title: Effects of mindfulness-based stress reduction on quality of life in nursing home residents: a feasibility study.
abstract: BACKGROUND
  With demographic change, the number of elderly people is increasing. The aging process and associated stress diminishes their quality of life. Mindfulness-based stress reduction (MBSR) has been claimed to reduce stress and alleviate suffering. It might be a useful approach to improve the condition in the elderly.
  
  
  METHODS
  To examine feasibility and potential effects of MBSR on nursing home residents in Germany, a non-randomized feasibility study was conducted including 22 participants; 15 of them participated in an 8-week MBSR course, 7 served as untreated comparison group. Health-related quality of life (SF-12), depressive symptoms (GDS-12R), cognitive impairment (MMST), activities of daily living (Barthel Index), satisfaction with life, physical pain and major complaints were assessed pre- and post-intervention.
  
  
  RESULTS
  9 out of 15 course participants completed the course (60%). They showed a significant increase in the SF-12 physical health score (p = 0.017). Depressive symptoms (GDS-12R) significantly declined within the meditation group (p = 0.04) and as compared to the untreated group (p = 0.011). In the comparison group, a significant decrease in major complaints (p = 0.011) and an increase in the SF-12 mental health score were found. The meditation group yielded positive changes in the SF-12 mental health score, in satisfaction with life and in pain intensity.
  
  
  CONCLUSIONS
  In view of the setting, the completion rate of 60% appears to be acceptable. Significant results suggest that MBSR may help improve health-related quality of life and reduce symptoms of depression. Yet, as participants did not meet the requirement to practice independently, feasibility of conducting MBSR with elderly who live in a nursing home has to be questioned.
authors.affiliation: Institut fur Allgemeinmedizin, Charité - Universitatsmedizin Berlin, Berlin, Germany.
authors.forename: Sarah
authors.initials: S
authors.lastname: Ernst
authors.forename: Justus
authors.initials: J
authors.lastname: Welke
authors.forename: Christoph
authors.initials: C
authors.lastname: Heintze
authors.forename: Roswitha
authors.initials: R
authors.lastname: Gabriel
authors.forename: Angelina
authors.initials: A
authors.lastname: Zöllner
authors.forename: Susann
authors.initials: S
authors.lastname: Kiehne
authors.forename: Ulrich
authors.initials: U
authors.lastname: Schwantes
authors.forename: Tobias
authors.initials: T
authors.lastname: Esch
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology* / Q000523:psychology*; D000529:Complementary Therapies / Q000379:methods*; D003863:Depression / Q000628:therapy; D005240:Feasibility Studies; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D008603:Mental Health; D019222:Mind-Body Relations, Metaphysical / Q000502:physiology*; D009735:Nursing Homes; D011788:Quality of Life; D013315:Stress, Psychological / Q000628:therapy*; D016896:Treatment Outcome