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Mindfulness

, Volume 8, Issue 4, pp 848–858 | Cite as

Effects of Mindfulness Training on Posttraumatic Growth: a Systematic Review and Meta-Analysis

  • Mariya P. Shiyko
  • Sean Hallinan
  • Tatsuhiko Naito
ORIGINAL PAPER

Abstract

Posttraumatic growth (PTG) is a process of personal transformation following a traumatic life event in domains of life appreciation, interpersonal relationships, recognition of personal strengths, openness to taking a different life path, and spirituality. Mindfulness training has been tested as a facilitator of PTG; however, the extent of its impact is unknown. The goal of this study was to conduct a systematic literature review and meta-analysis to quantify the short-term effects of mindfulness training on PTG. We have also examined the impact of moderators, including the study design and the intervention type. Study selection criteria included publications prior to June 2016, English language, quantitative work, mindfulness as the basis of the intervention, and PTG as the outcome. Mixed effect meta-regression with standardized mean difference was used to compute overall effects. Outcomes included PTG as the global score and five individual domains. The final sample included 11 studies with a total of 1195 participants. All participants had medical trauma, and 98.6% were cancer-related. Median length of interventions was 8 weeks. Irrespective of study design or intervention type, a cumulative effect size for the global PTG score was .34, a small positive effect. Based on four studies, domains of relating to others and appreciation for life were affected the most (small to medium effect size). Based on five studies, change in spirituality had a medium to large effect size. Short impact of mindfulness training on PTG is beneficial, and effects vary across domains. Future work needs to examine longer-term effects and include non-medical populations.

Keywords

Posttraumatic growth Mindfulness Meditation Meta-analysis Systematic literature review 

Notes

Compliance with Ethical Standards

Current research is based on secondary data analyses and did not involve human participants.

Conflict of Interest

The authors declare that they have no conflict of interest.

Funding

None.

