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Understanding changes in dyspnoea perception in obstructive lung disease after mindfulness training
Alice Malpass1, Gene Feder1, James W Dodd2,3
1Centre for Academic Primary Care (CAPC), Bristol Medical School, University of Bristol, Bristol, UK.
BMJ Open Respiratory Research
|June 30, 2018
Summary
Mindfulness-based cognitive therapy (MBCT) helps patients with breathing discomfort (dyspnoea) by developing mindful attention. This approach impacts sensory perceptions of dyspnoea, offering a new perspective for managing symptoms in chronic respiratory conditions.
Area of Science:
- Respiratory Medicine
- Psychology
- Qualitative Research
Background:
- Dyspnoea is a subjective experience of breathing discomfort, often treated quantitatively.
- Existing measures may not capture the variability in dyspnoea perception among patients with similar conditions.
- Qualitative research offers a valuable approach to understanding individual differences in dyspnoea perception.
Purpose of the Study:
- To explore how mindfulness attention influences the perception of dyspnoea.
- To characterize mindfulness attention in relation to the multidimensional model of dyspnoea.
- To investigate how individuals can alter their perception and relationship to dyspnoea.
Main Methods:
- Recruited 22 patients with asthma or chronic obstructive pulmonary disease (COPD) for an 8-week mindfulness-based cognitive therapy (MBCT) course.
- Conducted in-depth qualitative interviews with 12 patients two months post-MBCT.
- Analyzed interview data using a framework approach based on the multidimensional dyspnoea profile (MDP).
Main Results:
- MBCT training cultivates three types of mindful attention: broad, informative, and re-directive attention.
- These mindful attention types impact the sensory dimension of dyspnoea perception.
- MBCT appears to influence both affective and sensory aspects of dyspnoea as described in the MDP model.
Conclusions:
- Mindfulness-based interventions show potential in mediating the relationship between affective experiences and sensory perceptions of dyspnoea.
- Further research is warranted to understand the role of MBCT in managing dyspnoea symptoms.
- Qualitative insights into mindful attention can enhance the multidimensional understanding of dyspnoea.
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