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Mindfulness

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30-03-2019 | ORIGINAL PAPER

A Pilot Randomized Controlled Trial of a Mindfulness-Based Intervention for Caregivers of Veterans

Auteurs: Sandraluz Lara-Cinisomo, Ryan L. Santens, Elinor M. Fujimoto

Gepubliceerd in: Mindfulness | Uitgave 9/2019

Abstract

Objectives

Informal caregivers of veterans are providing care for a population whose specialized care needs require increased investments on the part of caregivers and for longer durations. Empirical evidence shows negative mental health effects on these caregivers at rates that outpace those seen in caregivers in the general population. With a growing need and limited resources, effective interventions are needed to improve mental health outcomes in this special population of caregivers.

Methods

This pilot, randomized control trial tested the effectiveness of a mindfulness-based intervention at improving perceived stress, depressive symptoms, anxiety, and worry compared to waitlist controls in a sample of 23 caregivers of veterans.

Results

The Mann-Whitney U tests used to determine whether groups differed in change scores (post minus pre) indicated that there were significant differences between the mindfulness and waitlist control group in perceived stress (U = 21.5, p = .006, r = .57), anxiety (U = 24.0, p = .009, r = .54), and worry (U = 29.5, p = .024, r = .47). Results from the Wilcoxon signed-rank tests indicated that caregivers in the mindfulness group reported a significant reduction in perceived stress (Z = − 2.50, p = .013, r = .75) and anxiety (Z = − 2.81, p = .005, r = .85), whereas the waitlist control group reported higher mean symptoms at the end of the intervention period.

Conclusions

Given these promising results, policymakers, health practitioners, and veteran-related programs should increase efforts to provide caregivers of veterans with mindfulness-based interventions to improve mental health outcomes.

vorige artikel Predictors of Mindfulness Meditation and Exercise Practice, from MEPARI-2, a Randomized Controlled Trial

volgende artikel Validation of a Scale for Assessing Social Validity in Mindfulness-Based Educational Programs

Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143. https://doi.org/10.1093/clipsy.bpg015.CrossRef

Bass, D. M., Judge, K. S., Snow, A. L., Wilson, N. L., Looman, W. J., McCarthy, C., et al. (2012). Negative caregiving effects among caregivers of veterans with dementia. The American Journal of Geriatric Psychiatry, 20(3), 239–247.CrossRefPubMed

Beck, J. G., Stanley, M. A., & Zebb, B. J. (1995). Psychometric properties of the Penn State Worry Questionnaire in older adults. Journal of Clinical Geropsychology, 1(1), 33–42.

Brown, T. A., Antony, M. M., & Barlow, D. H. (1992). Psychometric properties of the Penn State Worry Questionnaire in a clinical anxiety disorders sample. Behaviour Research and Therapy, 30(1), 33–37.CrossRefPubMed

Carlozzi, N. E., Kratz, A. L., Sander, A. M., Chiaravalloti, N. D., Brickell, T. A., Lange, R. T., et al. (2015). Health-related quality of life in caregivers of individuals with traumatic brain injury: development of a conceptual model. Archives of Physical Medicine and Rehabilitation, 96(1), 105–113. https://doi.org/10.1016/j.apmr.2014.08.021.CrossRefPubMed

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.CrossRefPubMed

Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G* Power 3.1: tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160.CrossRefPubMed

Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191.CrossRefPubMed

Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J. P. (2007). Mindfulness and emotion regulation: the development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29(3), 177.CrossRef

Fischer, E. P., Sherman, M. D., Han, X., & Owen, R. R., Jr. (2013). Outcomes of participation in the REACH multifamily group program for veterans with PTSD and their families. Professional Psychology: Research and Practice, 44(3), 127.CrossRef

Fjorback, L. O., Arendt, M., Ornbol, E., Fink, P., & Walach, H. (2011). Mindfulness-based stress reduction and mindfulness-based cognitive therapy: a systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica, 124(2), 102–119. https://doi.org/10.1111/j.1600-0447.2011.01704.x.CrossRefPubMed

