Skip to main content
Top
Gepubliceerd in: Mindfulness 7/2021

05-03-2021 | REVIEW

Finding the Spiritual in the Secular: A Meta-analysis of Changes in Spirituality Following Secular Mindfulness-Based Programs

Auteurs: Samuel D. Landau, Fergal W. Jones

Gepubliceerd in: Mindfulness | Uitgave 7/2021

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

Spirituality has historically been a neglected aspect of people’s lives within a healthcare context. Previous meta-analyses of the effect of Mindfulness-Based Programs (MBPs) on spirituality have been limited by the small number of includable studies that were available at the time, by not comparing MBPs to active controls, and by not investigating whether effects continue to be observed at follow-up. Therefore, the current systematic review and meta-analysis aimed to more comprehensively examine whether, and to what extent, secular MBPs increase spirituality, and to identify moderators of any observed effects.

Methods

Random effects meta-analyses were conducted on 13 controlled trials of MBPs measuring spirituality that were identified by a systematic search of PsycInfo and Medline.

Results

At post-intervention, MBPs increased spirituality compared to both passive and active controls (passive: g = 0.52, 95% C.I.: 0.35 to 0.68; active: g = 0.34, 95% C.I.: 0.14 to 0.54), and effects continued to be observed at follow-up (passive: g = 0.32, 95% C.I.: 0.09 to 0.55; active: g = 0.44, 95% C.I.: 0.18 to 0.71). For passive controls at post-intervention, cancer samples showed a significantly larger pooled effect than the non-cancer ones (cancer: g = 0.75, 95% C.I.: 0.52 to 0.98; non-cancer: g = 0.38, 95% C.I.: 0.20 to 0.56; χ2(1) = 6.14, p = 0.01), but moderation analysis was not possible at follow-up or for active controls. Study quality was not significantly associated with effect size.

