Effects of mindfulness-based stress reduction on anxiety and depression in spouses of patients with breast cancer
10.3760/cma.j.issn.1674-6554.2016.12.010
- VernacularTitle:正念减压训练对乳腺癌患者配偶焦虑抑郁情绪的影响
- Author:
Jing LI
;
Lixue GU
;
Yongchuang LIU
;
Dan YANG
- Keywords:
Mindfulness-based stress reduction;
Caregiver burden;
Anxiety;
Depression;
Mediating effect
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2016;25(12):1104-1108
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of mindfulness-based stress reduction( MBSR) on anxiety and depression in spouses of breast cancer patients and to analyze the mediating effect of caregiver burden for the training effects. Methods Randomized control trial was used in this research.100 spouses of breast cancer patients were recruited and they were randomized into experimental group or control group. 91 of them completed the study finally (45 in experimental group and 46 in control group). Participants in con-trol group received no intervention,while participants in experimental group received MBSR once a week for 8 weeks. All participants were assessed with the Zarit Caregiver Burden Interview ( ZBI,measuring caregiver burden) ,Beck Depression Inventory( BDI,measuring depression level) and Hamilton Anxiety Scale( HAMA, measuring anxiety level) before and after intervention. Results After 8-week intervention,participants in experimental group got significantly lower total scores of ZBI,BDI and HAMA compared with pretest ((22.31 ±5.76) vs (25.98±6.00),(8.47±3.21) vs (11.87±3.51),(14.98±4.75) vs (17.93±4.65), P<0. 01), while there were no significant differences between posttest and pretest on any score in control group (P>0.05).Caregiver burden played mediating effect in MBSR for improving depression,and mediating effect was 56.6% of the total effect. Conclusion MBSR can effectively improve anxiety and depression with the spou-ses of breast cancer patients,and the caregiver burden is the intermediary variable in the effect of MBSR for improving depression.
