Journal of Health And Care
Volume 22, Issue 4 (WINTER 2021)
JHC 2021, 22(4): 306-317 |
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Ethics code: IR-Tabrizu.Rec.1399.018
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Eghbali A, Vahedi H, Rezaei R, Fathi A. The Effectiveness of Mindfulness-based Stress Reduction Training on Depression, Anxiety and Stress in People at Risk for
COVID-19. JHC 2021; 22 (4) :306-317
URL: http://hcjournal.arums.ac.ir/article-1-1252-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1252-en.html
Department of Educational Sciences and Psycology, Farhangian university, Tehran, Iran
Abstract: (2348 Views)
Background & Aim: The Covid-19 virus is one of the most important threats currently facing many countries around the world. Most research focuses on the pathophysiology, diagnosis and treatment of this disease and the threats posed by this disease to mental health have been neglected. Therefore, the present study was conducted with the aim of the effectiveness of mindfulness-based stress reduction training on depression, anxiety and stress in people at risk for COVID-19.
Methods: For this purpose, a multiple-baseline single-subject design with follow-up was used and from the clients of Aramesh Andisheh Psychological Services Center in Tabriz, between July and September 2020, three people were selected by purposive sampling. The Depression, Anxiety and Stress Questionnaire (DASS-21) were used to collect data at baseline, intervention and follow-up stages. The intervention was performed using mindfulness-based stress reduction method in the form of 8 sessions. Recovery percentage, effect size and graphical analysis were used to analyze the data.
Results: The results showed that mindfulness-based stress reduction training had a clinically significant effect on reducing depression, anxiety and stress in high-risk individuals, and the effect of training on these variables in all three subjects was higher than the effect size (1.15). This effect persisted at the end of the follow-up phase.
Conclusion: Therefore, it can be concluded that mindfulness-based stress reduction can be included as an effective intervention in the psychological services of people at risk for Covid-19 disease.
Methods: For this purpose, a multiple-baseline single-subject design with follow-up was used and from the clients of Aramesh Andisheh Psychological Services Center in Tabriz, between July and September 2020, three people were selected by purposive sampling. The Depression, Anxiety and Stress Questionnaire (DASS-21) were used to collect data at baseline, intervention and follow-up stages. The intervention was performed using mindfulness-based stress reduction method in the form of 8 sessions. Recovery percentage, effect size and graphical analysis were used to analyze the data.
Results: The results showed that mindfulness-based stress reduction training had a clinically significant effect on reducing depression, anxiety and stress in high-risk individuals, and the effect of training on these variables in all three subjects was higher than the effect size (1.15). This effect persisted at the end of the follow-up phase.
Conclusion: Therefore, it can be concluded that mindfulness-based stress reduction can be included as an effective intervention in the psychological services of people at risk for Covid-19 disease.
Type of Study: experimental study |
Subject:
Psychiatric Nursing
Received: 2020/11/11 | Accepted: 2021/03/12 | Published: 2021/03/19
Received: 2020/11/11 | Accepted: 2021/03/12 | Published: 2021/03/19
References
1. Bortel TV. Psychosocial effects of an Ebola outbreak at individual, community and international levels. Bulletin of the World Health Organization. 2016;94:210-14. [DOI:10.2471/BLT.15.158543] [PMID] [PMCID]