Conclusions

Secular MBPs appear to increase spirituality; these effects endure beyond the end of the MBP and they cannot wholly be attributed to non-specific therapeutic factors. Limitations are discussed.
Literatuur
go back to reference Baer, R. A. (Ed.). (2010). Assessing mindfulness and acceptance processes in clients: illuminating the theory and practice of change. Oakland: New Harbinger. Baer, R. A. (Ed.). (2010). Assessing mindfulness and acceptance processes in clients: illuminating the theory and practice of change. Oakland: New Harbinger.
go back to reference Carlson, L. E., & Speca, M. (2010). Mindfulness-based cancer recovery. Oakland: New Harbinger. Carlson, L. E., & Speca, M. (2010). Mindfulness-based cancer recovery. Oakland: New Harbinger.
go back to reference *Carlson, L. E., Tamagawa, R., Stephen, J., Drysdale, E., Zhong, L., & Speca, M. (2016). Randomized-controlled trial of mindfulness-based cancer recovery versus supportive expressive group therapy among distressed breast cancer survivors (MINDSET): long-term follow-up results. Psycho-Oncology, 25(7), 750-759. https://doi.org/10.1002/pon.4150 *Carlson, L. E., Tamagawa, R., Stephen, J., Drysdale, E., Zhong, L., & Speca, M. (2016). Randomized-controlled trial of mindfulness-based cancer recovery versus supportive expressive group therapy among distressed breast cancer survivors (MINDSET): long-term follow-up results. Psycho-Oncology, 25(7), 750-759. https://​doi.​org/​10.​1002/​pon.​4150
go back to reference Cochrane Collaboration. (2014). Review manager (revman) version 5.3. [Computer program]. Copenhagen: Nordic Cochrane Centre. Cochrane Collaboration. (2014). Review manager (revman) version 5.3. [Computer program]. Copenhagen: Nordic Cochrane Centre.
go back to reference *Feuille, M., & Pargament, K. (2015). Pain, mindfulness, and spirituality: a randomized controlled trial comparing effects of mindfulness and relaxation on pain-related outcomes in migraineurs. Journal of Health Psychology, 20(8), 1090-1106. https://doi.org/10.1177/1359105313508459 *Feuille, M., & Pargament, K. (2015). Pain, mindfulness, and spirituality: a randomized controlled trial comparing effects of mindfulness and relaxation on pain-related outcomes in migraineurs. Journal of Health Psychology, 20(8), 1090-1106. https://​doi.​org/​10.​1177/​1359105313508459​
go back to reference *Garland, S. N., Carlson, L. E., Cook, S., Lansdell, L., & Speca, M. (2007). A non-randomized comparison of mindfulness-based stress reduction and healing arts programs for facilitating post-traumatic growth and spirituality in cancer outpatients. Supportive Care in Cancer, 15(8), 949-961. https://doi.org/10.1007/s00520-007-0280-5 *Garland, S. N., Carlson, L. E., Cook, S., Lansdell, L., & Speca, M. (2007). A non-randomized comparison of mindfulness-based stress reduction and healing arts programs for facilitating post-traumatic growth and spirituality in cancer outpatients. Supportive Care in Cancer, 15(8), 949-961. https://​doi.​org/​10.​1007/​s00520-007-0280-5
go back to reference *Geary, C., & Rosenthal, S. L. (2011). Sustained impact of MBSR on stress, well-being, and daily spiritual experiences for 1 year in academic health care employees. Journal of Alternative and Complementary Medicine, 17(10), 939-944. https://doi.org/10.1089/acm.2010.0335 *Geary, C., & Rosenthal, S. L. (2011). Sustained impact of MBSR on stress, well-being, and daily spiritual experiences for 1 year in academic health care employees. Journal of Alternative and Complementary Medicine, 17(10), 939-944. https://​doi.​org/​10.​1089/​acm.​2010.​0335
go back to reference Germer, C. K., Siegel, R. D., & Fulton, P. R. (Eds.). (2005). Mindfulness and psychotherapy. New York: Guilford Press. Germer, C. K., Siegel, R. D., & Fulton, P. R. (Eds.). (2005). Mindfulness and psychotherapy. New York: Guilford Press.
go back to reference Grossman, P. (2011). Defining mindfulness by how poorly I think I pay attention during everyday awareness and other intractable problems for psychology’s (re) invention of mindfulness: comment on Brown et al. (2011). Psychological Assessment, 23, 1034–1040. https://doi.org/10.1037/a0022713.CrossRefPubMed Grossman, P. (2011). Defining mindfulness by how poorly I think I pay attention during everyday awareness and other intractable problems for psychology’s (re) invention of mindfulness: comment on Brown et al. (2011). Psychological Assessment, 23, 1034–1040. https://​doi.​org/​10.​1037/​a0022713.CrossRefPubMed
go back to reference *Henderson, V. P., Clemow, L., Massion, A. O., Hurley, T. G., Druker, S., & Hébert, J. R. (2012). The effects of mindfulness-based stress reduction on psychosocial outcomes and quality of life in early-stage breast cancer patients: a randomized trial. Breast Cancer Research and Treatment, 131(1), 99-109. https://doi.org/10.1007/s10549-011-1738-1 *Henderson, V. P., Clemow, L., Massion, A. O., Hurley, T. G., Druker, S., & Hébert, J. R. (2012). The effects of mindfulness-based stress reduction on psychosocial outcomes and quality of life in early-stage breast cancer patients: a randomized trial. Breast Cancer Research and Treatment, 131(1), 99-109. https://​doi.​org/​10.​1007/​s10549-011-1738-1
