0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Meditation Intervention Reviews

Harald Walach, PhD1; Stefan Schmidt, PhD1,2; Tobias Esch, MD3,4,5
[+] Author Affiliations
1Institute for Transcultural Health Studies, European University Viadrina, Frankfurt (Oder), Germany
2Department for Psychosomatic Medicine and Psychotherapy, University Medical Center Freiburg, Freiburg, Germany
3Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
4Neuroscience Research Institute, State University of New York College at Old Westbury, Old Westbury
5Division of Integrative Health Promotion, Coburg University of Applied Sciences, Coburg, Germany
JAMA Intern Med. 2014;174(7):1193-1194. doi:10.1001/jamainternmed.2014.1422.
Text Size: A A A
Published online

Extract

To the Editor A recent publication on the effects of meditation programs against stress1 reviews rigorously randomized clinical trials (RCTs) with active control groups. We would like to point out a couple of unsolved issues that may arise when discussing the impact of these findings.

The review has only collated evidence from RCTs with active control groups. Randomized clinical trials can only be done, by definition, with patients and individuals who are willing to be randomized. Thereby such trials are excluding the potentially most beneficial therapeutic agent: conscious choice and active engagement. Thus, by default, RCTs can only test and describe what is the minimum effect on people who use a certain intervention, as if it were delivered to them as a passive recipient, like a medication. But meditation is no medication. It requires active involvement and the decision to dedicate regularly a specific amount of time, over a larger period in order to change one's habits and attitudes. This can only be assessed in long-term comparative cohort studies that in other conditions and occasions have shown reliable results comparable to RCTs.2

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

July 1, 2014
Madhav Goyal, MD, MPH; Eric B. Bass, MD, MPH; Jennifer A. Haythornthwaite, PhD
1Department of Medicine, Johns Hopkins University, Baltimore, Maryland
1Department of Medicine, Johns Hopkins University, Baltimore, Maryland2Department of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, Maryland
3Department of Psychiatry and Behavioral Services, Johns Hopkins University, Baltimore, Maryland
JAMA Intern Med. 2014;174(7):1195. doi:10.1001/jamainternmed.2014.1393.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Jobs
brightcove.createExperiences();