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Mindfulness in mental health care: it goes the way it goes. A reply to Remco Havermans
Recently, Havermans wrote a critique on the widespread application of mindfulness based interventions for mental health problems. I agree with the view that the exact nature of their effectiveness is not undisputable, considering methodological limitations of many studies. These limitations are mainly related with the control groups used and with the potential existence of a self-selection bias of participants, problems common to psychological intervention studies. However, data available do suggest that mindfulness-based interventions a) relieve psychological symptoms better than being on a waitlist, b) have overall comparable effectiveness to traditional approaches such as antidepressant medication, and c) are not accompanied with any known adverse effects. While more research is needed regarding the specificity of effects, mechanisms, and moderating variables, the available results suggest that the application of mindfulness based interventions for affective problems is safe and at least better than doing nothing.
Literatuur
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45.
Bondolfi, G., Jermann, F., der Linden, M. V., Gex-Fabry, M., Bizzini, L., Rouget, B.W., Myers-Arrazola, L., Gonzalez, C., Segal, Z., Aubry, J. M., & Bertschy, G. (2010). Depression relapse prophylaxis withMindfulness-Based Cognitive Therapy: replication and extension in the Swiss health care system. Journal of Affective Disorders, 122, 224–231.
Bränström, R., Kvillemo, P., Brandberg, Y., & Moskowitz, J. T. (2010). Mindfulness as amediator of psychological well-being in a stress reduction intervention for cancer patients: a randomized study. Annals of BehavioralMedicine, 39, 151–161.
Chiesa, A., & Serretti, A. (2009).Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. Journal of Alternative and ComplementaryMedicine, 15, 593–600.
Ekman, P., Davidson, R. J., Ricard, M., &Wallace, B. A. (2005). Buddhist and psychological perspectives on emotions and well-being. Current Directions in Psychological Science, 14, 59–63.
Havermans, R. C. (2010).Mindfulnessmeditatie in de de geestelijke gezondheidszorg: te veel, te vaak en te vroeg. Psychologie & Gezondheid, 38,250–254.
Hofmann, S. G., Sawyer, A. T.,Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169–183.
Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C.,Mills, P. J., Bell, I., & Schwartz, G. E. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: effects on distress, positive states ofmind, rumination, and distraction. Annals of BehavioralMedicine, 33, 11–21.
Krishnamurti, J. (1987). The awakening of intelligence. San Francisco: Harper.
Ma, S. H., & Teasdale, J. D. (2004).Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 31–40.
Nyklíček, I., & Kuijpers, K. F. (2008). Effects ofmindfulness-based stress reduction intervention on psychological well-being and quality of life: is increased mindfulness indeed themechanism? Annals of BehavioralMedicine, 35, 331–340.
Nyklíček, I., van Son, J., & Pouwer, F. (2010). Two recently published meta-analyses on the effectiveness of mindfulness-based interventions: What should the reader make of it? Journal of Psychosomatic Research, 69, 613–614.
Segal, Z. V., Bieling, P., Young, T.,Macqueen, G., Cooke, R.,Martin, L., Bloch, R., & Levitan, R. D. (2010). Antidepressant monotherapy vs sequential pharmacotherapy and Mindfulness-Based Cognitive Therapy, or placebo, for relapse prophylaxis in recurrent depression. Archives of General Psychiatry, 67, 1256–1264.
Wallace, B. A., & Shapiro, S. L. (2006).Mental balance and wellbeing: Building bridges between buddhism and western psychology. American Psychologist, 61, 690–701.
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Nyklíček, I. Mindfulness in de geestelijke gezondheidszorg: het gaat zoals het gaat Reactie op Remco Havermans. PSYCHOL. GEZONDH. 39, 39–41 (2011). https://doi.org/10.1007/s12483-011-0007-7
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DOI: https://doi.org/10.1007/s12483-011-0007-7