A brief mindfulness based intervention for increase in emotional well-being and quality of life in percutaneous coronary intervention (PCI) patients: The MindfulHeart randomized controlled trial

I. Nyklicek, S.C. Dijksman, P.J. Lenders, W.A. Fonteijn, J.J. Koolen

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Abstract

In this study effects of a brief mindfulness-based stress reduction intervention were examined in cardiac patients who had a percutaneous coronary intervention (PCI). One-hundred-and-fourteen patients (mean age 55 ± 7 years, 18 % women) were randomly assigned to a 4-session mindfulness group intervention or a minimal mindfulness self-help control group that received a booklet containing identical information. Compared to self-help, the group intervention showed larger increases in psychological and social quality of life (p < .05, partial η2 = .04 and .05, respectively). For symptoms of anxiety and depression, and for perceived stress, this effect was evident only in patients younger than 60 years (p < .01, partial η2 = .10 and .15, respectively). These effects were partially or fully mediated by increase in mindfulness. The brief group mindfulness intervention seems beneficial for cardiac PCI patients regarding general psychosocial quality of life, although for specific psychological symptoms, this intervention can be recommended only for nonelderly patients. Keywords Cardiac Mindfulness Percutaneous coronary intervention Psychological well-being Quality of life Randomized clinical trial
Original languageEnglish
Pages (from-to)135-144
JournalJournal of Behavioral Medicine
Volume37
Issue number1
DOIs
Publication statusPublished - 2014

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title = "A brief mindfulness based intervention for increase in emotional well-being and quality of life in percutaneous coronary intervention (PCI) patients: The MindfulHeart randomized controlled trial",
abstract = "In this study effects of a brief mindfulness-based stress reduction intervention were examined in cardiac patients who had a percutaneous coronary intervention (PCI). One-hundred-and-fourteen patients (mean age 55 ± 7 years, 18 {\%} women) were randomly assigned to a 4-session mindfulness group intervention or a minimal mindfulness self-help control group that received a booklet containing identical information. Compared to self-help, the group intervention showed larger increases in psychological and social quality of life (p < .05, partial η2 = .04 and .05, respectively). For symptoms of anxiety and depression, and for perceived stress, this effect was evident only in patients younger than 60 years (p < .01, partial η2 = .10 and .15, respectively). These effects were partially or fully mediated by increase in mindfulness. The brief group mindfulness intervention seems beneficial for cardiac PCI patients regarding general psychosocial quality of life, although for specific psychological symptoms, this intervention can be recommended only for nonelderly patients. Keywords Cardiac Mindfulness Percutaneous coronary intervention Psychological well-being Quality of life Randomized clinical trial",
author = "I. Nyklicek and S.C. Dijksman and P.J. Lenders and W.A. Fonteijn and J.J. Koolen",
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A brief mindfulness based intervention for increase in emotional well-being and quality of life in percutaneous coronary intervention (PCI) patients : The MindfulHeart randomized controlled trial. / Nyklicek, I.; Dijksman, S.C.; Lenders, P.J.; Fonteijn, W.A.; Koolen, J.J.

In: Journal of Behavioral Medicine, Vol. 37, No. 1, 2014, p. 135-144.

Research output: Contribution to journalArticleScientificpeer-review

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AB - In this study effects of a brief mindfulness-based stress reduction intervention were examined in cardiac patients who had a percutaneous coronary intervention (PCI). One-hundred-and-fourteen patients (mean age 55 ± 7 years, 18 % women) were randomly assigned to a 4-session mindfulness group intervention or a minimal mindfulness self-help control group that received a booklet containing identical information. Compared to self-help, the group intervention showed larger increases in psychological and social quality of life (p < .05, partial η2 = .04 and .05, respectively). For symptoms of anxiety and depression, and for perceived stress, this effect was evident only in patients younger than 60 years (p < .01, partial η2 = .10 and .15, respectively). These effects were partially or fully mediated by increase in mindfulness. The brief group mindfulness intervention seems beneficial for cardiac PCI patients regarding general psychosocial quality of life, although for specific psychological symptoms, this intervention can be recommended only for nonelderly patients. Keywords Cardiac Mindfulness Percutaneous coronary intervention Psychological well-being Quality of life Randomized clinical trial

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