Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in:

29-09-2021 | ORIGINAL PAPER

Effectiveness of a Blended Internet-Based Mindfulness Intervention in Inflammatory Bowel Disease Patients: a Mixed-Methods Non-randomized Controlled Trial

Auteurs: Ausiàs Cebolla, Jaime Navarrete, Rafael González-Moret, Xavier Cortés, José Miguel Soria, Rosa M. Baños, Juan Francisco Lisón

Gepubliceerd in: Mindfulness | Uitgave 11/2021

Abstract

Objectives

Patients with inflammatory bowel disease (IBD) usually experience psychosocial impairment and psychiatric comorbidity related to the chronic course, relapsing activity (unpredictable risk of flare), and consequent physical symptoms. One of the psychological approaches which has gained more consideration as a coadjuvant therapy is mindfulness-based intervention (MBI). The purpose of this study was to examine the efficacy of a blended Internet-based MBI compared to standard medical therapy (SMT), in a sample of patients with IBD.

Methods

A mixed-methods non-randomized controlled trial was conducted with 57 patients with IBD (35 in MBI condition and 22 in SMT condition). The MBI involved an 8-week program which comprised four face-to-face support sessions and four Internet-based therapy modules. Health-related quality of life (HRQoL), anxiety, depression, stress, mindfulness, and optimism were compared within and between groups. Qualitative methods were used to analyze the response of the patients to the treatment.

Results

Results revealed that the MBI condition significantly increased HRQoL and optimism compared to the SMT condition. However, there were no significant between-group differences in anxiety, depression, perceived stress, pessimism, or mindfulness facets. In addition, the interviewed MBI participants (n = 19) assured that they had learned strategies to regulate their emotions (anxiety, depression, stress) and to manage both pain and fatigue.

Conclusions

This study shows the effectiveness of a blended Internet-based MBI in increasing HRQoL and optimism in patients with IBD. It also highlights the use of MBIs to treat psychological impairment in IBD.

Trial Registration.

NCT 02,963,246, 15/11/2016.

vorige artikel Effects of Mindfulness-Based Internet Intervention on ICD-11 Posttraumatic Stress Disorder and Complex Posttraumatic Stress Disorder Symptoms: a Pilot Randomized Controlled Trial

volgende artikel For Whom Do Meditation Interventions Improve Mental Health Symptoms? Looking at the Roles of Psychological and Biological Resources over Time

Aghaie, E., Roshan, R., Mohamadkhani, P., Shaeeri, M., & Gholami-Fesharaki, M. (2018). Well-being, mental health, general health and quality of life improvement through mindfulness-based interventions: A systematic review and meta-analysis. Iranian Red Crescent Medical Journal, 20(2) e16231.

Alexakis, C., Kumar, S., Saxena, S., & Pollok, R. (2017). Systematic review with meta-analysis: The impact of a depressive state on disease course in adult inflammatory bowel disease. Alimentary Pharmacology & Therapeutics, 46(3), 225–235. CrossRef

Allison, P. J., Guichard, C., & Gilain, L. (2000). A prospective investigation of dispositional optimism as a predictor of health-related quality of life in head and neck cancer patients. Quality of Life Research, 9(8), 951–960. PubMedCrossRef

Asensio-Martínez, Á., Masluk, B., Montero-Marin, J., Olivan-Blázquez, B., Navarro-Gil, M. T., García-Campayo, J., & Magallón-Botaya, R. (2019). Validation of Five Facets Mindfulness Questionnaire – Short form, in Spanish, general health care services patients sample: Prediction of depression through mindfulness scale. PLoS ONE, 14(4), e0214503. PubMedPubMedCentralCrossRef

Ballou, S., & Keefer, L. (2017). Psychological interventions for irritable bowel syndrome and inflammatory bowel diseases. Clinical and Translational Gastroenterology, 8(1), 214. CrossRef

