A meta-analysis of safety of mindfulness-based stress reduction therapy and mindfulness-based cognitive therapy
10.3969/j.issn.1000-6729.2024.01.011
- VernacularTitle:正念减压疗法和正念认知疗法安全性的meta分析
- Author:
Jingjing XIE
1
;
Lixia LI
;
Xuehua LIU
;
Weihua YUE
Author Information
1. 北京大学护理学院,北京 100091;北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京 100083
- Keywords:
mindfulness-based stress reduction;
mindfulness-based cognitive therapy;
adverse outcome;
ad-verse effects;
adverse events;
safety;
randomized controlled trial(RCT);
meta-analysis
- From:
Chinese Mental Health Journal
2024;38(1):73-83
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically review the adverse events and relatedfactors ofmindfulness-based stress reduction therapy(MBSR)and mindfulness-based cognitive therapy(MBCT).Methods:By searching the randomized controlled trails of adverse events and adverse effects of MBSR and MBCT from PubMed,CINAHL,Embase,Web of Science,Scopus,Proquest,ScienceDirect,PsycINFO databases and unpublished studies and grey literature,and traces the references and related journals of the included studies.The databases were searched from inception to June 1,2022.Meta analysis was performed by using RevMan 5.4 softwareto calculate combined odds radio(OR)and 95%CI.Results:Fifteen literatures with a total of 2 841 subjects were included in the study.The results of meta-analysis showed that there were statistically significant differences in the incidence of adverse events or adverse reactions between theMBSR and MBCT group and the control group(OR=2.48,95%CI:1.09-1.61,P<0.05).The mindfulness-based intervention methods(only MBSR,OR=9.04,95%CI:5.34-15.30),the un-derlying diseases of the participants(complicated with mental disorders,OR=1.49,95%CI:1.12-1.97;compli-cated with physical diseases,OR=8.65,95%CI:5.17-14.45),exercise intensity(once a week for 8 weeks,each time more than 2 hours,OR=1.43,95%CI:1.04-1.96)and the level of mindfulness therapists(did not underg-one standardized training,OR=1.96,95%CI:1.20-3.23)were factors that may affect the occurrence of adverse events or adverse reactions in the process of MBSR and MBCT.Conclusion:During the MBSR and MBCT thera-py,there may be occur adverse events or adverse effects.