1. Effects of brief mindfulness-based cognitive behavioural therapy on health-related quality of life and sense of coherence in atrial fibrillation patients.
- Author
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Malm, Dan, Fridlund, Bengt, Ekblad, Helena, Karlström, Patric, Hag, Emma, and Pakpour, Amir H.
- Subjects
ATRIAL fibrillation treatment ,ANALYSIS of covariance ,CHI-squared test ,COGNITION ,COGNITIVE therapy ,MENTAL depression ,ELECTROCARDIOGRAPHY ,EMOTIONS ,FISHER exact test ,HOSPITALS ,LONGITUDINAL method ,QUALITY of life ,QUESTIONNAIRES ,RESEARCH funding ,SCALE analysis (Psychology) ,SELF-perception ,SPOUSES ,PSYCHOLOGICAL stress ,T-test (Statistics) ,LOGISTIC regression analysis ,MULTIPLE regression analysis ,RANDOMIZED controlled trials ,PRE-tests & post-tests ,EVALUATION of human services programs ,DATA analysis software ,MINDFULNESS ,DESCRIPTIVE statistics - Abstract
Background: The aim of this study was to evaluate the effects of a brief dyadic cognitive behavioural therapy (CBT) programme on the health-related quality of life (HRQoL), as well as the sense of coherence in atrial fibrillation patients, up to 12 months post atrial fibrillation. Methods: A longitudinal randomised controlled trial with a pre and 12-month post-test recruitment of 163 persons and their spouses, at a county hospital in southern Sweden. In all, 104 persons were randomly assigned to either a CBT (n=56) or a treatment as usual (TAU) group (n=55). The primary outcome was changes in the HRQoL (Euroqol questionnaire; EQ-5D), and the secondary outcomes were changes in psychological distress (hospital anxiety and depression scale; HADS) and sense of coherence (sense of coherence scale; SOC-13). Results: At the 12-month follow-up, the CBT group experienced a higher HRQoL than the TAU group (mean changes in the CBT group 0.062 vs. mean changes in the TAU group −0.015; P=0.02). The sense of coherence improved in the CBT group after the 12-month follow-up, compared to the TAU group (mean changes in the CBT group 0.062 vs. mean changes in the TAU group −0.16; P=0.04). The association between the intervention effect and the HRQoL was totally mediated by the sense of coherence (z=2.07, P=0.04). Conclusions: A dyadic mindfulness-based CBT programme improved HRQoL and reduced psychological distress up to 12 months post atrial fibrillation. The sense of coherence strongly mediated the HRQoL; consequently, the sense of coherence is an important determinant to consider when designing programmes for atrial fibrillation patients. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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