The efficacy of mindfulness-based interventions in primary care: a meta-analytic review.

Demarzo, M. M. P.; Montero-Marin, J.; Cuijpers, P.; Zabaleta-del-Olmo, E.; Mahtani, K. R.; Vellinga, A.; Vicens, C.; Lopez-del-Hoyo, Y.; Garcia-Campayo, J.

doi:10.1370/afm.1863

Cited by 152Mindfulness and Compassion InterventionsPsychotherapy Techniques and ApplicationsCancer survivorship and care

The efficacy of mindfulness-based interventions in primary care: a meta-analytic review.

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Demarzo, M. M. P., Montero-Marin, J., Cuijpers, P., Zabaleta-del-Olmo, E., Mahtani, K. R., Vellinga, A., Vicens, C., Lopez-del-Hoyo, Y. +1 more·2015·The Annals of Family Medicine

DOI 10.1370/afm.1863PMC PMC4639383

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Abstract

PURPOSE: Positive effects have been reported after mindfulness-based interventions (MBIs) in diverse clinical and nonclinical populations. Primary care is a key health care setting for addressing common chronic conditions, and an effective MBI designed for this setting could benefit countless people worldwide. Meta-analyses of MBIs have become popular, but little is known about their efficacy in primary care. Our aim was to investigate the application and efficacy of MBIs that address primary care patients. METHODS: We performed a meta-analytic review of randomized controlled trials addressing the effect of MBIs in adult patients recruited from primary care settings. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and Cochrane guidelines were followed. Effect sizes were calculated with the Hedges g in random effects models. RESULTS: The meta-analyses were based on 6 trials having a total of 553 patients. The overall effect size of MBI compared with a control condition for improving general health was moderate (g = 0.48; P = .002), with moderate heterogeneity (I(2) = 59; P <.05). We found no indication of publication bias in the overall estimates. MBIs were efficacious for improving mental health (g = 0.56; P = .007), with a high heterogeneity (I(2) = 78; P <.01), and for improving quality of life (g = 0.29; P = .002), with a low heterogeneity (I(2) = 0; P >.05). CONCLUSIONS: Although the number of randomized controlled trials applying MBIs in primary care is still limited, our results suggest that these interventions are promising for the mental health and quality of life of primary care patients. We discuss innovative approaches for implementing MBIs, such as complex intervention and stepped care.

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For many people, mindfulness as a healthcare approach remains unfamiliar.
“for many people, mindfulness as a healthcare approach remains unfamiliar [14, 32].”
From Exploring patient experiences with a mindfulness course in a general practice setting: a qualitative study. (2025) · cites this paper as [32]
The introduction discusses growing recognition of mindfulness-based interventions among clinicians and policy makers, and Findings in Context discusses adapting them for primary care (page numbers unavailable). Neither addresses whether mindfulness as a healthcare approach is unfamiliar to many people. Searches for unfamiliarity, awareness, and patient knowledge found no supporting passage. (LLM, conf=0.72)
Experimental — accuracy not yet measured
Mindfulness-based interventions have been shown to enhance quality of life in many different chronic conditions.
“Mindfulness-based interventions have been shown to enhance quality of life in many different chronic conditions (Demarzo et al., 2015; Crowe et al., 2016; Veehof et al., 2016; Haller et al., 2017) and we confirmed this with respect to MS in our study.”
From The effectiveness of a body-affective mindfulness intervention for multiple sclerosis patients with depressive symptoms: A randomized controlled clinical trial (2017) · cites this paper as Demarzo et al., 2015
Meta-analyses show moderate effects of 8-week mindfulness-based programs on anxiety, depression, and quality of life in chronic disease.
“Meta-analyses demonstrate moderate effects of 8-week MBPs on anxiety, depression, and quality of life during chronic disease.37,38”
From Mindfulness training enhances self-regulation and facilitates health behavior change for primary care patients: A randomized controlled trial (2019) · cites this paper as [38]
Evidence-based mindfulness programs have well-established benefits for a wide range of populations and outcome variables.
“The benefits of mindfulness-based programs (MBPs) for a wide range of populations and outcome variables are well supported in meta-analytic reviews (Dawson et al. 2019; Demarzo et al. 2015; Goldberg et al. 2018; Khoury et al. 2013).”
