Mindfulness-Based Stress Reduction for Coronary Artery Disease Patients: Potential Improvements in Mastery and Depressive Symptoms

被引：0
作者：
Oskar Lundgren
Peter Garvin
Lennart Nilsson
Viktor Tornerefelt
Gerhard Andersson
Margareta Kristenson
Lena Jonasson
机构：
[1] Crown Princess Victoria Children’s Hospital,Division of Community Medicine, Department of Medical and Health Sciences
[2] Linköping University,Research and Development Unit, and Department of Medical and Health Sciences
[3] Linköping University,Division of Cardiovascular Medicine, Department of Medical and Health Sciences
[4] Linköping University,Department of Behavioural Sciences and Learning
[5] Linköping University,Department of Clinical Neuroscience, Section of Psychiatry
[6] Karolinska Institute,undefined
来源：
Journal of Clinical Psychology in Medical Settings | 2022年 / 29卷
关键词：
Coronary artery disease; Myocardial infarction; Mastery; Depression; Mindfulness;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Depressive symptoms after coronary events are associated with a worse prognosis. When changing the focus from psychopathology towards a resilience framework, treatments such as mindfulness meditation could offer novel ways to address psychological distress among coronary artery disease (CAD) patients. We studied the feasibility of mindfulness-based stress reduction (MBSR) for CAD patients with depressive symptoms. Seventy-nine CAD patients with elevated depressive symptoms were invited to an 8-week MBSR course. Twenty-four patients (30%) accepted and 16 (20%) completed MBSR. Depressive symptoms decreased immediately after the course (p = .006). After 12 months, this improvement remained, and Mastery scores increased (p = .005). A reference group of 108 CAD patients did not show any significant changes in depressive symptoms or Mastery between 1 and 12 months after a coronary event. MBSR thus appears to be a feasible alternative for CAD patients with elevated depressive symptoms. Future studies are warranted to study if MBSR can improve psychological functioning in CAD patients.
引用
收藏
页码：489 / 497
页数：8
相关论文
共 202 条
  • [1] Baer RA(2012)Weekly change in mindfulness and perceived stress in a mindfulness-based stress reduction program Journal of Clinical Psychology 68 755-765
  • [2] Carmody J(2008)Construct validity of the five facet mindfulness questionnaire in meditating and non-meditating samples Assessment 15 329-342
  • [3] Hunsinger M(2003)Effects of treating depression and low perceived social support on clinical events after myocardial infarction: The enhancing recovery in coronary heart disease patients (ENRICHD) randomized trial JAMA 289 3106-3116
  • [4] Baer RA(2011)Preliminary psychometric properties of the acceptance and action questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance Behavior Therapy 42 676-688
  • [5] Smith GT(2012)Psychometric properties of a Swedish version of the Pearlin mastery scale in people with mental illness and healthy people Nordic Journal of Psychiatry 66 380-388
  • [6] Lykins E(2009)Psychiatric characteristics associated with long-term mortality among 361 patients having an acute coronary syndrome and major depression Archives of General Psychiatry 66 1022-1029
  • [7] Button D(2018)Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysis Clinical Psychological Review 59 52-60
  • [8] Krietemeyer J(2014)Meditation programs for psychological stress and well-being: A systematic review and meta-analysis JAMA Internal Medicine 174 357-368
  • [9] Sauer S(2018)Antidepressant use by class: Associations with major adverse cardiac events in patients with coronary artery disease Psychotherapy and Psychosomatics 87 85-94
  • [10] Williams MG(2015)Randomized controlled pilot study of mindfulness-based stress reduction for persistently fatigued cancer survivors Psycho-Oncology 24 885-893
12345678910