title: A mixed-methods pilot study of the acceptability and effectiveness of a brief meditation and mindfulness intervention for people with diabetes and coronary heart disease.
abstract: Mindfulness-based interventions can successfully target negative perseverative cognitions such as worry and thought suppression, but their acceptability and effectiveness in people with long-term conditions is uncertain. We therefore pilot tested a six-week meditation and mindfulness intervention in people (n = 40) with diabetes mellitus and coronary heart disease. We used a sequential mixed-methods approach that measured change in worry and thought suppression and qualitatively explored acceptability, feasibility, and user experience with a focus group (n = 11) and in-depth interviews (n = 16). The intervention was highly acceptable, with 90% completing ≥5 sessions. Meditation and mindfulness skills led to improved sleep, greater relaxation, and more-accepting approaches to illness and illness experience. At the end of the six-week meditation course, worry, and thought suppression were significantly reduced. Positive impacts of mindfulness-based interventions on psychological health may relate to acquisition and development of meta-cognitive skills but this needs experimental confirmation.
authors.affiliation: a University of Manchester.
authors.forename: Chris
authors.initials: C
authors.lastname: Keyworth
authors.forename: Jasmin
authors.initials: J
authors.lastname: Knopp
authors.forename: Kate
authors.initials: K
authors.lastname: Roughley
authors.forename: Chris
authors.initials: C
authors.lastname: Dickens
authors.forename: Stuart
authors.initials: S
authors.lastname: Bold
authors.forename: Peter
authors.initials: P
authors.lastname: Coventry
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000150:complications / Q000628:therapy; D003327:Coronary Disease / Q000150:complications / Q000523:psychology / Q000628:therapy*; D048909:Diabetes Complications / Q000628:therapy*; D003920:Diabetes Mellitus / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D007266:Inhibition, Psychological; D008297:Male; D019122:Meditation / Q000379:methods*; D008875:Middle Aged; D064866:Mindfulness / Q000379:methods*; D017060:Patient Satisfaction; D010865:Pilot Projects; D016896:Treatment Outcome
keywords: long-term conditions; meditation; mindfulness; thought suppression; worry
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