Citation Information :
Sadooghiasl A, Ghalenow HR, Mahinfar K, Hashemi SS. Effectiveness of Mindfulness-based Stress Reduction Program in Improving Mental Well-being of Patients with COVID-19: A Randomized Controlled Trial. Indian J Crit Care Med 2022; 26 (4):441-447.
Aim and objective: Mental well-being is one of the most important aspects of health. Life-threatening situations such as diseases affect mental well-being. Mindfulness-based stress reduction (MBSR) program is an effective program for improving well-being. This study aimed to evaluate the effectiveness of MBSR programs on the mental well-being of patients with coronavirus disease-2019 (COVID-19).
Materials and methods: This randomized controlled trial study was conducted in 2021. We used simple random sampling for recruiting 60 patients with COVID-19 and assigned them to the intervention and control groups. The intervention comprised eight sessions of the MBSR and was performed for the experimental group. The control group received routine postdischarge care. We used a self-report demographic and Ryff's Psychological Well-being Scale to collect data. To analyze the data, descriptive statistics and inferential statistics including Covariance, MANCOVA, and effect coefficient were used. The Significance level was considered lower than 0. 05. We used SPSS version 21 for data management.
Results: The mean score of mental well-being in the intervention group was 56.76 ± 6.88 in the pretest stage and 80.76 ± 7.53 in the posttest stage, and that in the control group was 54.40 ± 10.31 in the pretest stage and 51.23 ± 10.08 in the posttest stage. There was no significant difference between the two groups before the intervention (p >0.05) but there was a significant difference (p <0.05) after the intervention. There was also a significant difference (p <0.05) between the dimensions of mental well-being before and after the intervention.
Conclusion: According to our findings, it is recommend to use MBSR program in line with physical treatment for patients with COVID-19.
Yousefi F, Mohamadkhani M. Investigation of students’ mental health at Kurdistan University of Medical Science and it related with age, gender and their academic courses. Med J Mashhad Univ Med Sci 2014;56(6):354–361. DOI: 10.22038/MJMS.2014.2173.
Mousavimalek N. The effect of supportive educational nurse-led intervention on patients’ anxiety and sleep before coronary artery grafting bypass surgery. Tehran University of Medical Sciences; 2015.
Yazdi Feyzabadi V, Seyfaddini R, GHandi M, Mehrolhasani M. The World Health Organization's definition of health: a short review of critiques and necessity of a shifting paradigm. Iran J Epidemiol 2018;13(5): 155–165. http://irje.tums.ac.ir/article-1-5985-en.html.
Ohrnberger J, Fichera E, Sutton M. The relationship between physical and mental health: a mediation analysis. Soc Sci Med 2017;195:42–49. DOI: 10.1016/j.socscimed.2017.11.008.
Sunil R, Bhatt MT, Bhumika TV, Thomas N, Puranik A, Chaudhuri S, et al. Weathering the storm: psychological impact of COVID-19 pandemic on clinical and nonclinical healthcare workers in India. Indian J Crit Care Med 2021;25(1):16. DOI: 10.5005/jp-journals-10071-23702.
Zhang Y, Ma ZF. Impact of the COVID-19 pandemic on mental health and quality of life among local residents in Liaoning Province, China: a cross-sectional study. Int J Environ Res Public Health 2020;17(7):2381. DOI: 10.3390/ijerph17072381.
Nguyen HC, Nguyen MH, Do BN, Tran CQ, Nguyen TT, Pham KM, et al. People with suspected COVID-19 symptoms were more likely depressed and had lower health-related quality of life: the potential benefit of health literacy. J Clin Med 2020;9(4):965. DOI: 10.3390/jcm9040965.
Alizadehfard S, Saffarinia M. The prediction of mental health based on the anxiety and the social cohesion that caused by coronavirus. Q Soc Psychol Res 2020;9(36):129–141. https://www.Sid.Ir/En/Journal/Viewpaper.Aspx?Id=740587.
Vahedian-Azimi A, Moayed MS, Rahimibashar F, Shojaei S, Ashtari S, Pourhoseingholi MA. Comparison of the severity of psychological distress among four groups of an Iranian population regarding COVID-19 pandemic. BMC Psychiatry 2020;20(1):1–7. DOI: 10.1186/s12888-020-02804-9.
Kluge HHP. Mental health and psychological resilience during the COVID-19 pandemic. 2020. Available from: http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/mental-health-and-psychological-resilience-during-the-covid-19-pandemic.
Smith BM, Ong CW, Barrett TS, Bluett EJ, Slocum TA, Twohig MP. Longitudinal effects of a 2-year meditation and buddhism program on well-being, quality of life, and valued living. Mindfulness 2019;10(10):2095–2109. https://doi.org/10.1007/s12671-019- 01165-z.
Hofmann SG, Gómez AF. Mindfulness-based interventions for anxiety and depression. Psychiatr Clin North Am 2017;40(4):739–749. DOI: 10.1016/j.psc.2017.08.008.
