Effectiveness of Mindfulness-Based Stress Reduction on Anxiety Disorder: A Systematic Review

Authors

  • Ahsan Huda Yumkhaibam Department of Physical Education, Tripura University, Agartala, India
  • S. M. Farooque Department of Physical Education, Tripura University, Agartala, India https://orcid.org/0000-0003-1018-6745
  • Sharina Naorem Department of Physical Education, Tripura University, Agartala, India
  • Sanjib Kumar Bhowmik Department of Physical Education, Tripura University, Agartala, India

DOI:

https://doi.org/10.54536/ajhp.v2i1.3790

Keywords:

Anxiety Disorders, Generalized Anxiety Disorder, MBSR, Mindfulness-Based Stress Reduction, Panic Disorder, Social Anxiety Disorder, Specific Phobias

Abstract

Anxiety disorders, including generalized anxiety disorder (GAD), social anxiety disorder (SAD), panic disorder, and specific phobias, are significant public health concerns that affect millions worldwide and lead to substantial impairments in daily functioning and quality of life. Traditional treatments may not suit everyone, highlighting the need for alternatives like Mindfulness-Based Stress Reduction (MBSR), which emphasizes mindfulness meditation. This systematic review evaluates the effectiveness of MBSR in reducing anxiety symptoms across various anxiety disorders by synthesizing research findings from studies published between January 2013 and April 2024. A comprehensive search was conducted in electronic databases, including PubMed, Semantic Scholar, ScienceDirect, PsycINFO, and Web of Science, using keywords such as “Mindfulness-Based Stress Reduction,” “MBSR,” “anxiety disorder,” and “effectiveness.” Peer-reviewed studies assessing the efficacy of MBSR on anxiety disorders were included, with data extraction and quality assessment performed following PRISMA 2022 guidelines. The search identified 1095 articles, with 13 studies meeting the inclusion criteria for the final analysis, encompassing a total sample size of 751 participants. The studies varied in design, sample size, participant demographics, and targeted anxiety disorders. Findings consistently showed significant reductions in anxiety symptoms among participants receiving MBSR compared to control groups. For GAD, studies reported improvements in anxiety and stress measures such as the Beck Anxiety Inventory (BAI) and Hamilton Anxiety Rating Scale (HAM-A). For SAD, reductions in social anxiety symptoms were observed, with some studies showing comparable effectiveness to CBT. This review presents compelling evidence supporting the efficacy of MBSR in reducing symptoms associated with anxiety disorders. Future research should focus on the long-term effects, impact on diverse demographic groups, and specific mechanisms to improve its clinical applicability.

References

Alimehdi, M., Ehteshamzadeh, P., Naderi, F., Eftekharsaadi, Z., & Pasha, R. (2016). The effectiveness of mindfulness-based stress reduction on intolerance of uncertainty and anxiety sensitivity among individuals with generalized anxiety disorder. Asian Social Science, 12(4), 179–187. https://doi.org/10.5539/ass.v12n4p179

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). American Psychiatric Publishing.

Arch, J. J., Ayers, C. R., Baker, A., Almklov, E., Dean, D. J., & Craske, M. G. (2013). Randomized clinical trial of adapted mindfulness-based stress reduction versus group cognitive behavioral therapy for heterogeneous anxiety disorders. Behaviour Research and Therapy, 51(4–5), 185–196. https://doi.org/10.1016/j.brat.2013.01.003

Chiesa, A., & Serretti, A. (2011). Mindfulness-based interventions for chronic pain: A systematic review of the evidence. In Journal of Alternative and Complementary Medicine (Vol. 17, Issue 1, pp. 83–93). https://doi.org/10.1089/acm.2009.0546

Goldin, P. R., Morrison, A., Jazaieri, H., Brozovich, F., Heimberg, R., & Gross, J. J. (2016a). Group CBT Versus MBSR for Social Anxiety Disorder: A Randomized Controlled Trial. Journal of Consulting and Clinical Psychology, 84(5), 427–437. https://doi.org/10.1037/ccp0000092

Goldin, P. R., Morrison, A., Jazaieri, H., Brozovich, F., Heimberg, R., & Gross, J. J. (2016b). Group CBT Versus MBSR for Social Anxiety Disorder: A Randomized Controlled Trial. Journal of Consulting and Clinical Psychology, 84(5), 427–437. https://doi.org/10.1037/ccp0000092

Haller, H., Breilmann, P., Schröter, M., Dobos, G., & Cramer, H. (2021). A systematic review and meta-analysis of acceptance- and mindfulness-based interventions for DSM-5 anxiety disorders. Scientific Reports, 11(1). https://doi.org/10.1038/s41598-021-99882-w

Hjeltnes, A., Molde, H., Schanche, E., Vøllestad, J., Lillebostad Svendsen, J., Moltu, C., & Binder, P. E. (2017). An open trial of mindfulness-based stress reduction for young adults with social anxiety disorder. Scandinavian Journal of Psychology, 58(1), 80–90. https://doi.org/10.1111/sjop.12342

Hjeltnes, A., Moltu, C., Schanche, E., Jansen, Y., & Binder, P. E. (2018). Both sides of the story: Exploring how improved and less-improved participants experience mindfulness-based stress reduction for social anxiety disorder. Psychotherapy Research, 28(1), 106–122. https://doi.org/10.1080/10503307.2016.1169330

Hoge, E. A., Bui, E., Goetter, E., Robinaugh, D. J., Ojserkis, R. A., Fresco, D. M., & Simon, N. M. (2015). Change in Decentering Mediates Improvement in Anxiety in Mindfulness-Based Stress Reduction for Generalized Anxiety Disorder. Cognitive Therapy and Research, 39(2), 228–235. https://doi.org/10.1007/s10608-014-9646-4