From Frequency of Self-reported Unpleasant Events and Harm in a Mindfulness-Based Program in Two General Population Samples (2021) · cites this paper as Demarzo et al. 2015

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Improving Communication between Physicians and Their Patients through Mindfulness and Compassion-Based Strategies: A Narrative Review
Amutio, A., García‐Campayo, J., Delgado, L., Hermosilla, D., & Martínez-Taboada, C. (2017) · Journal of Clinical Medicine · doi:10.3390/jcm6030033 · Cited by 90 · see citing works
Frequency of Self-reported Unpleasant Events and Harm in a Mindfulness-Based Program in Two General Population Samples
The MYRIAD team, Baer, R., Crane, C., Montero-Marin, J., Phillips, A., Taylor, L., Tickell, A., & Kuyken, W. (2021) · Mindfulness · doi:10.1007/s12671-020-01547-8 · Cited by 78 · see citing works
Mindfulness meditation for workplace wellness: An evidence map
Hilton, L. G., Marshall, N. J., Motala, A., Taylor, S. L., Miake-Lye, I. M., Baxi, S. M., Shanman, R., Solloway, M. R., Beroesand, J. M., & Hempel, S. (2019) · Work · doi:10.3233/wor-192922 · Cited by 81 · see citing works
Mindfulness training enhances self-regulation and facilitates health behavior change for primary care patients: A randomized controlled trial
Gawande, R., To, M. N., Pine, E., Griswold, T., Creedon, T. B., Brunel, A., Lozada, A., Loucks, E. B., & Schuman-Olivier, Z. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-018-4739-5 · Cited by 75 · see citing works
Mindfulness-based interventions for adolescent health
Lin, J., Chadi, N., & Shrier, L. A. (2019) · Current Opinion in Pediatrics · doi:10.1097/mop.0000000000000760 · Cited by 80 · see citing works
Mindfulness Training Improves Quality of Life and Reduces Depression and Anxiety Symptoms Among Police Officers: Results From the POLICE Study—A Multicenter Randomized Controlled Trial
Trombka, M., Demarzo, M., Campos, D., Antonio, S. B., Cicuto, K., Walcher, A. L., García-Campayo, J., Schuman-Olivier, Z., & Rocha, N. S. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.624876 · Cited by 69 · see citing works
Self-citation
FORMAÇÃO EM PRÁTICAS INTEGRATIVAS E COMPLEMENTARES EM SAÚDE: DESAFIOS PARA AS UNIVERSIDADES PÚBLICAS
do Nascimento, M. C., Romano, V. F., Chazan, A. C. S., & Holandino, C. (2018) · Trabalho Educação e Saúde · doi:10.1590/1981-7746-sol00130 · Cited by 67 · see citing works
Effects of mindfulness meditation on self-transcendent states: Perceived body boundaries and spatial frames of reference
Hanley, A. W., Dambrun, M., & Garland, E. L. (2020) · Mindfulness · doi:10.1007/s12671-020-01330-9 · Cited by 66 · see citing works
Intervenciones psicológicas basadas en mindfulness y sus beneficios: estado actual de la cuestión
Hervás, G., Cebolla, A., & Soler, J. (2016) · Clínica y Salud · doi:10.1016/j.clysa.2016.09.002 · Cited by 67 · see citing works
Effectiveness of the Mindfulness‐Based Stress Reduction Program on Blood Pressure: A Systematic Review of Literature
Solano López, A. L. (2018) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.12319 · Cited by 61 · see citing works
Effects of mindfulness-based interventions on biomarkers in healthy and cancer populations: a systematic review
Sanada, K., Díez, M. A., Valero, M. S., Pérez-Yus, M. C., Demarzo, M., Montero‐Marín, J., Garcı́a-Toro, M., & García‐Campayo, J. (2017) · BMC Complementary and Alternative Medicine · doi:10.1186/s12906-017-1638-y · Cited by 62 · see citing works
Self-citation
A practical framework for encouraging and supporting positive behaviour change in diabetes
Fisher, L., Polonsky, W. H., Hessler, D., & Potter, M. B. (2017) · Diabetic Medicine · doi:10.1111/dme.13414 · Cited by 61 · see citing works
A Retrospective Systematic Review of Diversity Variables in Mindfulness Research, 2000–2016
Eichel, K., Gawande, R., Acabchuk, R. L., Palitsky, R., Chau, S., Pham, A., Cheaito, A., Yam, D., Lipsky, J., Dumais, T., et al. (2021) · Mindfulness · doi:10.1007/s12671-021-01715-4 · Cited by 58 · see citing works
