TY  - JOUR
AU  - Sevilla-Llewellyn-Jones, Julia
AU  - Santesteban-Echarri, Olga
AU  - Pryor, Ingrid
AU  - McGorry, Patrick
AU  - Alvarez-Jimenez, Mario
PY  - 2018
DA  - 2018/9/25
TI  - Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis
JO  - JMIR Ment Health
SP  - e10278
VL  - 5
IS  - 3
KW  - mindfulness
KW  - anxiety disorder
KW  - depressive disorder
KW  - internetinternet-based
KW  - treatment
KW  - meta-analysis
KW  - mental health.
KW  - systematic review
AB  - Background: Web-based mindfulness interventions are increasingly delivered through the internet to treat mental health conditions. Objective: The objective of this study was to determine the effectiveness of web-based mindfulness interventions in clinical mental health populations. Secondary aims were to explore the impact of study variables on the effectiveness of web-based mindfulness interventions. Methods: We performed a systematic review and meta-analysis of studies investigating the effects of web-based mindfulness interventions on clinical populations. Results: The search strategy yielded 12 eligible studies. Web-based mindfulness interventions were effective in reducing depression in the total clinical sample (n=656 g=−0.609, P=.004) and in the anxiety disorder subgroup (n=313, g=−0.651, P<.001), but not in the depression disorder subgroup (n=251, P=.18). Similarly, web-based mindfulness interventions significantly reduced anxiety in the total clinical sample (n=756, g=−0.433, P=.004) and the anxiety disorder subgroup (n=413, g=−0.719, P<.001), but not in the depression disorder group (n=251, g=−0.213, P=.28). Finally, web-based mindfulness interventions improved quality of life and functioning in the total sample (n=591, g=0.362, P=.02) in the anxiety disorder subgroup (n=370, g=0.550, P=.02) and mindfulness skills in the total clinical sample (n=251, g=0.724, P<.001). Conclusions: Results support the effectiveness of web-based mindfulness interventions in reducing depression and anxiety and in enhancing quality of life and mindfulness skills, particularly in those with clinical anxiety. Results should be interpreted with caution given the high heterogeneity of web-based mindfulness interventions and the low number of studies included. 
SN  - 2368-7959
UR  - http://mental.jmir.org/2018/3/e10278/
UR  - https://doi.org/10.2196/10278
UR  - http://www.ncbi.nlm.nih.gov/pubmed/30274963
DO  - 10.2196/10278
ID  - info:doi/10.2196/10278
ER  -