Mantram repetition and psychological distress: A systematic review and meta-analysis

JOURNAL OF PSYCHIATRIC AND MENTAL HEALTH NURSING(2023)

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Abstract
Accessible Summary What is known on the subject? Researchers have examined several interventions for psychological distress, mindfulness being a popular one. One intervention that fosters mindfulness is mantram repetition. Mantram repetition is an ancient traditional practice of repeating a sacred word/phrase at various times throughout the day and whenever needed. Psychologically, mantram repetition can mitigate immediate stressors. When used consistently, mantram repetition promotes resilience and deepens mindfulness, thereby promoting recovery from distress. What the paper adds to existing knowledge? This paper examines the overall effect of mantram repetition on psychological distress symptoms (i.e., depression, anxiety and somatization). What are the implications for practice? The portable, cost-effective, mantram repetition intervention outperformed standard therapies. In people who are prone to psychological distress, practitioners might teach this technique, encouraging them to use it initially as they go through their day and then when they are experiencing distress. Mantram repetition can quiet the mind and pairs well with breathing exercises and routine activities such as walking or exercising, or during chores, thus, integrating the mantram into daily life. IntroductionResearchers have examined several interventions for psychological distress, mindfulness being a popular one. One mindfulness intervention is mantram repetition. Mantram repetition is an ancient traditional practice of repeating a sacred word/phrase at various times throughout the day and whenever needed. AimTo examine the evidence of the effect of mantram repetition on psychological distress (i.e., depression, anxiety and somatization). MethodWe searched 16 databases and retrieved 12 studies testing the effects of mantram repetition; only four of these measured aspects of psychological distress with comparison groups. ResultsAll studies showed positive effects ranging from very mild (.08) to very strong (.71). The summary effect across all studies was small (.23, p = .015). Importantly, this small effect was found when compared to treatment as usual and even psychotherapy. DiscussionThe portable, cost-effective, mantram repetition intervention outperformed standard therapies. Implications for PracticeIn patients who are prone to psychological distress, practitioners might teach this technique, encouraging them to use it initially as they go through their day and then when they are experiencing distress. Mantram repetition could be practiced with breathing exercises, when walking or exercising, or during chores, integrating the mantram into daily life.
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Key words
anxiety, depression, mantram repetition, psychological distress, somatization
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