Beatty, L., Kemp, E., Binnion, C., Turner, J., Milne, D., Butow, P., Lambert, S., Yates, P., Yip, D., & Koczwara, B. (2017). Uptake and adherence to an online intervention for cancer-related distress: Older age is not a barrier to adherence but may be a barrier to uptake. Supportive Care in Cancer, 25(6), 1905–1914. PubMedCrossRef

Bengtsson, M. (2016). How to plan and perform a qualitative study using content analysis. NursingPlus Open, 2, 8–14. CrossRef

Bernstein, C. N., Singh, S., Graff, L. A., Walker, J. R., Miller, N., & Cheang, M. (2010). A prospective population-based study of triggers of symptomatic flares in IBD. American Journal of Gastroenterology, 105(9), 1994–2002. CrossRef

Böhmig, M. (2019). Mechanisms of disease, etiology and clinical manifestations. In A. Sturm & L. White (Eds.), Inflammatory bowel disease nursing manual (pp. 15–24). Springer. CrossRef

Bolier, L., Majo, C., Smit, F., Westerhof, G. J., Haverman, M., Walburg, J. A., Riper, H., & Bohlmeijer, E. (2014). Cost-effectiveness of online positive psychology: Randomized controlled trial. The Journal of Positive Psychology, 9(5), 460–471. CrossRef

Byron, C., Cornally, N., Burton, A., & Savage, E. (2020). Challenges of living with and managing inflammatory bowel disease: A meta-synthesis of patients’ experiences. Journal of Clinical Nursing, 29(3–4), 305–319. PubMedCrossRef

Cebolla, A., Garcia-Palacios, A., Soler, J., Guillén, V., Baños, R., & Botella, C. (2012). Psychometric properties of the Spanish validation of the Five Facets of Mindfulness Questionnaire (FFMQ). The European Journal of Psychiatry, 26(2), 118–126. CrossRef

Cebolla, A., Campos, D., Galiana, L., Oliver, A., Tomás, J. M., Feliu-Soler, A., Soler, J., García-Campayo, J., Demarzo, M., & Baños, R. M. (2017). Exploring relations among mindfulness facets and various meditation practices: Do they work in different ways? Consciousness and Cognition, 49, 172–180. PubMedCrossRef

Cebolla, A., Galiana, L., Campos, D., Oliver, A., Soler, J., Demarzo, M., Baños, R. M., Feliu-Soler, A., & García-Campayo, J. (2018). How does mindfulness work? Exploring a theoretical model using samples of meditators and non-meditators. Mindfulness, 9(3), 860–870. CrossRef

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

Collins, S. M. (2020). Interrogating the gut-brain axis in the context of inflammatory bowel disease: A translational approach. Inflammatory Bowel Diseases, 26(4), 493–501. PubMedPubMedCentralCrossRef

Costa, J. M., Matos, D., Arroja, B., Gongalves, R., & Soares, J. B. (2019). The main determinants of disability in IBD and its relationship to optimism. Revista Española De Enfermedades Digestivas, 111(8), 579–586. PubMed

Crane, R. S., Brewer, J., Feldman, C., Kabat-Zinn, J., Santorelli, S., Williams, J. M. G., & Kuyken, W. (2017). What defines mindfulness-based programs? The warp and the weft. Psychological Medicine, 47(6), 990–999. PubMedCrossRef

Drossman, D. A., Leserman, J., Li, Z., Keefe, F., Hu, Y. J., & Toomey, T. C. (2000). Effects of coping on health outcome among women with gastrointestinal disorders. Psychosomatic Medicine, 62(3), 309–317. PubMedCrossRef

Edman, J. S., Greeson, J. M., Roberts, R. S., Kaufman, A. B., Abrams, D. I., Dolor, R. J., & Wolever, R. Q. (2017). Perceived stress in patients with common gastrointestinal disorders: Associations with quality of life, symptoms and disease management. Explore, 13(2), 124–128. PubMedCrossRef

