scholarly journals Mindfulness-based online interventions for mental health treatment: A systematic review and meta-analysis (Preprint)

2018 ◽  
Author(s):  
Julia Sevilla-Llewellyn-Jones ◽  
Olga Santesteban-Echarri ◽  
Ingrid Pryor ◽  
Patrick McGorry ◽  
Mario Alvarez-Jimenez

BACKGROUND Mindfulness-based online interventions (MOI) are increasingly being delivered through the Internet to treat mental health conditions. OBJECTIVE To determine the effectiveness of MOI in clinical mental health populations. Secondary aims are to explore the impact of study variables on the effectiveness of MOI. METHODS Systematic review and meta-analysis of studies investigating the effects of MOI in clinical populations. RESULTS The search strategy yielded N=12 eligible studies. MOIs were effective in reducing depression in the total clinical sample (n=656 g=-0.609, P=0.004) and in the anxiety disorder subgroup (n=313, g=-0.651, P=0.000) but not in the depression disorder subgroup (n=251, P=0.178). Similarly, MOIs significantly reduced anxiety in the total clinical sample (n=756, g=-0.433, P=0.004) and the anxiety disorder subgroup (n=413, g=-0.719, P=0.000) but not in the depression disorder group (n=251, g=-0.213, P=0.275). Finally, MOIs improved quality of life and functioning in the total sample (n= 591, g=0.362, P=0.023) and the anxiety disorder subgroup (n=370, g=0.550, P=0.021) and mindfulness skills in the total clinical sample (n=251, g=0.724, P=0.000). CONCLUSIONS Results support the effectiveness of MOIs for reducing depression and anxiety, and enhancing quality of life and mindfulness skills, particularly in those with clinical anxiety. Results should be interpreted with caution given the high heterogeneity of MOIs and the low number of studies included.

10.2196/10278 ◽  
2018 ◽  
Vol 5 (3) ◽  
pp. e10278 ◽  
Author(s):  
Julia Sevilla-Llewellyn-Jones ◽  
Olga Santesteban-Echarri ◽  
Ingrid Pryor ◽  
Patrick McGorry ◽  
Mario Alvarez-Jimenez

Background Web-based mindfulness interventions are increasingly delivered through the internet to treat mental health conditions. Objective The objective of this study was to determine the effectiveness of web-based mindfulness interventions in clinical mental health populations. Secondary aims were to explore the impact of study variables on the effectiveness of web-based mindfulness interventions. Methods We performed a systematic review and meta-analysis of studies investigating the effects of web-based mindfulness interventions on clinical populations. Results The search strategy yielded 12 eligible studies. Web-based mindfulness interventions were effective in reducing depression in the total clinical sample (n=656 g=−0.609, P=.004) and in the anxiety disorder subgroup (n=313, g=−0.651, P<.001), but not in the depression disorder subgroup (n=251, P=.18). Similarly, web-based mindfulness interventions significantly reduced anxiety in the total clinical sample (n=756, g=−0.433, P=.004) and the anxiety disorder subgroup (n=413, g=−0.719, P<.001), but not in the depression disorder group (n=251, g=−0.213, P=.28). Finally, web-based mindfulness interventions improved quality of life and functioning in the total sample (n=591, g=0.362, P=.02) in the anxiety disorder subgroup (n=370, g=0.550, P=.02) and mindfulness skills in the total clinical sample (n=251, g=0.724, P<.001). Conclusions Results support the effectiveness of web-based mindfulness interventions in reducing depression and anxiety and in enhancing quality of life and mindfulness skills, particularly in those with clinical anxiety. Results should be interpreted with caution given the high heterogeneity of web-based mindfulness interventions and the low number of studies included.


2018 ◽  
Vol 9 (1) ◽  
pp. e12290 ◽  
Author(s):  
Alejandro Szmulewicz ◽  
Kerollos N. Wanis ◽  
Ashley Gripper ◽  
Federico Angriman ◽  
Jeff Hawel ◽  
...  

2019 ◽  
Vol 41 (3) ◽  
pp. 529-536 ◽  
Author(s):  
Joseph Triegaardt ◽  
Thang S. Han ◽  
Charif Sada ◽  
Sapna Sharma ◽  
Pankaj Sharma

Abstract Introduction Parkinson’s disease (PD) is managed primarily by dopamine agonists and physiotherapy while virtual reality (VR) has emerged recently as a complementary method. The present study reviewed the effectiveness of VR in rehabilitation of patients with PD. Methods Literature search up to June 2019 identified ten studies (n = 343 participants) suitable for meta-analysis and 27 studies (n = 688 participants) for systematic review. Standard mean difference (SMD) and 95% confidence intervals (CI) were calculated using a random effects model. Results In meta-analysis, compared with active rehabilitation intervention, VR training led to greater improvement of stride length, SMD = 0.70 (95%CI = 0.32–1.08, p = 0.0003), and was as effective for gait speed, balance and co-ordination, cognitive function and mental health, quality of life and activities of daily living. Compared with passive rehabilitation intervention, VR had greater effects on balance: SMD = 1.02 (95%CI = 0.38–1.65, p = 0.002). Results from single randomised controlled trials showed that VR training was better than passive rehabilitation intervention for improving gait speed SMD = 1.43 (95%CI = 0.51–2.34, p = 0.002), stride length SMD = 1.27 (95%CI = 0.38–2.16, p = 0.005) and activities of daily living SMD = 0.96 (95%CI = 0.02–1.89). Systematic review showed that VR training significantly (p < 0.05) improved motor function, balance and co-ordination, cognitive function and mental health, and quality of life and activities of daily living. Conclusion VR used in rehabilitation for patients with PD improves a number of outcomes and may be considered for routine use in rehabilitation.


2020 ◽  
Vol 30 (10) ◽  
pp. 4091-4100
Author(s):  
Nicola Gadd ◽  
Ashleigh McIntosh ◽  
Brianna Fear-Keen ◽  
Jennifer Hoult ◽  
Isabella R Maimone ◽  
...  

Author(s):  
Fazel Dehvan ◽  
Dler Mohammed Saeed ◽  
Ali Hasanpour Dehkordi ◽  
Reza Ghanei Gheshlagh

Background & Aim: Diabetes is one of the most common chronic metabolic disorders, and one of the essential health-related challenges in today’s world. In addition to different kind of disabilities, diabetes complications can severely impact the quality of life of patients. The present systematic review and meta-analysis are aimed at examining the quality of life of Iranian patients who have type 2 diabetes based on the World Health Organization Quality of Life-BREF. Methods & Materials: A total of 16 articles published in Persian and English were reviewed without any time limitation. The search was conducted in Iranian databases, including Scientific Information Database, Magiran, and IranMedex; and international databases, including Google Scholar, Web of Science, Pub Med, and Scopus. The data was examined using the meta-analysis method and the random-effects model. Heterogeneity was assessed using the I2 statistic. The analyses were conducted in Stata, version 11. Results: The mean quality of life score for patients with type 2 diabetes was 61.90 (95% confidence interval: 54.40-69.40). The highest and lowest quality of life scores were for social support (49.19) and mental health (42.96) dimensions, respectively. No significant association was found between the mean quality of life score and year of publication, methodological quality, and mean age of participants (P>0.05). Conclusion: Given that patients with type 2 diabetes have a lower quality of life, especially in terms of mental health, it seems necessary to better understand psychological problems common in this group of patients and design strategies to overcome them.


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