References

  1. Ando, M., Morita, T., Akechi, T., Ito, S., Tanaka, M., Ifuku, Y., & Nakayama, T. (2009). The efficacy of mindfulness-based meditation therapy on anxiety, depression, and spirituality in Japanese patients with cancer. Journal of Palliative Medicine, 12(12), 1091–1094.CrossRefPubMedGoogle Scholar
  2. Behr, S. K., Murphy, D. L., & Summers, J. A. (1992). User’s Manual: Kansas Inventory of Parental Perceptions (KIPP): Measures of Perceptions of Parents who Have Children with Special Needs. Beach Center on Families and Disability, University of Kansas.Google Scholar
  3. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241.Google Scholar
  4. Carlson, L. E., Tamagawa, R., Stephen, J., Doll, R., Faris, P., Dirkse, D., & Speca, M. (2014). Tailoring mind-body therapies to individual needs: patients’ program preference and psychological traits as moderators of the effects of mindfulness-based cancer recovery and supportive-expressive therapy in distressed breast cancer survivors. Journal of the National Cancer Institute. Monographs, 2014(50), 308–314.CrossRefPubMedGoogle Scholar
  5. Carlson, L. E., Tamagawa, R., Stephen, J., Drysdale, E., Zhong, L., & Speca, M. (2016). Randomized-controlled trial of mindfulness-based cancer recovery versus supportive expressive group therapy among distressed breast cancer survivors (MINDSET): long-term follow-up results. Psycho-Oncology, 750–759.Google Scholar
  6. Carver, C. S., & Antoni, M. H. (2004). Finding benefit in breast cancer during the year after diagnosis predicts better adjustment 5 to 8 years after diagnosis. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 23(6), 595–598.CrossRefGoogle Scholar
  7. Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2 edition). Hillsdale, N.J: Routledge.Google Scholar
  8. Crane, C., Crane, R. S., Eames, C., Fennell, M. J. V., Silverton, S., Williams, J. M. G., & Barnhofer, T. (2014). The effects of amount of home meditation practice in mindfulness based cognitive therapy on hazard of relapse to depression in the staying well after depression trial. Behaviour Research and Therapy, 63, 17–24.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Danhauer, S. C., Russell, G. B., Tedeschi, R. G., Jesse, M. T., Vishnevsky, T., Daley, K., et al. (2013). A longitudinal investigation of posttraumatic growth in adult patients undergoing treatment for acute leukemia. Journal of Clinical Psychology in Medical Settings, 20(1), 13–24.CrossRefPubMedPubMedCentralGoogle Scholar
  10. DerSimonian, R., & Kacker, R. (2007). Random-effects model for meta-analysis of clinical trials: an update. Contemporary Clinical Trials, 28(2), 105–114.CrossRefPubMedGoogle Scholar
  11. Durlak, J. A. (2009). How to select, calculate, and interpret effect sizes. Journal of Pediatric Psychology, 34(9), 917–928.CrossRefPubMedGoogle Scholar
  12. Garland, S. N., Carlson, L. E., Cook, S., Lansdell, L., & Speca, M. (2007). A non-randomized comparison of mindfulness-based stress reduction and healing arts programs for facilitating posttraumatic growth and spirituality in cancer outpatients. Supportive Care in Cancer, 15(8), 949–961.CrossRefPubMedGoogle Scholar
  13. Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: a meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43.CrossRefPubMedGoogle Scholar
  14. Hawkes, A. L., Pakenham, K. I., Chambers, S. K., Patrao, T. A., & Courneya, K. S. (2014). Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life: a randomized controlled trial. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 48(3), 359–370.CrossRefGoogle Scholar
  15. Helgeson, V. S., Reynolds, K. A., & Tomich, P. L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74(5), 797–816.CrossRefPubMedGoogle Scholar
  16. Henoch, I., & Danielson, E. (2009). Existential concerns among patients with cancer and interventions to meet them: an integrative literature review. Psycho-Oncology, 18(3), 225–236.CrossRefPubMedGoogle Scholar
  17. Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Ickovics, J. R., Meade, C. S., Kershaw, T. S., Milan, S., Lewis, J. B., & Ethier, K. A. (2006). Urban teens: trauma, posttraumatic growth, and emotional distress among female adolescents. Journal of Consulting and Clinical Psychology, 74(5), 841–850.CrossRefPubMedGoogle Scholar
  19. Ironson, G., Solomon, G. F., Balbin, E. G., O’Cleirigh, C., George, A., Kumar, M., et al. (2002). The ironson-woods spirituality/religiousness index is associated with long survival, health behaviors, less distress, and low cortisol in people with HIV/AIDS. Annals of Behavioral Medicine, 24(1), 34–48.CrossRefPubMedGoogle Scholar
  20. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your mind and body to face stress, pain, and illness. New York: Delacorte.Google Scholar
  21. Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156.Google Scholar
  22. Kashdan, T. B., & Nezlek, J. B. (2012). Whether, when, and how is spirituality related to well-being? Moving beyond single occasion questionnaires to understanding daily process. Personality & Social Psychology Bulletin, 38(11), 1523–1535.CrossRefGoogle Scholar
  23. Kazantzis, N., Whittington, C., Zelencich, L., Kyrios, M., Norton, P. J., & Hofmann, S. G. (2016). Quantity and quality of homework compliance: a meta-analysis of relations with outcome in cognitive behavior therapy. Behavior Therapy, 47(5), 755–772.CrossRefPubMedGoogle Scholar
  24. Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., et al. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771.CrossRefPubMedGoogle Scholar
  25. Khoury, B., Sharma, M., Rush, S. E., & Fournier, C. (2015). Mindfulness-based stress reduction for healthy individuals: a meta-analysis. Journal of Psychosomatic Research, 78(6), 519–528.CrossRefPubMedGoogle Scholar
  26. Labelle, L. E., Lawlor-Savage, L., Campbell, T. S., Faris, P., & Carlson, L. E. (2015). Does self-report mindfulness mediate the effect of Mindfulness-Based Stress Reduction (MBSR) on spirituality and posttraumatic growth in cancer patients? The Journal of Positive Psychology, 10(2), 153–166.Google Scholar
  27. Lakens, D. (2013). Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Frontiers in Psychology, 4, 863.CrossRefPubMedPubMedCentralGoogle Scholar
  28. Lechner, S. C., Carver, C. S., Antoni, M. H., Weaver, K. E., & Phillips, K. M. (2006). Curvilinear associations between benefit finding and psychosocial adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 74(5), 828–840.CrossRefPubMedGoogle Scholar
