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A Controlled Study of a Group Mindfulness Intervention for Individuals Living With Inflammatory Bowel Disease
Kate Neilson1, Maria Ftanou, Kaveh Monshat
1*Department of Psychiatry, The University of Melbourne, Melbourne, Australia; Departments of †Psychiatry, and ‡Gastroenterology, St. Vincent's Hospital, Melbourne, Australia; and §Department of Psychology, Faculty Health, Arts, and Design, Swinburne University of Technology, Melbourne, Australia.
Background:
This study aimed to evaluate the feasibility, acceptability, and effectiveness of a mindfulness-based intervention for patients with inflammatory bowel disease (MI-IBD).
Design:
Treatment-as-usual control versus mindfulness-based stress reduction intervention.
Methods:
Sixty patients participated in either the MI-IBD (n = 33) or treatment-as-usual group (n = 27) conditions. The MI-IBD consisted of an 8-week mindfulness-based stress reduction training group. Outcome measures were administered at baseline (before intervention), immediately after intervention, and 6 months after intervention. Primary outcomes included measures of quality of life, psychological distress (depression and anxiety), and mindfulness. Data for MI-IBD group participants also included weekly attendance, daily minutes meditated, and satisfaction with the program.
Results:
There were no baseline differences between intervention and control groups on demographic variables or inflammatory bowel disease severity. Compared with the control group, the MI-IBD group reported significantly greater improvements in anxiety, quality of life, and mindfulness at after intervention, with reduction in depression and improvements in quality of life and mindfulness maintained at 6 months after intervention.
Conclusions:
Results demonstrate the feasibility, acceptability, and efficacy of a mindfulness intervention for patients with inflammatory bowel disease, with medium-to-large effects on psychological distress, quality of life, and mindfulness.
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