Supplement (NCS-A). J Am Acad Child & Adolesc Psychiatry 2011; 50(1): 32-45.
7. 7- Thapar PA, Collishaw S, Pine DS, Thapar AK. Depression in adolescence. Lancet 2012; 379(9820): 1056-67.
8. 8- Nemeroff CB, Goldschmidt-Clermont PJ. Goldschmidt-Clermont, Heartache and heartbreak the link between depression and cardiovascular disease. Nat Rev Cardiol 2012; 9(9): 526-39.
9. 9- Nouwen A, Winkley K, Twisk J, Lloyd CE, Peyrot M, Ismail K, et al. Type 2 diabetes mellitus as a risk factor for the onset of depression: a systematic review and meta-analysis. Diabetologia 2010; 53(12): 2480-6.
10. 10- Byers AL, Yaffe K. Depression and risk of developing dementia. Nature Rev Neurol 2011; 7(6): 323-31.
11. 11- Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry. Lippincott Williams & Wilkins; 2011.
12. 12- Kessler RC, Wai Tat Chiu AM, Olga Demler. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of general psychiatry 2005; 62(6): 617-27.
13. 13- Greenberg PE, Sisitsky T, Kessler RC, Finkelstein SN, Berndt ER, Davidson JR. The economic burden of anxiety disorders in the 1990s. Year Book of Psychiatry and Applied Mental Health 1999; 60(7): 427-35.
14. 14- Meier SM, Petersen L, Manuel Mattheisen, Ole Mors, Preben B Mortensen, et al. Secondary depression in severe anxiety disorders: a population-based cohort study in Denmark. The Lancet Psychiatry 2015; 2(6): 515-23.
15. 15- Murphy JM, Horton NJ, Laird NM, Monson RR, Sobol AM, Leighton AH. Anxiety and depression: a 40 year perspective on relationships regarding prevalence, distribution, and comorbidity. Acta Psychiatrica Scandinavica 2004; 109(5): 355-75.
16. 16- Wittchen HU, Jacobi F, Rehm J, Gustavsson A, Svensson M, Jönsson B, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacology 2011; 21(9): 655-79.
17. 17- Buist-Bouwman MA, De Graaf R, Vollebergh WA, Alonso J, Bruffaerts R, Ormel J, et al. Functional disability of mental disorders and comparison with physical disorders: a study among the general population of six European countries. Acta Psychiatr Scand 2006; 113(6): 492-500.
18. 18- Segal ZV, Williams M, Teasdale JD. Mindfulness-based cognitive therapy for depression. Guilford Publications; 2018.
19. 19- Maxwell L, Duff E. Mindfulness: An Effective Prescription for Depression and Anxiety. The J Nurse Practitioners 2016; 12(6): 403-09.
20. 20- Kabat-Zinn J. Indra's net at work: The mainstreaming of Dharma practice in society 2000; 225-49.
21. 21- Kabat Zinn J. Mindfulness based interventions in context: past, present, and future. Clin psychology: Sci practice 2003; 10(2): 144-56.
22. 22- Baer RA, Smith GT, Allen KB. Assessment of mindfulness by self-report: The Kentucky Inventory of Mindfulness Skills. Assessment 2004; 11(3): 191-206.
23. 23- Brown KW, Ryan RM, Creswell JD. Addressing fundamental questions about mindfulness. Psychological Inquiry 2007; 18(4): 272-81.
24. 24- Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. J personality and social psychology 2003; 84(4): 822-48.
25. 25- Teper R, Segal ZV, Inzlicht M. Inzlicht, Inside the mindful mind how mindfulness enhances emotion regulation through improvements in executive control. Current Directions in Psychological Sci 2013; 22(6): 449-54.
26. 26- Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General hospital psychiatry 1982; 4(1): 33-47.
27. 27- Tang YY, Yang L, Leve LD, Harold GT. Improving executive function and its neurobiological mechanisms through a mindfulness based intervention: Advances within the field of developmental neuroscience. Child Dev perspect 2012; 6(4): 361-66.
28. 28- Chiesa A, Serretti A. Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. J Alternative Complementary Med 2009; 15(5): 593-600.
29. 29- Hofmann SG, Sawyer AT, Witt AA, Oh D. The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. J Consult Clin psychol 2010; 78(2): 169-83.
30. 30- Mohamadi J, Mir Drikvand F, Azizi A. Efficacy of Mindfulness on Anxiety and Depression in Patients with Irritable Bowel Syndrome. J Mazandaran Uni Med Sci 2015. 25(130): 52-61. [Persian]
31. 31- Seidi P, Naderi F, Asgary P, Ahadi H. The efficiency of Mindfulness Based Biofeedback Therapy on depression, anxiety and HbA1c in patients with type 1 diabetes. J Kermanshah Uni Med Sci (J Kermanshah Univ Med Sci) 2016; 19(7): 403-12. [Persian]
32. 32- Naderi Y, Parhon H, Hasani J, Sanaei H. The effectiveness of mindfulness-based stress reduction therapy (MBSR) on cognitive emotion regulation strategies and anxiety and depression rate in Patients with major depressive disorder. Thoughts and Behavior in Clinical Psychol. 2015; 9(35): 17-26. [Persian]
33. 33- Kaviani H, Hatami N, Javaheri F. Mindfulness-based Cognitive therapy (MBCT) decreases automatic thoughts and dysfunctional attitudes 2008. [Persian]
34. 34- Hooman HA. Handbook on meta-analysis in scientific research. Tehran: samt; 2012. [Persian]
35. 35- Howitt D, Cramer D. Introduction to statistics in psychology. Pearson Education; 2005.
