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The effects of mindfulness-based stress reduction program on the mental health of family caregivers: a randomized controlled trial.
Psychother Psychosom 2014; 83(1):45-53PP

Abstract

BACKGROUND

Caregivers of people with chronic conditions are more likely than non-caregivers to have depression and emotional problems. Few studies have examined the effectiveness of mindfulness-based stress reduction (MBSR) in improving their mental well-being.

METHODS

Caregivers of persons with chronic conditions who scored 7 or above in the Caregiver Strain Index were randomly assigned to the 8-week MBSR group (n = 70) or the self-help control group (n = 71). Validated instruments were used to assess the changes in depressive and anxiety symptoms, quality of life, self-efficacy, self-compassion and mindfulness. Assessments were conducted at baseline, post-intervention and at the 3-month follow-up.

RESULTS

Compared to the participants in the control group, participants in the MBSR group had a significantly greater decrease in depressive symptoms at post-intervention and at 3 months post-intervention (p < 0.01). The improvement in state anxiety symptoms was significantly greater among participants in the MBSR group than those of the control group at post-intervention (p = 0.007), although this difference was not statistically significant at 3 months post-intervention (p = 0.084). There was also a statistically significant larger increase in self-efficacy (controlling negative thoughts; p = 0.041) and mindfulness (p = 0.001) among participants in the MBSR group at the 3-month follow-up compared to the participants in the control group. No statistically significant group effects (MBSR vs. control) were found in perceived stress, quality of life or self-compassion.

CONCLUSIONS

MBSR appears to be a feasible and acceptable intervention to improve mental health among family caregivers with significant care burden, although further studies that include an active control group are needed to make the findings more conclusive.

Authors+Show Affiliations

The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, SAR, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24281411

Citation

Hou, Rebecca Jing, et al. "The Effects of Mindfulness-based Stress Reduction Program On the Mental Health of Family Caregivers: a Randomized Controlled Trial." Psychotherapy and Psychosomatics, vol. 83, no. 1, 2014, pp. 45-53.
Hou RJ, Wong SY, Yip BH, et al. The effects of mindfulness-based stress reduction program on the mental health of family caregivers: a randomized controlled trial. Psychother Psychosom. 2014;83(1):45-53.
Hou, R. J., Wong, S. Y., Yip, B. H., Hung, A. T., Lo, H. H., Chan, P. H., ... Ma, S. H. (2014). The effects of mindfulness-based stress reduction program on the mental health of family caregivers: a randomized controlled trial. Psychotherapy and Psychosomatics, 83(1), pp. 45-53. doi:10.1159/000353278.
Hou RJ, et al. The Effects of Mindfulness-based Stress Reduction Program On the Mental Health of Family Caregivers: a Randomized Controlled Trial. Psychother Psychosom. 2014;83(1):45-53. PubMed PMID: 24281411.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of mindfulness-based stress reduction program on the mental health of family caregivers: a randomized controlled trial. AU - Hou,Rebecca Jing, AU - Wong,Samuel Yeung-Shan, AU - Yip,Benjamin Hon-Kei, AU - Hung,Anchor T F, AU - Lo,Herman Hay-Ming, AU - Chan,Peter H S, AU - Lo,Cola S L, AU - Kwok,Timothy Chi-Yui, AU - Tang,Wai Kwong, AU - Mak,Winnie W S, AU - Mercer,Stewart W, AU - Ma,S Helen, Y1 - 2013/11/19/ PY - 2012/12/18/received PY - 2013/05/27/accepted PY - 2013/11/28/entrez PY - 2013/11/28/pubmed PY - 2014/7/30/medline SP - 45 EP - 53 JF - Psychotherapy and psychosomatics JO - Psychother Psychosom VL - 83 IS - 1 N2 - BACKGROUND: Caregivers of people with chronic conditions are more likely than non-caregivers to have depression and emotional problems. Few studies have examined the effectiveness of mindfulness-based stress reduction (MBSR) in improving their mental well-being. METHODS: Caregivers of persons with chronic conditions who scored 7 or above in the Caregiver Strain Index were randomly assigned to the 8-week MBSR group (n = 70) or the self-help control group (n = 71). Validated instruments were used to assess the changes in depressive and anxiety symptoms, quality of life, self-efficacy, self-compassion and mindfulness. Assessments were conducted at baseline, post-intervention and at the 3-month follow-up. RESULTS: Compared to the participants in the control group, participants in the MBSR group had a significantly greater decrease in depressive symptoms at post-intervention and at 3 months post-intervention (p < 0.01). The improvement in state anxiety symptoms was significantly greater among participants in the MBSR group than those of the control group at post-intervention (p = 0.007), although this difference was not statistically significant at 3 months post-intervention (p = 0.084). There was also a statistically significant larger increase in self-efficacy (controlling negative thoughts; p = 0.041) and mindfulness (p = 0.001) among participants in the MBSR group at the 3-month follow-up compared to the participants in the control group. No statistically significant group effects (MBSR vs. control) were found in perceived stress, quality of life or self-compassion. CONCLUSIONS: MBSR appears to be a feasible and acceptable intervention to improve mental health among family caregivers with significant care burden, although further studies that include an active control group are needed to make the findings more conclusive. SN - 1423-0348 UR - https://www.unboundmedicine.com/medline/citation/24281411/The_effects_of_mindfulness_based_stress_reduction_program_on_the_mental_health_of_family_caregivers:_a_randomized_controlled_trial_ L2 - https://www.karger.com?DOI=10.1159/000353278 DB - PRIME DP - Unbound Medicine ER -