Mindfulness in people with a respiratory diagnosis: a systematic review

Harrison, Samantha L.; Lee, Annemarie; Janaudis-Ferreira, Tania; Goldstein, Roger S.; Brooks, Dina

doi:10.1016/j.pec.2015.10.013

Cited by 31Mindfulness and Compassion InterventionsCancer survivorship and careHealth, psychology, and well-being

Mindfulness in people with a respiratory diagnosis: a systematic review

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Harrison, Samantha L., Lee, Annemarie, Janaudis-Ferreira, Tania, Goldstein, Roger S., Brooks, Dina·2016·Patient Education and Counseling

DOI 10.1016/j.pec.2015.10.013

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Abstract

Objectives To describe how mindfulness is delivered and to examine the effect of mindfulness on health-related quality of life (HRQOL), mindful awareness and stress in adults with a respiratory diagnosis.Method Five electronic databases were searched. Data were extracted and assessed for quality by two reviewers.Results Data were extracted from four studies. Interventions were based on Mindfulness-Based Stress Reduction and delivered by trained instructors. Recordings of mindfulness were provided for home-based practice. One study targeted the intervention exclusively to anxious individuals with a respiratory diagnosis. Adherence to mindfulness was poor. No effects were seen on disease-specific HRQOL (standardized mean difference (SMD)=-0.21 95% CI: -0.36 to 0.48, p=0.78), mindful awareness (SMD=0.09 95% CI: -0.34 to 0.52, p=0.68) or stress levels (SMD =-0.11 95% CI: -0.46 to 0.23, p=0.51).Conclusion Mindfulness interventions, delivered to individuals with a respiratory diagnosis, varied widely in terms of delivery and the outcomes assessed making it difficult to draw any conclusions regarding its effectiveness.

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Existing studies on the intervention effect of mindfulness-based interventions in patients with COPD have controversial results, especially on dyspnoea, level of mindfulness and quality of life.
“Although some studies on the intervention effect of MBIs in patients with COPD have been conducted, the results are controversial, especially on dyspnoea, level of mindfulness and quality of life.”
From The efficacy of mindfulness-based interventions for patients with COPD: A systematic review and meta-analysis protocol (2019) · cites this paper as [36]
The Table 2 COPD entries show that mindfulness interventions were studied in patients with COPD. The meta-analysis (section 3.3.1) found no significant effects on disease-specific quality of life or mindful awareness, while the Discussion (section 4.1) says varied interventions and outcomes make conclusions difficult. The review does not report conflicting intervention effects on dyspnoea; it discusses dyspnoea as a symptom and a possible concern when focusing on breathing. (LLM, conf=0.85)
Experimental — accuracy not yet measured
Different conclusions among studies of mindfulness in respiratory illness are largely due to inconsistent research methodologies.
“Different conclusions are largely due to inconsistent research methodologies.36”
From The efficacy of mindfulness-based interventions for patients with COPD: A systematic review and meta-analysis protocol (2019) · cites this paper as [36]
The Discussion and Conclusion (sections 4.1–4.2) say that differences in enrolled populations, intervention delivery, and outcome measures make studies difficult to compare and prevent meaningful conclusions. They do not establish that inconsistent methodologies are largely responsible for the studies reaching different conclusions. (LLM, conf=0.78)
Experimental — accuracy not yet measured
A 2016 systematic review of mindfulness in adults with respiratory illnesses found that three studies proposed mindfulness cannot improve health-related quality of life, while two studies claimed mindfulness cannot improve the level of mindfulness and relieve stress.
“In 2016, a systematic review was conducted to examine the effect of mindfulness on mindful awareness, health-related quality of life and stress in adults with respiratory illnesses. In this meta-analysis, three studies proposed that mindfulness cannot improve health-related quality of life, while two studies claimed that mindfulness cannot improve the level of mindfulness and relieve stress.”
From The efficacy of mindfulness-based interventions for patients with COPD: A systematic review and meta-analysis protocol (2019) · cites this paper as [36]
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Bramanti, A., Pessolano, C., Garofano, M., Maglio, A., Ciccarelli, M., Budaci, L., Calabrese, M., Marino, A., Loria, F., Corallo, F., et al. (2025) · Bioengineering · doi:10.3390/bioengineering12090931 · Cited by 5 · see citing works
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Luzarraga, J., Wichman, C., Shirk, R., Jarosz, C., & Weaver, M. S. (2019) · Respiratory Care · doi:10.4187/respcare.06483 · Cited by 10 · see citing works
Feasibility, compliance and effects of a Mindfulness program on COPD patients
Bensliman, S., Ninane, V., & Mélot, C. (2020) · doi:10.1183/13993003.congress-2020.645
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Clari, M., Conti, A., Fontanella, R., Rossi, A. L. P., & Matarese, M. (2020) · Mindfulness · doi:10.1007/s12671-020-01348-z · Cited by 14 · see citing works

Authors: Harrison, S. L., Lee, A., Janaudis-Ferreira, T., Goldstein, R. S., & Brooks, D.
Affiliations: University of Toronto (CA)
Corresponding author: Harrison, Samantha L.
ORCID: Harrison, Samantha L.
Lee, Annemarie
Goldstein, Roger S.
Brooks, Dina
Venue: Patient Education and Counseling
Publisher: Elsevier BV
Published: 2016-03
Volume: 99
Issue: 3
Pages: 348-355
ISSN: 0738-3991 (ISSN-L)
DOI: 10.1016/j.pec.2015.10.013
OpenAlex: W1811895149
Cited by: 31
References: 42
Citations by year: 2025: 3 · 2024: 2 · 2023: 4 · 2022: 1 · 2021: 4 · 2020: 7 · 2019: 2 · 2018: 2 · 2017: 4 · 2016: 2
FWCI: 0.38
Type: journal article
Language: en
Open access: green
research.tees.ac.uk
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Patient Education and Counseling (publishedVersion)
PubMed (publishedVersion)
TeesRep (Teesside University) (publishedVersion, cc-by-nc-nd)
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
Keywords: mindfulness, mindfulness-based stress reduction, respiratory diseases, health-related quality of life, mindful awareness, stress, anxiety, intervention adherence
MeSH terms: Breathing Exercises, Health Status, Humans, Quality of Life, Relaxation Therapy, Respiratory Tract Diseases, Stress, Psychological, Pulmonary Disease, Chronic Obstructive, Mindfulness

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Mindfulness in people with a respiratory diagnosis: a systematic review

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