JAMA Internal Medicine

ISSN 2168-6106

2 papers in the library · 2,808 citations · publishing 2014-2015

Papers

Meditation Programs for Psychological Stress and Well-being

JAMA Internal Medicine January 6, 2014 Madhav Goyal, Sonal Singh, Erica Sibinga et al. 2,323 citations

A meta-analysis of 47 randomized clinical trials with 3,515 participants found that mindfulness meditation programs produce small to moderate reductions in anxiety, depression, and pain compared to placebo controls. At 8 weeks, effect sizes were 0.38 for anxiety, 0.30 for depression, and 0.33 for pain; benefits for anxiety and depression persisted at 3–6 months. Evidence for improved stress, distress, and mental health-related quality of life was low, and there was insufficient or no evidence that meditation improves positive mood, attention, substance use, eating habits, sleep, or weight. Meditation programs were not superior to active treatments such as drugs, exercise, or other behavioral therapies.

DOI: 10.1001/jamainternmed.2013.13018 Full text Anxiety Meditation Mindfulness Cinahl +14

Mindfulness Meditation and Improvement in Sleep Quality and Daytime Impairment Among Older Adults With Sleep Disturbances

JAMA Internal Medicine February 16, 2015 David S. Black, Gillian A. O’Reilly, Richard Olmstead et al. 485 citations

A 6-week mindfulness meditation program improved sleep quality more than sleep hygiene education in older adults with moderate sleep disturbances. Participants in the mindfulness group saw their sleep quality scores drop from 10.2 to 7.4 on the Pittsburgh Sleep Quality Index, while the education group's scores fell from 10.2 to 9.1, a between-group difference of 1.8 points. The mindfulness group also showed greater reductions in insomnia symptoms, depression symptoms, and fatigue. No significant differences were found for anxiety, stress, or a marker of inflammation, though the inflammation marker declined over time in both groups. The findings suggest that community-accessible mindfulness programs can improve sleep and related daytime impairment in older adults.

DOI: 10.1001/jamainternmed.2014.8081