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Gepubliceerd in: Mindfulness 2/2016

13-11-2015 | ORIGINAL PAPER

Mindfulness-Based Stress Reduction for Restless Legs Syndrome: a Proof of Concept Trial

Auteurs: Vicky Bablas, Keong Yap, David Cunnington, John Swieca, Kenneth Mark Greenwood

Gepubliceerd in: Mindfulness | Uitgave 2/2016

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Abstract

Psychological interventions for the management of restless legs syndrome (RLS) have yet to be thoroughly investigated. The aim of the present pilot study was to investigate whether mindfulness-based stress reduction (MBSR) can be used as a feasible and acceptable treatment option for the RLS patient population. Eight participants (four men and four women, with ages ranging from 44 to 67 years; M = 56.28, SD = 8.11) seeking treatment for RLS at a sleep clinic attended a 6-week MBSR group program. Five of these participants also participated in a focus group, 3 months post-intervention, to provide their experiences and opinions of the program. The findings revealed group and individual improvements in RLS symptom severity (d = 0.75), RLS-specific quality of life (d = 1.09), sleep quality (d = 1.47), and daytime sleepiness (d = 1.15). Results also revealed significant reductions in general psychopathology (d = 1.96), and overall significant improvement in mindfulness (d = 2.00) and mental health status post-intervention (d = 2.12) with stable improvements at a 3-month follow-up. Qualitative findings showed that participants found the program to be highly beneficial. The findings of the current study suggest that MBSR could be a promising treatment option in the management of RLS and associated conditions. This proof-of-concept study provides a strong rationale for further research to examine mindfulness-based interventions for RLS using larger sample sizes and randomized controlled trials.
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Literatuur
go back to reference Allen, R. P. (2006). Restless legs syndrome and periodic limb movement disorder: nightwalkers. Philadelphia: Taylor & Francis. Allen, R. P. (2006). Restless legs syndrome and periodic limb movement disorder: nightwalkers. Philadelphia: Taylor & Francis.
go back to reference Allen, R. P., Bharmal, M., & Calloway, M. (2011a). Prevalence and disease burden of primary restless legs syndrome: results of a general population survey in the United States. Movement Disorders, 26(1), 114–120.CrossRefPubMed Allen, R. P., Bharmal, M., & Calloway, M. (2011a). Prevalence and disease burden of primary restless legs syndrome: results of a general population survey in the United States. Movement Disorders, 26(1), 114–120.CrossRefPubMed
go back to reference Allen, R.P., Ondo, W.G., Ball, E., Calloway, M. O., Manjunath, R., Higbie, R. L.,…Nisbet, P. A. (2011). Restless legs syndrome (RLS) augmentation associated with dopamine agonist and levodopa usage in a community sample. Sleep Medicine, 12(5), 431–439. Allen, R.P., Ondo, W.G., Ball, E., Calloway, M. O., Manjunath, R., Higbie, R. L.,…Nisbet, P. A. (2011). Restless legs syndrome (RLS) augmentation associated with dopamine agonist and levodopa usage in a community sample. Sleep Medicine, 12(5), 431–439.
go back to reference Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the hospital anxiety and depression scale. An updated literature review. Journal of Psychosomatic Research, 52(2), 69–77.CrossRefPubMed Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the hospital anxiety and depression scale. An updated literature review. Journal of Psychosomatic Research, 52(2), 69–77.CrossRefPubMed
