Evidence map›Paper›PMID 33064926›Full record

SynthesisJournal of diabetes investigation2021

Effects of mindfulness-based intervention on glycemic control and psychological outcomes in people with diabetes: A systematic review and meta-analysis.

Yun-Xia Ni, Lin Ma, Ji-Ping Li

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of diabetes investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07779044 (Effectiveness of A Mindfulness-Based Cognitive Behavioral Program on Quality of Life and Glycosylated Hemoglobin Control of People With Diabetes), which is not on this map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07779044 nacompletednot on this mapstarted 2025, after this paper: background citation

Effectiveness of A Mindfulness-Based Cognitive Behavioral Program on Quality of Life and Glycosylated Hemoglobin Control of People With Diabetes: A Randomized Controlled Trial in Damascus, Syria.

TypeinterventionalSponsorCenter for Strategic Studies and Health Training, SyriaRan2025 to 2026Enrolled40ConditionsDiabetes Mellitus, Diabetes Mellitus ( Type 1 and Type 2), Depressive SymptomsArmsMindfulness-Based Cognitive Behavioral Program
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Psychotherapeutic Interventions to Improve Psychological Adjustment in Type 1 Diabetes: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
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  8. Trial
  9. Trial
  10. Article
  11. Meditation: Philosophical Foundations and its Role in Managing Common Noncommunicable Diseases.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Meta-Analytic Insights Into Mindfulness Approaches for Depression and Diabetes Comorbidity Care.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  19. Review
  20. The Interconnected Complexity of Diabetes and Depression.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Yun-Xia NiWest China School of Nursing/Department of Nursing, West China Hospital, Sichuan University, Chengdu, China.ORCID https://orcid.org/0000-0002-4580-178X
Lin MaWest China School of Nursing/Department of Endocrinology, West China Hospital, Sichuan University, Chengdu, China.
Ji-Ping LiWest China School of Nursing/Department of Nursing, West China Hospital, Sichuan University, Chengdu, China.ORCID https://orcid.org/0000-0002-8046-0271
Sichuan University · CN

Funding

West China Nursing Discipline Development Special Fund Project, Sichuan University HXHL19009
6 · The paper itself

Abstract

AIMS/

introductionPsychological therapies have showed benefits for both glycemic control and psychological outcomes in people with diabetes. However, the effects of mindfulness-based intervention (MBI) on glycemic control and psychological outcomes are inconsistent across studies, and the evidence for MBI has not been summarized. We aimed to identify the effects of MBI on glycemic control and psychological outcomes in people with diabetes by carrying out a systematic review and meta-analysis. MATERIALS AND

methodsSix databases (Pubmed, Embase, CINAHL, Cochrane, Web of science and PsycINFO) were searched from inception to October 2019. Randomized controlled trials of MBI for people with type 1 and type 2 diabetes were included. Two authors independently extracted relevant data and assessed the risk of bias, with a third reviewer as arbitrator. Subgroup analyses and sensitivity analyses were also carried out.

resultsEight studies with 841 participants met the eligibility criteria. Meta-analysis showed that MBI can slightly improve glycosylated hemoglobin (HbA1c; -0.25%, 95% confidence interval [CI] -0.43 to -0.07) and diabetes-related distress (-5.81, 95% CI -10.10 to -1.52) contribute to a moderate effect size in reducing depression (standardized mean difference -0.56, 95% CI -0.82 to -0.30) and stress (standardized mean difference -0.53, CI -0.75 to -0.31). Subgroup analyses showed greater HbA1c reductions in subgroups with baseline HbA1c levels <8% and follow-up duration >6 months. Mixed effects were observed for anxiety.

conclusionsMBI appears to have benefits on HbA1c, depression, stress and diabetes-related distress in people with diabetes. More rigorous studies with longer follow-up duration are warranted to establish the full potential of MBI.

Indexed as

AgedAnxietyDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleGlycated HemoglobinGlycemic ControlHumansMaleMiddle AgedMindfulnessStress, PsychologicalTreatment OutcomeGlycated HemoglobinDiabetesMeta-analysisMindfulness-based intervention

Identifiers

PMID33064926
PMCPMC8169362
OpenAlexW3092694349

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.