Effects of Mindfulness-Based Stress Reduction on Anxiety Symptoms in Young People: A Systematic Review and Meta-Analysis

Author: Xiang Zhou 1, Jieyu Guo 1, Guangli Lu 2, Chaoran Chen 3, Zhenxing Xie 4, Jiangmin Liu 5, Chuning Zhang 1
Author Information:
1 Institute of Nursing and Health, College of Nursing and Health, Henan University, Jinming Avenue, Kaifeng, Henan, 475004, China.
2 School of Business, Henan University, Jinming Avenue, Kaifeng, Henan, 475004, China. Electronic address: kfwangli0915@126.com.
3 Institute of Nursing and Health, College of Nursing and Health, Henan University, Jinming Avenue, Kaifeng, Henan, 475004, China. Electronic address: kfccr@126.com.
4 School of Basic Medicine, Henan University, Kaifeng, Henan, 475004, China.
5 North Sichuan Medical College, Nanchong, Sichuan, 637000, China.
Conference/Journal: Psychiatry Res.
Date published: 2020 May 7
Other: Volume ID: 289 , Pages: 113002 , Special Notes: doi: 10.1016/j.psychres.2020.113002. , Word Count: 245


PMID: 32438210 DOI: 10.1016/j.psychres.2020.113002
Abstract
In this study, we evaluated the efficacy of mindfulness-based stress reduction (MBSR) for young people with anxiety symptoms . We used many databases, including PubMed, PsycINFO, Web of Science, EMBASE, CINAHL and Cochrane Library (from inception to May 2019). We included randomized controlled trials (RCTs) comparing MBSR with various control conditions, including didactic lecture course, health education, treatment as usual, didactic seminar and cognitive behavioral program in young people with anxiety symptoms . Finally, we selected fourteen studies comprising 1489 participants comparing with control conditions. The meta-analysis suggested that MBSR significantly reduced anxiety symptoms compared to control conditions at post-treatment (Standardized Mean Difference, SMD = -0.14, 95% CI -0.24 to -0.04). However, the effect of MBSR on anxiety symptoms in young people may be affected by different intervention duration, especially the significance in a short-term intervention (less than 8 weeks). In addition, the meta-analysis indicated publication bias for anxiety symptoms . Using the trim-and-fill method, we found the adjusted standardized mean difference, which indicated that MBSR was still significantly superior to the other control conditions. The sensitivity analysis showed that the result was reliable. Current evidence indicates MBSR has superior efficacy compared with control conditions in treating young people with anxiety symptoms . Based on this, we suggest there is a significant effect of MBSR on young people with anxiety symptoms, especially the effects of long-term intervention for future studies.

Keywords: Anxiety symptoms; Meta-analysis; Mindfulness-based stress reduction; Randomized controlled trials; Young people.

Copyright © 2020 Elsevier B.V. All rights reserved.

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