A systematic review and meta-analysis of mindfulness based interventions and yoga in inflammatory bowel disease.
Study Goal
The researchers aimed to evaluate the efficacy of mindfulness interventions compared to treatment as usual or other psychotherapeutic interventions in managing physical and psychosocial symptoms of inflammatory bowel disease (IBD).
Results Summary
Mindfulness interventions significantly reduced stress and depression, improved quality of life, and showed small but non-significant improvements in anxiety. However, they did not significantly improve physical symptoms of IBD.
Population
Patients with inflammatory bowel disease (IBD).
Effective Dosage
Not specified
Duration
Varied (short-term and long-term effects assessed)
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Mindfulness interventions | decrease | stress | patients with inflammatory bowel disease (IBD) | SMD = -0.48; 95%CI:-0.97, 0.00; P = .05 | showed a statistically significant effect | #1 |
Mindfulness interventions | decrease | stress | patients with inflammatory bowel disease (IBD) | SMD = -0.55; 95%CI:-0.78, -0.32; P < .00001 | showed a statistically significant effect | #2 |
Mindfulness interventions | decrease | depression | patients with inflammatory bowel disease (IBD) | SMD = -0.36; 95%CI:-0.66, -0.07; P = .02 | significant long term effects | #3 |
Mindfulness interventions | increase | quality of life | patients with inflammatory bowel disease (IBD) | SMD = 0.38; 95%CI:0.08, 0.68; P = .01 | significant long term effects | #4 |
Mindfulness interventions | decrease | anxiety | patients with inflammatory bowel disease (IBD) | SMD = -0.27; 95%CI:-0.65, 0.11; P = .16 | small but not statistically significant improvements | #5 |
Mindfulness interventions | no change | physical symptoms of IBD | patients with inflammatory bowel disease (IBD) | not statistically significant | Effects on physical outcomes were equivocal and not statistically significant | #6 |
BACKGROUND: Mindfulness interventions are increasingly used as a part of integrated treatment in inflammatory bowel disease (IBD) but there are limited data and a lack of consensus regarding effectiveness. OBJECTIVES: We explored the efficacy of mindfulness interventions compared to treatment as usual (TAU), or other psychotherapeutic interventions, in treating physical and psychosocial symptoms associated with IBD. METHODS: We conducted a systematic review and meta-analysis of relevant randomized controlled trials (RCTs). We included a broad range of mindfulness interventions including mindfulness-based interventions and yoga, with no restrictions on date of publication, participants' age, language or publication type. We searched the following electronic databases: MEDLINE, EMBASE, PsycINFO, CINAHL and WHO ICTRP database. We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines in conducting the review. RESULTS: We included eight studies in the meta-analysis. Mindfulness interventions showed a statistically significant effect on stress in both the short(SMD = -0.48; 95%CI:-0.97, 0.00; P = .05), and long term(SMD = -0.55; 95%CI:-0.78, -0.32; P < .00001), significant long term effects on depression (SMD = -0.36; 95%CI:-0.66, -0.07; P = .02) and quality of life (SMD = 0.38; 95%CI:0.08, 0.68; P = .01),and small but not statistically significant improvements in anxiety (SMD = -0.27; 95%CI:-0.65, 0.11; P = .16).Effects on physical outcomes were equivocal and not statistically significant. CONCLUSIONS: Mindfulness interventions are effective in reducing stress and depression and improving quality of life and anxiety, but do not lead to significant improvements in the physical symptoms of IBD. Further research involving IBD-tailored interventions and more rigorously designed trials is warranted.