The influence of mindfulness-based stress reduction and walking on the psychological well-being of female informal caregivers: A pilot study
DOI:
https://doi.org/10.5055/ajrt.2010.0002Keywords:
informal caregivers, psychological well-being, mindfulness-based stress reduction, walkingAbstract
Informal caregivers, who provide unpaid care for family or friends, often experience numerous threats to their psychological well-being as a result of providing care. This study compared a traditional physical activity (mall walking, MW) to an alternative therapeutic intervention (mindfulness-based stress reduction, MBSR) to examine the impact on the psychological well-being of informal caregivers. While both groups experienced a decrease in psychological well-being, caregivers in the MBSR group experienced fewer exacerbations in depressive symptoms and subjective burden when compared with caregivers in the MW group. It is possible that mindfulness techniques may provide some protection against the exacerbation of negative effects on caregivers’ psychological wellbeing. The use of MBSR as a therapeutic intervention in therapeutic recreation practice may be warranted, but requires further study.References
National Alliance for Caregiving and AARP: Caregiving in the US: Findings from the National Caregiver Survey, 2004.
Pinquart M, Sorensen S: Correlates of physical health of informal caregivers: A meta-analysis. J Gerontol B Psychol Sci Soc Sci. 2007; 62(2): P126-P137.
Pinquart M, Sorensen S: Gender differences in caregiver stressors, social resources, and health: An updated metaanalysis. J Gerontol B Psychol Sci Soc Sci. 2006; 61(1): P33-P45.
King RB, Carlson CE, Shade-Zeldow Y, et al.: Transition to home care after stroke: Depression, physical health, and adaptive processes in support persons. Res Nurs Health. 2001; 24(4): 307-323.
Stevens AB, Coon D, Wisniewski S, et al.: Measurement of leisure time satisfaction in family caregivers. Aging Ment Health. 2004; 8(5): 450-459.
Burton LC, Newsom JT, Schulz R, et al.: Preventive health behaviors among spousal caregivers. Prev Med. 1997; 26(2): 162-169.
Segal ME, Schall RR: Life satisfaction and caregiving stress for individuals with stroke and their primary caregivers. Rehabil Psychol. 1996; 41(4): 303-320.
Schwarz KA: A study of the relationship of caregiving appraisal to depressive symptomatology and home care utilization. J Community Health Nurs. 1999; 16(2): 95-108.
Han B, Haley WE: Family caregiving for patients with stroke. Review and analysis. Stroke. 1999; 30(7): 1478-1485.
Tompkins CA, Schulz R, Rau MT: Post-stroke depression in primary support persons: Predicting those at risk. J Consult Clin Psychol. 1988; 56(4): 502-508.
Stein PN, Gordon WA, Hibbard MR, et al.: An examination of depression in the spouses of stroke patients. Rehabil Psychol. 1992; 37(2): 121-130.
Silliman RA, Fletcher RH, Earp JL, et al.: Families of elderly stroke patients. Effects of home care. J Am Geriatr Soc. 1986; 34(9): 643-648.
Anderson CS, Linto J, Stewart-Wynne EG: A population-based assessment of the impact and burden of caregiving for long-term stroke survivors. Stroke. 1995; 26(5): 843-849.
King RB, Shade-Zeldow Y, Carlson CE, et al.: Adaptation to stroke: A longitudinal study of depressive symptoms, physical health, and coping process. Top Stroke Rehabil. 2002; 9(1): 46-66.
Gaugler JE, Kane RL, Kane RA, et al.: Caregiving and institutionalization of cognitively impaired older people: Utilizing dynamic predictors of change. Gerontologist. 2003; 43(2): 219-229.
Van Puymbroeck M, Hsieh PC, Pernell D: Changes in components of subjective burden and satisfaction in informal caregivers: Results from an eight-week mindfulness and walking trial. Gerontologist. 2007; 47 (Special Issue): 509-510.
Waelde LC, Thompson L, Gallagher-Thompson D: A pilot study of a yoga and meditation intervention for dementia caregiver stress. J Clin Psychol. 2004; 60(6): 677-687.
