Military-related posttraumatic stress disorder and mindfulness meditation: A systematic review and meta-analysis.

Cognitive Behavioral Therapy Humans Meditation Military Personnel Mindfulness Randomized Controlled Trials as Topic Stress Disorders, Post-Traumatic / therapy
Meta-analysis Military personnel Mindfulness meditation Posttraumatic stress disorder

Journal

Chinese journal of traumatology = Zhonghua chuang shang za zhi
ISSN: 1008-1275
Titre abrégé: Chin J Traumatol
Pays: China
ID NLM: 100886162

Informations de publication

Date de publication:
Jul 2021
Historique:
received: 10 11 2020
revised: 13 04 2021
accepted: 06 05 2021
pubmed: 9 6 2021
medline: 26 10 2021
entrez: 8 6 2021
Statut: ppublish

Résumé

Posttraumatic stress disorder (PTSD) is a significant global mental health concern, especially in the military. This study aims to estimate the efficacy of mindfulness meditation in the treatment of military-related PTSD, by synthesizing evidences from randomized controlled trials. Five electronic databases (Pubmed, EBSCO Medline, Embase, PsychINFO and Cochrane Library) were searched for randomized controlled trials focusing on the treatment effect of mindfulness meditation on military-related PTSD. The selection of eligible studies was based on identical inclusion and exclusion criteria. Information about study characteristics, participant characteristics, intervention details, PTSD outcomes, as well as potential adverse effects was extracted from the included studies. Risk of bias of all the included studies was critically assessed using the Cochrane Collaboration's tool. R Statistical software was performed for data analysis. A total of 1902 records were initially identified and screened. After duplicates removal and title & abstract review, finally, 19 articles in English language with 1326 participants were included through strict inclusion and exclusion criteria. The results revealed that mindfulness meditation had a significantly larger effect on alleviating military-related PTSD symptoms compared with control conditions, such as treatment as usual, present-centered group therapy and PTSD health education (standardized mean difference (SMD) = -0.33; 95% CI [-0.45, -0.21]; p < 0.0001). Mindfulness interventions with different control conditions (active or non-active control, SMD = -0.33, 95% CI [-0.46, -0.19]; SMD = -0.49, 95% CI [-0.88, -0.10], respectively), formats of delivery (group-based or individual-based, SMD = -0.30, 95% CI [-0.42, -0.17], SMD = -0.49, 95% CI [-0.90, -0.08], respectively) and intervention durations (short-term or standard duration, SMD = -0.27, 95% CI [-0.46, -0.08], SMD = -0.40, 95% CI [-0.58, -0.21], respectively) were equally effective in improving military-related PTSD symptoms. Findings from this meta-analysis consolidate the efficacy and feasibility of mindfulness meditation in the treatment of military-related PTSD. Further evidence with higher quality and more rigorous design is needed in the future.

Identifiants

DOI: 10.1016/j.cjtee.2021.05.003 PMID: 34099359 PMC: PMC8344114
pubmed: 34099359
pii: S1008-1275(21)00087-0
doi: 10.1016/j.cjtee.2021.05.003
pmc: PMC8344114
pii:
doi:

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

221-230

Informations de copyright

Copyright © 2021 Chinese Medical Association. Production and hosting by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare that they have no conflicts of interest.

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Auteurs

Lu-Na Sun (LN)

Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China; The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China.

Jing-Wen Gu (JW)

The Battalion 3 of Cadet Brigade, School of Basic Medicine, Naval Medical University, Shanghai, 200433, China.

Li-Jun Huang (LJ)

Department of Radiology, Changshu Hospital Affiliated to Suzhou University, Changshu, 215500, Jiangsu Province, China.

Zhi-Lei Shang (ZL)

Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China; The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China.

Yao-Guang Zhou (YG)

Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China; The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China.

Li-Li Wu (LL)

Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China; The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China.

Yan-Pu Jia (YP)

Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China; The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China.

Nian-Qi Liu (NQ)

Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China; The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China.

Wei-Zhi Liu (WZ)

Lab for Post-traumatic Stress Disorder, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China; The Emotion & Cognition Lab, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China; Department of Radiology, Changshu Hospital Affiliated to Suzhou University, Changshu, 215500, Jiangsu Province, China. Electronic address: 13024141970@163.com.

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Classifications MeSH

questionsmedicales.fr › Disciplines et activités comportementales › Psychothérapie › Thérapie comportementale › Thérapie cognitive › Military-related posttraumatic stress disorder...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Military-related posttraumatic stress disorder...
questionsmedicales.fr › Disciplines et activités comportementales › Psychothérapie › Thérapie comportementale › Thérapie par la relaxation › Méditation › Military-related posttraumatic stress disorder...
questionsmedicales.fr › Personnes › Groupes professionnels › Personnel militaire › Military-related posttraumatic stress disorder...
questionsmedicales.fr › Disciplines et activités comportementales › Psychothérapie › Thérapie comportementale › Thérapie cognitive › Pleine conscience › Military-related posttraumatic stress disorder...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études cliniques comme sujet › Essais cliniques comme sujet › Essais cliniques contrôlés comme sujet › Essais contrôlés randomisés comme sujet › Military-related posttraumatic stress disorder...
questionsmedicales.fr › Troubles mentaux › Troubles liés aux traumatismes et au stress › Troubles de stress traumatique › Troubles de stress post-traumatique › Military-related posttraumatic stress disorder...