36. 36- Sharifi- Shaki, Sharifi- Shaki SH , Aakhte M, Alipor A, Fahimi-Far A, Taghadosi M, Karimi R, et al. The effectiveness of mindfulness-based cognitive therapy in reducing anxiety and meta-worry in women with recurrent miscarriages. Feyz 2015; 19(4): 334-40. [Persian]
37. 37- Jahangirpour M, Musavi V, Khosrojavid M , Salari A, Rezaei S. The effectiveness of group mindfulness training on depression, hostility and anxiety in individuals with coronary heart disease. Urmia Med J 2013; 24(9): 730-39. [Persian]
38. 38- Moradiyani Gizeh Rod S, Drikvand FA, Hosseini Ramaghani N, Mehrabi M. The Effectiveness of Mindfulness-based Parenting Training on Anxiety, Depression and Aggression of Mothers with Children Suffering from Oppositional Defiant Disorder. Armaghane danesh 2016; 21(6): 576-90. [Persian]
39. 39- Abdolghadery M, Kafee M, Saberi A , Aryapouran S. The effectiveness of mindfulness-based cognitive therapy (MBCT) and cognitive behavior therapy (CBT) on decreasing pain, depression and anxiety of patients with chronic low back pain. JSSU 2014; 21(6): 795-807. [Persian]
40. 40- Vala M, Razmandeh R, Rambol K, Nasli Esfahani E, Ghodsi Ghasemabadi R. Mindfulness-based Stress Reduction Group Training on Depression, Anxiety, Stress, Self-confidence and Hemoglobin A1c in Young Women with Type 2 Diabetes. Iran J Endocrinology Metabol 2016; 17(5): 382-90. [Persian]
41. 41- Habibi M, Hanasabzadeh M. The Effectiveness of Mindfulness based Art Therapy on Depression, Anxiety, Stress and Quality of Life among Postmenopausal Women. Iranian J Ageing 2014; 9(1): 22-31. [Persian]
42. 42- Aghayousef AR, Oraki M, Zare M, Imani S. Mindfulness and Addiction: The Effectiveness of Mindfulness in Decreasing Stress, Anxiety, and Depression in Addicts. J Behavior Thought 2013; 7(27): 27-36. [Persian]
43. 43- Azadmarzabadi E, Hashemi Zadeh SM. The effectiveness of mindfulness training on psychological symptoms in veterans with post-traumatic stress disorder. International J Behavior Sci 2014; 9(4): 228-36. [Persian]
44. 44- Narimani M, Ariapouran S, Abolghasemi A, Ahadi B. The comparison of the effectiveness of mindfulness and emotion regulation training on mental health in chemical weapon victims. J Clin Psychol 2011; 2(4); 61-71. [Persian]
45. 45- Kazemian S. The Effect of Mindfulness Based Cognitive Therapy on General Health of Volunteer Addicts. Res Cognitive Behav Sci 2014; 4(1): 181-92. [Persian]
46. 46- Sharifi Daramadi P. Effect of Mindfulness-Based Therapy on Depression, Anxiety and Rumination in Adul. Clinical Psychology Studies 2014; 4(14): 99-118. [Persian]
47. 47- Akbari H, Koshki SH, Jamali, M, Salehi M. The effectiveness of mindfulness-based stress reduction intervention) MBSR( on Symptoms of stress and anxiety in heart patients, follow-up 60 days. Scientific Journal Management System 2011; 7(29): 1-25. [Persian]
48. 48- Feizeh A, Dabaghi P, Goudarzi P. The efficacy of mindfulness-based stress reduction training in the stress, anxiety, depression and psychological well-being of military personnel. J military Psychology 2015; 6(21): 5-14. [Persian]
49. 49- bakhtiari A, neshatdoost H, abedi A, sadeghi M. Effectiveness of Group Therapy Based on Detached Mindfulness Meta-cognitive Model on Hypertension-suffering Female Patients’ Hypertension and Anxiety. Clinical Psychology & Personality 2013; 2(8): 47-62. [Persian]
50. 50- Qamari H, Nader M, Savari H. Effectiveness of the cognitive behavior therapy and mindfulness in crack abuser's mental health. Social health and addiction 2014; 1(4): 47-62. [Persian]
51. 51- Askari M, Radmehr H, Mohammadi H, Jahangir AH. The Effectiveness of Mindfulness-Based Cognitive Therapy on Increasing the Quality of Life and Reducing Psychological Symptoms in Patients with Multiple Sclerosis. J Isfahan Med Sch 2017; 34(410): 1487-95. [Persian]
52. 52- Dadashali S, Rahmati S. Effectiveness of Sahaja-Yoga Mindfulness Exercises on the Reduction of Depression, Anxiety and Stress in Women. Res Psychological Health 2015; 9(3): 55-64. [Persian]
