A qualitative study explored the experiences of people with advanced kidney disease who participated in the Compassionate Mindful Resilience (CMR) programme. Nineteen participants (stage 4 or 5 kidney disease or transplant recipients) took part in semi-structured interviews. Thematic analysis yielded three themes: experiences of the CMR programme that facilitated subjective benefit, participants' lived and shared experiences, and practicalities of participation. All participants reported the programme as beneficial. The CMR programme proved an acceptable intervention, providing tools that support mental health and wellbeing for this patient group.
A four-week Compassionate Mindful Resilience (CMR) programme for adults with stage 4 or 5 kidney disease or a kidney transplant led to significant improvements in anxiety, depression, self-compassion, mental wellbeing, resilience, and mindfulness, with gains maintained at three months. Of 75 participants recruited, 65 completed the programme; most were female and post-transplant. All 19 interviewed participants reported benefit. The findings suggest the programme has potential to improve psychological outcomes in this population, though randomized controlled trials are needed to confirm effectiveness.
Pain symptoms in adolescents are linked to differences in the brain's default mode network. More frequent pain is associated with stronger connectivity to the superior frontal gyrus, while higher pain intensity is associated with weaker connectivity to the cerebellum.