go back to reference Bohlmeijer, E., ten Klooster, P. M., Fledderus, M., Veehof, M., & Baer, R. (2011). Psychometric properties of the Five Facet Mindfulness Questionnaire in fepressed adults and development of a short form. Assessment, 18(3), 308–320. Bohlmeijer, E., ten Klooster, P. M., Fledderus, M., Veehof, M., & Baer, R. (2011). Psychometric properties of the Five Facet Mindfulness Questionnaire in fepressed adults and development of a short form. Assessment, 18(3), 308–320.
go back to reference Brand, S., Beck, J., Hatzinger, M., Savic, M., & Holsboer-Trachsler, E. (2011). Unfavorable polysomnographic sleep patterns predict poor sleep and poor psychological functioning 3 years later in patients with restless legs syndrome. Neuropsychobiology, 63(2), 92–102. doi:10.1159/000317549.CrossRefPubMed Brand, S., Beck, J., Hatzinger, M., Savic, M., & Holsboer-Trachsler, E. (2011). Unfavorable polysomnographic sleep patterns predict poor sleep and poor psychological functioning 3 years later in patients with restless legs syndrome. Neuropsychobiology, 63(2), 92–102. doi:10.​1159/​000317549.CrossRefPubMed
go back to reference Brazier, J. E., Harper, R., Jones, N. M., O’Cathain, A., Thomas, K. J., Usherwood, T., & Westlake, L. (1992). Validating the SF-36 health survey questionnaire: new outcome measure for primary care. British Medical Journal, 305, 160–164.CrossRefPubMedPubMedCentral Brazier, J. E., Harper, R., Jones, N. M., O’Cathain, A., Thomas, K. J., Usherwood, T., & Westlake, L. (1992). Validating the SF-36 health survey questionnaire: new outcome measure for primary care. British Medical Journal, 305, 160–164.CrossRefPubMedPubMedCentral
go back to reference Buysse, D. J., Reynolds, C. F., III, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1988). The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Research, 28, 193–213.CrossRef Buysse, D. J., Reynolds, C. F., III, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1988). The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Research, 28, 193–213.CrossRef
go back to reference Derogatis, L. R. (1994). Symptom checklist-90-revised. Administration, scoring, and procedures manual. Towson: Clinical Psychometrics Research. Derogatis, L. R. (1994). Symptom checklist-90-revised. Administration, scoring, and procedures manual. Towson: Clinical Psychometrics Research.
go back to reference Garcia-Borreguero, D., Stillman, P., Benes, H., Buschmann, H., Chaudhuri, K. R., Gonzalez Rodriguez, V. M., . . . Zucconi, M. (2011). Algorithms for the diagnosis and treatment of restless legs syndrome in primary care. BMC Neurology, 11(28), 1–13. doi: 10.1186/1471-2377-11-28 Garcia-Borreguero, D., Stillman, P., Benes, H., Buschmann, H., Chaudhuri, K. R., Gonzalez Rodriguez, V. M., . . . Zucconi, M. (2011). Algorithms for the diagnosis and treatment of restless legs syndrome in primary care. BMC Neurology, 11(28), 1–13. doi: 10.​1186/​1471-2377-11-28
go back to reference Godau, J., Spinnler, N., Wevers, A.-K., Trenkwalder, C., & Berg, D. (2010). Poor effect of guideline based treatment of restless legs syndrome in clinical practice. Journal of Neurology, Neurosurgery, and Psychiatry, 81(12), 1390–1395. doi:10.1136/jnnp.2010.211417.CrossRefPubMed Godau, J., Spinnler, N., Wevers, A.-K., Trenkwalder, C., & Berg, D. (2010). Poor effect of guideline based treatment of restless legs syndrome in clinical practice. Journal of Neurology, Neurosurgery, and Psychiatry, 81(12), 1390–1395. doi:10.​1136/​jnnp.​2010.​211417.CrossRefPubMed
go back to reference Gross, C. R., Kreitzer, M. J., Reilly-Spong, M., Wall, M., Winbush, N. Y., Patterson, R., . . . Cramer-Bornemann, M. (2011). Mindfulness-based stress reduction versus pharmacotherapy for chronic primary insomnia: A randomized controlled clinical trial. Explore, 7(2), 76–87. doi: 10.1016/j.explore.2010.12.003 Gross, C. R., Kreitzer, M. J., Reilly-Spong, M., Wall, M., Winbush, N. Y., Patterson, R., . . . Cramer-Bornemann, M. (2011). Mindfulness-based stress reduction versus pharmacotherapy for chronic primary insomnia: A randomized controlled clinical trial. Explore, 7(2), 76–87. doi: 10.​1016/​j.​explore.​2010.​12.​003