Nasiri Kalmarzi R, Moradi G, Asmayee Majd S, Khanpuor F. The effect of mindfulness-based cognitive therapy on mindfulness and quality of life for patients with asthma. Shenakht J Psychol Psychiatry 2018;5(5):1–14. DOI: 10.29252/shenakht.5.5.1.
Querstret D, Morison L, Dickinson S, Cropley M, John M. MBSR and mindfulness-based cognitive therapy for psychological health and well-being in nonclinical samples: a systematic review and meta-analysis. Int J Stress Manag 2020;27(4). DOI: 10.1037/str0000165.
Senders A, Hanes D, Bourdette D, Carson K, Marshall LM, Shinto L. Impact of mindfulness-based stress reduction for people with multiple sclerosis at 8 weeks and 12 months: a randomized clinical trial. Multi Scler J 2019;25(8):1178–1188. DOI: 10.1177/1352458518786650.
Demarzo MMP, Andreoni S, Sanches N, Perez S, Fortes S, Garcia-Campayo J. Mindfulness-based stress reduction (MBSR) in perceived stress and quality of life: an open, uncontrolled study in a Brazilian healthy sample. Explore 2014;10(2):118–120. DOI: 10.1016/j.explore.2013.12.005.
Norouzi E, Gerber M, Masrour FF, Vaezmosavi M, Pühse U, Brand S. Implementation of a mindfulness-based stress reduction (MBSR) program to reduce stress, anxiety, and depression and to improve psychological well-being among retired Iranian football players. Psychol Sport Exercise 2020;47:101636. DOI: 10.1016/j.psychsport.2019.101636.
Khanjani M, Shahidi S, Fathabadi J, Mazaheri M, Shokri O. Factor structure and psychometric properties of the Ryff's scale of Psychological well-being, short form (18-item) among male and female students. Thought Behav Clin Psychol 2014;9(32):27–36. https://jt-bcp.riau.ac.ir/article_67_en.html.
Rahmani Fard T, Kalantarkousheh M, Faramarzi M. Effect of mindfulness-based cognitive infertility stress therapy on psychological well-being of women with infertility. Middle East Fertil Soc J 2018;23(4):476–481. DOI: 10.1016/j.mefs.2018.06.001.
Norouzi A, Fakhri M, Talebi R, Roshandel G, Mohammadi R. Effectiveness of mindfulness–based cognitive therapy on coping style and gastrointestinal symptoms in patients with irritable bowel syndrome. Jorjani Biomed J 2017;5(2):100–108. http://goums.ac.ir/jorjanijournal/article-1-579-en.html.
Ahmadi SZ, Norouzi A, Hamedi M. Effect of mindfulness based cognitive therapy (MBCT) on subjective well-being in anxious students of universities. J Psychol New Ideas 2017;1(2):35–44. http://jnip.ir/article-1-93-en.html.
Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol 2003;84(4):822. DOI: 10.1037/0022-3518.104.22.1682.
Thompson BL, Waltz JA. Mindfulness, self-esteem, and unconditional self-acceptance. J Ration Emot Cogn Behav Ther 2008;26(2):119–126. DOI: 10.1007/s10942-007-0059-0.
Spence GB, Cavanagh MJ, Grant AM. The integration of mindfulness training and health coaching: an exploratory study. Coaching 2008;1(2):145–163. DOI: 10.1080/17521880802328178.
Garland SN, Carlson LE, Cook S, Lansdell L, Speca M. A non-randomized comparison of mindfulness-based stress reduction and healing arts programs for facilitating post-traumatic growth and spirituality in cancer outpatients. Support Care Cancer 2007;15(8):949–961. DOI: 10.1007/s00520-007-0280-5.
Frank JL, Reibel D, Broderick P, Cantrell T, Metz S. The effectiveness of mindfulness-based stress reduction on educator stress and well-being: results from a pilot study. Mindfulness 2015;6(2):208–216. DOI: 10.1007/s12671-013-0246-2.
Nyklíček I, Dijksman SC, Lenders PJ, Fonteijn WA, Koolen JJ. A brief mindfulness based intervention for increase in emotional well-being and quality of life in percutaneous coronary intervention (PCI) patients: the Mindful Heart randomized controlled trial. J Behav Med 2014;37(1):135–144. DOI: 10.1007/s10865-012-9475-4.
Saravanabavan L, Sivakumar MN, Hisham M. Stress and burnout among intensive care unit healthcare professionals in an Indian tertiary care hospital. Indian J Crit Care Med 2019;23(10):462. DOI: 10.5005/jp-journals-10071-23265.
Pasandideh R, Abolmoali K. The effectiveness of mindful cognitive therapy on enhancement of overall well-being. Thoughts Behav Clin Psychol 2016;11(41):7–16. https://jtbcp.riau.ac.ir/m/article_1017.html?lang=en.
Mehri Nejad SA. Investigating the effectiveness of mindfulness-based cognitive therapy to reduce shyness and increase the assertiveness puberty girls. Clin Psychol Stud 2018;8(29):97–111. DOI: 10.22054/JCPS.2018.8316.