Erbe, D., Eichert, H.-C., Riper, H., & Ebert, D. D. (2017). Blending face-to-face and Internet-based interventions for the treatment of mental disorders in adults: Systematic review. Journal of Medical Internet Research, 19(9), 306. CrossRef

Evertsz, F. B., Sprangers, M. A. G., de Vries, L. M., Sanderman, R., Stokkers, P. C. F., Verdam, M. G. E., Burger, H., & Bockting, C. L. H. (2020). I am a total failure: Associations between beliefs and anxiety and depression in patients with inflammatory bowel disease with poor mental quality of life. Behavioural and Cognitive Psychotherapy, 48(1), 91–102. CrossRef

Ewais, T., Begun, J., Kenny, M., Rickett, K., Hay, K., Ajilchi, B., & Kisely, S. (2019). A systematic review and meta-analysis of mindfulness-based interventions and yoga in inflammatory bowel disease. Journal of Psychosomatic Research, 116, 44–53. PubMedCrossRef

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. PubMedCrossRef

Ferrando, P. J., Chico, E., & Tous, J. M. (2002). Propiedades psicométricas del test de optimismo Life Orientation Test. Psicothema, 14(3), 673–680.

Freudenthaler, L., Turba, J. D., & Tran, U. S. (2017). Emotion regulation mediates the associations of mindfulness on symptoms of depression and anxiety in the general population. Mindfulness, 8(5), 1339–1344. PubMedPubMedCentralCrossRef

Gaylord, S. A., Palsson, O. S., Garland, E. L., Faurot, K. R., Coble, R. S., Mann, J. D., ..., Whitehead, W. E. (2011). Mindfulness training reduces the severity of irritable bowel syndrome in women: Results of a randomized controlled trial. The American Journal of Gastroenterology, 106(9), 1678.

Gomollón, F., Dignass, A., Annese, V., Tilg, H., Van Assche, G., Lindsay, J. O., Peyrin-Biroulet, L., Cullen, G. J., Daperno, M., Kucharzik, T., Rieder, F., Almer, S., Armuzzi, A., Harbord, M., Langhorst, J., Sans, M., Chowers, Y., Fiorino, G., Juillerat, P., ..., Gionchetti, P. (2017). Third European evidence-based consensus on the diagnosis and management of Crohn’s disease 2016: Part 1: Diagnosis and medical management. Journal of Crohn’s and Colitis, 11(1), 3–25.

González-Moret, R., Cebolla, A., Cortés, X., Baños, R. M., Navarrete, J., de la Rubia, J. E., Lisón, J. F., & Soria, J. M. (2020). The effect of a mindfulness-based therapy on different biomarkers among patients with inflammatory bowel disease: A randomized controlled trial. Scientific Reports, 10(1), 1–7. CrossRef

Gracie, D. J., Irvine, A. J., Sood, R., Mikocka-Walus, A., Hamlin, P. J., & Ford, A. C. (2017). Effect of psychological therapy on disease activity, psychological comorbidity, and quality of life in inflammatory bowel disease: A systematic review and meta-analysis. The Lancet Gastroenterology & Hepatology, 2(3), 189–199. CrossRef

Gross, C. R., Kreitzer, M. J., Thomas, W., Reilly-Spong, M., Cramer-Bornemann, M., Nyman, J. A., Frazier, P., & Ibrahim, H. N. (2010). Mindfulness-based stress reduction for solid organ transplant recipients: A randomized controlled trial. Alternative Therapies in Health and Medicine, 16(5), 30–38. PubMedPubMedCentral

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. PubMedCrossRef

Guyatt, G., Mitchell, A., Irvine, E. J., Singer, J., Williams, N., Goodacre, R., & Tompkins, C. (1989). A new measure of health status for clinical trials in inflammatory bowel disease. Gastroenterology, 96(2), 804–810. PubMedCrossRef

Hanley, A. W., Warner, A. R., Dehili, V. M., Canto, A. I., & Garland, E. L. (2015). Washing dishes to wash the dishes: Brief instruction in an informal mindfulness practice. Mindfulness, 6(5), 1095–1103. CrossRef