2. Lee AM, Wong JG, Alonan GM, Cheung V, Cheung C, Sham, PC, et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. The Canadian Journal of Psychiatry. 2007;52(4):233-40. [DOI:10.1177/070674370705200405] [PMID]
3. Docea AO, Tsatsakis A, Albulescu D, Cristea O, Zlatian O, Vinceti M, et al. A new threat from an old enemy: Re emergence of coronavirus (Review). International Journal of Molecular Medicine. 2020;45:1631-43. [DOI:10.3892/ijmm.2020.4555]
4. Dong L, Bouey J. Public mental health crisis during COVID-19 pandemic, China. Emerging Infectious Diseases. 2020;26(7);1616-18. [DOI:10.3201/eid2607.200407] [PMID] [PMCID]
5. Shah SG, Nogueras D, van Woerden HC, Kiparoglou V. The covid-19 pandemic: a pandemic of lockdown loneliness and the role of digital technology. Journal of Medical Internet Research. 2020;22(11):1-7. [DOI:10.2196/22287] [PMID] [PMCID]
6. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health. 2020;17(5):1705-29. [DOI:10.3390/ijerph17051729] [PMID] [PMCID]
7. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open. 2020;3(3):3964-76. [DOI:10.1001/jamanetworkopen.2020.3976] [PMID] [PMCID]
8. Pedrozo-Pupo JC, Pedrozo-Cortés MJ, Campo-Arias A perceived stress associated with COVID-19 epidemic in Colombia: an online survey. Cadernos de Saude Publica. 2020;36(5):513-20. [DOI:10.1590/0102-311x00090520] [PMID]
9. Brody C, Chhoun P, Tuot S, Pal K, Chhim K, Yi S. HIV risk and psychological distress among female entertainment workers in Cambodia: a cross-sectional study. BMC Public Health. 2016;16(1):123-33. [DOI:10.1186/s12889-016-2814-6] [PMID] [PMCID]
10. Tola HH, Shojaeizadeh D, Garmaroudi G, Tol A, Yekaninejad MS, Ejeta LT, et al. Psychological distress and its effect on tuberculosis treatment outcomes in Ethiopia. Global Health Action. 2015;8(1):2907-19. [DOI:10.3402/gha.v8.29019] [PMID] [PMCID]
11. Sood S. Psychological effects of the Coronavirus disease-2019 pandemic. Research & Humanities in Medical Education. 2020;7(1):23-26.
12. Ornell F, Schuch JB, Sordi AO, Kessler FH. Pandemic fear and COVID-19: mental health burden and strategies. Brazilian Journal of Psychiatry. 2020;42(3):232-35. [DOI:10.1590/1516-4446-2020-0008] [PMID] [PMCID]
13. Duan L & Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry. 2020;7(4):300-302. [DOI:10.1016/S2215-0366(20)30073-0]
14. Kabat-Zinn J. Full catastrophe living: the program of the stress reduction clinic at the University of Massachusetts Medical Center. New York: Delta, 1991.
15. Shahyad S, Mohammadi MT. Psychological effects of the development of Covid-19 disease on the mental health status of individuals in the community: a review study. Journal of Military Medicine. 2020;22(2):184-92 [Persian].
16. Kabat-Zinn J. Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Bantam Dell, 2013.
17. Allen NB, Chambers R, Knight W. Mindfulness-based psychotherapies: a review of conceptual foundations, empirical evidence and practical considerations. Australian and New Zealand Journal of Psychiatry. 2006;40:285-94.
https://doi.org/10.1080/j.1440-1614.2006.01794.x [DOI:10.1111/j.1440-1614.2006.01794.x] [PMID]
18. Carmody J. Evolving conceptions of mindfulness in clinical settings. Journal of Cognitive Psychotherapy. 2009;23:270-80. [DOI:10.1891/0889-8391.23.3.270]
19. Khusid MA, Vythilingam M. The emerging role of mindfulness meditation as effective self-management strategy, Part 1: clinical implications for depression, posttraumatic stress disorder, and anxiety. Military Medicine. 2016;181(9):961-68. [DOI:10.7205/MILMED-D-14-00677] [PMID]
20. Janssen M, Heerkens Y, Kuijer W, Van der Heijden B, Engels J. Effects of mindfulness based stress reduction on employees' mental health: a systematic review. PLOS ONE, Public Library of Science. 2018;13(1):1-37. [DOI:10.1371/journal.pone.0191332] [PMID] [PMCID]
21. Keng SL, Smoski MJ, Robins CJ. Effects of mindfulness on psychological health: a review of empirical studies. Clinical Psychology Review. 2011;31:1041-56. [DOI:10.1016/j.cpr.2011.04.006] [PMID] [PMCID]
