Baseline trait mindfulness moderates the efficacy of mindfulness interventions and active controls: A meta-analysis of 177 randomised controlled trials.

IF 3.8 2区心理学 Q1 PSYCHOLOGY, APPLIED

Applied psychology. Health and well-being Pub Date : 2024-11-01 Epub Date: 2024-05-09 DOI:10.1111/aphw.12550

Kathrin Sieder, Phillip Thiedmann, Martin Voracek, Ulrich S Tran

{"title":"Baseline trait mindfulness moderates the efficacy of mindfulness interventions and active controls: A meta-analysis of 177 randomised controlled trials.","authors":"Kathrin Sieder, Phillip Thiedmann, Martin Voracek, Ulrich S Tran","doi":"10.1111/aphw.12550","DOIUrl":null,"url":null,"abstract":"<p><p>Previous evidence suggests that benefits of mindfulness-based interventions (MBIs) may depend on individuals' baseline trait mindfulness (BTM) levels. This meta-analysis investigated moderating effects of BTM on changes in mental health outcomes and trait mindfulness in randomised controlled trials (RCTs) of MBIs. A total of 177 primary studies (total N = 13,486), comparing the treatment effects of MBIs against active, treatment-as-usual (TAU) and waitlist control groups, were synthesised via three-level meta-analysis. Lower BTM was associated with larger changes in mental health outcomes (B = -0.14, 95% CI [-0.21, -0.06], p < .001) and trait mindfulness (B = -0.09 [-0.16, -0.02], p = .009) in MBIs and active controls combined. These associations were significantly larger than from those in TAU and waitlist controls. Moderating effects were less tangible for changes in trait mindfulness in MBIs and active controls individually and less tangible in various sensitivity analyses which, however, were confounded by client type across the RCTs. Individuals low in BTM may, by a small effect size, benefit more from MBIs and active control interventions. BTM may thus affect the evaluation of treatment efficacy. MBIs and active interventions could be offered specifically to persons low in BTM.</p>","PeriodicalId":8127,"journal":{"name":"Applied psychology. Health and well-being","volume":null,"pages":null},"PeriodicalIF":3.8000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Applied psychology. Health and well-being","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1111/aphw.12550","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/9 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PSYCHOLOGY, APPLIED","Score":null,"Total":0}

引用次数: 0

Abstract

Previous evidence suggests that benefits of mindfulness-based interventions (MBIs) may depend on individuals' baseline trait mindfulness (BTM) levels. This meta-analysis investigated moderating effects of BTM on changes in mental health outcomes and trait mindfulness in randomised controlled trials (RCTs) of MBIs. A total of 177 primary studies (total N = 13,486), comparing the treatment effects of MBIs against active, treatment-as-usual (TAU) and waitlist control groups, were synthesised via three-level meta-analysis. Lower BTM was associated with larger changes in mental health outcomes (B = -0.14, 95% CI [-0.21, -0.06], p < .001) and trait mindfulness (B = -0.09 [-0.16, -0.02], p = .009) in MBIs and active controls combined. These associations were significantly larger than from those in TAU and waitlist controls. Moderating effects were less tangible for changes in trait mindfulness in MBIs and active controls individually and less tangible in various sensitivity analyses which, however, were confounded by client type across the RCTs. Individuals low in BTM may, by a small effect size, benefit more from MBIs and active control interventions. BTM may thus affect the evaluation of treatment efficacy. MBIs and active interventions could be offered specifically to persons low in BTM.

查看原文本刊更多论文

基线正念特质调节正念干预和积极对照的疗效：对177项随机对照试验的荟萃分析。

以往的证据表明，正念干预（MBI）的益处可能取决于个人的基线特质正念（BTM）水平。本荟萃分析调查了在MBI随机对照试验（RCT）中，BTM对心理健康结果和特质正念变化的调节作用。共有 177 项主要研究（总人数 = 13,486 人）通过三级荟萃分析对 MBIs 的治疗效果与积极治疗组、常规治疗组（TAU）和候补对照组进行了比较。较低的 BTM 与较大的心理健康结果变化相关（B = -0.14，95% CI [-0.21, -0.06]，p

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Applied psychology. Health and well-being PSYCHOLOGY, APPLIED-

CiteScore

12.10

自引率

2.90%

发文量

期刊介绍： Applied Psychology: Health and Well-Being is a triannual peer-reviewed academic journal published by Wiley-Blackwell on behalf of the International Association of Applied Psychology. It was established in 2009 and covers applied psychology topics such as clinical psychology, counseling, cross-cultural psychology, and environmental psychology.