53. 53- Kazemi AS. The Effectiveness Of Training Mindfulness Based Cognitive Strategies In The Reduction Of The Symptoms Of Secondary Traumatic Secondary Traumatic Stress Disorder (S.T.S.D) And Psychological Problems Of Spouses Of Individuals With Post Traumatic Stress disorder (PTSD).Andish Va Raftar (Applied Psychology) 2012; 6(23): 31-42. [Persian]
54. 54- Mahdavi A, Yazdanbakhsh K, Sharifi M. The Effectiveness of Mindfulness-Based Cognitive Therapy in Reducing Psychological Symptoms, Meta-Worry and Thought Fusion of Multiple Sclerosis Patients. Ann Mil Health Sci Res 2016; 14(1): 16-21. [Persian]
55. 55- Kaviani H, Hatami N, Shafieabadi AE. The impact of mindfulness-based cognitive therapy on the quality of life in non-clinically depressed people. Advances in Cognitive Sci 2009. [Persian]
56. 56- Azargoon H, Kajbaf M, moulavi H, Abedi MR. The effect of mindfulness training on the dysfunctional attitude and automatic thinking of depressed students of Isfahan University. J Psychol 2010; 14(1): 79-94. [Persian]
57. 57- Naderi Y, Parhoon H, Nouri R, Mohammadkhani SH, Taghizade M. Effect of mindfulness-based stress reduction (MBSR) on depression symptoms and emotional schema inwomen with major depressive disorder. J Kermanshah Uni Med Sci 2015; 19(4): 181-90. [Persian]
58. 58- Sattarpour F, Ahmadi E, Sadegzadeh S. Effect of mindfulness training on reduction of depressive symptoms among students. J Gorgan Uni Med Sci 2015; 17(3): 81-8. [Persian]
59. 59- Taimory S, Ramezani F, Mahjoob N. The Effectiveness of Mindfulness-Based Group Cognitive Therapy in Reducing Depression and Obsessive Rumination among Women under Methadone Treatment. Res on Addiction 2015; 9(34): 145-59. [Persian]
60. 60- Khaleghipour Sh, Zargar F. Effect of Mindfulness-based cognitive therapy on depression and life expectancy in mothers of children with Intellectual disabilities. J Res Behave Sci 2014; 12(2): 45-55. [Persian]
61. 61- Hamidian S, Omidi A, Mousavinasab SM, Naziri G. The effectiveness of mindfulness-based cognitive therapy on severity of depression and anger in dysthymic patients. Psychological Studies 2016; 12(3): 83-102. [Persian]
62. 62- Talebi ZM, Shahmir E, Jafari FS. Effectiveness Of Mindfulness-Based Cognitive Therapy in the Decrease of Depression and Maniac Symptoms of Individuals Diagnosed with Bipolar Disorder. andishe va raftar 2013; 7(26): 17-26. [Persian]
63. 63- Shirinzadeh-Dastgiri S, Beshlide K, Hamid N, Marashi A, Hashemi-Sheykhshabani, E. The Study of the Effectiveness of Mindfulness -Based Cognitive Therapy on Rumination, Depression and Executive Functions in Depressed Patients. J Clin Psychol 2015; 7(3): 37-48. [Persian]
64. 64- Mehri Nejad SA, Saatchi R. Impact of Mindfulness-Based Cognitive Therapy on Depression, Anger and Emotion Regulation of Veterans’ Spouses. Quarterly of Iranian J War & Public Health 2016; 8(3): 141-48. [Persian]
65. 65- Bakhtiari A, Abedi A. Effectiveness of group therapy based on metacognitive model of detached mindfulness on postpartum depression. J Appl Psychology 2012; 2(22) : 9-24. [Persian]
66. 66- Masumian S, Golzari M, Sharifi MR, Momenzadeh S. The effect of mindfulness-based stress reduction on the rate of depression in patients with chronic low back pain. Anesthesiology and Pain Official Journal of ISRAPM 2013; 3(2): 82-7. [Persian]
67. 67- Ghadam Pour E, Azizi A, Mohamad J. The Efficacy of Detached Mindfulness in Meta-Cognitive Therapy on Postpartum Depression. J Nur Edu 2017; 5(5): 17-22. [Persian]
68. 68- Farhadi A, Movahedi Y, Kariminajadm K, Movahedi M. The effect of mindfulness-based cognitive therapy on depression in male patients with coronary artery disease. Iran J Cardiovascular Nur 2014; 2(4): 14-6. [Persian]
69. 69- Klainin-Yobas P, Cho MA, Creedy D. Efficacy of mindfulness-based interventions on depressive symptoms among people with mental disorders: a meta-analysis. Int J nursing studies 2012; 49(1): 109-21
70. 70- Ghorbanizadeh V, Nangir T. Practical Guide meta-analysis software CMA2. Tehran: Jameshenasan; 2009. [Persian]
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