Cargando…
The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial
BACKGROUND: Coronavirus disease-19 (COVID-19) is a widespread disease all over the world that has caused many psychological complications such as health anxiety (HA) and low quality of life (QOL). Mindfulness-based approaches could improve these complications. Therefore, this study aimed to investig...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Shiraz University of Medical Sciences
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126443/ https://www.ncbi.nlm.nih.gov/pubmed/37114098 http://dx.doi.org/10.30476/IJCBNM.2023.97271.2172 |
_version_ | 1785030247791460352 |
---|---|
author | Shahidi, Shokooh Zargar, Fatemeh Aghaee Khajelangi, Hassan Tarrahi, Mohmmad Javad |
author_facet | Shahidi, Shokooh Zargar, Fatemeh Aghaee Khajelangi, Hassan Tarrahi, Mohmmad Javad |
author_sort | Shahidi, Shokooh |
collection | PubMed |
description | BACKGROUND: Coronavirus disease-19 (COVID-19) is a widespread disease all over the world that has caused many psychological complications such as health anxiety (HA) and low quality of life (QOL). Mindfulness-based approaches could improve these complications. Therefore, this study aimed to investigate the effect of Internet-delivered mindfulness stress reduction combined with acceptance and commitment therapy (IMSR-ACT) on QOL and HA of caregivers of patients infected by COVID-19. METHODS: In this randomized clinical trial, 72 people from Golpayegan city, Iran, who had a patient with COVID-19 in their family were selected from March to June 2020. A caregiver with a score above 27 on the Health Anxiety inventory (HAI-18) was selected using simple random sampling. Participants were assigned in the intervention or control group by permuted block random allocation. The intervention group was trained by MSR and ACT techniques for 9 weeks accomplished via WhatsApp. All participants completed the QOLQuestionnaire-12 (SF-12) items and HAI-18 before and after completing IMSR-ACT sessions. The data were analyzed through SPSS-23 software, using Chi square, independent and paired t-test, and analysis of covariance, and P-value<0.05 was considered as significant. RESULTS: The results showed that the intervention group compared to the control group had a significant decrease in all subscales of HAI after the intervention including worry about consequences (5.78±2.66 vs. 7.37±1.34, P=0.004) and awareness of bodily sensation or changes (8.90±2.77 vs. 11.75±2.30, P=0.001), worry about health (10.94±2.38 vs. 13.09±1.92, P=0.001), and total score of HAI (25.62±4.93 vs. 32.25±3.93, P=0.001). Also, the intervention group compared to the control group had better QOL after the intervention in general health perceptions (3.03±0.96 vs. 2.43±0.95, P=0.01), mental health (7.12±2.25 vs. 6.34±1.85 and P=0.01) and mental component summary) 16.78±3.75 vs. 15.43±3.05, P=0.01), physical component summary (16.06±2.66 vs. 15.19±2.25, P=0.01), and total score of SF-12 (32.84±5.39 vs. 30.62±4.34, P=0.004). CONCLUSION: Internet-delivered MSR combined with ACT could improve the HA and QOL of caregivers with patients infected by COVID-19. Thus, it can used in other similar situations for now and future. Also, it seems to be a useful approach for caregivers of the other illnesses. Trial Registration Number: IRCT20180909040974N |
format | Online Article Text |
id | pubmed-10126443 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Shiraz University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-101264432023-04-26 The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial Shahidi, Shokooh Zargar, Fatemeh Aghaee Khajelangi, Hassan Tarrahi, Mohmmad Javad Int J Community Based Nurs Midwifery Original Article BACKGROUND: Coronavirus disease-19 (COVID-19) is a widespread disease all over the world that has caused many psychological complications such as health anxiety (HA) and low quality of life (QOL). Mindfulness-based approaches could improve these complications. Therefore, this study aimed to investigate the effect of Internet-delivered mindfulness stress reduction combined with acceptance and commitment therapy (IMSR-ACT) on QOL and HA of caregivers of patients infected by COVID-19. METHODS: In this randomized clinical trial, 72 people from Golpayegan city, Iran, who had a patient with COVID-19 in their family were selected from March to June 2020. A caregiver with a score above 27 on the Health Anxiety inventory (HAI-18) was selected using simple random sampling. Participants were assigned in the