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Mindfulness for Motor and Nonmotor Dysfunctions in Parkinson's Disease.

Nadeeka N Dissanayaka, Farah Idu Jion, Nancy A Pachana, John D O'Sullivan, Rodney Marsh, Gerard J Byrne, Paul Harnett

Parkinson's disease April 10, 2016 DOI: 10.1155/2016/7109052 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Pre-post intervention study (uncontrolled) Randomized Peer reviewed
Sample size 14
Population Patients with Parkinson's disease
Duration 8-week intervention with 6 sessions; 6-month follow-up
Measures Five Facet Mindfulness Questionnaire (FFMQ), FFMQ-15, Geriatric Anxiety Inventory, Hamilton Depression Rating Scale, PD Cognitive Rating Scale (PDCRS), Unified PD Rating Scale (UPDRS), PD Quality of Life Questionnaire, Outcome Questionnaire (OQ-45)
Topics Meditation
Key points After an 8-week tailored group mindfulness intervention, 14 Parkinson's disease patients showed reduced anxiety, depression, and OQ-45 symptom distress, increased FFMQ-Observe scores, improved PDCRS subcortical scores, and better postural instability, gait, and rigidity; PDCRS gains persisted at 6-month follow-up. The authors state the intervention is associated with these improvements and call for a randomized controlled trial with a larger sample.

Abstract

Background. Motor and nonmotor symptoms negatively influence Parkinson's disease (PD) patients' quality of life. Mindfulness interventions have been a recent focus in PD. The present study explores effectiveness of a manualized group mindfulness intervention tailored for PD in improving both motor and neuropsychiatric deficits in PD. Methods. Fourteen PD patients completed an 8-week mindfulness intervention that included 6 sessions. The Five Facet Mindfulness Questionnaire (FFMQ), Geriatric Anxiety Inventory, Hamilton Depression Rating Scale, PD Cognitive Rating Scale, Unified PD Rating Scale, PD Quality of Life Questionnaire, and Outcome Questionnaire (OQ-45) were administered before and after the intervention. Participants also completed the FFMQ-15 at each session. Gains at postassessment and at 6-month follow-up were compared to baseline using paired t-tests and Wilcoxon nonparametric tests. Results. A significant increase in FFMQ-Observe subscale, a reduction in anxiety, depression, and OQ-45 symptom distress, an increase in PDCRS-Subcortical scores, and an improvement in postural instability, gait, and rigidity motor symptoms were observed at postassessment. Gains for the PDCRS were sustained at follow-up. Conclusion. The mindfulness intervention tailored for PD is associated with reduced anxiety and depression and improved cognitive and motor functioning. A randomised controlled trial using a large sample of PD patients is warranted.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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