Improvement of mindfulness skills during Mindfulness-Based Cognitive Therapy predicts long-term reductions of neuroticism in persons with recurrent depression in remission
Spinhoven, P., Huijbers, M. J., Ormel, J., & Speckens, A. E. M. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.02.011 · Cited by 55 · see citing works
A Real-World Application of Short Mindfulness-Based Practices: A Review and Reflection of the Literature and a Practical Proposition for an Effortless Mindful Lifestyle
Mantzios, M., & Giannou, K. (2018) · American Journal of Lifestyle Medicine · doi:10.1177/1559827618772036 · Cited by 57 · see citing works
Mindfulness and progressive muscle relaxation as standardized session‐introduction in individual therapy: A randomized controlled trial
Mander, J., Blanck, P., Neubauer, A. B., Kröger, P., Flückiger, C., Lutz, W., Barnow, S., Bents, H., & Heidenreich, T. (2019) · Journal of Clinical Psychology · doi:10.1002/jclp.22695 · Cited by 56 · see citing works
“Many clinicians in routine care apply mindfulness exercises in individual therapy (Cigolla & Brown, 2011; Demarzo et al., 2015; Dimidjian & Segal, 2015) and already do so during their training (Ivanovic, Swift, Callahan, & Dunn, 2015; Mander et al., 2017a).”
Background
Examining the associations between psychological flexibility, mindfulness, psychosomatic functioning, and anxiety during the covid-19 pandemic: A path analysis
Wielgus, B., Urban, W., Patriak, A., & Cichocki, Ł. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17238764 · Cited by 51 · see citing works
“Practices based on mindfulness improve the quality of sleep [55] and of life [56].”
Background
The effect of mind-body interventions on psychological and pregnancy outcomes in infertile women: a systematic review
Gaitzsch, H., Bénard, J., Hugon‐Rodin, J., Benzakour, L., & Streuli, I. (2020) · Archives of Women s Mental Health · doi:10.1007/s00737-019-01009-8 · Cited by 54 · see citing works
The effectiveness of a body-affective mindfulness intervention for multiple sclerosis patients with depressive symptoms: A randomized controlled clinical trial
Carletto, S., Tesio, V., Borghi, M., Francone, D., Scavelli, F., Bertino, G., Malucchi, S., Bertolotto, A., Oliva, F., Torta, R., et al. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.02083 · Cited by 49 · see citing works
Exploring relations among mindfulness facets and various meditation practices: Do they work in different ways?
Cebolla, A., Campos, D., Galiana, L., Oliver, A., Tomás, J. M., Feliu‐Soler, A., Soler, J., García‐Campayo, J., Demarzo, M., & Baños, R. (2017) · Consciousness and Cognition · doi:10.1016/j.concog.2017.01.012 · Cited by 48 · see citing works
Self-citation
Exploring the role of meditation and dispositional mindfulness on social cognition domains: A controlled study
Campos, D., Modrego-Alarcón, M., López-del-Hoyo, Y., González-Panzano, M., Van Gordon, W., Shonin, E., Navarro-Gil, M., & García-Campayo, J. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00809 · Cited by 45 · see citing works
How Does Mindfulness Work? Exploring a Theoretical Model Using Samples of Meditators and Non-meditators
Cebolla, A., Galiana, L., Campos, D., Oliver, A., Soler, J., Demarzo, M., Baños, R., Feliu‐Soler, A., & García‐Campayo, J. (2017) · Mindfulness · doi:10.1007/s12671-017-0826-7 · Cited by 47 · see citing works
Self-citation
The empirical support for mindfulness-based interventions for common psychiatric disorders: a systematic review and meta-analysis
Hedman-Lagerlöf, M., Hedman-Lagerlöf, E., & Öst, L.-G. (2018) · Psychological Medicine · doi:10.1017/s0033291718000259 · Cited by 61 · see citing works
Controlled clinical trial comparing the effectiveness of a mindfulness and self-compassion 4-session programme versus an 8-session programme to reduce work stress and burnout in family and community medicine physicians and nurses: MINDUUDD study protocol
