The Effectiveness of Mindfulness-Based Cognitive Therapy on Quality of Life in Relation to Health and Self-efficacy in Patients with Rheumatoid Arthritis
Mina Azarnik
International Journal of Body, Mind and Culture September 7, 2019 DOI: 10.22122/ijbmc.v6i1.142 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Experimental field study with pretest-posttest design Peer reviewed |
|---|---|
| Sample size | 30 |
| Population | Patients with rheumatoid arthritis in Isfahan, Iran, in 2018 |
| Intervention | Mindfulness-based cognitive therapy (MBCT) |
| Duration | 8-week intervention, 45-day follow-up |
| Measures | Health-Related Quality Of Life Questionnaire (SF-36), General Self-Efficacy (GSE) scale |
| Topics | Meditation |
| Keywords | Mindfulness therapy Quality of life Self-efficacy Rheumatoid arthritis |
| Key findings | Mindfulness-based cognitive therapy increased health-related quality of life and self-efficacy scores in patients with rheumatoid arthritis compared to a control group. |
Abstract
Background: The purpose of this study was to determine the effectiveness of mindfulness-based cognitive therapy (MBCT) on health-related quality of life (QOL) and self-efficacy in patients with rheumatoid arthritis.Methods: The present experimental field study was conducted with a pretest-posttest design. The statistical population of this study included all patients with rheumatoid arthritis in Isfahan, Iran, in 2018. From among the statistical population, 30 patients were selected as the sample 15 of whom constituted the experimental group and 15 the control group. The measurement tools used included the Health-Related Quality Of Life Questionnaire (SF-36) and the General Self-Efficacy (GSE) scale. First, the pretest was performed in both groups. Then, the experimental group took part in 8 sessions of mindfulness training twice a week, each time for 1.5 hours. After the intervention, the posttest was conducted in both groups. The follow-up was performed 45 days later. Data analysis was performed using multivariate covariance analysis (MANCOVA) and one-way analysis of covariance (ANCOVA).Results: The findings showed that the mean (standard deviation) of QOL of the experimental group was 79.8 (10.2) in the pretest, and increased to 82.8 (8.8) in the post-test (P < 0.01). However, the mean (SD) of QOL in the control group was 77.7 (9.2) and 77.8 (9.5) in the pretest and posttest, respectively. This difference was not statistically significant (P < 0.05). The mean (SD) of self-efficacy in the experimental group was 27.5 (8.1) in the pretest and increased to 33.4 (9.4) in the posttest (P < 0.01). However, the mean (SD) of self-efficacy in the control group was 26.1 (4.9) and 27.7 (6.6) in the pretest and posttest, respectively. This difference was not statistically significant (P < 0.05).Conclusion: This study showed that MBCT has an effect on health-related QOL and self-efficacy in patients with rheumatoid arthritis. Mindfulness training is an effective therapeutic approach that is possible in the form of group work. Moreover, MBCT can provide a conceptual framework to help clients to adapt and accept their problems.
Comparable studies
Other experimental studies on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| The benefits of being present: Mindfulness and its role in psychological well-being. Cancer patients (clinical intervention study) | 2003 | Mixed methods: scale development, correlational, quasi-experimental, laboratory, experience-sampling, and clinical intervention study | |
| Loving-kindness meditation increases social connectedness. | 2008 | Controlled laboratory experiment | |
| Mindfulness and mind-wandering: Finding convergence through opposing constructs. | 2012 | Two studies: correlational study and experimental study | |
| Mental Training Enhances Attentional Stability: Neural and Behavioral Evidence | 2009 | Experimental study | |
| Mindfulness meditation and substance use in an incarcerated population. Incarcerated population | 2006 | Quasi-experimental with treatment-as-usual control condition |
Citations in the library
Cites 4
- Cost-effectiveness of Mindfulness-based Stress Reduction Versus Cognitive Behavioral Therapy or Usual Care Among Adults With Chronic Low Back Pain. Spine October 15, 2017
- Mindfulness-based stress reduction (MBSR) for improving health, quality of life and social functioning in adults: a systematic review and meta-analysis 2017
- Effectiveness of mindfulness-based stress reduction and mindfulness based cognitive therapy in vascular disease: A systematic review and meta-analysis of randomised controlled trials. Journal of Psychosomatic Research May 1, 2014
- The efficacy of mindfulness-based stress reduction in the treatment of sleep disturbance in women with breast cancer: an exploratory study. Journal of Psychosomatic Research January 2003