Hanlon, I., Hewitt, C., Bell, K., Phillips, A., & Mikocka-Walus, A. (2018). Systematic review with meta-analysis: Online psychological interventions for mental and physical health outcomes in gastrointestinal disorders including irritable bowel syndrome and inflammatory bowel disease. Alimentary Pharmacology & Therapeutics, 48(3), 244–259. CrossRef

Heckenberg, R. A., Hale, M. W., Kent, S., & Wright, B. J. (2019). An online mindfulness-based program is effective in improving affect, over-commitment, optimism and mucosal immunity. Physiology & Behavior, 199, 20–27. CrossRef

Hedman, E., Ljótsson, B., & Lindefors, N. (2012). Cognitive behavior therapy via the Internet: A systematic review of applications, clinical efficacy and cost-effectiveness. Expert Review of Pharmacoeconomics & Outcomes Research, 12(6), 745–764. CrossRef

Herrero, M. J., Blanch, J., Peri, J. M., De Pablo, J., Pintor, L., & Bulbena, A. (2003). A validation study of the Hospital Anxiety and Depression Scale (HADS) in a Spanish population. General Hospital Psychiatry, 25(4), 277–283. PubMedCrossRef

Hill, C. L. M., & Updegraff, J. A. (2012). Mindfulness and its relationship to emotional regulation. Emotion, 12(1), 81–90. PubMedCrossRef

Iani, L., Lauriola, M., Chiesa, A., & Cafaro, V. (2019). Associations between mindfulness and emotion regulation: The key role of describing and nonreactivity. Mindfulness, 10(2), 366–375. CrossRef

Jackson, B. D., Gray, K., Knowles, S. R., & De Cruz, P. (2016). eHealth technologies in inflammatory bowel disease: A systematic review. Journal of Crohn’s and Colitis, 10(9), 1103–1121. PubMedCrossRef

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), 12–19. PubMedCrossRef

Joseph, N. E., & Weber, C. R. (2017). Pathology of inflammatory bowel disease. In D. C. Baumgart (Ed.), Crohn’s disease and ulcerative colitis (pp. 243–258). Springer. CrossRef

Katz, L., Tripp, D. A., Ropeleski, M., Depew, W., Nickel, J. C., Vanner, S., & Beyak, M. J. (2016). Mechanisms of quality of life and social support in inflammatory bowel disease. Journal of Clinical Psychology in Medical Settings, 23(1), 88–98. PubMedCrossRef

Kelders, S. M., Kok, R. N., Ossebaard, H. C., & Gemert-Pijnen, J. E. V. (2012). Persuasive system design does matter: A systematic review of adherence to Web-based interventions. Journal of Medical Internet Research, 14(6), e152. PubMedPubMedCentralCrossRef

Kiken, L. G., & Shook, N. J. (2011). Looking up: Mindfulness increases positive judgments and reduces negativity bias. Social Psychological and Personality Science, 2(4), 425–431. CrossRef

Klag, T., Mazurak, N., Fantasia, L., Schwille-Kiuntke, J., Kirschniak, A., Falch, C., Goetz, M., Malek, N. P., Enck, P., & Wehkamp, J. (2017). High demand for psychotherapy in patients with inflammatory bowel disease. Inflammatory Bowel Diseases, 23(10), 1796–1802. PubMedCrossRef

Kloek, C., Bossen, D., de Bakker, D. H., Veenhof, C., & Dekker, J. (2017). Blended interventions to change behavior in patients with chronic somatic disorders: Systematic review. Journal of Medical Internet Research, 19(12), e418. PubMedPubMedCentralCrossRef

Knowles, S. R., Graff, L. A., Wilding, H., Hewitt, C., Keefer, L., & Mikocka-Walus, A. (2018a). Quality of life in inflammatory bowel disease: A systematic review and meta-analyses—Part I. Inflammatory Bowel Diseases, 24(4), 742–751. PubMedCrossRef

