A Brief Mindfulness Based Intervention for Increase in Emotional Well-being and Quality of Life in Percutaneous Coronary Intervention (PCI) Patients: the MindfulHeart Randomized Controlled Trial

Overview

Journal J Behav Med

Specialty Social Sciences

Date 2012 Nov 27

PMID 23180285

Citations 26

Authors

Ivan Nyklicek

Suzanne C Dijksman

Pim J Lenders

Willem A Fonteijn

Jacques J Koolen

Affiliations

Soon will be listed here.

Abstract

In this study effects of a brief mindfulness-based stress reduction intervention were examined in cardiac patients who had a percutaneous coronary intervention (PCI). One-hundred-and-fourteen patients (mean age 55 ± 7 years, 18 % women) were randomly assigned to a 4-session mindfulness group intervention or a minimal mindfulness self-help control group that received a booklet containing identical information. Compared to self-help, the group intervention showed larger increases in psychological and social quality of life (p < .05, partial η(2) = .04 and .05, respectively). For symptoms of anxiety and depression, and for perceived stress, this effect was evident only in patients younger than 60 years (p < .01, partial η(2) = .10 and .15, respectively). These effects were partially or fully mediated by increase in mindfulness. The brief group mindfulness intervention seems beneficial for cardiac PCI patients regarding general psychosocial quality of life, although for specific psychological symptoms, this intervention can be recommended only for nonelderly patients.

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References

Cohen S, Tyrrell D, Smith A . Negative life events, perceived stress, negative affect, and susceptibility to the common cold. J Pers Soc Psychol. 1993; 64(1):131-40. DOI: 10.1037//0022-3514.64.1.131. View

Cohen S, Kamarck T, Mermelstein R . A global measure of perceived stress. J Health Soc Behav. 1983; 24(4):385-96. View

Hofmann S, Sawyer A, Witt A, Oh D . The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. J Consult Clin Psychol. 2010; 78(2):169-83. PMC: 2848393. DOI: 10.1037/a0018555. View

Roth B, Robbins D . Mindfulness-based stress reduction and health-related quality of life: findings from a bilingual inner-city patient population. Psychosom Med. 2004; 66(1):113-23. DOI: 10.1097/01.psy.0000097337.00754.09. View

Tacon A, McComb J, Caldera Y, Randolph P . Mindfulness meditation, anxiety reduction, and heart disease: a pilot study. Fam Community Health. 2003; 26(1):25-33. DOI: 10.1097/00003727-200301000-00004. View

Klaassen K, Nyklicek I, Traa S, de Nijs R . Distressed personality is associated with lower psychological well-being and life satisfaction, but not disability or disease activity in rheumatoid arthritis patients. Clin Rheumatol. 2011; 31(4):661-7. PMC: 3314814. DOI: 10.1007/s10067-011-1905-0. View

Jain S, Shapiro S, Swanick S, Roesch S, Mills P, Bell I . A randomized controlled trial of mindfulness meditation versus relaxation training: effects on distress, positive states of mind, rumination, and distraction. Ann Behav Med. 2007; 33(1):11-21. DOI: 10.1207/s15324796abm3301_2. View

Shapiro S, Bootzin R, Figueredo A, Lopez A, Schwartz G . The efficacy of mindfulness-based stress reduction in the treatment of sleep disturbance in women with breast cancer: an exploratory study. J Psychosom Res. 2002; 54(1):85-91. DOI: 10.1016/s0022-3999(02)00546-9. View

Fjorback L, Arendt M, Ornbol E, Fink P, Walach H . Mindfulness-based stress reduction and mindfulness-based cognitive therapy: a systematic review of randomized controlled trials. Acta Psychiatr Scand. 2011; 124(2):102-19. DOI: 10.1111/j.1600-0447.2011.01704.x. View

10.

Denollet J, Strik J, Lousberg R, Honig A . Recognizing increased risk of depressive comorbidity after myocardial infarction: looking for 4 symptoms of anxiety-depression. Psychother Psychosom. 2006; 75(6):346-52. DOI: 10.1159/000095440. View

11.

. Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med. 1998; 28(3):551-8. DOI: 10.1017/s0033291798006667. View

12.

Brown K, Ryan R . The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol. 2003; 84(4):822-48. DOI: 10.1037/0022-3514.84.4.822. View

13.

Graham J . Missing data analysis: making it work in the real world. Annu Rev Psychol. 2008; 60:549-76. DOI: 10.1146/annurev.psych.58.110405.085530. View

14.

Denollet J, Pedersen S, Ong A, Erdman R, Serruys P, van Domburg R . Social inhibition modulates the effect of negative emotions on cardiac prognosis following percutaneous coronary intervention in the drug-eluting stent era. Eur Heart J. 2005; 27(2):171-7. DOI: 10.1093/eurheartj/ehi616. View

15.

Crane C, Williams J . Factors Associated with Attrition from Mindfulness-Based Cognitive Therapy in Patients with a History of Suicidal Depression. Mindfulness (N Y). 2010; 1(1):10-20. PMC: 2987524. DOI: 10.1007/s12671-010-0003-8. View

16.

Carlson L, Speca M, Patel K, Goodey E . Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosom Med. 2003; 65(4):571-81. DOI: 10.1097/01.psy.0000074003.35911.41. View

17.

Nyklicek I, Kuijpers K . Effects of mindfulness-based stress reduction intervention on psychological well-being and quality of life: is increased mindfulness indeed the mechanism?. Ann Behav Med. 2008; 35(3):331-40. PMC: 2517090. DOI: 10.1007/s12160-008-9030-2. View

18.

DOUGHERTY C, Dewhurst T, Nichol W, Spertus J . Comparison of three quality of life instruments in stable angina pectoris: Seattle Angina Questionnaire, Short Form Health Survey (SF-36), and Quality of Life Index-Cardiac Version III. J Clin Epidemiol. 1998; 51(7):569-75. DOI: 10.1016/s0895-4356(98)00028-6. View

19.

Preacher K, Hayes A . SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum Comput. 2005; 36(4):717-31. DOI: 10.3758/bf03206553. View

20.

Baron R, Kenny D . The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986; 51(6):1173-82. DOI: 10.1037//0022-3514.51.6.1173. View