go back to reference Happe, S., Reese, J. P., & Stiasny-Kolster, K. (2009). Assessing health-related quality of life in patients with restless legs syndrome. Sleep Medicine, 10(3), 295–305.CrossRefPubMed Happe, S., Reese, J. P., & Stiasny-Kolster, K. (2009). Assessing health-related quality of life in patients with restless legs syndrome. Sleep Medicine, 10(3), 295–305.CrossRefPubMed
go back to reference Hornyak, M. (2010). Depressive disorders in restless legs syndrome: epidemiology, pathophysiology and management. CNS Drugs, 24(2), 89–98.CrossRefPubMed Hornyak, M. (2010). Depressive disorders in restless legs syndrome: epidemiology, pathophysiology and management. CNS Drugs, 24(2), 89–98.CrossRefPubMed
go back to reference Hornyak, M., Kopasz, M., Berger, M., Riemann, D., & Voderholzer, U. (2005). Impact of sleep-related complaints on depressive symptoms in patients with restless legs syndrome. Journal of Clinical Psychiatry, 66, 1139–1145.CrossRefPubMed Hornyak, M., Kopasz, M., Berger, M., Riemann, D., & Voderholzer, U. (2005). Impact of sleep-related complaints on depressive symptoms in patients with restless legs syndrome. Journal of Clinical Psychiatry, 66, 1139–1145.CrossRefPubMed
go back to reference Hornyak, M., Grossmann, C., Kohnen, R., Schlatterer, M., Richter, H., Voderholzer, U., . . . Berger, M. (2008). Cognitive behavioural group therapy to improve patients’ strategies for coping with restless legs syndrome: A proof-of-concept trial. Journal of Neurology, Neurosurgery, and Psychiatry, 79(7), 823–825. doi: 10.1136/jnnp.2007.138867 Hornyak, M., Grossmann, C., Kohnen, R., Schlatterer, M., Richter, H., Voderholzer, U., . . . Berger, M. (2008). Cognitive behavioural group therapy to improve patients’ strategies for coping with restless legs syndrome: A proof-of-concept trial. Journal of Neurology, Neurosurgery, and Psychiatry, 79(7), 823–825. doi: 10.​1136/​jnnp.​2007.​138867
go back to reference Irving, J. A., Dobkin, P. L., & Park, J. (2009). Cultivating mindfulness in health care professionals: a review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies in Clinical Practice, 15(2), 61–66. doi:10.1016/j.ctcp.2009.01.002.CrossRefPubMed Irving, J. A., Dobkin, P. L., & Park, J. (2009). Cultivating mindfulness in health care professionals: a review of empirical studies of mindfulness-based stress reduction (MBSR). Complementary Therapies in Clinical Practice, 15(2), 61–66. doi:10.​1016/​j.​ctcp.​2009.​01.​002.CrossRefPubMed
go back to reference Johns, M. W. (1991). A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep, 14(6), 540–545.PubMed Johns, M. W. (1991). A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep, 14(6), 540–545.PubMed
go back to reference Johns, M. W. (1992). Reliability and factor analysis of the Epworth sleepiness scale. Sleep, 15(4), 376–381.PubMed Johns, M. W. (1992). Reliability and factor analysis of the Epworth sleepiness scale. Sleep, 15(4), 376–381.PubMed
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: NY Bantam Dell. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: NY Bantam Dell.
go back to reference Reese, J. P., Stiasny-Kolster, K., Oertel, W. H., & Dodel, R. C. (2007). Health-related quality of life and economic burden in patients with restless legs syndrome. Expert Review of Pharmacoeconomics & Outcomes Research, 7(5), 503–521.CrossRef Reese, J. P., Stiasny-Kolster, K., Oertel, W. H., & Dodel, R. C. (2007). Health-related quality of life and economic burden in patients with restless legs syndrome. Expert Review of Pharmacoeconomics & Outcomes Research, 7(5), 503–521.CrossRef