the collaborative group of the MINDUUDD study, de Torres, L. Á. P., Atalaya, J. C. V.-M., García‐Campayo, J., Villalobos, A. R., Magallón-Botaya, R. M., Bartolomé-Moreno, C., Moreno-Martos, H., Melús-Palazón, E., Liétor-Villajos, N., et al. (2019) · BMC Family Practice · doi:10.1186/s12875-019-0913-z · Cited by 42 · see citing works
The effects of mindfulness-based interventions on anxiety, depression, stress, and mindfulness in menopausal women: A systematic review and meta-analysis
Liu, H., Cai, K., Wang, J., & Zhang, H. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2022.1045642 · Cited by 40 · see citing works
Are acceptance and mindfulness‐based interventions ‘value for money’? Evidence from a systematic literature review
Duarte, R., Lloyd, A., Kotas, E., Andronis, L., & White, R. (2019) · British Journal of Clinical Psychology · doi:10.1111/bjc.12208 · Cited by 39 · see citing works
The Impact of App-Delivered Mindfulness Meditation on Functional Connectivity and Self-Reported Mindfulness Among Health Profession Trainees
Smith, J. L., Allen, J. W., Haack, C., Wehrmeyer, K., Alden, K., Lund, M. B., & Mascaro, J. S. (2021) · Mindfulness · doi:10.1007/s12671-020-01502-7 · Cited by 37 · see citing works
The Relationship Between Pain-Related Psychological Factors and Postoperative Opioid Use After Ambulatory Hand Surgery.
Sacks, H., Stepan, J., Wessel, L., & Fufa, D. (2019) · Journal of Hand Surgery-American Volume · doi:10.1016/j.jhsa.2019.01.010 · Cited by 37 · see citing works
Implementation of non-pharmacological interventions for the treatment of hypertension in primary care: a narrative review of effectiveness, cost-effectiveness, barriers, and facilitators
Dhungana, R. R., Pedišić, Ž., & de Courten, M. (2022) · BMC Family Practice · doi:10.1186/s12875-022-01884-8 · Cited by 40 · see citing works
Mental health promotion
Sharma, A., Sharma, S. D., & Sharma, M. (2017) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000347 · Cited by 33 · see citing works
Citation patterns and trends of systematic reviews about mindfulness
Chiesa, A., Fazia, T., Bernardinelli, L., & Morandi, G. (2017) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2017.04.006 · Cited by 31 · see citing works
Feasibility and Effectiveness of a Workplace-Adapted Mindfulness-Based Programme to Reduce Stress in Workers at a Private Sector Logistics Company: An Exploratory Mixed Methods Study
Montero‐Marín, J., Kuyken, W., Gasión, V., Barceló‐Soler, A., Rojas, L., Manrique, A., Esteban, R., & García‐Campayo, J. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17051643 · Cited by 28 · see citing works
Comparison of the Effectiveness of an Abbreviated Program versus a Standard Program in Mindfulness, Self-Compassion and Self-Perceived Empathy in Tutors and Resident Intern Specialists of Family and Community Medicine and Nursing in Spain
de Torres, L. Á. P., Verdes-Montenegro-Atalaya, J. C., Melús-Palazón, E., de Vinuesa, L. G., Valverde, F., Rodríguez, L. A. G., Liétor-Villajos, N., Bartolomé-Moreno, C., Moreno-Martos, H., García‐Campayo, J., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18084340 · Cited by 29 · see citing works
Effectiveness of mindfulness‐based stress reduction and attachment‐based compassion therapy for the treatment of depressive, anxious, and adjustment disorders in mental health settings: A randomized controlled trial
Collado‐Navarro, C., Navarro‐Gil, M., Pérez‐Aranda, A., del Hoyo, Y. L., García‐Campayo, J., & Montero‐Marín, J. (2021) · Depression and Anxiety · doi:10.1002/da.23198 · Cited by 28 · see citing works
Psychometric properties of the five-item version of the Mindful Awareness Attention Scale (MAAS) in Norwegian adolescents
Smith, O. R. F., Melkevik, O., Samdal, O., Larsen, T. B., & Haug, E. (2017) · Scandinavian Journal of Public Health · doi:10.1177/1403494817699321 · Cited by 30 · see citing works
