Mindfulness-Based Interventions for the Improvement of Well-Being in People With Multiple Sclerosis: A Systematic Review and Meta-Analysis

Psychosom Med. 2020 Jul/Aug;82(6):600-613. doi: 10.1097/PSY.0000000000000819.

Abstract

Objective: The study aims to meta-analytically review studies about the effects of mindfulness-based interventions (MBIs) on well-being of people with multiple sclerosis (MS).

Methods: Seven electronic databases were searched from June 2018 to September 2018. A systematic review and a meta-analysis were conducted.

Results: Twenty-one studies were included in qualitative synthesis, and 10 studies were included in meta-analysis. MBIs are effective with an overall moderate effect size (Hedges' g = 0.70) in improving well-being in people with MS, with lasting effects at the follow-up (g = 0.55). In particular, MBIs demonstrated to highly reduce stress (g = 1.07) and to improve depression and anxiety symptoms with a moderate to large effect at postintervention (g = 0.77 and g = 0.63, respectively).

Conclusions: MBIs represent a valid and effective mind-body intervention to improve the well-being of patients with MS. Further studies should investigate which components of MBIs could be more beneficial for patients with progressive MS.

Prospero registration: CRD42018099704.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Anxiety / etiology
  • Anxiety / rehabilitation*
  • Depression / etiology
  • Depression / rehabilitation*
  • Humans
  • Mindfulness*
  • Multiple Sclerosis / complications
  • Multiple Sclerosis / psychology
  • Multiple Sclerosis / rehabilitation*
  • Personal Satisfaction*