go back to reference Reinhold, T., Muller-Riemenschneider, F., Willich, S. N., & Bruggenjurgen, B. (2009). Economic and human costs of restless legs syndrome. PharmacoEconomics, 27(4), 267–279.CrossRefPubMed Reinhold, T., Muller-Riemenschneider, F., Willich, S. N., & Bruggenjurgen, B. (2009). Economic and human costs of restless legs syndrome. PharmacoEconomics, 27(4), 267–279.CrossRefPubMed
go back to reference Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., & Beasley, D. (2010). Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice. Journal of Psychosomatic Research, 68(1), 29–36. doi:10.1016/j.jpsychores.2009.03.010.CrossRefPubMed Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., & Beasley, D. (2010). Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice. Journal of Psychosomatic Research, 68(1), 29–36. doi:10.​1016/​j.​jpsychores.​2009.​03.​010.CrossRefPubMed
go back to reference Scholz, H., Trenkwalder, C., Kohnen, R., Riemann, D., Kriston, L., & Hornyak, M. (2011). Dopamine agonists for restless legs syndrome. Cochrane Database of Systematic Reviews, 3(1). doi: 10.1002/14651858.CD006009.pub2 Scholz, H., Trenkwalder, C., Kohnen, R., Riemann, D., Kriston, L., & Hornyak, M. (2011). Dopamine agonists for restless legs syndrome. Cochrane Database of Systematic Reviews, 3(1). doi: 10.​1002/​14651858.​CD006009.​pub2
go back to reference Szentkiralyi, A., Madarasz, C. Z., & Novak, M. (2009). Sleep disorders: impact on daytime functioning and quality of life. Expert Review of Pharmacoeconomics & Outcomes Research, 9, 49–64.CrossRef Szentkiralyi, A., Madarasz, C. Z., & Novak, M. (2009). Sleep disorders: impact on daytime functioning and quality of life. Expert Review of Pharmacoeconomics & Outcomes Research, 9, 49–64.CrossRef
go back to reference The International Restless Legs Syndrome Study Group. (2003). Validation of the International Restless Legs Syndrome Study Group rating scale for restless legs syndrome. Sleep Medicine, 4(2), 121–132.CrossRef The International Restless Legs Syndrome Study Group. (2003). Validation of the International Restless Legs Syndrome Study Group rating scale for restless legs syndrome. Sleep Medicine, 4(2), 121–132.CrossRef
go back to reference Yoakum. (1994). Night walkers: do your legs seem to have a life of their own? Your torment has a name. Modern Maturity, 55, 82–84. Yoakum. (1994). Night walkers: do your legs seem to have a life of their own? Your torment has a name. Modern Maturity, 55, 82–84.
go back to reference Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.CrossRefPubMed Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.CrossRefPubMed
go back to reference Zintzaras, E., Kitsios, G. D., Papathanasiou, A. A., Konitsiotis, S., Miligkos, M., Rodopoulou, P., & Hadjigeorgiou, G. (2010). Randomized trials of dopamine agonists in restless legs syndrome: a systematic review, quality assessment, and meta-analysis. Clinical Therapeutics, 32(2), 222–237. doi:10.1016/j.clinthera.2010.01.028.CrossRef Zintzaras, E., Kitsios, G. D., Papathanasiou, A. A., Konitsiotis, S., Miligkos, M., Rodopoulou, P., & Hadjigeorgiou, G. (2010). Randomized trials of dopamine agonists in restless legs syndrome: a systematic review, quality assessment, and meta-analysis. Clinical Therapeutics, 32(2), 222–237. doi:10.​1016/​j.​clinthera.​2010.​01.​028.CrossRef
Metagegevens
Titel
Mindfulness-Based Stress Reduction for Restless Legs Syndrome: a Proof of Concept Trial
Auteurs
Vicky Bablas
Keong Yap
David Cunnington
John Swieca
Kenneth Mark Greenwood
Publicatiedatum
13-11-2015
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 2/2016
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-015-0457-9

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