학술논문

Only Small Effects of Mindfulness-Based Interventions on Biomarker Levels of Inflammation and Stress: A Preregistered Systematic Review and Two Three-Level Meta-Analyses
Document Type
article
Source
International Journal of Molecular Sciences, Vol 24, Iss 5, p 4445 (2023)
Subject
MBIs
mindfulness
biomarkers of inflammation and stress
interleukin
C-reactive protein
cortisol
Biology (General)
QH301-705.5
Chemistry
QD1-999
Language
English
ISSN
24054445
1422-0067
1661-6596
Abstract
Mindfulness-based interventions (MBIs) have a positive effect on biomarkers of inflammation and stress in patients with psychiatric disorders and physical illnesses. Regarding subclinical populations, results are less clear. The present meta-analysis addressed the effects of MBIs on biomarkers in psychiatric populations and among healthy, stressed, and at-risk populations. All available biomarker data were investigated with a comprehensive approach, using two three-level meta-analyses. Pre–post changes in biomarker levels within treatment groups (k = 40 studies, total N = 1441) and treatment effects compared to control group effects, using only RCT data (k = 32, total N = 2880), were of similar magnitude, Hedges g = −0.15 (95% CI = [−0.23, −0.06], p < 0.001) and g = −0.11 (95% CI = [−0.23, 0.001], p = 0.053). Effects increased in magnitude when including available follow-up data but did not differ between type of sample, MBI, biomarker, and control group or duration of the MBI. This suggests that MBIs may ameliorate biomarker levels in both psychiatric and subclinical populations to a small extent. However, low study quality and evidence of publication bias may have impacted on the results. More large and preregistered studies are still needed in this field of research.