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The efficacy of mindfulness-based interventions on mental health among university students: a systematic review and meta-analysis.

Frontiers in public health
January 1, 2023
Xinyi Zuo et al. (4 authors)
Meta-AnalysisSystematic ReviewResearch Support, Non-U.S. Gov'tJournal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to estimate the effect of mindfulness therapy on mental health, specifically depression, anxiety, stress, mindfulness, and sleep quality.

Results Summary

The meta-analysis of 11 RCTs demonstrated positive effects of mindfulness therapy on depression, anxiety, stress, mindfulness, and sleep quality, with statistically significant improvements across multiple standardized measures.

Population

1,824 participants from randomized controlled trials (specific demographics not detailed in the abstract).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness therapy
decrease
depression
1,824 participants
SMD = -0.33, 95% CI: [-0.44, -0.22]
demonstrated positive effects
#1
mindfulness therapy
decrease
anxiety
1,824 participants
SMD = -0.31, 95% CI: [-0.42, -0.20]
demonstrated positive effects
#2
mindfulness therapy
decrease
stress
1,824 participants
SMD = -0.31, 95% CI: [-0.42, -0.20]
demonstrated positive effects
#3
mindfulness therapy
increase
mindfulness
1,824 participants
SMD = 0.31, 95% CI: [0.20, 0.42]
demonstrated positive effects
#4
mindfulness therapy
increase
sleep quality
1,824 participants
SMD = 0.31, 95% CI: [0.20, 0.42]
demonstrated positive effects
#5
Abstract

INTRODUCTION: We aimed to estimate the effect of mindfulness therapy on mental health. METHODS: Two researchers searched 12 databases to identify relevant trials that were published from 1 January 2018 to 1 May 2023. We performed a meta-analysis to determine the effect of mindfulness therapy on depression, which was measured by the Beck Depression Inventory (BDI), Patient Health Questionnaire-9 (PHQ-9), Quick Inventory of Depressive Symptomatology (QIDS), Hamilton Depression Rating Scale (HDRS), Patient-Reported Outcomes Measurement Information System (PROMIS), Hospital Anxiety and Depression Scale (HADS), and Depression Anxiety Stress Scales (DASS); anxiety, which was measured by the Beck Anxiety Inventory (BAI), PROMIS, and DASS, Generalized Anxiety Disorder-7 (GAD-7); stress, which was measured by the Perceived Stress Scale (PSS), DASS, and GAD-7; mindfulness, which was measured by the GAD-7, Five Facet Mindfulness Questionnaire (FFMQ), Mindful Attention Awareness Scale (MAAS), Short Form-12 Mental Component Score (SF-12 MCS) and Short Form-12 Physical Component Score (SF-12 PCS); and sleep quality, which was measured by the Pittsburgh Sleep Quality Index (PSQI). After screening studies based on the inclusion and exclusion criteria, 11 randomized controlled trials (RCTs) involving 1,824 participants were ultimately included. RESULTS: All these studies demonstrated positive effects of mindfulness therapy on depression (SMD = -0.33, 95% CI: [-0.44, -0.22], DISCUSSION: In future studies, it is necessary to consider the investigation on whether the strategies of improving the mindfulness therapy in adherence and fidelity can work on the improvement of the outcomes in mental health. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/PROSPERO/, https://www.crd.york.ac.uk/PROSPERO/, identifier [CRD42023469301].

Medical Subject Headings (MeSH)
MindfulnessUniversitiesPsychological TestsDepressionStudentsSelf ReportHumansRandomized Controlled Trials as TopicMental Health
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations8
Citations/Year4.0
Relative Citation Ratio3.05
NIH Percentile85.3%
Research Impact Scores
APT Score0.75
Weight Score2.99
Normalized Score0.72
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