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Effects of Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy in People With Diabetes: A Systematic Review and Meta‐Analysis
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- 자료유형학술지논문
- 저자명Ni, Yunxia,Ma, Lin,Li, Jiping
- 학회/출판사/기관명Wiley-Blackwell
- 출판년도2020
- 언어영어
- 학술지명/학위논문주기JOURNAL OF NURSING SCHOLARSHIP
- 발행사항Vol.52No.4[2020]_x000D_
- ISBN/ISSN1527-6546
- 소개/요약Purpose: The purpose of this study was to determine the effectiveness of mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT) on depression, quality of life (QoL), and glycosylated hemoglobin (HbA1c) in people with diabetes. Design: A systematic literature review and meta-analysis was conducted. Methods: Eight databases (PubMed, Embase, the Cumulative Index to Nursing and Allied Health Literature [CINAHL], Cochrane, PsycINFO, and three Chinese databases) were searched for relevant studies from inception to December 2019. Only randomized controlled trials (RCTs) of MBSR and MBCT interventions for people with type 1 and type 2 diabetes were included. Findings: Nine studies described in 11 articles were included in the review. Meta-analysis showed a significant effect favoring MBSR and MBCT on depression (standardized mean difference -0.84; 95% confidence interval [CI] -1.16 to -0.51; p < .0001), the mental health composite score of QoL (mean difference [MD] 7.06; 95% CI 5.09 to 9.03; p < .00001), and HbA1c (MD -0.28; 95% CI -0.47 to -0.09; p = .004). However, effects on the physical health composite score of QoL have not been found. Conclusions: MBSR and MBCT are beneficial in improving depression, the mental health composite score of QoL, and HbA1c in people with diabetes. More well-designed trials using longer follow-up measurements are needed. Clinical relevance: MBSR and MBCT could be considered as effective complementary treatment alternatives for people with diabetes.
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