Chiesa A, Serretti A. Mindfulness based cognitive therapy for psychiatric disorders: a systematic review and meta-analysis. Psychiatry Res 187: 441-453

Institute of Psychiatry, University of Bologna, Bologna, Italy.
Psychiatry Research (Impact Factor: 2.47). 05/2011; 187(3):441-53. DOI: 10.1016/j.psychres.2010.08.011
Source: PubMed


Mindfulness- based Cognitive Therapy (MBCT) is a meditation program based on an integration of Cognitive behavioural therapy and Mindfulness-based stress reduction. The aim of the present work is to review and conduct a meta-analysis of the current findings about the efficacy of MBCT for psychiatric patients. A literature search was undertaken using five electronic databases and references of retrieved articles. Main findings included the following: 1) MBCT in adjunct to usual care was significantly better than usual care alone for reducing major depression (MD) relapses in patients with three or more prior depressive episodes (4 studies), 2) MBCT plus gradual discontinuation of maintenance ADs was associated to similar relapse rates at 1year as compared with continuation of maintenance antidepressants (1 study), 3) the augmentation of MBCT could be useful for reducing residual depressive symptoms in patients with MD (2 studies) and for reducing anxiety symptoms in patients with bipolar disorder in remission (1 study) and in patients with some anxiety disorders (2 studies). However, several methodological shortcomings including small sample sizes, non-randomized design of some studies and the absence of studies comparing MBCT to control groups designed to distinguish specific from non-specific effects of such practice underscore the necessity for further research.

    • "Mindfulness is attracting increasing interest from the general public as well as the scientific community, due to its health and well-being benefits (Chiesa and Serretti, 2011;Keng et al., 2011). Technically, mindfulness can be defined as a psychological process which consists of two components: "
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    ABSTRACT: Mindfulness is attracting an increasing interest due to its health and well-being benefits, but its practice can be difficult for people with no or minimal experience with meditation. In this study, we aim at thoroughly investigating participants' user experience with a mobile mindfulness app (AEON). In particular, we focus on perceptions in using the app for ameliorating worry, as well as on understanding in situ usage. We employ thematic analysis to qualitatively analyze participants' interviews at the end of a 5-week study period. Results indicate that several participants experienced decentering from their worries when using the app. Moreover, AEON was perceived as easy and pleasant to use. However, results also highlight that some participants did not experience decentering from all or some of their worries, and we discuss the possible reasons. Finally, unexpected patterns of use, user's suggestions and some usability problems emerged from the study, allowing us to identify some design opportunities for mindfulness apps.
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    • "A total of 11 studies (from 15 articles) met the inclusion criteria. Congruent with prior literature (Chiesa and Serretti, 2011;Khoury et al., 2013), there was relatively consistent evidence for MBIs' effectiveness on psychological outcomes. Results found mixed evidence for MBIs' effectiveness on physiological outcomes. "
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    ABSTRACT: This systematic review aimed to examine the effectiveness of Mindfulness-based interventions in reducing diabetes-related physiological and psychological symptoms in adults with types 1 and 2 diabetes. Five databases were systematically searched. A total of 11 studies satisfied the inclusion criteria. Mindfulness-based intervention effectiveness for physiological outcomes (glycaemic control and blood pressure) was mixed. Mindfulness-based interventions appear to have psychological benefits reducing depression, anxiety and distress symptoms across several studies. Studies' short-term follow-up periods may not allow sufficient time to observe physiological changes or illustrate Mindfulness-based interventions' potential long-term efficacy. More long-term studies that include a consistent, standardised set of outcome measures are required.
    No preview · Article · Dec 2015 · Journal of Health Psychology
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    • "In recent years, we have seen the emergence of several intervention strategies aimed at improving psychiatric treatment, such as multisystemic (Henggeler, 1999), cognitive behavioral (Pike et al., 2003), or mindfulness (Chiesa and Serretti, 2011) therapies. The goal of these new interventions is not to discredit existing treatment methods but to provide a complementary set of tools that can be used by clinicians to improve current patient assessment. "
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    ABSTRACT: Currently, relapse prevention remains the main challenge in addiction medicine, indicating that the established treatment methods combining psychotherapy with neuropharmacological interventions are not entirely effective. Therefore, there is a push to develop alternatives to psychotherapy- and medication-based approaches to addiction treatment. Two major cognitive factors have been identified that trigger relapse in addicted patients: attentional biases directed toward drug-related cues, which increase the urge to consume, and impaired response inhibition toward these cues, which makes it more difficult for addicted people to resist temptation. Recent studies on newly detoxified alcoholic patients have shown that by using the appropriate tasks to index these cognitive functions with event-related potentials (ERPs), it is possible to discriminate between future relapsers and nonrelapsers. These preliminary data suggest that the ERP technique has great clinical potential for preventing relapse in alcohol-dependent patients, as well as for addictive states in general. Indeed, ERPs may help to identify patients highly vulnerable to relapse and allow the development of individually adapted cognitive rehabilitation programs. The implementation of this combined approach requires an intense collaboration between psychiatry departments, clinical neurophysiology laboratories, and neuropsychological rehabilitation centers. The potential pitfalls and limitations of this approach are also discussed.
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