A Controlled Study of a Group Mindfulness Intervention for Individuals Living With Inflammatory Bowel Disease

注意 医学 生活质量(医疗保健) 炎症性肠病 焦虑 物理疗法 干预(咨询) 萧条(经济学) 苦恼 疾病 内科学 临床心理学 精神科 护理部 经济 宏观经济学
作者
Kate Neilson,Maria Ftanou,Kaveh Monshat,Mike Salzberg,Sally Bell,Michael A. Kamm,William R. Connell,Simon Robert Knowles,Katherine Sevar,Serafino G. Mancuso,David Jonathan Castle
出处
期刊:Inflammatory Bowel Diseases [Oxford University Press]
卷期号:22 (3): 694-701 被引量:85
标识
DOI:10.1097/mib.0000000000000629
摘要

BACKGROUND: This study aimed to evaluate the feasibility, acceptability, and effectiveness of a mindfulness-based intervention for patients with inflammatory bowel disease (MI-IBD). DESIGN: Treatment-as-usual control versus mindfulness-based stress reduction intervention. METHODS: Sixty patients participated in either the MI-IBD (n = 33) or treatment-as-usual group (n = 27) conditions. The MI-IBD consisted of an 8-week mindfulness-based stress reduction training group. Outcome measures were administered at baseline (before intervention), immediately after intervention, and 6 months after intervention. Primary outcomes included measures of quality of life, psychological distress (depression and anxiety), and mindfulness. Data for MI-IBD group participants also included weekly attendance, daily minutes meditated, and satisfaction with the program. RESULTS: There were no baseline differences between intervention and control groups on demographic variables or inflammatory bowel disease severity. Compared with the control group, the MI-IBD group reported significantly greater improvements in anxiety, quality of life, and mindfulness at after intervention, with reduction in depression and improvements in quality of life and mindfulness maintained at 6 months after intervention. CONCLUSIONS: Results demonstrate the feasibility, acceptability, and efficacy of a mindfulness intervention for patients with inflammatory bowel disease, with medium-to-large effects on psychological distress, quality of life, and mindfulness.
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