22. Cotton S, Luberto CM, Sears RW, Strawn JR, Stahl L, Wasson RS, et al. Mindfulness-based cognitive therapy for youth with anxiety disorders at risk for bipolar disorder: a pilot trial. The Journal of Alternative and Complementary Medicine. 2014;20:86-87. [DOI:10.1089/acm.2014.5228.abstract]
23. Malboeuf-Hurtubise C, Lacourse E, Herba C, Taylor G, Amor LB. Mindfulness-based intervention in elementary school students with anxiety and depression: a series of n-of-1 trials on effects and feasibility. Journal of Evidence-Based Integrative Medicine. 2017;22(4):856-69. [DOI:10.1177/2156587217726682] [PMID] [PMCID]
24. Bäuerle A, Graf J, Jansen C, Dörrie N, Junne, F, et al. An e-mental health intervention to support burdened people in times of the COVID-19 pandemic: CoPE It. Journal of Public Health. 2020;42(3):1-2. [DOI:10.1093/pubmed/fdaa058] [PMID] [PMCID]
25. Horner RH, Carr EG, Halle J, McGee G, Odom S, & Wolery M. The use of single-subject research to identify evidence-based practice in special education. Exceptional Children. 2005;71:165-79. [DOI:10.1177/001440290507100203]
26. Sahebi A, Asghari MJ, Salari RS. Validation of the Stress Anxiety Depression Scale (DASS-21) for the Iranian population. Developmental Psychology. 2005;1(4):1-14 [Persian].
27. Ogels BM, Lunnen KMQ, Bonesteel K. Clinical significance: history, application and current practice. Clinical Psychological Review. 2001;21(3):421-46. [DOI:10.1016/S0272-7358(99)00058-6]
28. Juul L, Pallesen KJ, Bjerggaard M, Nielsen C, Fjorback LO. A pilot randomised trial comparing a mindfulness based stress reduction course, a locally-developed stress reduction intervention and a waiting list control group in a real-life municipal health care setting. BMC Public Health. 2018;20(1):409-25. [DOI:10.1186/s12889-020-08470-6] [PMID] [PMCID]
29. Behan C. The benefits of meditation and mindfulness practices during times of crisis such as COVID-19. Irish Journal of Psychological Medicine. 2020;37(3):1-3. [DOI:10.1017/ipm.2020.38] [PMID] [PMCID]
30. Matiz A, Fabbro F, Paschetto A, Cantone D, Paolone AR, Crescentini C. Positive impact of mindfulness meditation on mental health of female teachers during the COVID-19 outbreak in Italy. International Journal of Environmental Research and Public Health. 2020;17(18):1-22. [DOI:10.3390/ijerph17186450] [PMID] [PMCID]
31. Green J, Huberty J, Puzia M, Stecher C. The Effect of Meditation and Physical Activity on the Mental Health Impact of COVID-19-Related Stress and Attention to News Among Mobile App Users in the United States: Cross-sectional Survey. JMIR Mental Health 2021;8(4):1-18 [DOI:10.2196/28479] [PMID] [PMCID]
32. Antonova E, Schlosser K, Pandey R, Kumari V. Coping With COVID-19: Mindfulness-Based Approaches for Mitigating Mental Health Crisis. Frontiers in Psychiatry. 2021;12: 1-10. [DOI:10.3389/fpsyt.2021.563417] [PMID] [PMCID]
33. Bohlmeijer E, Prenger R, Taal E, Cuijpers P. The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: a meta-analysis. Journal of Psychosomatic Research. 2010;68(6):539-44. [DOI:10.1016/j.jpsychores.2009.10.005] [PMID]
34. Danhieux K, Buffel V, Pairon A. et al. The impact of COVID-19 on chronic care according to providers: a qualitative study among primary care practices in Belgium. BMC Family Practice. 2020;21:255-61. [DOI:10.1186/s12875-020-01326-3] [PMID] [PMCID]
35. Teasdale JT, Segal ZV, Williams JMG, Ridgeway VA, Soulsby JM, Lau MA. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology. 2000;68(4):615-23. [DOI:10.1037/0022-006X.68.4.615]
36. Afonso, RF, Kraft I, Aratanha MA, Kozasa EH. Neural correlates of meditation: a review of structural and functional MRI studies. Frontiers in Bioscience. 2020;12:92-115. [DOI:10.2741/s542] [PMID]
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