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Meditation training for people with amyotrophic lateral sclerosis: a randomized clinical trial.

Francesco Pagnini, Anna Marconi, Aurora Tagliaferri, G M Manzoni, Ramona Gatto, Viviana Fabiani, Gaia Gragnano, G Rossi, E Volpato, P Banfi, A Palmieri, F Graziano, Gianluca Castelnuovo, M Corbo, Enrico Molinari, N Riva, Valeria Sansone, Christian Lunetta

European Journal of Neurology April 2017 DOI: 10.1111/ene.13246 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Open-label Peer reviewed
Sample size 100
Population Adults diagnosed with amyotrophic lateral sclerosis (ALS) within 18 months
Duration 8-week intervention, with follow-up at 2, 6 and 12 months
Measures ALS-Specific Quality of Life Revised scale, Hospital Anxiety and Depression Scale
Topics Meditation
Keywords Amyotrophic lateral sclerosis Clinical psychology Motor neuron disease Quality of life
Key findings An ALS-specific 8-week meditation programme improved quality of life compared with usual care over 12 months (β = 0.24, d = 0.89), with significant group differences over time also found for anxiety, depression, negative emotions, and interaction with people and the environment.

Abstract

Studies investigating psychological interventions for the promotion of well-being in people with amyotrophic lateral sclerosis (ALS) are lacking. The purpose of the current study was to examine the use of an ALS-specific mindfulness-based intervention for improving quality of life in this population. A randomized, open-label and controlled clinical trial was conducted on the efficacy of an ALS-specific meditation programme in promoting quality of life. Adults who received a diagnosis of ALS within 18 months were randomly assigned either to usual care or to an 8-week meditation training based on the original mindfulness-based stress reduction programme and tailored for people with ALS. Quality of life, assessed with the ALS-Specific Quality of Life Revised scale, represented the primary outcome, whilst secondary outcomes included anxiety and depression, assessed with the Hospital Anxiety and Depression Scale, and specific quality of life domains. Participants were assessed at recruitment and after 2, 6 and 12 months. The efficacy of the treatment was assessed on an intention-to-treat basis of a linear mixed model. A hundred participants were recruited between November 2012 and December 2014. Over time, there was a significant difference between the two groups in terms of quality of life (β = 0.24, P = 0.015, d = 0.89). Significant differences between groups over time were also found for anxiety, depression, negative emotions, and interaction with people and the environment. An ALS-specific meditation programme is beneficial for the quality of life and psychological well-being of people with ALS.

Comparable studies

Other randomized controlled trials on meditation, most cited first.

Study Year Design Participants
Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment 2003 Randomized controlled trial n = 41
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults 2008 Randomized controlled trial n = 139
Short-term meditation training improves attention and self-regulation Undergraduate Chinese students 2007 Randomized controlled trial n = 40
Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients 2004 Randomized controlled trial n = 73

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