Mindfulness-based cognitive therapy in COPD: a cluster randomised controlled trial.
Study Goal
The researchers aimed to evaluate the efficacy of Mindfulness-Based Cognitive Therapy (MBCT) as an add-on to standard pulmonary rehabilitation (PR) in improving psychological distress and physical health status in COPD patients.
Results Summary
The study found a statistically significant time×arm effect for psychological distress (measured by HADS), indicating MBCT improved outcomes when added to PR. Results suggest MBCT may enhance psychological and physical health in COPD patients undergoing rehabilitation.
Population
Patients with chronic obstructive pulmonary disease (COPD) eligible for pulmonary rehabilitation.
Effective Dosage
8-week, group-based MBCT programme.
Duration
8 weeks.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Mindfulness-based cognitive therapy (MBCT) | increase | psychological and physical outcomes | patients with other chronic diseases | - | has been shown to improve | #1 |
Mindfulness-based cognitive therapy (MBCT) as an add-on to a standard pulmonary rehabilitation (PR) programme | neutral | psychological distress and physical health status impairment | COPD patients eligible for PR | - | evaluated the efficacy of | #2 |
8-week, group-based MBCT programme as an add-on to an 8-week PR programme | decrease | the Hospital Anxiety and Depression Scale (HADS) | COPD patients eligible for PR | - | A statistically significant time×arm effect was found for | #3 |
A considerable proportion of patients with chronic obstructive pulmonary disease (COPD) entering pulmonary rehabilitation (PR) report psychological distress, which is often accompanied by poor physical health status. Mindfulness-based cognitive therapy (MBCT) has been shown to improve psychological and physical outcomes in other chronic diseases. We therefore evaluated the efficacy of MBCT as an add-on to a standard PR programme in COPD.COPD patients eligible for PR were cluster randomised to receive either an 8-week, group-based MBCT programme as an add-on to an 8-week PR programme (n=39), or PR alone (n=45). The primary outcomes of psychological distress and physical health status impairment were measured with the Hospital Anxiety and Depression Scale (HADS) and the COPD Assessment Test (CAT) before randomisation (T1), mid- (T2) and post-intervention (T3), and at 3 (T4) and 6 (T5) months' follow-up .A statistically significant time×arm effect was found for the HADS (Cohen's