Unwanted effects: Is there a negative side of meditation? A multicentre survey

About a quarter (25.4%) of meditation practitioners report unwanted effects (UEs), which are usually temporary and do not lead to stopping practice or seeking medical help. UEs are more common during focused attention meditation, when practicing alone for more than 20 minutes, and during individual practice; body awareness practices are associated with fewer UEs. The findings come from an online survey of 342 experienced meditators (at least two months of practice), mostly women from Spain with university education. The authors recommend using standardized questionnaires to better assess these effects in future research.

Study at a glance

Abstract

OBJECTIVES: Despite the long-term use and evidence-based efficacy of meditation and mindfulness-based interventions, there is still a lack of data about the possible unwanted effects (UEs) of these practices. The aim of this study was to evaluate the occurrence of UEs among meditation practitioners, considering moderating factors such as the type, frequency, and lifetime duration of the meditation practices. METHODS: An online survey was developed and disseminated through several websites, such as Spanish-, English- and Portuguese-language scientific research portals related to mindfulness and meditation. After excluding people who did not answer the survey correctly or completely and those who had less than two months of meditation experience, a total of 342 people participated in the study. However, only 87 reported information about UEs. RESULTS: The majority of the practitioners were women from Spain who were married and had a University education level. Practices were more frequently informal, performed on a daily basis, and followed by focused attention (FA). Among the participants, 25.4% reported UEs, showing that severity varies considerably. The information requested indicated that most of the UEs were transitory and did not lead to discontinuing meditation practice or the need for medical assistance. They were more frequently reported in relation to individual practice, during focused attention meditation, and when practising for more than 20 minutes and alone. The practice of body awareness was associated with UEs to a lesser extent, whereas focused attention was associated more with UEs. CONCLUSIONS: This is the first large-scale, multi-cultural study on the UEs of meditation. Despite its limitations, this study suggests that UEs are prevalent and transitory and should be further studied. We recommend the use of standardized questionnaires to assess the UEs of meditation practices.