Mindfulness in people with a respiratory diagnosis: A systematic review

Samantha L Harrison; Annemarie Lee; Tania Janaudis-Ferreira; Roger S Goldstein; Dina Brooks

doi:10.1016/j.pec.2015.10.013

Mindfulness in people with a respiratory diagnosis: A systematic review

Patient Educ Couns. 2016 Mar;99(3):348-355. doi: 10.1016/j.pec.2015.10.013. Epub 2015 Oct 23.

Authors

Samantha L Harrison¹, Annemarie Lee², Tania Janaudis-Ferreira², Roger S Goldstein³, Dina Brooks²

Affiliations

¹ The Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada; Department of Physical Therapy, University of Toronto, Toronto, ON, Canada; Health and Social Care Institute, Teesside University, Middlesbrough, UK. Electronic address: S.L.Harrison@tees.ac.uk.
² The Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada; Department of Physical Therapy, University of Toronto, Toronto, ON, Canada.
³ The Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada; Department of Physical Therapy, University of Toronto, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada.

PMID: 26561308
DOI: 10.1016/j.pec.2015.10.013

Abstract

Objectives: To describe how mindfulness is delivered and to examine the effect of mindfulness on health-related quality of life (HRQOL), mindful awareness and stress in adults with a respiratory diagnosis.

Method: Five electronic databases were searched. Data were extracted and assessed for quality by two reviewers.

Results: Data were extracted from four studies. Interventions were based on Mindfulness-Based Stress Reduction and delivered by trained instructors. Recordings of mindfulness were provided for home-based practice. One study targeted the intervention exclusively to anxious individuals with a respiratory diagnosis. Adherence to mindfulness was poor. No effects were seen on disease-specific HRQOL (standardized mean difference (SMD)=-0.21 95% CI: -0.36 to 0.48, p=0.78), mindful awareness (SMD=0.09 95% CI: -0.34 to 0.52, p=0.68) or stress levels (SMD =-0.11 95% CI: -0.46 to 0.23, p=0.51).

Conclusion: Mindfulness interventions, delivered to individuals with a respiratory diagnosis, varied widely in terms of delivery and the outcomes assessed making it difficult to draw any conclusions regarding its effectiveness.

Publication types

Research Support, Non-U.S. Gov't
Systematic Review

MeSH terms

Breathing Exercises
Health Status*
Humans
Mindfulness*
Pulmonary Disease, Chronic Obstructive
Quality of Life*
Relaxation Therapy
Respiratory Tract Diseases / diagnosis*
Respiratory Tract Diseases / psychology
Respiratory Tract Diseases / therapy
Stress, Psychological*