PMID- 17270577 OWN - NLM STAT- MEDLINE DCOM- 20070518 LR - 20151119 IS - 0022-3999 (Print) IS - 0022-3999 (Linking) VI - 62 IP - 2 DP - 2007 Feb TI - Effectiveness of a meditation-based stress management program as an adjunct to pharmacotherapy in patients with anxiety disorder. PG - 189-95 AB - OBJECTIVE: The objective of this study was to examine the effectiveness of a meditation-based stress management program in patients with anxiety disorder. METHODS: Patients with anxiety disorder were randomly assigned to an 8-week clinical trial of either a meditation-based stress management program or an anxiety disorder education program. The Hamilton Anxiety Rating Scale (HAM-A), the Hamilton Depression Rating Scale (HAM-D), the State-Trait Anxiety Inventory (STAI), the Beck Depression Inventory, and the Symptom Checklist--90-Revised (SCL-90-R) were used to measure outcome at 0, 2, 4, and 8 weeks of the program. RESULTS: Compared to the education group, the meditation-based stress management group showed significant improvement in scores on all anxiety scales (HAM-A, P=.00; STAI state, P=.00; STAI trait, P=.00; anxiety subscale of SCL-90-R, P=.00) and in the SCL-90-R hostility subscale (P=.01). Findings on depression measures were inconsistent, with no significant improvement shown by subjects in the meditation-based stress management group compared to those in the education group. The meditation-based stress management group did not show significant improvement in somatization, obsessive-compulsive symptoms, and interpersonal sensitivity scores, or in the SCL-90-R phobic anxiety subscale compared to the education group. CONCLUSIONS: A meditation-based stress management program can be effective in relieving anxiety symptoms in patients with anxiety disorder. However, well-designed, randomized, and controlled trials are needed to scientifically prove the worth of this intervention prior to treatment. FAU - Lee, Sang Hyuk AU - Lee SH AD - Department of Psychiatry, Pochon CHA University College of Medicine, Seongnam, South Korea. FAU - Ahn, Seung Chan AU - Ahn SC FAU - Lee, Yu Jin AU - Lee YJ FAU - Choi, Tae Kyu AU - Choi TK FAU - Yook, Ki Hwan AU - Yook KH FAU - Suh, Shin Young AU - Suh SY LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - England TA - J Psychosom Res JT - Journal of psychosomatic research JID - 0376333 RN - 0 (Anti-Anxiety Agents) RN - 41VRH5220H (Paroxetine) RN - O4L1XPO44W (Fluvoxamine) RN - QUC7NX6WMB (Sertraline) RN - YU55MQ3IZY (Alprazolam) SB - IM MH - Alprazolam/therapeutic use MH - Anti-Anxiety Agents/*therapeutic use MH - Anxiety Disorders/diagnosis/*drug therapy MH - Combined Modality Therapy MH - Fluvoxamine/therapeutic use MH - Humans MH - *Meditation MH - Paroxetine/therapeutic use MH - *Program Development MH - *Self Care MH - Sertraline/therapeutic use MH - Stress, Psychological/diagnosis/*prevention & control MH - Surveys and Questionnaires EDAT- 2007/02/03 09:00 MHDA- 2007/05/19 09:00 CRDT- 2007/02/03 09:00 PHST- 2006/06/13 00:00 [received] PHST- 2007/02/03 09:00 [pubmed] PHST- 2007/05/19 09:00 [medline] PHST- 2007/02/03 09:00 [entrez] AID - S0022-3999(06)00431-4 [pii] AID - 10.1016/j.jpsychores.2006.09.009 [doi] PST - ppublish SO - J Psychosom Res. 2007 Feb;62(2):189-95. doi: 10.1016/j.jpsychores.2006.09.009.