A Controlled Study of a Group Mindfulness Intervention for Individuals Living With Inflammatory Bowel Disease

作者：Neilson Kate; Ftanou Maria; Monshat Kaveh; Salzberg Mike; Bell Sally; Kamm Michael A; Connell William; Knowles Simon R; Sevar Katherine; Mancuso Sam G; Castle David^*

来源：Inflammatory Bowel Diseases, 2016, 22(3): 694-701.

DOI：10.1097/MIB.0000000000000629

• quality of life
• depression
• anxiety
• inflammatory bowel disease
• mindfulness

Background:
This study aimed to evaluate the feasibility, acceptability, and effectiveness of a mindfulness-based intervention for patients with inflammatory bowel disease (MI-IBD).
Design:
Treatment-as-usual control versus mindfulness-based stress reduction intervention.
Methods:
Sixty patients participated in either the MI-IBD (n = 33) or treatment-as-usual group (n = 27) conditions. The MI-IBD consisted of an 8-week mindfulness-based stress reduction training group. Outcome measures were administered at baseline (before intervention), immediately after intervention, and 6 months after intervention. Primary outcomes included measures of quality of life, psychological distress (depression and anxiety), and mindfulness. Data for MI-IBD group participants also included weekly attendance, daily minutes meditated, and satisfaction with the program.
Results:
There were no baseline differences between intervention and control groups on demographic variables or inflammatory bowel disease severity. Compared with the control group, the MI-IBD group reported significantly greater improvements in anxiety, quality of life, and mindfulness at after intervention, with reduction in depression and improvements in quality of life and mindfulness maintained at 6 months after intervention.
Conclusions:
Results demonstrate the feasibility, acceptability, and efficacy of a mindfulness intervention for patients with inflammatory bowel disease, with medium-to-large effects on psychological distress, quality of life, and mindfulness.

• 出版日期2016-3