J Korean Neuropsychiatr Assoc.  2015 Nov;54(4):406-417. 10.4306/jknpa.2015.54.4.406.

Clinical Implication of Meditation in Psychiatry : Focused on Mindfulness Meditation

Affiliations
  • 1Department of Psychiatry, The Catholic University of Korea College of Medicine, Seoul, Korea. alberto@catholic.ac.kr
  • 2The Catholic University of Korea College of Medicine, Seoul, Korea.
  • 3Department of Psychology, Duksung Women's University, Seoul, Korea.

Abstract

There is a considerable body of literature describing the trials of meditation as adjunctive treatment of psychiatry. Although meditation has included various concepts and activity through a long history, meditation used as a therapeutic intervention in psychiatry has usually been accepted as a kind of emotion and attention regulation training. The aim of this article was to review historical origin, clinical effectiveness, and neurobiological mechanism of meditation as treatment for psychiatric disorders. Meditation is originated from various types of religious tradition. In general, meditation is divided by the consciousness meditation and the awareness meditation. Concept of mindfulness-based therapy is mainly based on awareness meditation. In addition to two types of meditation, loving kindness meditation is developed and exercised in compassion-focused therapy. Neurobiological evidence suggests that meditation reduces stress-related autonomic and endocrine change. In addition, research using neuroimaging has provided biological evidence that a specific region of brain activity and connectivity is related to subjective experience of meditation. Clinical trials support the effectiveness of meditation for the treatment of anxiety, depression, and any other stress-related disorders. In the future, profound understanding of the neurobiological mechanism, clinical effectiveness, and side effects of meditation as treatment intervention of for psychiatric disorders would be provided for evidence based meditative practice.

Keyword

Meditation; Mindfulness; Alternative medicine

MeSH Terms

Anxiety
Brain
Complementary Therapies
Consciousness
Depression
Love
Meditation*
Mindfulness*
Neuroimaging

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