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26-11-2020 | REVIEW

Emotion-Related Constructs Engaged by Mindfulness-Based Interventions: a Systematic Review and Meta-analysis

Auteurs: Elizabeth A. Hoge, Rebecca L. Acabchuk, Hannah Kimmel, Ethan Moitra, Willoughby B. Britton, Travis Dumais, Rebecca A. Ferrer, Sara W. Lazar, David Vago, Jonah Lipsky, Zev Schuman-Olivier, Aya Cheaito, Lauren Sager, Sarah Peters, Hadley Rahrig, Pamela Acero, Jodi Scharf, Eric B. Loucks, Carl Fulwiler

Gepubliceerd in: Mindfulness | Uitgave 5/2021

Abstract

Objectives

Mindfulness-based interventions (MBIs) have been widely implemented to improve self-regulation behaviors, often by targeting emotion-related constructs to facilitate change. Yet the degree to which MBIs engage specific measures of emotion-related constructs has not been systematically examined.

Methods

Using advanced meta-analytic techniques, this review examines construct and measurement engagement in trials of adults that used standardized applications of the two most established MBIs: Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), or modified variations of these interventions that met defined criteria.

Results

Seventy-two studies (N = 7,378) were included (MBSR k = 47, MBCT k = 21, modified k = 4). MBIs led to significant improvement in emotion-related processing overall, compared to inactive controls (d = 0.58; k = 36), and in all constructs assessed: depression (d = 0.66; k = 26), anxiety (d = 0.63; k = 19), combined mental health (d = 0.75; k = 7), and stress (d = 0.44; k = 11). Reactions to pain, mood states, emotion regulation, and biological measures lacked sufficient data for analysis. MBIs did not outperform active controls in any analyses. Measurement tool and population type did not moderate results, but MBI type did, in that MBCT showed stronger effects than MBSR, although these effects were driven by a small number of studies.

Conclusions

This review is the first to examine the full scope of emotion-related measures relevant to self-regulation, to determine which measures are most influenced by MBCT/MBSR. Compared to extant reviews, which typically focused on MBI outcomes, this work examined mechanistic processes based on measurement domains and tools. While effect sizes were similar among measurement tools, this review also includes a descriptive evaluation of measures and points of caution, providing guidance to MBI researchers and clinicians for selection of emotion-related measurement tools.

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Titel: Emotion-Related Constructs Engaged by Mindfulness-Based Interventions: a Systematic Review and Meta-analysis
Auteurs: Elizabeth A. Hoge
Rebecca L. Acabchuk
Hannah Kimmel
Ethan Moitra
Willoughby B. Britton
Travis Dumais
Rebecca A. Ferrer
Sara W. Lazar
David Vago
Jonah Lipsky
Zev Schuman-Olivier
Aya Cheaito
Lauren Sager
Sarah Peters
Hadley Rahrig
Pamela Acero
Jodi Scharf
Eric B. Loucks
Carl Fulwiler
Publicatiedatum: 26-11-2020
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 5/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-020-01561-w

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