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Utah
Features
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World
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Watch Live
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MINDFULNESS WORKED AS WELL FOR ANXIETY AS DRUG IN STUDY

BY LINDSEY TANNER, ASSOCIATED PRESS | POSTED - NOV. 27, 2022 AT 8:55 A.M.

 

A WOMAN MEDITATES ON THE BEACH IN MIAMI BEACH, FLA. ACCORDING TO A STUDY
PUBLISHED WEDNESDAY IN THE JOURNAL JAMA PSYCHIATRY, MINDFULNESS MEDITATION
WORKED AS WELL AS A STANDARD DRUG FOR TREATING ANXIETY IN THE FIRST HEAD-TO-HEAD
COMPARISON. (LYNNE SLADKY, ASSOCIATED PRESS)

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11
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Estimated read time: 3-4 minutes

WASHINGTON — Mindfulness meditation worked as well as a standard drug for
treating anxiety in the first head-to-head comparison.

The study tested a widely-used mindfulness program that includes 2 1/2 hours of
classes weekly and 45 minutes of daily practice at home. Participants were
randomly assigned to the program or daily use of a generic drug sold under the
brand name Lexapro for depression and anxiety.

After two months, anxiety as measured on a severity scale declined by about 30%
in both groups and continued to decrease during the following four months.

Study results, published Wednesday in the journal JAMA Psychiatry, are timely.
In September, an influential U.S. health task force recommended routine anxiety
screening for adults, and numerous reports suggest global anxiety rates have
increased recently, related to worries over the pandemic, political and racial
unrest, climate change and financial uncertainties.

Anxiety disorders include social anxiety, generalized anxiety and panic attacks.
Affected people are troubled by persistent and intrusive worries that interfere
with their lives and relationships. In the U.S., anxiety disorders affect 40% of
U.S. women at some point in their lives and more than 1 in 4 men, according to
data cited in U.S. Preventive Services Task Force screening recommendations.

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Mindfulness is a form of meditation that emphasizes focusing only on what's
happening at the moment and dismissing intrusive thoughts. Sessions often start
with breathing exercises. Next might be "body scans" — thinking about each body
part systematically, head to toe. When worried thoughts intrude, participants
learn to briefly acknowledge them but then dismiss them.

Instead of ruminating over the troubling thought, "you say, 'I'm having this
thought, let that go for now,''' said lead author Elizabeth Hoge, director of
Georgetown University's Anxiety Disorders Research Program. With practice, "It
changes the relationship people have with their own thoughts when not
meditating."

Previous studies have shown mindfulness works better than no treatment or at
least as well as education or more formal behavior therapy in reducing anxiety,
depression and other mental woes. But this is the first study to test it against
a psychiatric drug, Hoge said, and the results could make insurers more likely
to cover costs, which can run $300 to $500 for an 8-week session.

The results were based on about 200 adults who completed the six-month study at
medical centers in Washington, Boston and New York. Researchers used a
psychiatric scale of 1 to 7, with the top number reflecting severe anxiety. The
average score was about 4.5 for participants before starting treatment. It
dropped to about 3 after two months, then dipped slightly in both groups at
three months and six months. Hoge said the change was clinically meaningful,
resulting in noticeable improvement in symptoms.

Ten patients on the drug dropped out because of troublesome side effects
possibly related to treatment, which included insomnia, nausea and fatigue.
There were no dropouts for that reason in the mindfulness group, although 13
patients reported increased anxiety.

The study "is reaffirming about how useful mindfulness can be when practiced
effectively,'' said psychologist Sheehan Fisher, an associate professor at
Northwestern University's Feinberg School of Medicine who was not involved in
the study.

Dr. Scott Krakower, a psychiatrist at Zucker Hillside Hospital in New York, said
mindfulness treatments often work best for mildly anxious patients. He
prescribes medication for patients with more severe anxiety.

He noted that many people feel they don't have time for mindfulness meditation,
especially in-person sessions like those studied. Whether similar results would
be found with online training or phone apps is unknown, said Krakower, who also
had no role in the study.

Olga Cannistraro, a freelance writer in Keene, New Hampshire, participated in an
earlier mindfulness study led by Hoge and says it taught her "to intervene in my
own state of mind.''

During a session, just acknowledging that she was feeling tension anywhere in
her body helped calm her, she said.

Cannistraro, 52, has generalized anxiety disorder and has never taken medication
for it. She was a single mom working in sales during that earlier study —
circumstances that made life particularly stressful, she said. She has since
married, switched jobs, and feels less anxious though still uses mindfulness
techniques.

×




PHOTOS

Show 1 Photo

Collapse

Show Caption
A woman meditates on the beach in Miami Beach, Fla., on April 28, 2010.
According to a study published Nov. 9 in the journal JAMA Psychiatry,
mindfulness meditation worked as well as a standard drug for treating anxiety in
the first head-to-head comparison. - Lynne Sladky, Associated Press


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