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Gepubliceerd in: Mindfulness 7/2021

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

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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.
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Literatuur
go back to reference Ćurković, M., Dodig-Ćurković, K., Erić, A. P., Kralik, K., & Pivac, N. (2016). Psychotropic medications in older adults: A review. PsychiatriaDanubina, 28(1), 13–24 Ćurković, M., Dodig-Ćurković, K., Erić, A. P., Kralik, K., & Pivac, N. (2016). Psychotropic medications in older adults: A review. PsychiatriaDanubina, 28(1), 13–24
go back to reference Grossman, P. (2011). Defining mindfulness by how poorly I think I pay attention during everyday awareness and other intractable problems for psychology’s (re)invention of mindfulness: Comment on Brown et al. (2011). Psychological Assessment, 23(4), 1034–1040; discussion 1041–6. https://​doi.​org/​ https://​doi.​org/​10.​1037/​a0022713 Grossman, P. (2011). Defining mindfulness by how poorly I think I pay attention during everyday awareness and other intractable problems for psychology’s (re)invention of mindfulness: Comment on Brown et al. (2011). Psychological Assessment, 23(4), 1034–1040; discussion 1041–6. https://​doi.​org/​ https://​doi.​org/​10.​1037/​a0022713
go back to reference Kabat-Zinn, J., & Santorelli, S. (1999). Mindfulness-based stress reduction professional training resource manual. Center for Mindfulness in Medicine, Health Care and Society. Kabat-Zinn, J., & Santorelli, S. (1999). Mindfulness-based stress reduction professional training resource manual. Center for Mindfulness in Medicine, Health Care and Society.
go back to reference McBee, L., Westreich, L., & Likourezos, A. (2004). A psychoeducational relaxation group for pain and stress management in the nursing home. Journal of Social Work in Long-Term Care, 3(1), 15–28 CrossRef McBee, L., Westreich, L., & Likourezos, A. (2004). A psychoeducational relaxation group for pain and stress management in the nursing home. Journal of Social Work in Long-Term Care, 3(1), 15–28 CrossRef
go back to reference McNemar, Q. (1947). Note on the sampling error of the difference between correlated proportions or percentages. Psychometrika, 12(2), 153–157 CrossRefPubMed McNemar, Q. (1947). Note on the sampling error of the difference between correlated proportions or percentages. Psychometrika, 12(2), 153–157 CrossRefPubMed
go back to reference Monroe, S. M., & Harkness, K. L. (2005). Life stress, the “kindling” hypothesis, and the recurrence of depression: Considerations from a life stress perspective. Psychological Review, 112(2), 417-445. Monroe, S. M., & Harkness, K. L. (2005). Life stress, the “kindling” hypothesis, and the recurrence of depression: Considerations from a life stress perspective. Psychological Review, 112(2), 417-445.
go back to reference Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. The British Journal of Psychiatry: The Journal of Mental Science, 134, 382–389 CrossRef Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. The British Journal of Psychiatry: The Journal of Mental Science, 134, 382–389 CrossRef
go back to reference Strauss, A. L., & Corbin, J. M. (1991). Basics of qualitative research: Grounded theory procedures and techniques (3rd ed.). Sage. Strauss, A. L., & Corbin, J. M. (1991). Basics of qualitative research: Grounded theory procedures and techniques (3rd ed.). Sage.
Metagegevens
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