Meditation and Secondary Prevention of Depression and Anxiety in Heart Disease: a Systematic Review

Heart disease is the leading cause of global mortality, accounting for 13.7 million deaths annually. Optimising depression and anxiety symptoms in adults with heart disease is an international priority. Heart disease secondary prevention is best achieved through implementation of sustainable pharmac...

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Bibliographic Details
Published in:Mindfulness 2019, Vol.10 (1), p.1-14
Main Authors: Rao, Angela, DiGiacomo, Michelle, Newton, Phillip J., Phillips, Jane L., Hickman, Louise D.
Format: Article
Language:English
Subjects:
Anxiety
Behavioral Science and Psychology
Cardiovascular disease
Child and School Psychology
Cognitive Psychology
Developing countries
Disease prevention
Heart
Hospitalization
LDCs
Meditation
Mental depression
Mindfulness
Pediatrics
Physiology
Psychology
Public Health
Rehabilitation
Review
Social Sciences
Systematic review
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Summary:Heart disease is the leading cause of global mortality, accounting for 13.7 million deaths annually. Optimising depression and anxiety symptoms in adults with heart disease is an international priority. Heart disease secondary prevention is best achieved through implementation of sustainable pharmacological and non-pharmacological interventions, including meditation. Meditation is a means of generating self-awareness and has implications for enhanced self-management of depression and anxiety symptoms. This review aims to identify high-level quantitative evidence for meditation interventions designed to improve depression and/or anxiety symptoms among adults with heart disease and ascertain the most important elements of meditation interventions that facilitate positive depression and/or anxiety outcomes. This systematic review and narrative synthesis was completed in accordance with the PRISMA Statement and has adhered to the Cochrane Risk of Bias guideline. Six databases were searched between 1975 and 2017. Statistically significant outcomes were demonstrated in over half (5/9) of phase II meditation studies for depression and/or anxiety and involved 477 participants. Meditation interventions that generated positive outcomes for depression and/or anxiety included elements such as focused attention to body parts (or body scan) (3/4 studies) and/or group meetings (4/5 studies). Meditation is a means of reframing heart disease outpatient services towards an integrated model of care. Future adequately powered phase III studies are needed to confirm which meditation elements are associated with reductions in depression and anxiety; and the differential effects between concentrative and mindfulness-based meditation types among adults with heart disease.
ISSN:1868-8527
1868-8535
DOI:10.1007/s12671-018-0942-z