From Mindfulness to Personal Recovery: the Mediating Roles of Self-Warmth, Psychological Flexibility, and Valued Living
Mak, W. W. S., Chio, F. H. N., Chong, K. S. C., & Law, R. W. (2021) · Mindfulness · doi:10.1007/s12671-020-01568-3 · Cited by 27 · see citing works
Impact of App-Delivered Mindfulness Meditation on Functional Connectivity, Mental Health, and Sleep Disturbances Among Physician Assistant Students: Randomized, Wait-list Controlled Pilot Study
Smith, J. L., Allen, J. W., Haack, C. I., Wehrmeyer, K., Alden, K. G., Lund, M. B., & Mascaro, J. S. (2021) · JMIR Formative Research · doi:10.2196/24208 · Cited by 25 · see citing works
Religiosity and Meditation Practice: Exploring Their Explanatory Power on Psychological Adjustment
Montero‐Marín, J., Pérez-Yus, M. C., Cebolla, A., Soler, J., Demarzo, M., & García‐Campayo, J. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00630 · Cited by 24 · see citing works
Self-citation
Increased Salivary IgA Response as an Indicator of Immunocompetence After a Mindfulness and Self-Compassion-Based Intervention
Bellosta-Batalla, M., Ruiz-Robledillo, N., Sariñana-González, P., Capella-Solano, T., Vitoria-Estruch, S., Hidalgo-Moreno, G., Pérez-Blasco, J., Romero-Martínez, Á., & Moya-Albiol, L. (2018) · Mindfulness · doi:10.1007/s12671-017-0830-y · Cited by 26 · see citing works
Existential and Mindfulness–Based Intervention to Increase Self-Compassion in Apparently Healthy Subjects (the EXMIND Study): A Randomized Controlled Trial
Sakai, A., Terao, T., Kawano, N., Akase, M., Hatano, K., Shirahama, M., Hirakawa, H., Kohno, K., Inoue, A., & Ishii, N. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00538 · Cited by 22 · see citing works
Impact of a blended web-based mindfulness programme for general practitioners: a pilot study
Montero-Marin, J., Gaete, J., Araya, R., Demarzo, M., Manzanera, R., Álvarez de Mon, M., & García-Campayo, J. (2018) · Mindfulness · doi:10.1007/s12671-017-0752-8 · Cited by 22 · see citing works
Self-citation
Implementing a training program to promote mindful, empathic, and pro-environmental attitudes in the classroom: a controlled exploratory study with elementary school students
Jalón, C., Montero‐Marín, J., Modrego‐Alarcón, M., Gascón, S., Navarro‐Gil, M., Barceló‐Soler, A., Delgado-Suárez, I., & García‐Campayo, J. (2020) · Current Psychology · doi:10.1007/s12144-020-00962-3 · Cited by 21 · see citing works
Insurance-Reimbursable Mindfulness for Safety-Net Primary Care Patients: a Pilot Randomized Controlled Trial
Gawande, R., Pine, E., Griswold, T. R., Creedon, T. B., Vallejo, Z., Rosenbaum, E., Lozada, A., & Schuman‐Olivier, Z. (2019) · Mindfulness · doi:10.1007/s12671-019-01116-8 · Cited by 21 · see citing works
Yoga in major depressive disorder: molecular mechanisms and clinical utility
Tolahunase, M., Gautam, S., Sagar, R., Kumar, M., & Dada, R. (2021) · Frontiers in Bioscience-Scholar · doi:10.52586/s553 · Cited by 22 · see citing works
Mindfulness-based stress reduction for community-dwelling older adults with subjective cognitive decline (SCD) and mild cognitive impairment (MCI) in primary care: a mixed-methods feasibility randomized control trial
Tran, T., Donnelly, C. A., Nalder, E. J., Trothen, T. J., & Finlayson, M. L. (2023) · BMC Family Practice · doi:10.1186/s12875-023-02002-y · Cited by 23 · see citing works
Effectiveness of a brief psychological mindfulness-based intervention for the treatment of depression in primary care: study protocol for a randomized controlled clinical trial
Lopez-Montoyo, A., Quero, S., Montero-Marin, J., Barcelo-Soler, A., Beltran, M., Campos, D., & Garcia-Campayo, J. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2298-x · Cited by 19 · see citing works
Feasibility and Effectiveness of a Mindfulness-Based Program Vs. Relaxation in the Treatment of Burnout in Brazilian Primary Care Providers: a Mixed-Methods Pragmatic Controlled Study
