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Effect of mindfulness-based cognitive therapy on quality of life and self-efficacy in dialysis patients

K. Solati, Saeed Mardani, A. Ahmadi, Sajad Danaei

Journal of Renal Injury Prevention September 5, 2017 DOI: 10.15171/jrip.2018.06 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 50
Population Hemodialysis patients undergoing dialysis at Hajar hospital
Intervention Mindfulness-based cognitive therapy (MBCT)
Duration 2 to 2.5 hour treatment sessions; outcomes assessed 2 months after intervention
Measures 36-Item Short Form Health Survey (SF-36), Sherer et al's General Self-efficacy Scale
Topics Meditation
Key findings Two months after a mindfulness-based cognitive therapy program, quality-of-life scores rose 10.30 points in the intervention group and fell 2.05 points in controls, and self-efficacy rose 5.2 versus 0.95 points; both within-group changes were reported as significant (P<0.01). The authors report that the between-group difference after intervention was not statistically significant (P>0.05), yet conclude that the MBCT program increased quality-of-life and self-efficacy scores.

Abstract

Introduction: Amongst other problems, dialysis patients also present mental and psychological problems.

Objectives: In this study, we investigated the effect of mindfulness-based cognitive therapy (MBCT) on quality of life and self-efficacy in hemodialysis patients. Patients and

Methods: In a descriptive study, 50 hemodialysis patients undergoing dialysis in Hajar hospital were randomly selected and divided into two groups of experimental and control. The experimental group attended 2 to 2.5 hours treatment sessions according to the MBCT program. Before the intervention and two months after, the outcomes of the study, regarded as, quality of life and self-efficacy were evaluated using the 36-Item Short Form Health Survey (SF-36) and Sherer et al’s General Self-efficacy Scale, respectively. Data were analyzed using descriptive statistics, independent t test, paired t test, and Wilcoxon test in the Stata software.

Results: The results indicated that 2 months after intervention, a decrease of 2.05 points in mean score for quality of life in the control group and an increase of 10.30 points in the intervention group at P<0.01 significance level was detected. Furthermore, mean self-efficacy score increased by 0.95 in control group and 5.2 points in the intervention group at P<0.01 significance level. While, the mean scores for quality of life and self-efficacy increased after intervention, the difference in the mean scores between the two groups was not statistically significant after intervention (P>0.05).

Conclusion: The results of this study showed that the MBCT program resulted in an increase in the mean scores for quality of life and self-efficacy in hemodialysis patients.

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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