Author: Goldberg SB1, Tucker RP2, Greene PA3, Davidson RJ4, Wampold BE5, Kearney DJ3, Simpson TL6
Affiliation:
1VA Puget Sound Health Care System, Seattle, WA, USA; Center for Healthy Minds, University of Wisconsin - Madison, Madison, WI, USA; Department of Counseling Psychology, University of Wisconsin - Madison, Madison, WI, USA. Electronic address: sbgoldberg@wisc.edu.
2Department of Psychology, Louisiana State University, Baton Rouge, LA, USA.
3VA Puget Sound Health Care System, Seattle, WA, USA.
4Center for Healthy Minds, University of Wisconsin - Madison, Madison, WI, USA; Department of Psychology, University of Wisconsin - Madison, Madison, WI, USA.
5Department of Counseling Psychology, University of Wisconsin - Madison, Madison, WI, USA; Modum Bad Psychiatric Center, Vikersund, Norway.
6VA Puget Sound Health Care System, Seattle, WA, USA; Center for Excellence in Substance Abuse Treatment and Education, VA Puget Sound Health Care System, Seattle, WA, USA.
Conference/Journal: Clin Psychol Rev.
Date published: 2017 Nov 7
Other:
Pages: S0272-7358(17)30384-7 , Special Notes: doi: 10.1016/j.cpr.2017.10.011. [Epub ahead of print] , Word Count: 192
Despite widespread scientific and popular interest in mindfulness-based interventions, questions regarding the empirical status of these treatments remain. We sought to examine the efficacy of mindfulness-based interventions for clinical populations on disorder-specific symptoms. To address the question of relative efficacy, we coded the strength of the comparison group into five categories: no treatment, minimal treatment, non-specific active control, specific active control, and evidence-based treatment. A total of 142 non-overlapping samples and 12,005 participants were included. At post-treatment, mindfulness-based interventions were superior to no treatment (d=0.55), minimal treatment (d=0.37), non-specific active controls (d=0.35), and specific active controls (d=0.23). Mindfulness conditions did not differ from evidence-based treatments (d=-0.004). At follow-up, mindfulness-based interventions were superior to no treatment conditions (d=0.50), non-specific active controls (d=0.52), and specific active controls (d=0.29). Mindfulness conditions did not differ from minimal treatment conditions (d=0.38) and evidence-based treatments (d=0.09). Effects on specific disorder subgroups showed the most consistent evidence in support of mindfulness for depression, pain conditions, smoking, and addictive disorders. Results support the notion that mindfulness-based interventions hold promise as evidence-based treatments.
Copyright © 2017. Published by Elsevier Ltd.
KEYWORDS: Evidence-based treatments; Meditation; Meta-analysis; Mindfulness; Psychiatric disorders; Relative efficacy
PMID: 29126747 DOI: 10.1016/j.cpr.2017.10.011