Sopezki, D., Andreoni, S., Montero‐Marín, J., Filho, E. D. D. C., Fortes, S., de Lima, G. G., Pizutti, L. T., Girão, Á. C., Silva, T. F., García‐Campayo, J., et al. (2020) · Mindfulness · doi:10.1007/s12671-020-01472-w · Cited by 19 · see citing works
Self-citation
Mindfulness for Health and Well Being
DİAZ, F. C. B., Trinidad, I., Agustin, M. J., Panganiban, T. P., & Garcia, M. B. (2024) · Advances in educational technologies and instructional design book series · doi:10.4018/979-8-3693-3952-7.ch006 · Cited by 19 · see citing works
Complementary medicine and the NHS: Experiences of integration with UK primary care
Sharp, D., Lorenc, A., Little, P. S., Mercer, S. W., Hollinghurst, S. P., Feder, G. S., & MacPherson, H. (2018) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2018.10.009 · Cited by 18 · see citing works
Nonoperative Management Prior to Hip Arthroscopy for Femoroacetabular Impingement Syndrome: An Investigation Into the Utilization and Content of Physical Therapy
Young, J. L., Wright, A. A., & Rhon, D. I. (2019) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2019.8581 · Cited by 18 · see citing works
Effectiveness of Emotion-Regulation Interventions on Substance Misuse and Emotion Regulation Outcomes in Individuals with Substance Dependence: A Systematic Review and Meta-Analysis
Peri, S., Neppala, G. K., Shaik, R., & Parvaz, M. A. (2024) · Current Addiction Reports · doi:10.1007/s40429-024-00582-y · Cited by 18 · see citing works
Hospitalists’ perspectives on challenging patient encounters and physician well-being: A qualitative study
Fosnot, L., Jones, C. D., Keniston, A., Burden, M. A., Indovina, K. A., & Patel, H. (2021) · Patient Education and Counseling · doi:10.1016/j.pec.2021.08.023 · Cited by 17 · see citing works
An Ultra-Brief Mindfulness-Based Intervention for Patients in Treatment for Opioid Addiction with Buprenorphine: A Primary Care Feasibility Pilot Study
Bloom-Foster, J., & Mehl‐Madrona, L. (2019) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2019.0242 · Cited by 17 · see citing works
Strengths and virtues and the development of resilience: A qualitative study in Suriname during a time of economic crisis
Hendriks, T., Graafsma, T., Hassankhan, A., Bohlmeijer, E. T., & de Jong, J. T. V. M. (2017) · International Journal of Social Psychiatry · doi:10.1177/0020764017749624 · Cited by 17 · see citing works
Mindfulness Intervention Decreases Frequency and Severity of Flares in Inactive Ulcerative Colitis Patients: Results of a Phase II, Randomized, Placebo-Controlled Trial
Jedel, S., Beck, T. L., Swanson, G. R., Hood, M. M., Voigt, R. M., Gorenz, A., Jakate, S. M., Raeisi, S., Hobfoll, S. E., & Keshavarzian, A. (2022) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izac036 · Cited by 15 · see citing works
An online mindfulness intervention to enhance compassion in nursing practice: A feasibility and acceptability study with nursing students
Coster, S., Gould, R. L., Coulson, M., & Norman, I. J. (2020) · International Journal of Nursing Studies Advances · doi:10.1016/j.ijnsa.2020.100004 · Cited by 15 · see citing works
Mindfulness Training for Primary Care for Portuguese-Speaking Immigrants: A Pilot Study
Trombka, M., Creedon, T., Demarzo, M., Cuoco, L. T., Smith, L., Oxnard, A., Rozembaque, A. T., Hirayama, M. S., Moreno, N. B., Comeau, A., et al. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.664381 · Cited by 12 · see citing works
Self-citation
A longitudinal, randomized and controlled study of app-delivered mindfulness in the workplace
Emory University, & Mascaro, J. (2020) · Journal of Wellness · doi:10.18297/jwellness/vol2/iss1/4 · Cited by 12 · see citing works
“Recent meta-analyses indicate that mindfulness meditation interventions may be effective for enhancing well-being [3], reducing anxiety and depression [4], and optimizing immune physiology [5] and daily functioning [6].”
