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15-01-2020 | ORIGINAL PAPER | Uitgave 4/2020

Mindfulness 4/2020

Mindfulnes-Based Stress Reduction for Older Couples with Metabolic Syndrome: a Pilot Randomized Controlled Trial

Tijdschrift:
Mindfulness > Uitgave 4/2020
Auteurs:
Joan K. Monin, Christina Maria Sperduto, Andrew Wilhelm Manigault, Anne Dutton, Margaret S. Clark, Ania M. Jastreboff
Belangrijke opmerkingen
2017 Older Americans Profile. Retrieved December 10, 2019 from the Adminstration for Community Living website: https://​acl.​gov/​sites/​default/​files/​Aging%20​and%20​Disability%20​in%20​America/​2017OlderAmerica​nsProfile.​pdf

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Abstract

Objective

We examined the feasibility and explored the physical, psychological, relational, and biological effects of Mindfulness-Based Stress Reduction (MBSR), an 8-week standardized mindfulness program, involving older married couples (60 years or older) with metabolic syndrome (one or both partners had metabolic syndrome). We also explored gender differences.

Methods

A pilot randomized controlled trial (RCT) compared MBSR to a Wait List Control (WLC) arm at baseline, post-intervention, and 3-month follow-up clinic visits. Twenty-two spouses (11 couples) self-reported stress, physical and mental functioning, mindfulness, and relationship satisfaction at each time point. Fasting glucose, cholesterol, triglycerides, blood pressure, weight, and waist circumference were measured. MBSR couples answered questions about partner influences on participation, adherence, and practice at the post-intervention visit.

Results

In terms of adherence to MBSR sessions, four of the six couples attended all ten sessions; one couple attended 7; and one wife attended 6 and her husband attended 5 sessions. In terms of efficacy, there were no significant intervention effects; however, there were significant gender by intervention effects. Pre- to post-intervention, MBSR wives displayed greater increases in physical functioning (β = 1.18, t(36) = 3.17, p = .003) and relationship satisfaction (β = .72, t(36) = 2.81, p = .007) than WLC wives. Effects for husbands were not significant. Qualitatively, participants reported encouragement and increased relationship closeness.

Conclusions

Engaging in MBSR as a couple to address symptoms of metabolic syndrome was well-received and feasible. Preliminary effects suggest more benefits for wives than husbands in terms of physical functioning and relational well-being.

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