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Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis

BACKGROUND: Web-based mindfulness interventions are increasingly delivered through the internet to treat mental health conditions. OBJECTIVE: The objective of this study was to determine the effectiveness of web-based mindfulness interventions in clinical mental health populations. Secondary aims we...

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Detalles Bibliográficos
Autores principales: Sevilla-Llewellyn-Jones, Julia, Santesteban-Echarri, Olga, Pryor, Ingrid, McGorry, Patrick, Alvarez-Jimenez, Mario
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231788/
https://www.ncbi.nlm.nih.gov/pubmed/30274963
http://dx.doi.org/10.2196/10278
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author Sevilla-Llewellyn-Jones, Julia
Santesteban-Echarri, Olga
Pryor, Ingrid
McGorry, Patrick
Alvarez-Jimenez, Mario
author_facet Sevilla-Llewellyn-Jones, Julia
Santesteban-Echarri, Olga
Pryor, Ingrid
McGorry, Patrick
Alvarez-Jimenez, Mario
author_sort Sevilla-Llewellyn-Jones, Julia
collection PubMed
description BACKGROUND: Web-based mindfulness interventions are increasingly delivered through the internet to treat mental health conditions. OBJECTIVE: The objective of this study was to determine the effectiveness of web-based mindfulness interventions in clinical mental health populations. Secondary aims were to explore the impact of study variables on the effectiveness of web-based mindfulness interventions. METHODS: We performed a systematic review and meta-analysis of studies investigating the effects of web-based mindfulness interventions on clinical populations. RESULTS: The search strategy yielded 12 eligible studies. Web-based mindfulness interventions were effective in reducing depression in the total clinical sample (n=656 g=−0.609, P=.004) and in the anxiety disorder subgroup (n=313, g=−0.651, P<.001), but not in the depression disorder subgroup (n=251, P=.18). Similarly, web-based mindfulness interventions significantly reduced anxiety in the total clinical sample (n=756, g=−0.433, P=.004) and the anxiety disorder subgroup (n=413, g=−0.719, P<.001), but not in the depression disorder group (n=251, g=−0.213, P=.28). Finally, web-based mindfulness interventions improved quality of life and functioning in the total sample (n=591, g=0.362, P=.02) in the anxiety disorder subgroup (n=370, g=0.550, P=.02) and mindfulness skills in the total clinical sample (n=251, g=0.724, P<.001). CONCLUSIONS: Results support the effectiveness of web-based mindfulness interventions in reducing depression and anxiety and in enhancing quality of life and mindfulness skills, particularly in those with clinical anxiety. Results should be interpreted with caution given the high heterogeneity of web-based mindfulness interventions and the low number of studies included.
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spelling pubmed-62317882018-12-03 Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis Sevilla-Llewellyn-Jones, Julia Santesteban-Echarri, Olga Pryor, Ingrid McGorry, Patrick Alvarez-Jimenez, Mario JMIR Ment Health Review BACKGROUND: Web-based mindfulness interventions are increasingly delivered through the internet to treat mental health conditions. OBJECTIVE: The objective of this study was to determine the effectiveness of web-based mindfulness interventions in clinical mental health populations. Secondary aims were to explore the impact of study variables on the effectiveness of web-based mindfulness interventions. METHODS: We performed a systematic review and meta-analysis of studies investigating the effects of web-based mindfulness interventions on clinical populations. RESULTS: The search strategy yielded 12 eligible studies. Web-based mindfulness interventions were effective in reducing depression in the total clinical sample (n=656 g=−0.609, P=.004) and in the anxiety disorder subgroup (n=313, g=−0.651, P<.001), but not in the depression disorder subgroup (n=251, P=.18). Similarly, web-based mindfulness interventions significantly reduced anxiety in the total clinical sample (n=756, g=−0.433, P=.004) and the anxiety disorder subgroup (n=413, g=−0.719, P<.001), but not in the depression disorder group (n=251, g=−0.213, P=.28). Finally, web-based mindfulness interventions improved quality of life and functioning in the total sample (n=591, g=0.362, P=.02) in the anxiety disorder subgroup (n=370, g=0.550, P=.02) and mindfulness skills in the total clinical sample (n=251, g=0.724, P<.001). CONCLUSIONS: Results support the effectiveness of web-based mindfulness interventions in reducing depression and anxiety and in enhancing quality of life and mindfulness skills, particularly in those with clinical anxiety. Results should be interpreted with caution given the high heterogeneity of web-based mindfulness interventions and the low number of studies included. JMIR Publications 2018-09-25 /pmc/articles/PMC6231788/ /pubmed/30274963 http://dx.doi.org/10.2196/10278 Text en ©Julia Sevilla-Llewellyn-Jones, Olga Santesteban-Echarri, Ingrid Pryor, Patrick McGorry, Mario Alvarez-Jimenez. Originally published in JMIR Mental Health (http://mental.jmir.org), 25.09.2018. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Mental Health, is properly cited. The complete bibliographic information, a link to the original publication on http://mental.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Review
Sevilla-Llewellyn-Jones, Julia
Santesteban-Echarri, Olga
Pryor, Ingrid
McGorry, Patrick
Alvarez-Jimenez, Mario
Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis
title Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis
title_full Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis
title_fullStr Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis
title_full_unstemmed Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis
title_short Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis
title_sort web-based mindfulness interventions for mental health treatment: systematic review and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231788/
https://www.ncbi.nlm.nih.gov/pubmed/30274963
http://dx.doi.org/10.2196/10278
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