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Military-related posttraumatic stress disorder and mindfulness meditation: A systematic review and meta-analysis

PURPOSE: Posttraumatic stress disorder (PTSD) is a significant global mental health concern, especially in the military. This study aims to estimate the efficacy of mindfulness meditation in the treatment of military-related PTSD, by synthesizing evidences from randomized controlled trials. METHODS:...

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Autores principales: Sun, Lu-Na, Gu, Jing-Wen, Huang, Li-Jun, Shang, Zhi-Lei, Zhou, Yao-Guang, Wu, Li-Li, Jia, Yan-Pu, Liu, Nian-Qi, Liu, Wei-Zhi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8344114/
https://www.ncbi.nlm.nih.gov/pubmed/34099359
http://dx.doi.org/10.1016/j.cjtee.2021.05.003
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author Sun, Lu-Na
Gu, Jing-Wen
Huang, Li-Jun
Shang, Zhi-Lei
Zhou, Yao-Guang
Wu, Li-Li
Jia, Yan-Pu
Liu, Nian-Qi
Liu, Wei-Zhi
author_facet Sun, Lu-Na
Gu, Jing-Wen
Huang, Li-Jun
Shang, Zhi-Lei
Zhou, Yao-Guang
Wu, Li-Li
Jia, Yan-Pu
Liu, Nian-Qi
Liu, Wei-Zhi
author_sort Sun, Lu-Na
collection PubMed
description PURPOSE: Posttraumatic stress disorder (PTSD) is a significant global mental health concern, especially in the military. This study aims to estimate the efficacy of mindfulness meditation in the treatment of military-related PTSD, by synthesizing evidences from randomized controlled trials. METHODS: Five electronic databases (Pubmed, EBSCO Medline, Embase, PsychINFO and Cochrane Library) were searched for randomized controlled trials focusing on the treatment effect of mindfulness meditation on military-related PTSD. The selection of eligible studies was based on identical inclusion and exclusion criteria. Information about study characteristics, participant characteristics, intervention details, PTSD outcomes, as well as potential adverse effects was extracted from the included studies. Risk of bias of all the included studies was critically assessed using the Cochrane Collaboration's tool. R Statistical software was performed for data analysis. RESULTS: A total of 1902 records were initially identified and screened. After duplicates removal and title & abstract review, finally, 19 articles in English language with 1326 participants were included through strict inclusion and exclusion criteria. The results revealed that mindfulness meditation had a significantly larger effect on alleviating military-related PTSD symptoms compared with control conditions, such as treatment as usual, present-centered group therapy and PTSD health education (standardized mean difference (SMD) = −0.33; 95% CI [−0.45, −0.21]; p < 0.0001). Mindfulness interventions with different control conditions (active or non-active control, SMD = −0.33, 95% CI [−0.46, −0.19]; SMD = −0.49, 95% CI [−0.88, −0.10], respectively), formats of delivery (group-based or individual-based, SMD = −0.30, 95% CI [−0.42, −0.17], SMD = −0.49, 95% CI [−0.90, −0.08], respectively) and intervention durations (short-term or standard duration, SMD = −0.27, 95% CI [−0.46, −0.08], SMD = −0.40, 95% CI [−0.58, −0.21], respectively) were equally effective in improving military-related PTSD symptoms. CONCLUSION: Findings from this meta-analysis consolidate the efficacy and feasibility of mindfulness meditation in the treatment of military-related PTSD. Further evidence with higher quality and more rigorous design is needed in the future.
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spelling pubmed-83441142021-08-11 Military-related posttraumatic stress disorder and mindfulness meditation: A systematic review and meta-analysis Sun, Lu-Na Gu, Jing-Wen Huang, Li-Jun Shang, Zhi-Lei Zhou, Yao-Guang Wu, Li-Li Jia, Yan-Pu Liu, Nian-Qi Liu, Wei-Zhi Chin J Traumatol Original Article PURPOSE: Posttraumatic stress disorder (PTSD) is a significant global mental health concern, especially in the military. This study aims to estimate the efficacy of mindfulness meditation in the treatment of military-related PTSD, by synthesizing evidences from randomized controlled trials. METHODS: Five electronic databases (Pubmed, EBSCO Medline, Embase, PsychINFO and Cochrane Library) were searched for randomized controlled trials focusing on the treatment effect of mindfulness meditation on military-related PTSD. The selection of eligible studies was based on identical inclusion and exclusion criteria. Information about study characteristics, participant characteristics, intervention details, PTSD outcomes, as well as potential adverse effects was extracted from the included studies. Risk of bias of all the included studies was critically assessed using the Cochrane Collaboration's tool. R Statistical software was performed for data analysis. RESULTS: A total of 1902 records were initially identified and screened. After duplicates removal and title & abstract review, finally, 19 articles in English language with 1326 participants were included through strict inclusion and exclusion criteria. The results revealed that mindfulness meditation had a significantly larger effect on alleviating military-related PTSD symptoms compared with control conditions, such as treatment as usual, present-centered group therapy and PTSD health education (standardized mean difference (SMD) = −0.33; 95% CI [−0.45, −0.21]; p < 0.0001). Mindfulness interventions with different control conditions (active or non-active control, SMD = −0.33, 95% CI [−0.46, −0.19]; SMD = −0.49, 95% CI [−0.88, −0.10], respectively), formats of delivery (group-based or individual-based, SMD = −0.30, 95% CI [−0.42, −0.17], SMD = −0.49, 95% CI [−0.90, −0.08], respectively) and intervention durations (short-term or standard duration, SMD = −0.27, 95% CI [−0.46, −0.08], SMD = −0.40, 95% CI [−0.58, −0.21], respectively) were equally effective in improving military-related PTSD symptoms. CONCLUSION: Findings from this meta-analysis consolidate the efficacy and feasibility of mindfulness meditation in the treatment of military-related PTSD. Further evidence with higher quality and more rigorous design is needed in the future. Elsevier 2021-07 2021-05-18 /pmc/articles/PMC8344114/ /pubmed/34099359 http://dx.doi.org/10.1016/j.cjtee.2021.05.003 Text en © 2021 Chinese Medical Association. Production and hosting by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Sun, Lu-Na
Gu, Jing-Wen
Huang, Li-Jun
Shang, Zhi-Lei
Zhou, Yao-Guang
Wu, Li-Li
Jia, Yan-Pu
Liu, Nian-Qi
Liu, Wei-Zhi
Military-related posttraumatic stress disorder and mindfulness meditation: A systematic review and meta-analysis
title Military-related posttraumatic stress disorder and mindfulness meditation: A systematic review and meta-analysis
title_full Military-related posttraumatic stress disorder and mindfulness meditation: A systematic review and meta-analysis
title_fullStr Military-related posttraumatic stress disorder and mindfulness meditation: A systematic review and meta-analysis
title_full_unstemmed Military-related posttraumatic stress disorder and mindfulness meditation: A systematic review and meta-analysis
title_short Military-related posttraumatic stress disorder and mindfulness meditation: A systematic review and meta-analysis
title_sort military-related posttraumatic stress disorder and mindfulness meditation: a systematic review and meta-analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8344114/
https://www.ncbi.nlm.nih.gov/pubmed/34099359
http://dx.doi.org/10.1016/j.cjtee.2021.05.003
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