Knowles, S. R., Keefer, L., Wilding, H., Hewitt, C., Graff, L. A., & Mikocka-Walus, A. (2018b). Quality of life in inflammatory bowel disease: A systematic review and meta-analyses—Part II. Inflammatory Bowel Diseases, 24(5), 966–976. PubMedCrossRef

Kochar, B., Barnes, E. L., Long, M. D., Cushing, K. C., Galanko, J., Martin, C. F., Raffals, L. E., & Sandler, R. S. (2018). Depression is associated with more aggressive inflammatory bowel disease. The American Journal of Gastroenterology, 113(1), 80. PubMedCrossRef

Kohut, S. A., Stinson, J., Jelen, A., & Ruskin, D. (2020). Feasibility and acceptability of a mindfulness-based group intervention for adolescents with inflammatory bowel disease. Journal of Clinical Psychology in Medical Settings, 27(1), 68–78. CrossRef

Kooistra, L. C., Wiersma, J. E., Ruwaard, J., Neijenhuijs, K., Lokkerbol, J., van Oppen, P., Smit, F., & Riper, H. (2019). Cost and effectiveness of blended versus standard cognitive behavioral therapy for outpatients with depression in routine specialized mental health care: Pilot randomized controlled trial. Journal of Medical Internet Research, 21(10), e14261. PubMedPubMedCentralCrossRef

Kupler, D. J. (1991). Long-term of treatment of depression. Journal of Clinical Psychiatry, 52(5), 28–34.

la Cour, P., & Petersen, M. (2015). Effects of mindfulness meditation on chronic pain: A randomized controlled trial. Pain Medicine, 16(4), 641–652. PubMedCrossRef

Li, C., Hou, Z., Liu, Y., Ji, Y., & Xie, L. (2019). Cognitive-behavioural therapy in patients with inflammatory bowel diseases: A systematic review and meta-analysis. International Journal of Nursing Practice, 25(1), 12699. CrossRef

Linardon, J., & Fuller-Tyszkiewicz, M. (2020). Attrition and adherence in smartphone-delivered interventions for mental health problems: A systematic and meta-analytic review. Journal of Consulting and Clinical Psychology, 88(1), 1–13. PubMedCrossRef

Ljótsson, B., Andersson, G., Andersson, E., Hedman, E., Lindfors, P., Andréewitch, S., Rück, C., & Lindefors, N. (2011). Acceptability, effectiveness, and cost-effectiveness of Internet-based exposure treatment for irritable bowel syndrome in a clinical sample: A randomized controlled trial. BMC Gastroenterology, 11(1), 110. PubMedPubMedCentralCrossRef

Magro, F., Gionchetti, P., Eliakim, R., Ardizzone, S., Armuzzi, A., Barreiro-de Acosta, M., Burisch, J., Gecse, K. B., Hart, A. L., & Hindryckx, P. (2017). Third European evidence-based consensus on diagnosis and management of ulcerative colitis. Part 1: Definitions, diagnosis, extra-intestinal manifestations, pregnancy, cancer surveillance, surgery, and ileo-anal pouch disorders. Journal of Crohn’s and Colitis, 11(6), 649–670. PubMedCrossRef

Masachs, M., Casellas, F., & Malagelada, J. R. (2007). Traducción, adaptación y validación al español del cuestionario de calidad de vida de 32 ítems (IBDQ-32) de la enfermedad inflamatoria intestinal. Revista Española De Enfermedades Digestivas, 99(9), 511–519. PubMedCrossRef

Mikocka-Walus, A., Knowles, S. R., Keefer, L., & Graff, L. (2016a). Controversies revisited: A systematic review of the comorbidity of depression and anxiety with inflammatory bowel diseases. Inflammatory Bowel Diseases, 22(3), 752–762. PubMedCrossRef

Mikocka-Walus, A., Pittet, V., Rossel, J.-B., von Känel, R., Anderegg, C., Bauerfeind, P., Beglinger, C., Begré, S., Belli, D., Bengoa, J. M., Biedermann, L., Bigler, B., Binek, J., Blattmann, M., Boehm, S., Borovicka, J., Braegger, C. P., Brunner, N., Bühr, P., ... Zimmermann, D. (2016b). Symptoms of depression and anxiety are independently associated with clinical recurrence of inflammatory bowel disease. Clinical Gastroenterology and Hepatology, 14(6), 829–835.

