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Effects of Meditation on Depression among Patients Undergoing Hemodialysis

K. Amini, S. Dehghani, S. Niroomand, Masomeh Hasanlo, D. Amini, S. Faghihzadeh

Preventive Care In Nursing and Midwifery Journal September 1, 2018 DOI: 10.29252/pcnm.8.2.42 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 57
Population Patients undergoing hemodialysis
Intervention Meditation exercises
Duration 8-week intervention with assessments at baseline, 4 weeks, and 8 weeks
Topics Depression Meditation
Key findings Among 57 hemodialysis patients, those in the meditation group showed a decrease in mean depression score from 85 at baseline to 70 at eight weeks, and depressive symptoms declined significantly over the eight-week period. The authors conclude that simple, inexpensive meditation exercises may reduce depression symptoms in this population.

Abstract

Background: Considering the increasing prevalence of psychological problems, complications, and consequences of depression in patients undergoing hemodialysis (HD), the application of complementary therapies such as meditation counseling is highly important.

Objectives: Therefore, this study aimed to investigate the effect of meditation on depression in patients undergoing HD.

Methods: This clinical trial was conducted on 57 patients who met the inclusion criteria by the convenience sampling method. The participants were randomly allocated to intervention and control groups. Those in the intervention group attended three 15-20 minute educational practice sessions weekly offered over an eightweek period while the control group received no intervention. A validated questionnaire assessed depressive symptoms at baseline and after 4 and 8 weeks. In addition, the CONSORT statement was adhered to where possible. Finally, t-test, repeated-measures ANOVA, Fisher’s exact test, and Chi-square tests were used to analyze data using SPSS 16.

Results: The mean depression score among the patients of the intervention group decreased from 85±1.56 at baseline to 70±1.27 at 8-week follow-up (P=0.003). Further, the mean score of depressive symptoms significantly decreased during eight weeks after the intervention (P<0.001).

Conclusion: Simple and non-expensive meditation exercises could fruitfully decrease depression symptoms in patients undergoing HD. The prevalence of depressive symptoms is high among the patients, therefore, the implementation of meditation exercises should help minimize a major problem in these groups of patients.

Comparable studies

Other randomized controlled trials on depression, most cited first.

Study Year Design Participants
A Randomized Trial of an N-methyl-D-aspartate Antagonist in Treatment-Resistant Major Depression Subjects with DSM-IV major depression (treatment resistant) 2006 Randomized, placebo-controlled, double-blind crossover study n = 18
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial Cancer patients with life-threatening diagnoses and symptoms of depression and/or anxiety 2016 Randomized controlled trial n = 51
Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial Patients with cancer-related anxiety and depression 2016 Double-blind, placebo-controlled, crossover trial n = 29
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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