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Long term effects of a standard Mindfulness Based Stress Reduction program in COPD patients

Volume 6, Issue 6, December 2021    |    PP. 400-420    |PDF (693 K)|    Pub. Date: October 7, 2021
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Author(s)
Saïda Bensliman, Department of Respiratory Medicine, Hôpitaux Iris Sud – Site Molière-Longchamps, Belgium
Vincent Ninane, Department of Respiratory Medicine, Centre Hospitalier Universitaire Saint-Pierre, Belgium
Naila Bradstreet, Department of Respiratory Medicine, Hôpitaux Iris Sud – Site Molière-Longchamps, Belgium
Christian Mélot, Department of Emergency, Erasme University Hospital, Université Libre de Bruxelles Brussels, Belgium

Abstract
The management of mental health in addition to physical health in patient with chronic obstructive pulmonary disease (COPD) is often overlooked. Many COPD patients report anxiety and depression due to their respiratory condition. Mindfulness-based approaches has accrued robust evidence base in improving mental health outcomes in patients with chronic diseases. We conducted a study to evaluate the effects of the Mindfulness-Based Stress Reduction (MBSR) program in COPD patients who additionally participate to a pulmonary rehabilitation program versus a control group.Twenty eight COPD outpatients were enrolled,18 attended the standardized protocol 8-weeks MBSR program and the remaining 10 patients constituted the control group. The primary outcomes of psychological distress were measured with the Hospital Anxiety and Depression Scale (HADS), the State-Trait Anxiety Inventory (STAI-Y2) and the Perceived Stress Scale (PSS) at baseline (T0), 10 weeks (T1), 6 month (T2) and 12 months (T3) follow-up.A significantly improvement at 12 months were found in the MBSR group compared with the controls for the HADS (1.91 decrease versus 0.7 increase; respectively; 2.61 differential change; p=0.0463) and for the STAI-Y2 with a differential change of - 6.48 between the two groups (p=0.011). There was no statistically significant effect of the intervention versus control in stress level throughout the 1-year follow-up.MBSR showed a statistically significant long term effect on the mental health of COPD patients. These results suggest that mindfulness based intervention can be proposed, as a non-pharmacological treatment, with recommended treatment.

Keywords
Mindfulness, MBSR, COPD , mental health

Cite this paper
Saïda Bensliman, Vincent Ninane, Naila Bradstreet, Christian Mélot, Long term effects of a standard Mindfulness Based Stress Reduction program in COPD patients, SCIREA Journal of Clinical Medicine. Vol. 6 , No. 6 , 2021 , pp. 400 - 420 .

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