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Effects of mindfulness-based stress reduction on quality of life in nursing home residents: a feasibility study.

Sarah Ernst, Justus Welke, Christoph Heintze, Roswitha Gabriel, Angelina Zöllner, Susann Kiehne, Ulrich Schwantes, Tobias Esch

Forschende Komplementarmedizin (2006) April 2008 DOI: 10.1159/000121479 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Non-randomized feasibility study Peer reviewed
Sample size 22
Population Nursing home residents in Germany
Intervention Mindfulness-based stress reduction (MBSR)
Duration 8-week MBSR course
Measures SF-12, GDS-12R, MMST, Barthel Index
Topics Meditation
Key points MBSR completers showed a significant increase in SF-12 physical health score and a significant decline in depressive symptoms on the GDS-12R compared to the untreated group. The completion rate was 60%, and the authors question feasibility due to lack of independent practice.

Abstract

With demographic change, the number of elderly people is increasing. The aging process and associated stress diminishes their quality of life. Mindfulness-based stress reduction (MBSR) has been claimed to reduce stress and alleviate suffering. It might be a useful approach to improve the condition in the elderly. To examine feasibility and potential effects of MBSR on nursing home residents in Germany, a non-randomized feasibility study was conducted including 22 participants; 15 of them participated in an 8-week MBSR course, 7 served as untreated comparison group. Health-related quality of life (SF-12), depressive symptoms (GDS-12R), cognitive impairment (MMST), activities of daily living (Barthel Index), satisfaction with life, physical pain and major complaints were assessed pre- and post-intervention. 9 out of 15 course participants completed the course (60%). They showed a significant increase in the SF-12 physical health score (p = 0.017). Depressive symptoms (GDS-12R) significantly declined within the meditation group (p = 0.04) and as compared to the untreated group (p = 0.011). In the comparison group, a significant decrease in major complaints (p = 0.011) and an increase in the SF-12 mental health score were found. The meditation group yielded positive changes in the SF-12 mental health score, in satisfaction with life and in pain intensity. In view of the setting, the completion rate of 60% appears to be acceptable. Significant results suggest that MBSR may help improve health-related quality of life and reduce symptoms of depression. Yet, as participants did not meet the requirement to practice independently, feasibility of conducting MBSR with elderly who live in a nursing home has to be questioned.