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The effects of mindfulness-based intervention on quality of life and poststroke depression in patients with spontaneous intracerebral hemorrhage in China.

International journal of geriatric psychiatry
May 1, 2020
Xiaoyu Wang et al. (4 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to investigate whether mindfulness meditation could improve poststroke depression and quality of life in patients with spontaneous intracerebral hemorrhage in China.

Results Summary

The study found significant improvements in depression, trait mindfulness, social well-being, emotional well-being, and overall quality of life in the mindfulness intervention group. Physical well-being and NIH stroke scale scores improved in both the intervention and control groups over time.

Population

Patients with spontaneous intracerebral hemorrhage in China.

Effective Dosage

2-month mindfulness-based cognitive therapy (specific frequency not detailed).

Duration

2 months

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based cognitive therapy
decrease
depression
sICH patients in China
-
significant differences were found
#1
mindfulness-based cognitive therapy
increase
trait mindfulness
sICH patients in China
-
significant differences were found
#2
mindfulness-based cognitive therapy
increase
social well-being
sICH patients in China
-
significant differences were found
#3
mindfulness-based cognitive therapy
increase
emotional well-being
sICH patients in China
-
significant differences were found
#4
mindfulness-based cognitive therapy
increase
total score of QOL
sICH patients in China
-
significant differences were found
#5
mindfulness-based cognitive therapy
increase
physical well-being
sICH patients in China
-
experienced significant changes
#6
mindfulness-based cognitive therapy
decrease
score of NIH stroke scale
sICH patients in China
-
experienced significant changes
#7
stress management education
increase
physical well-being
sICH patients in China
-
experienced significant changes
#8
stress management education
decrease
score of NIH stroke scale
sICH patients in China
-
experienced significant changes
#9
Abstract

OBJECTIVE: Spontaneous intracerebral hemorrhage (sICH) is a devastating disease that can lead to poststroke depression (PSD) and greatest impact on the quality of life (QOL) of patients. Mindfulness meditation was viewed as one of the effective ways to reduce PSD in patients with cancer. The present study tried to investigate whether mindfulness meditation has potential benefits in PSD and QOL for sICH patients in China. METHODS: Two hundred and two patients in West China Hospital, Sichuan University, enrolled from January 2017 to December 2018 were included in a randomized controlled trial. After removing missing values, there were 67 in control group and 67 in intervention group. Patients in intervention group received 2-month mindfulness-based cognitive therapy, and patients in control group received stress management education (ie, an active control). RESULTS: The results suggested that the significant differences of depression, trait mindfulness, social well-being, emotional well-being, and total score of QOL were found in intervention group from time 1 to time 2. Physical well-being and the score of NIH stroke scale experienced significant changes in both control group and intervention group over time. CONCLUSIONS: Mindfulness-based intervention has positive effects on sICH patients' depression, social well-being, and emotional well-being. However, the change of trait mindfulness over time could not explain these positive effects. Future studies could explore the mechanism of mindfulness-based intervention on sICH patients' depression and QOL and clarify the boundaries of the positive effects of mindfulness-based intervention.

Medical Subject Headings (MeSH)
Cerebral HemorrhageChinaCognitive Behavioral TherapyDepressionFemaleHumansMaleMeditationMental HealthMiddle AgedMindfulnessPatient Education as TopicQuality of LifeStress, PsychologicalTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations21
Citations/Year4.2
Relative Citation Ratio2.07
NIH Percentile75.6%
Research Impact Scores
APT Score0.75
Weight Score2.44
Normalized Score0.66
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