go back to reference *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 of mind, rumination, and distraction. Annals of Behavioral Medicine, 33(1), 11-21. https://doi.org/10.1207/s15324796abm3301_2 *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 of mind, rumination, and distraction. Annals of Behavioral Medicine, 33(1), 11-21. https://​doi.​org/​10.​1207/​s15324796abm3301​_​2
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Delacorte. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Delacorte.
go back to reference Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion Books. Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion Books.
go back to reference Kuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bondolfi, G., Hayes, R., Huijbers, M., Ma, H., Schweizer, S., Segal, Z., Speckens, A., Teasdale, J. D., Van Heeringen, K., Williams, M., Byford, S., Byng, R., & Dalgleish, T. (2016). Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse: an individual patient data meta-analysis from randomized trials. JAMA Psychiatry, 73(6), 565–574. https://doi.org/10.1001/jamapsychiatry.2016.0076.CrossRefPubMed Kuyken, W., Warren, F. C., Taylor, R. S., Whalley, B., Crane, C., Bondolfi, G., Hayes, R., Huijbers, M., Ma, H., Schweizer, S., Segal, Z., Speckens, A., Teasdale, J. D., Van Heeringen, K., Williams, M., Byford, S., Byng, R., & Dalgleish, T. (2016). Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse: an individual patient data meta-analysis from randomized trials. JAMA Psychiatry, 73(6), 565–574. https://​doi.​org/​10.​1001/​jamapsychiatry.​2016.​0076.CrossRefPubMed
go back to reference *Labelle, L. E., Lawlor-Savage, L., Campbell, T. S., Faris, P., & Carlson, L. E. (2015). Does self-report mindfulness mediate the effect of mindfulness-based stress reduction (MBSR) on spirituality and posttraumatic growth in cancer patients? Journal of Positive Psychology, 10(2), 153-166. https://doi.org/10.1080/17439760.2014.927902 *Labelle, L. E., Lawlor-Savage, L., Campbell, T. S., Faris, P., & Carlson, L. E. (2015). Does self-report mindfulness mediate the effect of mindfulness-based stress reduction (MBSR) on spirituality and posttraumatic growth in cancer patients? Journal of Positive Psychology, 10(2), 153-166. https://​doi.​org/​10.​1080/​17439760.​2014.​927902
go back to reference Peterson, C., Park, N., & Seligman, M. E. P. (2005). Assessment of character strengths. In G. P. Koocher, J. C. Norcross, & S. S. Hill III (Eds.), Psychologists’ desk reference (2nd ed., pp. 93–98). Oxford: Oxford University Press. Peterson, C., Park, N., & Seligman, M. E. P. (2005). Assessment of character strengths. In G. P. Koocher, J. C. Norcross, & S. S. Hill III (Eds.), Psychologists’ desk reference (2nd ed., pp. 93–98). Oxford: Oxford University Press.
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press.
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse (2nd ed.). New York: Guilford Press. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse (2nd ed.). New York: Guilford Press.
go back to reference van den Brink, E., & Koster, F. (2015). Mindfulness-based compassionate living: a new training programme to deepen mindfulness with heartfulness. Oxfordshire: Routledge.CrossRef van den Brink, E., & Koster, F. (2015). Mindfulness-based compassionate living: a new training programme to deepen mindfulness with heartfulness. Oxfordshire: Routledge.CrossRef
go back to reference *Zernicke, K. A., Campbell, T. S., Blustein, P. K., Fung, T. S., Johnson, J. A., Bacon, S. L., & Carlson, L. E. (2013). Mindfulness-based stress reduction for the treatment of irritable bowel syndrome symptoms: a randomized wait-list controlled trial. International Journal of Behavioral Medicine, 20(3), 385-396. https://doi.org/10.1007/s12529-012-9241-6 *Zernicke, K. A., Campbell, T. S., Blustein, P. K., Fung, T. S., Johnson, J. A., Bacon, S. L., & Carlson, L. E. (2013). Mindfulness-based stress reduction for the treatment of irritable bowel syndrome symptoms: a randomized wait-list controlled trial. International Journal of Behavioral Medicine, 20(3), 385-396. https://​doi.​org/​10.​1007/​s12529-012-9241-6
go back to reference *Zernicke, K. A., Campbell, T. S., Speca, M., McCabe-Ruff, K., Flowers, S., & Carlson, L. E. (2014). A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness–based cancer recovery program: the etherapy for cancer applying mindfulness trial. Psychosomatic Medicine, 76(4), 257-267. https://doi.org/10.1097/PSY.0000000000000053 *Zernicke, K. A., Campbell, T. S., Speca, M., McCabe-Ruff, K., Flowers, S., & Carlson, L. E. (2014). A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness–based cancer recovery program: the etherapy for cancer applying mindfulness trial. Psychosomatic Medicine, 76(4), 257-267. https://​doi.​org/​10.​1097/​PSY.​0000000000000053​
Metagegevens
Titel
Finding the Spiritual in the Secular: A Meta-analysis of Changes in Spirituality Following Secular Mindfulness-Based Programs
Auteurs
Samuel D. Landau
Fergal W. Jones
Publicatiedatum
05-03-2021
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 7/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-021-01600-0

Andere artikelen Uitgave 7/2021

Mindfulness 7/2021 Naar de uitgave