The Effects of Mindfulness-Based Interventions on Diabetes-Related Distress, Quality of Life, and Metabolic Control Among Persons with Diabetes: A Meta-Analytic Review
Abstract
Mindfulness-based interventions (MBIs) have improved psychological outcomes for multiple chronic health conditions, including diabetes. A meta-analytic review of the literature was conducted on all located studies (n = 14) investigating MBIs that targeted diabetes-related distress (DRD) and diabetes-related outcomes among people with Type 1 and Type 2 diabetes. PsychInfo, PubMed, Medline, and Web of Science were searched for MBIs that were designed to improve DRD and other secondary outcomes, including quality of life and measures of metabolic control. A meta-analysis of these outcomes uncovered small-to-moderate effect sizes for intervention studies measuring pretreatment to posttreatment changes in DRD and metabolic control among treatment group participants. However, the pretreatment to follow-up comparisons for DRD and metabolic control were small and unreliable. For control groups, all pre-treatment to post-treatment and pre-treatment to follow-up comparisons were unreliable for all outcomes. A moderate effect size for treatment-control comparisons was found for intervention studies measuring quality of life outcomes at posttreatment, but not at follow-up comparisons. All other effect sizes for treatment-control comparisons were unreliable. Limitations and implications for MBIs among individuals with diabetes are discussed.
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Bogusch and O'Brien (2019) revealed nonsignificant effects of mindfulness-based interventions on diabetes-related distress, quality of life, and metabolic control among patients with diabetes.
“Bogusch and O'Brien (2019) revealed nonsignificant effects of mindfulness-based interventions on diabetesrelated distress, quality of life, and metabolic control among patients with diabetes.”
From Effectiveness of acceptance and commitment therapy in people with type 2 diabetes mellitus: A systematic review and meta‐analysis. (2024) · cites this paper as Bogusch and O'Brien (2019)
A review of mindfulness-based interventions in type 1 and type 2 diabetes concluded that treatment-control comparison effect estimates were small and unreliable, so no meta-analysis was conducted.
“Another review 36 investigated the use of mindfulness‐based interventions alone in type 1 and type 2 diabetes. The authors concluded that the treatment–control comparison effect estimates were small and unreliable, so no meta‐analysis was conducted.”
Several systematic reviews on mindfulness-based interventions for type 2 diabetes have been conducted, but since then further randomised controlled trials on this topic have been published.
“Several systematic reviews on MBI for T2D have been conducted (Bogusch 2019; Noordali 2017), but since then further RCTs on this topic have been published.”
From Mindfulness-based interventions for adults with type 2 diabetes mellitus (2021) · cites this paper as Bogusch 2019
According to recent systematic reviews, mindfulness-based interventions may improve some aspects of quality of life in people with type 2 diabetes, although this evidence is limited.
“According to recent systematic reviews, MBIs may improve some aspects of quality of life in people with T2D, although this evidence is limited (Bogusch 2019; Ni 2020).”
From Mindfulness-based interventions for adults with type 2 diabetes mellitus (2021) · cites this paper as Bogusch 2019
Only one meta-analysis tested the effects of MBI on HbA1c and diabetes-related distress, which included non-randomized controlled trials.
“Only one meta‐analysis tested the effects of MBI on HbA1c and diabetes‐related distress, which included non‐randomized controlled trials 30 .”
From Effects of mindfulness-based intervention on glycemic control and psychological outcomes in people with diabetes: a systematic review and meta-analysis (2021) · cites this paper as [30]
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- Authors
- Bogusch, L. M., & O'Brien, W. H.
- Affiliations
- Bowling Green State University (US)
- Psychology Department, Bowling Green State University
- Corresponding author
- Bogusch, Leah M.
- Venue
- Behavioral Medicine
- Publisher
- Informa UK Limited
- Published
- 2018-04-04
- Volume
- 45
- Issue
- 1
- Pages
- 19-29
- ISSN
- 0896-4289 (ISSN-L)
- 1940-4026
- OpenAlex
- W2796297490
- Cited by
- 38
- References
- 36
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 7 · 2023: 4 · 2022: 3 · 2021: 9 · 2020: 6 · 2019: 3 · 2018: 1 · 2012: 1
- FWCI
- 5.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- mindfulness-based interventions, diabetes distress, quality of life, metabolic control, type 1 diabetes, type 2 diabetes
- MeSH terms
- Adult, Aged, Diabetes Mellitus, Female, Humans, Male, Middle Aged, Quality of Life, Stress, Psychological, Mindfulness
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