Fortune, D. G., Richards, H. L., Griffiths, C. E., & Main, C. J. (2005). Worry and pathological worry in patients with psoriasis: cross sectional and longitudinal analyses of the Penn State Worry Questionnaire (PSWQ) in four samples of patients. Journal of Clinical Psychology in Medical Settings, 12(2), 143–152.CrossRef

George, L. K., & Gwyther, L. P. (1986). Caregiver well-being: a multidimensional examination of family caregivers of demented adults. The Gerontologist, 26(3), 253–259.CrossRefPubMed

Ghasemi, A., & Zahediasl, S. (2012). Normality tests for statistical analysis: a guide for non-statisticians. International Journal of Endocrinology and Metabolism, 10(2), 486.CrossRefPubMedPubMedCentral

Griffin, J. M., Lee, M. K., Bangerter, L. R., Van Houtven, C. H., Friedemann-Sanchez, G., Phelan, S. M., et al. (2017). Burden and mental health among caregivers of veterans with traumatic brain injury/polytrauma. American Journal of Orthopsychiatry, 87(2), 139–148. https://doi.org/10.1037/ort0000207.CrossRefPubMed

Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits. A meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43. https://doi.org/10.1016/s0022-3999(03)00573-7.CrossRefPubMed

Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. https://doi.org/10.1016/j.cpr.2015.01.006.CrossRefPubMed

Guillen-Riquelme, A., & Buela-Casal, G. (2014). Meta-analysis of group comparison and meta-analysis of reliability generalization of the State-Trait Anxiety Inventory Questionnaire (STAI). Revista Española de Salud Pública, 88(1), 101–112.CrossRefPubMed

Hayes, J., Wakefield, B., Andresen, E. M., Scherrer, J., Traylor, L., Wiegmann, P., et al. (2010). Identification of domains and measures for assessment battery to examine well-being of spouses of OIF/OEF veterans with PTSD. Journal of Rehabilitation Research and Development, 47(9), 825–840.CrossRefPubMed

Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169.CrossRefPubMedPubMedCentral

Holzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559. https://doi.org/10.1177/1745691611419671.CrossRefPubMed

IBM_Corp. (2015). IBM SPSS statistics for Windows (version 23). Armonk: IBM Corp.

Jacobson, N. S., & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12.CrossRefPubMed

Jaffray, L., Bridgman, H., Stephens, M., & Skinner, T. (2016). Evaluating the effects of mindfulness-based interventions for informal palliative caregivers: a systematic literature review. Palliative Medicine, 30(2), 117–131.CrossRefPubMed

Julian, L. J. (2011). Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care & Research, 63(S11), S467–S472.CrossRef

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4(1), 33–47.CrossRefPubMed

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156.

Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., et al. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771.CrossRefPubMed

Knight, R. G., McMahon, J., Skeaff, C. M., & Green, T. J. (2008). Normative data for persons over 65 on the Penn State Worry Questionnaire. New Zealand Journal of Psychology, 37(1), 4–9.

Kroenke, K., Strine, T. W., Spitzer, R. L., Williams, J. B., Berry, J. T., & Mokdad, A. H. (2009). The PHQ-8 as a measure of current depression in the general population. Journal of Affective Disorders, 114(1), 163–173.CrossRefPubMed

Ladebue, A. C., Helfrich, C. D., Gerdes, Z. T., Fihn, S. D., Nelson, K. M., & Sayre, G. G. (2016). The experience of patient aligned care team (PACT) members. Health Care Management Review, 41(1), 2–10.CrossRefPubMed

Levine, C., Halper, D., Peist, A., & Gould, D. A. (2010). Bridging troubled waters: family caregivers, transitions, and long-term care. Health Affairs, 29(1), 116–124. https://doi.org/10.1377/hlthaff.2009.0520.CrossRefPubMed

