Sustained Effects of a Mindfulness-Based Stress-Reduction Intervention in Type 2 Diabetic Patients

Abstract

OBJECTIVETo determine whether a mindfulness-based stress reduction (MBSR) intervention is effective for reducing psychosocial distress (i.e., depression, psychosocial stress) and the progression of nephropathy (i.e., albuminuria) and for improving the subjective health status of patients with type 2 diabetes.RESEARCH DESIGN AND METHODSPatients with type 2 diabetes and microalbuminuria were randomized to a mindfulness-based intervention (n = 53) or a treatment-as-usual control (n = 57) group. The study is designed to investigate long-term outcomes over a period of 5 years. We present data up to the first year of follow-up (FU).RESULTSAt FU, the MBSR group showed lower levels of depression (d = 0.71) and improved health status (d = 0.54) compared with the control group. No significant differences in albuminuria were found. Per-protocol analysis also showed higher stress reduction in the intervention group (d = 0.64).CONCLUSIONSMBSR intervention achieved a prolonged reduction in psychosocial distress. The effects on albuminuria will be followed up further.

Stress Coping Resources of Hemodialysis Patients: Mindfulness

“…Restructuring of cognitive appraisal using mindfulness brings about positive adaptation outcomes, such as mitigating the patient's stress and helping them to control and resolve their problems. This involves a decentralization strategy: acknowledgement of the current situation, attention, non-judgmental acceptance of the situation, and avoidance of negative thinking [10][11] [12]. The schematic model of this conceptual frame is shown in Figure 1.…”

Impacto de un programa cuerpomente, basado en ejercicios de fisioterapia y técnicas psicológicas, en el bienestar psíquico de una población de pacientes diabéticos tipo 2

“…La revisión bibliográfica y los datos obtenidos del GHQ en el momento inicial aconsejaron dedicar una parte del programa de intervención a técnicas psicológicas para el tratamiento de los síntomas hallados, tales como meditación, relajación y visualización (Hartmann et al, 2012) y a ejercicios como el Qigong (Liu et al, 2010) que han dado muestras de mejorar el bienestar psíquico de estos pacientes.…”

“…Tenía una duración de 15 minutos e incluía, alternativamente, técnicas de relajación (Relajación Progresiva de Jacobson y Entrenamiento Autógeno de Schultz) y visualización de situaciones positivas y meditación (Hartmann et al, 2012).…”

“…Además, el estrés psicológico ha sido identificado como un factor precipitante de las complicaciones de la diabetes, debido a la activación de ciertos factores inflamatorios y a la alteración del sistema inmune (Hartmann et al, 2012), por lo que cada vez, una mayor cantidad de investigaciones programan intervenciones para la gestión del estrés en pacientes diabéticos , con resultados positivos sobre cómo afrontar los síntomas de la enfermedad y mejorar el bienestar y la calidad de vida (Merkes, 2010).…”

Effectiveness of Mindfulness Techniques in Decreasing Anxiety and Depression in Women Victims of Spouse Abuse

“…Mindfulness-based training, along with integration of meditation and physical checking techniques, can help raise of awareness of thoughts, feelings, and automated physical senses, so that one can go out of the automated mode using the techniques and behave mindfully and be in moment 15 . Hartmann et al 16 have found in a study that mindfulness based on stress reduction can affect the reduction of emotional distress (depression and anxiety) in types of chronic diseases positively. According to the positive effects of mindfulness-based cognitive therapy in the field of treatment of psychiatric disorders, the aim of this study is to investigate the effectiveness of mindfulness-based cognitive therapy in reducing anxiety and depression of a women victim of domestic violence in Tehran.…”