intervention or control group by permuted block random allocation. The intervention group was trained by MSR and ACT techniques for 9 weeks accomplished via WhatsApp. All participants completed the QOLQuestionnaire-12 (SF-12) items and HAI-18 before and after completing IMSR-ACT sessions. The data were analyzed through SPSS-23 software, using Chi square, independent and paired t-test, and analysis of covariance, and P-value<0.05 was considered as significant. RESULTS: The results showed that the intervention group compared to the control group had a significant decrease in all subscales of HAI after the intervention including worry about consequences (5.78±2.66 vs. 7.37±1.34, P=0.004) and awareness of bodily sensation or changes (8.90±2.77 vs. 11.75±2.30, P=0.001), worry about health (10.94±2.38 vs. 13.09±1.92, P=0.001), and total score of HAI (25.62±4.93 vs. 32.25±3.93, P=0.001). Also, the intervention group compared to the control group had better QOL after the intervention in general health perceptions (3.03±0.96 vs. 2.43±0.95, P=0.01), mental health (7.12±2.25 vs. 6.34±1.85 and P=0.01) and mental component summary) 16.78±3.75 vs. 15.43±3.05, P=0.01), physical component summary (16.06±2.66 vs. 15.19±2.25, P=0.01), and total score of SF-12 (32.84±5.39 vs. 30.62±4.34, P=0.004). CONCLUSION: Internet-delivered MSR combined with ACT could improve the HA and QOL of caregivers with patients infected by COVID-19. Thus, it can used in other similar situations for now and future. Also, it seems to be a useful approach for caregivers of the other illnesses. Trial Registration Number: IRCT20180909040974N Shiraz University of Medical Sciences 2023-04 /pmc/articles/PMC10126443/ /pubmed/37114098 http://dx.doi.org/10.30476/IJCBNM.2023.97271.2172 Text en Copyright: © International Journal of Community Based Nursing and Midwifery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 4.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Shahidi, Shokooh Zargar, Fatemeh Aghaee Khajelangi, Hassan Tarrahi, Mohmmad Javad The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial |
title | The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial |
title_full | The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial |
title_fullStr | The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial |
title_full_unstemmed | The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial |
title_short | The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial |
title_sort | effect of internet-delivered mindfulness stress reduction combined with acceptance and commitment therapy on health anxiety and quality of life of caregiver of patients infected by covid-19: a randomized clinical trial |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126443/ https://www.ncbi.nlm.nih.gov/pubmed/37114098 http://dx.doi.org/10.30476/IJCBNM.2023.97271.2172 |
work_keys_str_mv | AT shahidishokooh theeffectofinternetdeliveredmindfulnessstressreductioncombinedwithacceptanceandcommitmenttherapyonhealthanxietyandqualityoflifeofcaregiverofpatientsinfectedbycovid19arandomizedclinicaltrial AT zargarfatemeh theeffectofinternetdeliveredmindfulnessstressreductioncombinedwithacceptanceandcommitmenttherapyonhealthanxietyandqualityoflifeofcaregiverofpatientsinfectedbycovid19arandomizedclinicaltrial AT aghaeekhajelangihassan theeffectofinternetdeliveredmindfulnessstressreductioncombinedwithacceptanceandcommitmenttherapyonhealthanxietyandqualityoflifeofcaregiverofpatientsinfectedbycovid19arandomizedclinicaltrial AT tarrahimohmmadjavad theeffectofinternetdeliveredmindfulnessstressreductioncombinedwithacceptanceandcommitmenttherapyonhealthanxietyandqualityoflifeofcaregiverofpatientsinfectedbycovid19arandomizedclinicaltrial AT shahidishokooh effectofinternetdeliveredmindfulnessstressreductioncombinedwithacceptanceandcommitmenttherapyonhealthanxietyandqualityoflifeofcaregiverofpatientsinfectedbycovid19arandomizedclinicaltrial AT zargarfatemeh effectofinternetdeliveredmindfulnessstressreductioncombinedwithacceptanceandcommitmenttherapyonhealthanxietyandqualityoflifeofcaregiverofpatientsinfectedbycovid19arandomizedclinicaltrial AT aghaeekhajelangihassan effectofinternetdeliveredmindfulnessstressreductioncombinedwithacceptanceandcommitmenttherapyonhealthanxietyandqualityoflifeofcaregiverofpatientsinfectedbycovid19arandomizedclinicaltrial AT tarrahimohmmadjavad effectofinternetdeliveredmindfulnessstressreductioncombinedwithacceptanceandcommitmenttherapyonhealthanxietyandqualityoflifeofcaregiverofpatientsinfectedbycovid19arandomizedclinicaltrial |