Effects of mindfulness meditation on occupational functioning and health care utilization in individuals with anxiety

被引:16
作者
Hoge, Elizabeth A. [1 ,3 ]
Guidos, Brittany M. [1 ]
Mete, Mihriye [2 ]
Bui, Eric [3 ]
Pollack, Mark H. [4 ]
Simon, Naomi M. [3 ]
Dutton, Mary Ann [1 ]
机构
[1] Georgetown Univ, Med Ctr, Dept Psychiat, 2115 Wisconsin Ave NW,Suite 120, Washington, DC 20007 USA
[2] Medstar Hlth Res Inst, Washington, DC 20010 USA
[3] Massachusetts Gen Hosp, Ctr Anxiety & Traumat Stress Disorders, Dept Psychiat, Boston, MA USA
[4] Rush Univ, Dept Psychiat, Chicago, IL 60612 USA
基金
美国国家卫生研究院;
关键词
Anxiety; Absenteeism; Generalized anxiety disorder (GAD); Health care utilization; Mindfulness/meditation; Work loss; GENERALIZED ANXIETY; COGNITIVE THERAPY; WORK PERFORMANCE; ORGANIZATION HEALTH; STRESS REDUCTION; DISORDER; PREVALENCE; BENEFITS; BURDEN; COSTS;
D O I
10.1016/j.jpsychores.2017.01.011
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objectives: To examine the effect of mindfulness meditation on occupational functioning in individuals with Generalized anxiety disorder (GAD). Methods: Fifty-seven individuals with GAD (mean (SD) age = 39 (13); 56% women) participated in an 8-week clinical trial in which they were randomized to mindfulness-based stress reduction (MBSR) or an attention control class. In this secondary analysis, absenteeism, entire workdays missed, partial workdays missed, and healthcare utilization patterns were assessed before and after treatment. Results: Compared to the attention control class, participation in MBSR was associated with a significantly greater decrease in partial work days missed for adults with GAD (t = 2.734, df = 51, p = 0.009). Interestingly, a dose effect was observed during the 24-week post-treatment follow-up period: among MBSR participants, greater home mindfulness meditation practice was associated with less work loss and with fewer mental health professional visits. Conclusion: Mindfulness meditation training may improve occupational functioning and decrease healthcare utilization in adults with GAD. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:7 / 11
页数:5
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