- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT03340948
The Mindfulness Intervention as Myocardial Infarction Rehabilitation Additive (MIMIRA) Study (MIMIRA)
Studieoversikt
Status
Intervensjon / Behandling
Detaljert beskrivelse
Depressive symptomatology in patients with coronary artery disease (CAD) has prognostic importance. Yet, psychological interventions in clinical practice are scarce. Here, we explored the feasibility and acceptability of mindfulness-based stress reduction (MBSR) in patients with depressive symptoms after a recent coronary event. A second aim was to investigate psychological risk factors and resources among participants.
To address the research questions, depressive symptoms were first measured in a reference population, at 1 and 12 months after a coronary event (myocardial infarction or unstable angina pectoris), and a cut-off for elevated depressive symptoms were obtained from the median in this group. Thereafter, similar CAD patients with elevated depressive symptoms (above median in the reference group), from the same outpatient clinic, were consecutively invited to an 8-week MBSR program. Serious physical or psychiatric illness that would be an obstacle to participation were exclusion criteria.
Patients who completed the MBSR-course were asked to evaluate its various facets, and completion rate and attendance were feasibility outcomes. Psychological variables were measured before, after the course as well as 12 months later.
Studietype
Registrering (Faktiske)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiesteder
-
-
-
Linköping, Sverige, 581 83
- Linköping University
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
- Recent (within 12 month) first time coronary artery event; defined as a diagnosis of myocardial infarction or unstable angina pectoris addressed with either percutaneous coronary intervention (PCI) or coronary artery by-pass graft surgery (CABG).
- Depressive symptoms above a score of 8 on the questionnaire centre for epidemiological studies depression scale (CES-D).
- Interest for participation in MBSR.
Exclusion Criteria:
- Major depression or other serious psychiatric illness (such as psychosis or ongoing life crisis).
- Severe comorbidities, such as cancer, severe cognitive impairment and alcohol or drug abuse.
- Practical hindrances for participation in MBSR.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Støttende omsorg
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: MBSR participation
Participation in the 8 week Mindfulness Based Stress Reduction (MBSR) course.
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An 8-week course in mindfulness meditation, yoga training and weekly group support in the form of weekly 2,5 hour meetings at the hospital.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Feasibility
Tidsramme: Immediately after the 8-week intervention.
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Patient evaluation questionnaire
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Immediately after the 8-week intervention.
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Depressive Symptoms
Tidsramme: Before, immediately after and 12 months post intervention.
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Centre for Epidemiological Studies Scale Depression (CES-D) questionnaire (Radloff)
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Before, immediately after and 12 months post intervention.
|
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Anxiety
Tidsramme: Before, immediately after and 12 months post intervention.
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Generalized Anxiety Disorder Scale - 7 (GAD-7) questionnaire (Spitzer)
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Before, immediately after and 12 months post intervention.
|
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Mindfulness
Tidsramme: Before, immediately after and 12 months post intervention.
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Five Facets of Mindfulness Questionnaire (FFMQ) (Baer)
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Before, immediately after and 12 months post intervention.
|
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Acceptance
Tidsramme: Before, immediately after and 12 months post intervention.
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Acceptance and Action Questionnaire II (AAQII) (Block)
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Before, immediately after and 12 months post intervention.
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Mastery
Tidsramme: Before, immediately after and 12 months post intervention.
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Mastery questionnaire (Pearlin & Shooler)
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Before, immediately after and 12 months post intervention.
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Self-esteem
Tidsramme: Before, immediately after and 12 months post intervention.
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Self-esteem questionnaire (Rosenberg)
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Before, immediately after and 12 months post intervention.
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Patients experiences of mindfulness training
Tidsramme: Continuously during the 8 week course.
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Written journal entries (linguistic content)
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Continuously during the 8 week course.
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Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Hovedetterforsker: Lena LJ Jonasson, M.D. Ph.D., Division of Cardiovascular Medicine, Department of Medical and Health Sciences, Linköping University
Publikasjoner og nyttige lenker
Generelle publikasjoner
- Lundgren O, Garvin P, Nilsson L, Tornerefelt V, Andersson G, Kristenson M, Jonasson L. Mindfulness-Based Stress Reduction for Coronary Artery Disease Patients: Potential Improvements in Mastery and Depressive Symptoms. J Clin Psychol Med Settings. 2022 Sep;29(3):489-497. doi: 10.1007/s10880-021-09822-z. Epub 2021 Sep 28.
- Lundgren O, Garvin P, Kristenson M, Jonasson L, Thylen I. A journey through chaos and calmness: experiences of mindfulness training in patients with depressive symptoms after a recent coronary event - a qualitative diary content analysis. BMC Psychol. 2018 Sep 13;6(1):46. doi: 10.1186/s40359-018-0252-1.
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 2013/17/31
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
IPD-planbeskrivelse
Legemiddel- og utstyrsinformasjon, studiedokumenter
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