Effects of mindfulness‐based intervention on neuropsychiatric symptoms and psychological well‐being in older adults with subjective cognitive decline and mild cognitive impairment: A meta‐analysis of randomised controlled trials
Contribution to Journal
Rose, Lin S. Y., Su, Jingjing, Abu‐Odah, Hammoda and Bayuo, J.. 2023. "Effects of mindfulness‐based intervention on neuropsychiatric symptoms and psychological well‐being in older adults with subjective cognitive decline and mild cognitive impairment: A meta‐analysis of randomised controlled trials." Alzheimer's & Dementia: The Journal of the Alzheimer's Association. 19 (Supplement 18). https://doi.org/10.1002/alz.071096
Article Title | Effects of mindfulness‐based intervention on neuropsychiatric symptoms and psychological well‐being in older adults with subjective cognitive decline and mild cognitive impairment: A meta‐analysis of randomised controlled trials |
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Authors | Rose, Lin S. Y., Su, Jingjing, Abu‐Odah, Hammoda and Bayuo, J. |
Journal Title | Alzheimer's & Dementia: The Journal of the Alzheimer's Association |
Journal Citation | 19 (Supplement 18) |
Year | 2023 |
Digital Object Identifier (DOI) | https://doi.org/10.1002/alz.071096 |
Web Address (URL) | https://research.ebsco.com/linkprocessor/plink?id=ef3ee7f9-409e-35a5-9554-cc70d4b3dd2b |
Abstract | Neuropsychiatric symptoms (NPS) are highly prevalent and could progress cognitive decline towards dementia among the population with subjective cognitive decline (SCD) and mild cognitive impairment (MCI). Although emerging studies showed that mindfulness‐based intervention improved psychological well‐being among clinical and community population, its effectiveness for people at the pre‐dementia stages remain largely unknown. This meta‐analysis was conducted to examine the effect of mindfulness‐based intervention on NPS and psychological well‐being among this preclinical cohort. Eligible studies published from inception to August 2022 were retrieved from MEDLINE, EMBASE, JBI‐EPB, Web of Science, PubMed and Cochrane. Literature search and data extraction were conducted by two independent researchers. Methodological quality of the included studies was assessed by the Cochrane Risk‐of‐Bias Assessment Tool. Meta‐regression was conducted to examine the effects of intervention design and sample characteristics on study heterogeneity. Eighteen randomized controlled trials (n = 974) published between 2013 and 2022 were identified. Mindfulness‐based intervention had significant immediate post‐intervention effects on improving anxiety (SMD = ‐0.39, 95%CI‐0.76,‐0.03, stress (SMD = ‐0.58;95%CI‐0.91,‐0.25), and quality of life (SMD = 0.50, 95%CI0.04,0.95), no significant effect was detected for depression, apathy, mindfulness, and stress‐related biomarkers. No statistically signifciant follow‐up effects were detected for depression and anxiety. Meta‐regression suggested that the studies applied on SCD was associated with larger effect size in depression, while Kundalini Yoga and Kirtan Kriya mindfulness meditation was associated with greater improvement in anxiety. This review demonstrated the beneficial effects of mindfulness‐based intervention on anxiety, stress, and quality of life in the population with SCD and MCI. Future studies may incorporate informal mindfulness practice to facilitate its translation into everyday living. More rigorously designed and large‐scale randomized controlled trials evaluated by both self‐report and physiological parameters are warranted. |
ANZSRC Field of Research 2020 | 420503. Community and primary care |
Byline Affiliations | School of Nursing and Midwifery |
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