, Volume 10, Issue 1, pp 1–14 | Cite as

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

  • Angela RaoEmail author
  • Michelle DiGiacomo
  • Phillip J. Newton
  • Jane L. Phillips
  • Louise D. Hickman


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.


Meditation Psychological Transcendental Meditation Mindfulness Mind-body therapies 


Authors Contributions

AR designed and executed the study, analysed the data, and wrote the paper. MD collaborated in the writing and editing of the final manuscript. PJN collaborated with the design and writing of the study. JLP collaborated in the writing and editing of the final manuscript. LH collaborated with the design, data analysis, and writing of the study.

Compliance with Ethical Standards

The manuscript does not contain clinical studies or patient data.

Conflicts of Interest

The authors declare that there are no conflicts of interest.

Supplementary material

12671_2018_942_MOESM1_ESM.docx (12 kb)
ESM 1 (DOCX 12 kb)
12671_2018_942_MOESM2_ESM.docx (153 kb)
ESM 2 (DOCX 152 kb)


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Centre for Cardiovascular & Chronic Care to IMPACCT, Faculty of HealthUniversity of Technology SydneySydneyAustralia
  2. 2.Nursing Research Centre to Nursing & Midwifery Research CentreWestern Sydney UniversitySydneyAustralia

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