Mikolasek, M., Berg, J., Witt, C. M., & Barth, J. (2018). Effectiveness of mindfulness-and relaxation-based eHealth interventions for patients with medical conditions: A systematic review and synthesis. International Journal of Behavioral Medicine, 25(1), 1–16. PubMedCrossRef

Montero-Marin, J., Gaete, J., Araya, R., Demarzo, M., Manzanera, R., Álvarez de Mon, M., & García-Campayo, J. (2018). Impact of a blended Web-based mindfulness programme for general practitioners: A pilot study. Mindfulness, 9(1), 129–139. CrossRef

Navarrete, J., González-Moret, R., Cortés, X., Lison, J. F., Soria, J. M., Baños, R. M., & Cebolla, A. (2021). Dispositional mindfulness and inflammatory bowel disease: Mindful awareness mediates the relation between severity and quality of life, stress, and fatigue. Mindfulness, 12(6), 1524–1533. CrossRef

Neuendorf, R., Harding, A., Stello, N., Hanes, D., & Wahbeh, H. (2016). Depression and anxiety in patients with inflammatory bowel disease: A systematic review. Journal of Psychosomatic Research, 87, 70–80. PubMedCrossRef

Parsons, C. E., Crane, C., Parsons, L. J., Fjorback, L. O., & Kuyken, W. (2017). Home practice in mindfulness-based cognitive therapy and mindfulness-based stress reduction: A systematic review and meta-analysis of participants’ mindfulness practice and its association with outcomes. Behaviour Research and Therapy, 95, 29–41. PubMedPubMedCentralCrossRef

Pedrero-Pérez, E. J., de León, J. M. R. S., Lozoya-Delgado, P., Rojo-Mota, G., Llanero-Luque, M., & Puerta-García, C. (2015). La “escala de estrés percibido”: Estudio psicométrico sin restricciones en población no clínica y adictos a sustancias en tratamiento. Psicología Conductual, 23(2), 305.

Reeves, B. C., & Gaus, W. (2004). Guidelines for reporting non-randomised studies. Complementary Medicine Research, 11, 46–52. CrossRef

Ren, W. H., Lai, M., Chen, Y., Irvine, E. J., & Zhou, Y. X. (2007). Validation of the mainland Chinese version of the Inflammatory Bowel Disease Questionnaire (IBDQ) for ulcerative colitis and Crohn’s disease. Inflammatory Bowel Diseases, 13(7), 903–910. PubMedCrossRef

Sajadinejad, M. S., Asgari, K., Molavi, H., Kalantari, M., & Adibi, P. (2012). Psychological issues in inflammatory bowel disease: An overview. Gastroenterology Research and Practice, 2012, 1–11. CrossRef

Saldaña, J. (2015). The coding manual for qualitative researchers. SAGE.

Sarwan, N., Jurawan, R., Singh, R., & Chattu, V. K. (2019). An exploratory study of inflammatory bowel disease and the psychosocial factors affecting health-related quality of life. Medical Sciences, 7(2), 18. PubMedCentralCrossRef

Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67(6), 1063. CrossRefPubMed

Schmidt, S., Grossman, P., Schwarzer, B., Jena, S., Naumann, J., & Walach, H. (2011). Treating fibromyalgia with mindfulness-based stress reduction: Results from a 3-armed randomized controlled trial. Pain, 152(2), 361–369. PubMedCrossRef