Background
Effect of Mindfulness Sport Performance Enhancement (MSPE) to Reduce competitive state anxiety on Karate Athletes
Widhi Harita, A. N., Suryanto, S., & Ardi, R. (2022) · Jurnal SPORTIF : Jurnal Penelitian Pembelajaran · doi:10.29407/js_unpgri.v8i2.17807 · Cited by 13 · see citing works
Effects and acceptability of virtual reality to facilitate mindfulness practice in university students
Modrego‐Alarcón, M., Morillo, H., Campos, D., Navarro-Gil, M. T., Montero‐Marín, J., Monreal‐Bartolomé, A., García‐Campayo, J., & del Hoyo, Y. L. (2023) · Journal of Computing in Higher Education · doi:10.1007/s12528-023-09393-y · Cited by 13 · see citing works
Mindfulness-Based Programs for People with Chronic Obstructive Pulmonary Disease: a Mixed Methods Systematic Review
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
More Purpose in Life and Less Novelty Seeking Predict Improvements in Self-Compassion During a Mindfulness-Based Intervention: The EXMIND Study
Akase, M., Terao, T., Kawano, N., Sakai, A., Hatano, K., Shirahama, M., Hirakawa, H., Kohno, K., & Ishii, N. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00252 · Cited by 13 · see citing works
Mindfulness in primary care healthcare and teaching professionals and its relationship with stress at work: a multicentric cross-sectional study
the Minduudd Collaborative Study Group, Magallón-Botaya, R. M., de Torres, L. Á. P., Atalaya, J. C. V.-M., Pérula-Jiménez, C., Liétor-Villajos, N., Bartolomé-Moreno, C., García‐Campayo, J., & Moreno-Martos, H. (2021) · BMC Family Practice · doi:10.1186/s12875-021-01375-2 · Cited by 12 · see citing works
Estilo de vida saludable: un factor de protección minusvalorado frente a la depresión
Gómez-Juanes, R., Roca, M., Gili, M., García‐Campayo, J., & Garcı́a-Toro, M. (2017) · Psiquiatría Biológica · doi:10.1016/j.psiq.2017.10.004 · Cited by 11 · see citing works
Martial arts masters identify the essential components of training
Sandford, G. T., & Gill, P. R. (2018) · Physical Education and Sport Pedagogy · doi:10.1080/17408989.2018.1530749 · Cited by 11 · see citing works
The effectiveness of mindfulness-based interventions on menopausal symptoms: A systematic review and meta-analysis of randomized controlled trials
Wang, H., Wang, H., Kwok, J. Y. Y., Tang, S., & Sun, M. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.04.029 · Cited by 10 · see citing works
Effects of an Ultra-brief Online Mindfulness-based Intervention on Mental Health during the Coronavirus Disease (COVID-19) Outbreak in Malaysia: A Randomized Controlled Trial
Pheh, K. S., Tan, H.-C., & Tan, C. (2020) · Makara Human Behavior Studies in Asia · doi:10.7454/hubs.asia.2140920 · Cited by 10 · see citing works
Experiential Avoidance in Primary Care Providers: Psychometric Properties of the Brazilian “Acceptance and Action Questionnaire” (AAQ-II) and Its Criterion Validity on Mood Disorder-Related Psychological Distress
Berta-Otero, T., Barceló-Soler, A., Montero-Marin, J., Maloney, S., Pérez-Aranda, A., López-Montoyo, A., Salvo, V., Sussumu, M., García-Campayo, J., & Demarzo, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010225 · Cited by 9 · see citing works
“and the absence of mindfulness skills can be addressed through the practice of meditative exercises that promote attention to the present moment [29].”
