Effect of mindfulness-based stress reduction in patients with acute myocardial infarction after successful primary percutaneous coronary intervention: a retrospective study

Abstract

Objective This study aimed to examine the effects of mindfulness-based stress reduction (MBSR) in patients with acute myocardial infarction (AMI) after primary percutaneous coronary intervention (PPCI). Methods A retrospective study was conducted with data collected from AMI patients who underwent successful PPCI. The study included 61 cases that received 8-week MBSR intervention (MBSR group) and 61 cases that received weekly health education (control group) over the same period. Outcome measures, including hemodynamic parameters, psychosocial characteristics [Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), Perceived Social Support Scale (PSSS)], health-related quality of life [HRQoL, 7-item Seattle Angina Questionnaire (SAQ-7)], and major adverse cardiovascular events (MACE), were assessed at baseline (T1), post-intervention (T2), 1 month after the post-intervention (T3) and 3 months after the post-intervention (T4). Results Compared to the control group, the MBSR group showed improvements in blood pressure, specifically in systolic blood pressure (SBP) at T4, and diastolic blood pressure (DBP) at T3 and T4, and mean arterial blood pressure (MABP) at T3 and T4. Additionally, the MBSR group had lower scores of anxiety and perceived stress (HADS, PSS) and higher scores of perceived social support (PSSS) after the intervention. Furthermore, the MBSR group had higher scores on the SAQ-7 at all measurement points. The control group had a significantly higher total MACE rate compared to the MBSR group (26.23% vs. 9.84%). Conclusions This study provides support for the potential benefits of MBSR as an adjunctive treatment for AMI patients undergoing PPCI.

Effectiveness of Mindfulness-Based Schema Therapy on Mental Pain and Experiential Avoidance in Patients with Cardiovascular Diseases

“…The results indicated that mindfulness-based schema therapy was effective in reducing mental pain and experiential avoidance in patients with cardiovascular diseases. These findings align with the results from the prior studies (Bahrambagi et al, 2023;Gu et al, 2023).…”

“…In explaining these findings, it can be stated that patients with cardiovascular diseases are likely to activate maladaptive schemas under the influence of emotional states and negative mental processing. The activation of maladaptive schemas in response to new stimuli affects the patient's encoding, processing, and perception of themselves, leading to the arousal of disturbing emotions, avoidant responses, and self-harming behaviors (Gu et al, 2023). Additionally, it impacts the individual's ability to adapt to the disease, taking control over the patient's functioning and dominating them, which can affect their mental and physical health.…”