The Effect of Meditation-Based Interventions on Patients with Fatigue Symptoms: A Systematic Review and Meta-Analysis.

Autor: Requier F; GIGA-CRC In Vivo Imaging, Université de Liège, Bâtiment B30, Allée du Six Août, 8, Sart Tilman, 4000 Liège, Belgium.; Department of Psychology, Cognition and Behavior, University of Liège, Liège, Belgium., Demnitz-King H; Division of Psychiatry, University College London, London, UK., Whitfield T; Division of Psychiatry, University College London, London, UK., Klimecki O; Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland.; Clinical Psychology and Behavioral Neuroscience, Faculty of Psychology, Technische Universität Dresden, Dresden, Germany., Marchant NL; Division of Psychiatry, University College London, London, UK., Collette F; GIGA-CRC In Vivo Imaging, Université de Liège, Bâtiment B30, Allée du Six Août, 8, Sart Tilman, 4000 Liège, Belgium.; Department of Psychology, Cognition and Behavior, University of Liège, Liège, Belgium.
Jazyk: angličtina
Zdroj: Psychologica Belgica [Psychol Belg] 2023 Jun 23; Vol. 63 (1), pp. 64-81. Date of Electronic Publication: 2023 Jun 23 (Print Publication: 2023).
DOI: 10.5334/pb.1182
Abstrakt: Persistent fatigue constitutes a prevalent and debilitating symptom in several diseases. The symptom is not effectively alleviated by pharmaceutical treatments, and meditation has been proposed as a non-pharmacological intervention. Indeed, meditation has been shown to reduce inflammatory/immune problems, pain, stress, anxiety and depression which are associated with pathological fatigue. This review synthesizes data from randomized control trials (RCTs) that explored the effect of meditation-based interventions (MeBIs) on fatigue in pathological conditions. Eight databases were searched from inception to April 2020. Thirty-four RCTs met eligibility criteria and covered six conditions (68% cancer), 32 of which were included in the meta-analysis. The main analysis showed an effect in favor of MeBIs compared to control groups ( g = 0.62). Separate moderator analyses assessing control group, pathological condition, and MeBI type, highlighted a significantly moderating role of the control group. Indeed, compared to actively controlled studies, studies using a passive control group were associated with a statistically significantly more beneficial impact of the MeBIs ( g = 0.83). These results indicate that MeBIs alleviate pathological fatigue and it seems that the studies with a passive control group showed a greater effect of MeBI on the reduction of fatigue compared to studies using active control groups. However, the specific effect of meditation type and pathological condition should be analyzed with more studies, and there remains a need to assess meditation effects on different types of fatigue (i.e., physical and mental) and in additional conditions (e.g., post-COVID-19).
Competing Interests: The authors have no competing interests to declare.
(Copyright: © 2023 The Author(s).)
Databáze: MEDLINE
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