BackgroundSelf-citation
Mindfulness-based cognitive therapy delivered in primary care: a naturalistic, mixed-methods study of participant characteristics and experiences
Gárriz, M., Elices, M., Peretó, M., Martín-López, L. M., Justicia, A., & Pérez, V. (2020) · Mindfulness · doi:10.1007/s12671-019-01166-y · Cited by 9 · see citing works
Feasibility and outcomes of using DIALOG+ in primary care to improve quality of life and mental distress of patients with long-term physical conditions: an exploratory non-controlled study in Bosnia and Herzegovina, Colombia and Uganda
van Loggerenberg, F., Akena, D. H., Alinaitwe, R., Birabwa‐Oketcho, H., Méndez, C. A. C., Gómez–Restrepo, C., Kulenović, A. D., Selak, N., Kiseljaković, M., Musisi, S., et al. (2023) · BMC Family Practice · doi:10.1186/s12875-023-02197-0 · Cited by 9 · see citing works
Improving patient-centered mental health promotion in primary care in vulnerable communities through mindfulness training in Rio de Janeiro, Brazil
Teixeira, D. S., Fortes, S., Kestenberg, C. C. F., Alves, K., Campos, M. R., Neto, A. D. O., Ortega, F., García‐Campayo, J., & Demarzo, M. (2024) · Frontiers in Medicine · doi:10.3389/fmed.2024.1356040 · Cited by 18 · see citing works
Self-citation
Mindfulness-based therapy for insomnia in Black women: a pilot randomized controlled trial
Nam, S., Jeon, S., Ordway, M. R., Mazure, C. M., Sinha, R., Yau, L., & Iennaco, J. D. (2024) · Journal of Behavioral Medicine · doi:10.1007/s10865-024-00521-2 · Cited by 11 · see citing works
Feasibility evaluation of a mindfulness-based stress reduction program for primary care professionals in Brazilian national health system
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Authors: Demarzo, M. M. P., Montero-Marin, J., Cuijpers, P., Zabaleta-del-Olmo, E., Mahtani, K. R., Vellinga, A., Vicens, C., Lopez-del-Hoyo, Y., & Garcia-Campayo, J.
Affiliations: Universidade Federal de São Paulo (BR)
Vrije Universiteit Amsterdam (NL)
University of Oxford (GB)
Ollscoil na Gaillimhe – University of Galway (IE)
Red de Investigación en Actividades Preventivas y Promoción de la Salud (ES)
ORCID: Demarzo, M. M. P.
Cuijpers, P.
Mahtani, K. R.
Vellinga, A.
Vicens, C.
Venue: The Annals of Family Medicine
Publisher: Annals of Family Medicine
Published: 2015-11-01
Volume: 13
Issue: 6
Pages: 573-582
ISSN: 1544-1709 (ISSN-L)
1544-1717
DOI: 10.1370/afm.1863
PMC: PMC4639383
OpenAlex: W2192018121
Cited by: 152
References: 60
Citations by year: 2026: 5 · 2025: 8 · 2024: 13 · 2023: 10 · 2022: 11 · 2021: 20 · 2020: 25 · 2019: 16 · 2018: 19 · 2017: 21 · 2016: 3 · 2015: 1
FWCI: 2.09
Type: journal article
Language: en
Open access: diamond
doi.org
Locations: The Annals of Family Medicine (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
VU Research Portal (publishedVersion, other-oa)
Arrow@dit (Dublin Institute of Technology) (acceptedVersion)
ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (acceptedVersion, cc-by-nc-nd)
ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (submittedVersion, cc-by-nc-nd)
Arrow@dit (Dublin Institute of Technology) (submittedVersion)
Docusalut (Conselleria de Salut i Consum del Govern de les Illes Balears) (submittedVersion)
ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) (submittedVersion, cc-by)
Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Funders: National Institute for Health and Care Research (CL-2011-13-006)
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords: mindfulness-based interventions, primary care, mental health, quality of life, health status, stepped care, complex interventions, chronic disease, intervention efficacy
MeSH terms: Adult, Aged, Chronic Disease, Female, Humans, Male, Middle Aged, Primary Health Care, Randomized Controlled Trials as Topic, Treatment Outcome, Mindfulness

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The efficacy of mindfulness-based interventions in primary care: a meta-analytic review.

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