- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT03340948
The Mindfulness Intervention as Myocardial Infarction Rehabilitation Additive (MIMIRA) Study (MIMIRA)
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Inskrivning (Faktisk)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
-
-
-
Linköping, Sverige, 581 83
- Linköping University
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Stödjande vård
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Experimentell: MBSR participation
Participation in the 8 week Mindfulness Based Stress Reduction (MBSR) course.
|
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.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Feasibility
Tidsram: Immediately after the 8-week intervention.
|
Patient evaluation questionnaire
|
Immediately after the 8-week intervention.
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Depressive Symptoms
Tidsram: Before, immediately after and 12 months post intervention.
|
Centre for Epidemiological Studies Scale Depression (CES-D) questionnaire (Radloff)
|
Before, immediately after and 12 months post intervention.
|
Anxiety
Tidsram: Before, immediately after and 12 months post intervention.
|
Generalized Anxiety Disorder Scale - 7 (GAD-7) questionnaire (Spitzer)
|
Before, immediately after and 12 months post intervention.
|
Mindfulness
Tidsram: Before, immediately after and 12 months post intervention.
|
Five Facets of Mindfulness Questionnaire (FFMQ) (Baer)
|
Before, immediately after and 12 months post intervention.
|
Acceptance
Tidsram: Before, immediately after and 12 months post intervention.
|
Acceptance and Action Questionnaire II (AAQII) (Block)
|
Before, immediately after and 12 months post intervention.
|
Mastery
Tidsram: Before, immediately after and 12 months post intervention.
|
Mastery questionnaire (Pearlin & Shooler)
|
Before, immediately after and 12 months post intervention.
|
Self-esteem
Tidsram: Before, immediately after and 12 months post intervention.
|
Self-esteem questionnaire (Rosenberg)
|
Before, immediately after and 12 months post intervention.
|
Patients experiences of mindfulness training
Tidsram: Continuously during the 8 week course.
|
Written journal entries (linguistic content)
|
Continuously during the 8 week course.
|
Samarbetspartners och utredare
Sponsor
Utredare
- Huvudutredare: Lena LJ Jonasson, M.D. Ph.D., Division of Cardiovascular Medicine, Department of Medical and Health Sciences, Linköping University
Publikationer och användbara länkar
Allmänna publikationer
- 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.
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 2013/17/31
Plan för individuella deltagardata (IPD)
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IPD-planbeskrivning
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