Sgambato, D., Miranda, A., Ranaldo, R., Federico, A., & Romano, M. (2017). The role of stress in inflammatory bowel diseases. Current Pharmaceutical Design, 23(27), 3997–4002. PubMedCrossRef

Sweeney, L., Moss-Morris, R., Czuber-Dochan, W., Belotti, L., Kabeli, Z., & Norton, C. (2019). ‘It’s about willpower in the end You’ve got to keep going’: A qualitative study exploring the experience of pain in inflammatory bowel disease. British Journal of Pain, 13(4), 201–213. PubMedPubMedCentralCrossRef

Timmer, A., Preiss, J. C., Motschall, E., Ruecker, G., Jantschek, G., & Moser, G. (2011). Psychological interventions for treatment of inflammatory bowel disease. Cochrane Database of Systematic Reviews, 2, CD006913.

Tortella-Feliu, M., Luís-Reig, J., Gea, J., Cebolla, A., & Soler, J. (2020). An exploratory study on the relations between mindfulness and mindfulness-based intervention outcomes. Mindfulness, 11(11), 2561–2572. CrossRef

Tran, U. S., Glück, T. M., & Nader, I. W. (2013). Investigating the Five Facet Mindfulness Questionnaire (FFMQ): Construction of a short form and evidence of a two-factor higher order structure of mindfulness. Journal of Clinical Psychology, 69(9), 951–965. PubMedCrossRef

Vegni, E., Gilardi, D., Bonovas, S., Corrò, B. E., Menichetti, J., Leone, D., Mariangela, A., Furfaro, F., Danese, S., & Fiorino, G. (2019). Illness perception in inflammatory bowel disease patients is different between patients with active disease or in remission: A prospective cohort study. Journal of Crohn’s and Colitis, 13(4), 417–423. PubMedCrossRef

Wangberg, S. C., Bergmo, T. S., & Johnsen, J.-A.K. (2008). Adherence in Internet-based interventions. Patient Preference and Adherence, 2, 57–65. PubMedPubMedCentral

Xunlin, N., Lau, Y., & Klainin-Yobas, P. (2020). The effectiveness of mindfulness-based interventions among cancer patients and survivors: A systematic review and meta-analysis. Supportive Care in Cancer, 28(4), 1563–1578. PubMedCrossRef

Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. PubMedCrossRef

Zou, H., Cao, X., Geng, J., & Chair, S. Y. (2019). Effects of mindfulness-based interventions on health-related outcomes for patients with heart failure: A systematic review. European Journal of Cardiovascular Nursing, 19(1), 44–54. PubMedCrossRef

Titel: Effectiveness of a Blended Internet-Based Mindfulness Intervention in Inflammatory Bowel Disease Patients: a Mixed-Methods Non-randomized Controlled Trial
Auteurs: Ausiàs Cebolla
Jaime Navarrete
Rafael González-Moret
Xavier Cortés
José Miguel Soria
Rosa M. Baños
Juan Francisco Lisón
Publicatiedatum: 29-09-2021
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 11/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-021-01741-2

Bohn Stafleu van Loghum

Tip

Swipe om te navigeren naar een ander artikel

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Objectives

Methods

Results

Conclusions

Trial Registration.

Log in om toegang te krijgen

Andere artikelen Uitgave 11/2021

Effectiveness and Mechanisms of Mindfulness Training for School Teachers in Difficult Times: A Randomized Controlled Trial

A Retrospective Systematic Review of Diversity Variables in Mindfulness Research, 2000–2016

Relating Equanimity to Mindfulness

Mindful Versus Diaphragmatic Breathing: Spirituality Moderates the Impact on Heart Rate Variability

Parents’ Depressive Symptoms and Child Adjustment: the Mediating Role of Mindful Parenting and Children’s Self-Regulation

Longitudinal Relationship Between Emotional Insecurity and Adolescent Mental Health: the Mediation of Rejection Sensitivity and Moderation of Dispositional Mindfulness