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Review
. 2022 Jul;29(4):1172-1185.
doi: 10.1002/cpp.2717. Epub 2022 Feb 10.

Mindfulness-based and mindfulness-informed interventions in bipolar disorder: A meta-analysis based on Becker's method

Francisco A Burgos-Julián  1 , Raquel Ruiz-Íñiguez  1 , Fernando Peña-Ibáñez  2 , Ana Carralero Montero  3 , Miguel Angel Santed-Germán  1
Affiliations
Review

Mindfulness-based and mindfulness-informed interventions in bipolar disorder: A meta-analysis based on Becker's method

Francisco A Burgos-Julián et al. Clin Psychol Psychother. 2022 Jul.

Abstract

Bipolar disorder is a highly disruptive and debilitating problem. Mindfulness-based and mindfulness-informed interventions have exponentially emerged as third-generation therapies, applied to a wide spectrum of disorders, including bipolar disorder. However, the reviews and meta-analyses published to date are limited in their conclusions, as they are based on single-group pretest-posttest cohort designs and mostly focused on mindfulness-based interventions. The present review and meta-analysis try to address these limitations, including studies on informed mindfulness, controlled and single-group designs. It used a specific meta-analytical procedure that allows an imputation procedure in those designs lacking a comparison group, by means of separate omnibus tests for the experimental and control group. A total of 13 studies (N = 331) were selected. The results showed an absence of effects on depression (g = 0.21) and mania (g = -0.13), but significant moderate effect on anxiety (g = 0.53). In conclusion, both mindfulness interventions showed robust evidence on anxiety symptoms in pretest-posttest periods compared to control groups. Few studies and lack of evidence of follow-up periods were the main limitations found.

Keywords: anxiety; bipolar disorder; depression; mania; meta-analysis; mindfulness.

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References

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