Madeline K Moureau, Lisa M Jones, Nicholas B Schmuhl, Heidi W Brown
Men and women experience different barriers to care seeking for fecal incontinence
Neurourology and urodynamics
given extensive evidence base efficacy mindfulnessbased stress reduction mbsr mindfulnessbased cognitive therapy mbct researchers started explore mechanisms underlying therapeutic effects psychological outcomes using methods mediation analysis known studies systematically reviewed statistically integrated mediation studies field present study aimed systematically review mediation studies literature mindfulnessbased interventions mbis identify potential psychological mechanisms underlying mbct mbsrs effects psychological functioning wellbeing evaluate strength consistency evidence mechanism identified mechanisms sufficient evidence quantitative synthesis using twostage metaanalytic structural equation modelling tssem used examine whether mechanisms mediate impact mbis clinical outcomes review identified strong consistent evidence cognitive emotional reactivity moderate consistent evidence mindfulness rumination worry preliminary insufficient evidence selfcompassion psychological flexibility mechanisms underlying mbis tssem demonstrated evidence mindfulness rumination worry significant mediators effects mbis mental health outcomes reviewed mediation studies several key methodological shortcomings preclude robust conclusions regarding mediation however provide important groundwork future studies could build