Hoge, E. A., Bui, E., Marques, L., Metcalf, C. A., Morris, L. K., Robinaugh, D. J., Worthington, J. J., Pollack, M. H., & Simon, N. M. (2013). Randomized controlled trial of mindfulness meditation for generalized anxiety disorder: Effects on anxiety and stress reactivity. Journal of Clinical Psychiatry, 74(8), 786–792. https://doi.org/10.4088/JCP.12m08083

Hoge, E. A., Bui, E., Palitz, S. A., Schwarz, N. R., Owens, M. E., Johnston, J. M., Pollack, M. H., & Simon, N. M. (2018). The effect of mindfulness meditation training on biological acute stress responses in generalized anxiety disorder. Psychiatry Research, 262, 328–332. https://doi.org/10.1016/j.psychres.2017.01.006

Hoge, E. A., Reese, H. E., Oliva, I. A., Gabriel, C. D., Guidos, B. M., Bui, E., Simon, N. M., & Dutton, M. A. (2020). Investigating the Role of Interpretation Bias in Mindfulness-Based Treatment of Adults With Generalized Anxiety Disorder. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.00082

Hölzel, B. K., Hoge, E. A., Greve, D. N., Gard, T., Creswell, J. D., Brown, K. W., Barrett, L. F., Schwartz, C., Vaitl, D., & Lazar, S. W. (2013). Neural mechanisms of symptom improvements in generalized anxiety disorder following mindfulness training. NeuroImage: Clinical, 2(1), 448–458. https://doi.org/10.1016/j.nicl.2013.03.011

Jazaieri, H., Goldin, P. R., & Gross, J. J. (2018). The Role of Working Alliance in CBT and MBSR for Social Anxiety Disorder. Mindfulness, 9(5), 1381–1389. https://doi.org/10.1007/s12671-017-0877-9

Jazaieri, H., Lee, I. A., Goldin, P. R., & Gross, J. J. (2016). Pre-treatment social anxiety severity moderates the impact of mindfulness-based stress reduction and aerobic exercise. Psychology and Psychotherapy: Theory, Research and Practice, 89(2), 229–234. https://doi.org/10.1111/papt.12060

Kabat-Zinn, J. (1990). Appendix A: The foundation of mindfulness practice: Attitudes and commitment. In Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness.

Kang, Y. S., Choi, S. Y., & Ryu, E. (2009). The effectiveness of a stress coping program based on mindfulness meditation on the stress, anxiety, and depression experienced by nursing students in Korea. Nurse Education Today, 29(5), 538–543. https://doi.org/10.1016/j.nedt.2008.12.003

Kessler, R. C., Tat Chiu, W., Demler, O., & Walters, E. E. (2005). Prevalence, Severity, and Comorbidity of 12-Month DSM-IV Disorders in the National Comorbidity Survey Replication.

Lépine, J.-P. (2002). Epidemiology of anxiety disorders: Prevalence and societal impact.

Marciniak, M., Lage, M. J., Landbloom, R. P., Dunayevich, E., & Bowman, L. (2004). Medical and productivity costs of anxiety disorders: Case control study. Depression and Anxiety, 19(2), 112–120. https://doi.org/10.1002/da.10131

Newman, M. G., Llera, S. J., Erickson, T. M., Przeworski, A., & Castonguay, L. G. (2013). Worry and generalized anxiety disorder: A review and theoretical synthesis of evidence on nature, etiology, mechanisms, and treatment. In Annual Review of Clinical Psychology (Vol. 9, pp. 275–297). https://doi.org/10.1146/annurev-clinpsy-050212-185544

Olatunji, B. O., Cisler, J. M., & Tolin, D. F. (2007). Quality of life in the anxiety disorders: A meta-analytic review. In Clinical Psychology Review (Vol. 27, Issue 5, pp. 572–581). https://doi.org/10.1016/j.cpr.2007.01.015

Ruscio, A. M., Brown, T. A., Chiu, W. T., Sareen, J., Stein, M. B., & Kessler, R. C. (2008). Social fears and social phobia in the USA: Results from the National Comorbidity Survey Replication. Psychological Medicine, 38(1), 15–28. https://doi.org/10.1017/S0033291707001699

Stein, M. B., & Stein, D. J. (2008). Social anxiety disorder. In The Lancet (Vol. 371, Issue 9618, pp. 1115–1125). Elsevier B.V. https://doi.org/10.1016/S0140-6736(08)60488-2

Vøllestad, J. (2016). Mindfulness- and Acceptance-Based Interventions in the Treatment of Anxiety Disorders. In Mindfulness and Buddhist-Derived Approaches in Mental Health and Addiction (pp. 97–137). Springer International Publishing. https://doi.org/10.1007/978-3-319-22255-4_6

World Health Organization. (2017). Depression and other common mental disorders: Global health estimates.

Ye, H. (2017). Impact of mindfulness-based stress reduction (MBSR) on students’ social anxiety: A randomized controlled trial. NeuroQuantology, 15(4), 101–106. https://doi.org/10.14704/nq.2017.15.4.1134

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Published

2024-11-19

How to Cite

Yumkhaibam, A. H., Farooque, S. M., Naorem, S., & Bhowmik, S. K. (2024). Effectiveness of Mindfulness-Based Stress Reduction on Anxiety Disorder: A Systematic Review. American Journal of Human Psychology, 2(1), 182-188. https://doi.org/10.54536/ajhp.v2i1.3790

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