Effect of mindfulness-based cognitive therapy on quality of life and self-efficacy in dialysis patients

Abstract

Introduction: Amongst other problems, dialysis patients also present mental and psychological problems. Objectives: In this study, we investigated the effect of mindfulness-based cognitive therapy (MBCT) on quality of life and self-efficacy in hemodialysis patients. Patients and Methods: In a descriptive study, 50 hemodialysis patients undergoing dialysis in Hajar hospital were randomly selected and divided into two groups of experimental and control. The experimental group attended 2 to 2.5 hours treatment sessions according to the MBCT program. Before the intervention and two months after, the outcomes of the study, regarded as, quality of life and self-efficacy were evaluated using the 36-Item Short Form Health Survey (SF-36) and Sherer et al’s General Self-efficacy Scale, respectively. Data were analyzed using descriptive statistics, independent t test, paired t test, and Wilcoxon test in the Stata software. Results: The results indicated that 2 months after intervention, a decrease of 2.05 points in mean score for quality of life in the control group and an increase of 10.30 points in the intervention group at P<0.01 significance level was detected. Furthermore, mean self-efficacy score increased by 0.95 in control group and 5.2 points in the intervention group at P<0.01 significance level. While, the mean scores for quality of life and self-efficacy increased after intervention, the difference in the mean scores between the two groups was not statistically significant after intervention (P>0.05). Conclusion: The results of this study showed that the MBCT program resulted in an increase in the mean scores for quality of life and self-efficacy in hemodialysis patients.

Effects of Mindfulness-Based Cognitive Therapy for Chronic Pain: A Multicenter Study

“…Having in mind that the reduction in pain is not the primary objective of mindfulness-based treatments, the results allow us to think that the improvement in pain variables may not be solely due to the decrease in intensity but due to the improvement of other cognitive processes, like self-efficacy. In fact, in our study we found significant differences in self-efficacy for the total scale, symptom management, and pain control but not in the physical functioning subscale, consistent with previous studies [ 50 , 52 ]. Something similar happens with regard to the quality-of-life scales, since only the mental quality of life subscale improves, but not the physical one, partially coinciding with previous results [ 53 , 54 ].…”

Impacts of mindfulness-based interventions in people undergoing hemodialysis: a systematic review

“…Of these, 6 studies were excluded mainly because they were abstracts published in conferences, full text in a language other than English, and other interventions in conjunction with mindfulness. As a result, 5 RCTs [36][37][38]44,45 and 1 crossover RCT 39 were included for data extraction and quality assessments. The included studies were published between the years 2014 to 2019.…”

“…Only two studies performed follow-up after the intervention, Gross et al ( 2017) 38 with a six-month follow-up and Nejad et al ( 2018) 44 with a one-month follow-up. Most studies excluded participants with suicidal ideation, psychotic disorder, expecting to receive a transplant within three months, and regularly practicing meditation [36][37][38]44,45 .…”

“…The six clinical trials involved a total of 264 participants with CKD and a mean age of 57.34 years (± 9.8), ranging from 15 to 63 participants among the studies. Except for the study by Nejad et al (2018) 44 , that did not inform the gender of the participants, and Park et al (2014) 39 , which only included male participants, 35.4% of the sample of the remaining included studies were females [36][37][38]45 . Data related to demographic status was not well documented; for example, four studies reported the participants' skin color, with an average of 60.2% white and 19.9% black [37][38][39]45 .…”

“…Two studies did not report the guiding protocol behind the intervention, but described the practices addressed in the meetings 39,44 . Apart from one study that carried out two to three individual meetings lasting 14 minutes 39 , the protocols followed an 8-week pattern, with an average duration of 30 minutes to 3 hours per session [36][37][38]44,45 . Two studies adapted the MBSR protocol to be performed through videoconference and in groups (tMBSR), the first and the last face-to-face meeting and the rest were online 38,45 .…”