Liu, Z., Chen, Q. L., & Sun, Y. Y. (2017). Mindfulness training for psychological stress in family caregivers of persons with dementia: a systematic review and meta-analysis of randomized controlled trials. Clinical Interventions in Aging, 12, 1521–1529. https://doi.org/10.2147/cia.s146213.CrossRefPubMedPubMedCentral

Lorig, K., Thompson-Gallagher, D., Traylor, L., Ritter, P. L., Laurent, D. D., Plant, K., et al. (2012). Building better caregivers: a pilot online support workshop for family caregivers of cognitively impaired adults. Journal of Applied Gerontology, 31(3), 423–437. https://doi.org/10.1177/0733464810389806.CrossRef

Lynn, J. (2014). Strategies to ease the burden of family caregivers. Journal of the American Medical Association, 311(10), 1021–1022. https://doi.org/10.1001/jama.2014.1769.CrossRefPubMed

Matthey, S. (2004). Calculating clinically significant change in postnatal depression studies using the Edinburgh Postnatal Depression Scale. Journal of Affective Disorders, 78(3), 269–272.CrossRefPubMed

McBee, L. (2003). Mindfulness practice with the frail elderly and their caregivers: changing the practitioner-patient relationship. Topics in Geriatric Rehabilitation, 19(4), 257–264.CrossRef

Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28(6), 487–495. https://doi.org/10.1016/0005-7967(90)90135-6.CrossRefPubMed

National Alliance for Caregiving (2010). Caregivers of veterans—serving on the homefront: report of study findings. Bethesda: Author.

Novak, M., & Guest, C. (1989). Application of a multidimensional caregiver burden inventory. The Gerontologist, 29(6), 798–803.CrossRefPubMed

Oken, B. S., Fonareva, I., Haas, M., Wahbeh, H., Lane, J. B., Zajdel, D., & Amen, A. (2010). Pilot controlled trial of mindfulness meditation and education for dementia caregivers. Journal of Alternative and Complementary Medicine, 16(10), 1031–1038. https://doi.org/10.1089/acm.2009.0733.CrossRefPubMedPubMedCentral

Pagnini, F., Phillips, D., Bosma, C. M., Reece, A., & Langer, E. (2016). Mindfulness as a protective factor for the burden of caregivers of amyotrophic lateral sclerosis patients. Journal of Clinical Psychology, 72(1), 101–111. https://doi.org/10.1002/jclp.22235.CrossRefPubMed

Palmeira, L., Pinto-Gouveia, J., & Cunha, M. (2017). Exploring the efficacy of an acceptance, mindfulness & compassionate-based group intervention for women struggling with their weight (Kg-Free): a randomized controlled trial. Appetite, 112, 107–116. https://doi.org/10.1016/j.appet.2017.01.027.CrossRefPubMed

Patel, B. R. (2015). Caregivers of veterans with "invisible" injuries: what we know and implications for social work practice. Social Work, 60(1), 9–17.CrossRefPubMed

Phillipot, P., & Segal, Z. (2009). Mindfulness based psychological interventions: developing emotional awareness for better being. Journal of Consciousness Studies, 16(10–1), 285–306.

Piersol, C. V., Canton, K., Connor, S. E., Giller, I., Lipman, S., & Sager, S. (2017). Effectiveness of interventions for caregivers of people with Alzheimer’s disease and related major neurocognitive disorders: a systematic review. American Journal of Occupational Therapy, 71(5), 7105180020p7105180021–7105180020p7105180010.CrossRef

Ramchand, R., Tanielian, T., Fisher, M. P., Vaughan, C. A., Trail, T. E., Epley, C., et al. (2014). Hidden heroes: America's military caregivers. Santa Monica, CA: Rand Corporation.CrossRef

Ryum, T., Kennair, L. E. O., Hjemdal, O., Hagen, R., Halvorsen, J. O., & Solem, S. (2017). Worry and metacognitions as predictors of anxiety symptoms: a prospective study. Frontiers in Psychology, 8, 924. https://doi.org/10.3389/fpsyg.2017.00924.CrossRefPubMedPubMedCentral

Schwarz, K. A., & Dunphy, G. (2003). An examination of perceived stress in family caregivers of older adults with heart failure. Experimental Aging Research, 29(2), 221–235. https://doi.org/10.1080/03610730390176077.CrossRefPubMed

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2012). Mindfulness-based cognitive therapy for depression (2nd ed.). New York: Guilford Press.

