TY - JOUR PY - 2022// TI - Meditation-based lifestyle modification in mild to moderate depression-a randomized controlled trial JO - Depression and anxiety A1 - Bringmann, Holger C. A1 - Michalsen, Andreas A1 - Jeitler, Michael A1 - Kessler, Christian S. A1 - Brinkhaus, Benno A1 - Brunnhuber, Stefan A1 - Sedlmeier, Peter SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: Depression is a global key challenge in mental health care. The implementation of effective, low-risk and cost-effective interventions to reduce its disease burden is a necessity. The aim of this study was to investigate the efficacy of the new Meditation-Based Lifestyle Modification (MBLM) program, a "second-generation" mindfulness-based intervention, in depressive outpatients.

METHODS: Eighty-one patients with mild to moderate depression were randomized into three groups: intervention group (MBLM), control group (CONTROL), and treatment as usual group (TAU). The primary outcome was the change of depressive symptoms as administered by the Beck Depression Inventory-II (BDI-II) after 4 and 8 weeks. Secondary outcome variables included the Brief Symptom Checklist-18 and the Perceived Stress Scale-10. A 6-month follow-up was conducted.

RESULTS: A greater reduction of depressive symptoms was found in MBLM participants compared to CONTROL (p < .001, η(p) (2)  = 0.11, d = 0.70) and TAU ( p < .001, ηp2 = 0.10, d = 0.67 ) with a 13.15 points reduction of BDI-II score versus 1.71 points (CONTROL) and 3.34 points (TAU) after 8 weeks. Between-group post hoc tests for all secondary outcomes and at follow-up also yielded significant between-group differences with medium to large effect sizes in favor of MBLM.

CONCLUSIONS: Study results showed beneficial effects of MBLM in depressed outpatients. Further high-quality controlled clinical studies including qualitative research are needed to investigate the specific and unspecific effects of the MBLM program in depression and other medical conditions.

Language: en

LA - en SN - 1091-4269 UR - http://dx.doi.org/10.1002/da.23249 ID - ref1 ER -