  29. Lelorain, S., Bonnaud-Antignac, A., & Florin, A. (2010). Long term posttraumatic growth after breast cancer: prevalence, predictors and relationships with psychological health. Journal of Clinical Psychology in Medical Settings, 17(1), 14–22.CrossRefPubMedGoogle Scholar
  30. Lipsey, M. W., & Wilson, D. (2000). Practical Meta-Analysis (1 edition). Thousand Oaks, Calif: SAGE Publications, Inc..Google Scholar
  31. Migdal, L., & MacDonald, D. A. (2013). Clarifying the relation between spirituality and well-being. The Journal of Nervous and Mental Disease, 201(4), 274–280.CrossRefPubMedGoogle Scholar
  32. Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of Internal Medicine, 151(4), 264–269.CrossRefPubMedGoogle Scholar
  33. Mols, F., Vingerhoets, A. J. J. M., Coebergh, J. W. W., & van de Poll-Franse, L. V. (2009). Well-being, posttraumatic growth and benefit finding in long-term breast cancer survivors. Psychology & Health, 24(5), 583–595.CrossRefGoogle Scholar
  34. Morrill, E. F., Brewer, N. T., O’Neill, S. C., Lillie, S. E., Dees, E. C., Carey, L. A., & Rimer, B. K. (2008). The interaction of posttraumatic growth and posttraumatic stress symptoms in predicting depressive symptoms and quality of life. Psycho-Oncology, 17(9), 948–953.CrossRefPubMedGoogle Scholar
  35. Occhipinti, S., Chambers, S. K., Lepore, S., Aitken, J., & Dunn, J. (2015). A longitudinal study of posttraumatic growth and psychological distress in colorectal cancer survivors. PloS One, 10(9), e0139119.CrossRefPubMedPubMedCentralGoogle Scholar
  36. Park, C. L., & Helgeson, V. S. (2006). Introduction to the special section: growth following highly stressful life events--current status and future directions. Journal of Consulting and Clinical Psychology, 74(5), 791–796.CrossRefPubMedGoogle Scholar
  37. Penedo, F. J., Molton, I., Dahn, J. R., Shen, B.-J., Kinsinger, D., Traeger, L., et al. (2006). A randomized clinical trial of group-based cognitive-behavioral stress management in localized prostate cancer: development of stress management skills improves quality of life and benefit finding. Annals of Behavioral Medicine, 31(3), 261–270.CrossRefPubMedGoogle Scholar
  38. Peterman, A. H., Fitchett, G., Brady, M. J., Hernandez, L., & Cella, D. (2002). Measuring spiritual well-being in people with cancer: the functional assessment of chronic illness therapy—spiritual well-being scale (FACIT-Sp). Annals of Behavioral Medicine, 24(1), 49–58.CrossRefPubMedGoogle Scholar
  39. Stafford, L., Foley, E., Judd, F., Gibson, P., Kiropoulos, L., & Couper, J. (2013). Mindfulness-based cognitive group therapy for women with breast and gynecologic cancer: a pilot study to determine effectiveness and feasibility. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 21(11), 3009–3019.CrossRefGoogle Scholar
  40. Strauss, C., Cavanagh, K., Oliver, A., & Pettman, D. (2014). Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: a meta-analysis of randomised controlled trials. PloS One, 9(4), e96110.CrossRefPubMedPubMedCentralGoogle Scholar
  41. Taku, K., Calhoun, L. G., Tedeschi, R. G., Gil-Rivas, V., Kilmer, R. P., & Cann, A. (2007). Examining posttraumatic growth among Japanese university students. Anxiety, Stress, and Coping, 20(4), 353–367.CrossRefPubMedGoogle Scholar
  42. Tallman, B. A., Altmaier, E., & Garcia, C. (2007). Finding benefit from cancer. Journal of Counseling Psychology, 54(4), 481–487.CrossRefGoogle Scholar
  43. Tedeschi, R., & Calhoun, L. G. (1996). The posttraumatic growth inventory: measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455–471.CrossRefPubMedGoogle Scholar
  44. Tedeschi, R., & Calhoun, L. G. (2004). Posttraumatic growth: conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1–18.CrossRefGoogle Scholar
  45. Thompson, N., & Walsh, M. (2010). The existential basis of trauma. Journal of Social Work Practice, 24(4), 377–389.CrossRefGoogle Scholar
  46. Tomich, P. L., & Helgeson, V. S. (2002). Five years later: a cross-sectional comparison of breast cancer survivors with healthy women. Psycho-Oncology, 11(2), 154–169.CrossRefPubMedGoogle Scholar
  47. Victorson, D., Hankin, V., Burns, J., Weiland, R., Maletich, C., Sufrin, N., … Brendler, C. (2016). Feasibility, acceptability and preliminary psychological benefits of mindfulness meditation training in a sample of men diagnosed with prostate cancer on active surveillance: results from a randomized controlled pilot trial. Psycho-Oncology, Advanced online publication.Google Scholar
  48. Viechtbauer, W., et al. (2010). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software, 36(3), 1–48.CrossRefGoogle Scholar
  49. Vranceanu, A.-M., Merker, V. L., Plotkin, S. R., & Park, E. R. (2014). The relaxation response resiliency program (3RP) in patients with neurofibromatosis 1, neurofibromatosis 2, and schwannomatosis: results from a pilot study. Journal of Neuro-Oncology, 120(1), 103–109.Google Scholar
  50. Wallace, B. A., & Shapiro, S. L. (2006). Mental balance and well-being: building bridges between Buddhism and western psychology. American Psychologist, 61(7), 690–701.CrossRefPubMedGoogle Scholar
  51. Wild, N. D., & Paivio, S. C. (2004). Psychological adjustment, coping, and emotion regulation as predictors of posttraumatic growth. Journal of Aggression, Maltreatment & Trauma, 8(4), 97–122.CrossRefGoogle Scholar
  52. Zernicke, K. A., Campbell, T. S., Speca, M., McCabe-Ruff, K., Flowers, S., & Carlson, L. E. (2014). A randomized wait-list controlled trial of feasibility and efficacy of an online mindfulness–based cancer recovery program: the etherapy for cancer applying mindfulness trial. Psychosomatic Medicine, 76(4), 257–267.Google Scholar
  53. Zhang, J.-Y., Zhou, Y.-Q., Feng, Z.-W., Fan, Y.-N., Zeng, G.-C., & Wei, L.-. (2016). Randomized controlled trial of mindfulness-based stress reduction (MBSR) on posttraumatic growth of Chinese breast cancer survivors. Psychology, Health & Medicine, 94–109.Google Scholar

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Mariya P. Shiyko
    • 1
  • Sean Hallinan
    • 1
  • Tatsuhiko Naito
    • 1
  1. 1.Department of Applied Psychology, Bouvé College of Health SciencesNortheastern UniversityBostonUSA

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