Shapiro, S. S., & Wilk, M. B. (1965). An analysis of variance test for normality (complete samples). Biometrika, 52(3/4), 591–611.CrossRef

Sheets, C., & Mahoney-Gleason, H. (2010). Caregiver support in the Veterans Health Administration: caring for those who care. Generations, 34(2), 92–98.

Spadaro, K. C. (2017). Effect of mindfulness meditation on short-term weight loss and eating behaviors in overweight and obese adults: a randomized controlled trial. Journal of Complementary and Integrative Medicine, 15(2). https://doi.org/10.1515/jcim-2016-0048.

Spielberg, C., Gorsuch, R., Lushene, R., Vagg, P., & Jacobs, G. (1970). Manual for the state-trait anxiety inventory. Palo Alto: Consulting Psychologists Press.

Tanielian, T., Bouskill, K. E., Ramchand, R., Friedman, E. M., Trail, T. E., & Clague, A. (2017). Improving support for America's hidden heroes: a research blueprint. Santa Monica: RAND Corporation.CrossRef

Tanielian, T., Ramchand, R., Fisher, M. P., Sims, C. S., Harris, R. S., & Harrell, M. C. (2013). Military caregivers: cornerstones of support for our nation's wounded, ill, and injured veterans. Rand Health Quarterly, 3(1), 3.PubMedPubMedCentral

Teasdale, J. D., Williams, J. M. G., & Segal, Z. V. (2014). The mindful way workbook: an 8-week program to free yourself from depression and emotional distress. New York: The Guilford Press.

Thorpe, J. M., Sleath, B. L., Thorpe, C. T., Van Houtven, C. H., Blalock, S. J., Landerman, L. R., et al. (2006). Caregiver psychological distress as a barrier to influenza vaccination among community-dwelling elderly with dementia. Medical Care, 44(8), 713–721. https://doi.org/10.1097/01.mlr.0000215905.36968.76.CrossRefPubMed

U.S. Bureau of the Census. (2012). Statistical abstract of the United States: 2012 (131st ed.). Washington: U.S. Bureau of the Census.

Uphold, C. R., Jordan, M., & Freytes, M. (2014). Family caregivers of veterans: a critical review of the empirical literature and recommendations for future research. Annual Review of Nursing Research, 32(1), 155–202.CrossRefPubMed

Van Houtven, C. H., Friedemann-Sánchez, G., Clothier, B., Levison, D., Taylor, B. C., Jensen, A. C., . . . Griffin, J. M. (2012). Is policy well-targeted to remedy financial strain among caregivers of severely injured US service members? INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 49(4), 339–351.CrossRefPubMed

Zou, L., Yeung, A., Quan, X., Boyden, S. D., & Wang, H. (2018). A systematic review and meta-analysis of mindfulness-based (Baduanjin) exercise for alleviating musculoskeletal pain and improving sleep quality in people with chronic diseases. International Journal of Environmental Research and Public Health, 15(2), 206.CrossRefPubMedCentral

Titel: A Pilot Randomized Controlled Trial of a Mindfulness-Based Intervention for Caregivers of Veterans
Auteurs: Sandraluz Lara-Cinisomo
Ryan L. Santens
Elinor M. Fujimoto
Publicatiedatum: 30-03-2019
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 9/2019
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-019-01131-9

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Abstract

Objectives

Methods

Results

Conclusions

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