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|Issue 88||January 2015|
Evidence Map of Mindfulness
Many Veterans desire complementary and alternative medicine or integrative medicine modalities, both for treatment and for the promotion of wellness. Given VA's desire to promote evidence-based practice, this evidence mapping project aims to help provide guidance to VA leadership about the distribution of evidence on mindfulness approaches. Mindfulness, often translated from Sanskrit to mean "awareness," is an ancient Buddhist concept and, although many different forms and definitions exist, a central aspect of the practice is the intention to be more aware and engaged in the present moment. Kabat-Zinn is often credited with popularizing mindfulness in the U.S. by creating a mindfulness-based stress reduction (MBSR) program for treating chronic disease, which created institutional capacity for using mindfulness-approaches in clinical settings.
The VA Evidence-Based Synthesis Program located in West Los Angeles, CA conducted a systematic review of 10 electronic databases through February 2014 to examine the evidence on the effectiveness of mindfulness interventions. After applying inclusion/exclusion criteria, they identified 81 unique systematic reviews on mindfulness interventions that were used to provide the following Summary and bubble plot.
A protocol for a Cochrane review on mindfulness-based 'third wave' cognitive and behavioral therapies (including MBCT, Acceptance and Commitment Therapy, Compassionate Mind Training, and Dialectical Behavior Therapy) for depression has been published in 2010 and was updated in 2012. Unpublished systematic reviews registered in PROSPERO address MBSR in breast cancer care, mindfulness-based approaches to treat pathological gambling, mindfulness meditation for overeating and weight loss, mindfulness in primary care, and MBCT and MBSR for depression and vascular disease.
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This Management e-Brief is provided to inform you about recent HSR&D findings that may be of
interest. The views expressed in this article are those of the authors and do not necessarily
reflect the position or policy of the Department of Veterans Affairs.
This report is a product of VA/HSR&D's Quality Enhancement Research Initiative's (QUERI) Evidence-Based Synthesis Program (ESP), which was established to provide timely and accurate synthesis of targeted healthcare topics of particular importance to VA managers and policymakers – and to disseminate these reports throughout VA.
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