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Mindfulness

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23-04-2021 | ORIGINAL PAPER

Mindfulness-Based Stress Reduction Interventions for Mood in Older Adults: How Do Qualitative Experiences Inform Clinical Response?

Auteurs: Norman A. S. Farb, Janet Murchison, Robert Madan, Hailey Goldberg, Cindy Grief, David Conn, Nasreen Khatri

Gepubliceerd in: Mindfulness | Uitgave 7/2021

Abstract

Objectives

Older adulthood presents unique challenges to mental health. We explored how a mindfulness training intervention adapted for older adults addressed these challenges, contributing to a qualitative profile of mindfulness pedagogy for older adults.

Methods

Mindfulness-based stress reduction (MBSR) was adapted for a geriatric community sample with elevated depressive symptoms. Intervention effects were examined through a combination of scale-based assessment and qualitative interviews. Scales measured depressive symptoms, cognitive function, quality of life, and mindful attitudes. Interviews assessed stressors, goals, perceived obstacles, outcomes, and practice habits. A grounded-theory approach was used to identify responses in each category. Multiple regression analyses were used to identify qualitative responses that best predicted symptom reduction.

Results

The program was well-tolerated, positively endorsed, and associated with reduced depressive symptoms. Qualitatively, participants who identified family and mood as their primary stressors benefitted the most from course participation. A focus on present moment awareness was associated with decreased depressive symptoms, whereas a focus on hedonics, i.e., “feeling good,” was associated with poorer treatment outcomes. Participants maintained strong future practice intentions and preferred guided meditations to self-directed practice.

Conclusions

The adapted MBSR program was well-tolerated and efficacious in a geriatric community sample. Efficacy may be improved by emphasizing skill development outcomes rather than achievement of positive feeling states, and by prioritizing program referrals for coping with socioemotional rather than environmental stressors. Future research could extend this mixed-methods approach to deepen our understanding of the relationship between participants’ lived experiences and clinical outcomes.

vorige artikel Effects of a Mindfulness-Based Intervention for Teachers: a Study on Teacher and Student Outcomes

volgende artikel The Relationship Between Self-Compassion and Depressive Symptoms: Avoidance and Activation as Mediators

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Titel: Mindfulness-Based Stress Reduction Interventions for Mood in Older Adults: How Do Qualitative Experiences Inform Clinical Response?
Auteurs: Norman A. S. Farb
Janet Murchison
Robert Madan
Hailey Goldberg
Cindy Grief
David Conn
Nasreen Khatri
Publicatiedatum: 23-04-2021
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 7/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-021-01636-2

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