The impact of mindfulness-based interventions on objective physiological measures of autonomic function for individuals with medical conditions: a review of the evidence.

OBJECTIVE: Autonomic dysregulation is common in many medical conditions and can have a widespread, negative impact on multiple bodily systems, leading to poorer health outcomes. Thus, addressing autonomic dysregulation as part of a comprehensive treatment plan is important. The goal of this paper was to gain a better understanding of the physiological benefits of a mindfulness-based intervention (MBI) for a population with medical conditions, using validated, objective measures of autonomic functioning.

METHODS: We conducted a review of the literature and followed PRISMA protocols. Studies were included if (1) participants were diagnosed with a medical condition, (2) a MBI was used, and (3) objective pre/post measurements of ANS function were collected. Medical conditions were included as a category for this review when a minimum of 3 articles met criteria for inclusion.

RESULTS: Ten articles met criteria, and included oncology, cardiac, and chronic pain conditions. Clinical recommendations were made based on the Clinical Practice Guideline Process Manual, 2017 Edition by the American Academy of Neurology (AAN).

CONCLUSIONS: Based on level of evidence, only oncology met criteria for "possibly effective". However, there was some evidence of the benefit of MBIS for all 3 medical conditions, based on individual study findings.