Meditation and secondary prevention of depression and anxiety in heart disease: A systematic review

Rao, A; DiGiacomo, M; Newton, P; Phillips, J; Hickman, L

Meditation and secondary prevention of depression and anxiety in heart disease: A systematic review

Rao, A

DiGiacomo, M

Newton, P

Phillips, J

Hickman, L

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Publisher:: Springer Verlag
Publication Type:: Journal Article
Citation:: Mindfulness, 2019, 10 (1), pp. 1 - 14
Issue Date:: 2019

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Field	Value	Language
dc.contributor.author	Rao, A https://orcid.org/0000-0002-7904-5556	en_US
dc.contributor.author	DiGiacomo, M https://orcid.org/0000-0001-5484-8224	en_US
dc.contributor.author	Newton, P https://orcid.org/0000-0002-5006-2037	en_US
dc.contributor.author	Phillips, J https://orcid.org/0000-0002-3691-8230	en_US
dc.contributor.author	Hickman, L https://orcid.org/0000-0002-5116-6559	en_US
dc.date.available	2020-05-25T19:24:06Z
dc.date.issued	2019	en_US
dc.identifier.citation	Mindfulness, 2019, 10 (1), pp. 1 - 14	en_US
dc.identifier.issn	1868-8535	en_US
dc.identifier.uri	http://hdl.handle.net/10453/128985
dc.description.abstract	Heart disease is the leading cause of global mortality, accounting for 13.7 million deaths annually. Optimising depression and anxiety symptoms in adults with heart disease is an international priority. Heart disease secondary prevention is best achieved through implementation of sustainable pharmacological and non-pharmacological interventions, including meditation. Meditation is a means of generating self-awareness and has implications for enhanced self-management of depression and anxiety symptoms. This review aims to identify high-level quantitative evidence for meditation interventions designed to improve depression and/or anxiety symptoms among adults with heart disease and ascertain the most important elements of meditation interventions that facilitate positive depression and/or anxiety outcomes. This systematic review and narrative synthesis was completed in accordance with the PRISMA Statement and has adhered to the Cochrane Risk of Bias guideline. Six databases were searched between 1975 and 2017. Statistically significant outcomes were demonstrated in over half (5/9) of phase II meditation studies for depression and/or anxiety and involved 477 participants. Meditation interventions that generated positive outcomes for depression and/or anxiety included elements such as focused attention to body parts (or body scan) (3/4 studies) and/or group meetings (4/5 studies). Meditation is a means of reframing heart disease outpatient services towards an integrated model of care. Future adequately powered phase III studies are needed to confirm which meditation elements are associated with reductions in depression and anxiety; and the differential effects between concentrative and mindfulness-based meditation types among adults with heart disease.	en_US
dc.publisher	Springer Verlag	en_US
dc.relation.ispartof	Mindfulness	en_US
dc.relation.isbasedon	10.1007/s12671-018-0942-z	en_US
dc.rights	This is a post-peer-review, pre-copyedit version of an article published in Mindfulness. The final authenticated version is available online at: https://dx.doi.org/10.1007/s12671-018-0942-z.	en_US
dc.title	Meditation and secondary prevention of depression and anxiety in heart disease: A systematic review	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	10	en_US
utslib.for	1102 Cardiorespiratory Medicine and Haematology	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1608 Sociology	en_US
utslib.for	1701 Psychology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - CHT - Health Technologies
utslib.copyright.status	open_access
pubs.consider-herdc	true	en_US
pubs.issue	1	en_US
pubs.publication-status	Published online	en_US
pubs.volume	10	en_US

Abstract:

Heart disease is the leading cause of global mortality, accounting for 13.7 million deaths annually. Optimising depression and anxiety symptoms in adults with heart disease is an international priority. Heart disease secondary prevention is best achieved through implementation of sustainable pharmacological and non-pharmacological interventions, including meditation. Meditation is a means of generating self-awareness and has implications for enhanced self-management of depression and anxiety symptoms. This review aims to identify high-level quantitative evidence for meditation interventions designed to improve depression and/or anxiety symptoms among adults with heart disease and ascertain the most important elements of meditation interventions that facilitate positive depression and/or anxiety outcomes. This systematic review and narrative synthesis was completed in accordance with the PRISMA Statement and has adhered to the Cochrane Risk of Bias guideline. Six databases were searched between 1975 and 2017. Statistically significant outcomes were demonstrated in over half (5/9) of phase II meditation studies for depression and/or anxiety and involved 477 participants. Meditation interventions that generated positive outcomes for depression and/or anxiety included elements such as focused attention to body parts (or body scan) (3/4 studies) and/or group meetings (4/5 studies). Meditation is a means of reframing heart disease outpatient services towards an integrated model of care. Future adequately powered phase III studies are needed to confirm which meditation elements are associated with reductions in depression and anxiety; and the differential effects between concentrative and mindfulness-based meditation types among adults with heart disease.

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http://hdl.handle.net/10453/128985