Kabat-Zinn J, Massion AO, Kristeller J, et al.: Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. Am J Psychiatry. 1992; 149(7): 936-943.
Miller JJ, Fletcher K, Kabat-Zinn J: Three-year followup and clinical implications of a Mindfulness Meditation-Based Stress Reduction intervention in the treatment of anxiety disorders. Gen Hosp Psychiatry. 1995; 17(3): 192-200.
Reibel DK, Greeson JM, Brainard GC, et al.: Mindfulness-Based Stress Reduction and health-related quality of life in a heterogeneous patient population. Gen Hosp Psychiatry. 2001; 23(4): 183-192.
Speca M, Carlson LE, Goodey E, et al.: A randomized, wait-list controlled clinical trial: The effect of a Mindfulness Meditation-Based Stress Reduction program on mood and symptoms of stress in cancer outpatients. Psychosom Med. 2000; 62(5): 613-622.
Minor HG, Carlson LE, Mackenzie MJ, et al.: Evaluation of a Mindfulness-Based Stress Reduction (MBSR) program for caregivers of children with chronic conditions. Soc Work Health Care. 2006; 43(1): 91-109.
Epstein-Lubow GP, Miller IW, McBee L: Mindfulness training for caregivers. Psychiatr Serv. 2006; 57(3): 421-421.
McBee L: Mindfulness practice with the frail elderly and their caregivers. Top Geriatr Rehabil. 2003; 19: 257-264.
Rantanen T, Guralnik JM, Sakari-Rantala R, et al.: Disability, physical activity, and muscle strength in older women: The women’s health and aging study. Arch Phys Med Rehabil. 1999; 80(2): 130-135.
Rippe JM, Ward A, Porcari JP, et al.: Walking for health and fitness. J Am Med Assoc. 1988; 259(18): 2720-2724.
Castro CM, Wilcox S, O’Sullivan P, et al.: An exercise program for women who are caring for relatives with dementia. Psychosom Med. 2002; 64(3): 458-468.
King AC, Baumann K, O’Sullivan P, et al.: Effects of moderate-intensity exercise on psychological, behavioral, and emotional responses to family caregiving: A randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2002; 57: M26-M36.
Lee RE, Goldberg JH, Sallis JF, et al.: A prospective analysis of the relationship between walking and mood in sedentary ethnic minority women. Women Health. 2001; 32(4): 1-15.
Siegel PZ, Brackbill RM, Heath GW: The epidemiology of walking for exercise: Implications for promoting activity among sedentary groups. Am J Public Health. 1995; 85(5): 706-710.
Berger BG, Owen DR: Mood alteration with yoga and swimming: Aerobic exercise may not be necessary. Percept Mot Skills. 1992; 75 (3, Part 2): 1331-1343.
Berger BG, Owen DR: Relation of low and moderate intensity exercise with acute mood change in college joggers. Percept Mot Skills. 1998; 87(2): 611-621.
Brown DR, Wang Y, Ward A, et al.: Chronic psychological effects of exercise and exercise plus cognitive strategies. Med Sci Sports Exerc. 1995; 27(5): 765-775.
La Forge R: Mind-body fitness: Encouraging prospects for primary and secondary prevention. J Cardiovasc Nurs. 1997; 11(3): 53-65.
Van Puymbroeck M, Rittman M: Predictors of quality of life in caregivers at one and six months post-stroke: Results of a path analysis. J Rehabil Res Dev. 2006; 42(6): 747-760.
Van Puymbroeck M, Hsieh PC, Pernell D: Comparison of two physical activity interventions on the physical fitness for informal caregivers. Am J Recreational Ther. 2008; 7(1): 35-41.
Antonovsky A: The “Sense of Coherence” Concept. Unraveling the Mystery of Health: How People Manage Stress and Stay Well. San Francisco: Jossey-Bass Publishers, 1987: 14-32.
Eriksson M, Lindstrom B: Validity of Antonovsky’s sense of coherence scale: A systematic review. J Epidemiol Community Health. 2005; 59(6): 460-466.
Vernooij-Dassen MJ, Persoon JM, Felling AJ: Predictors of sense of competence in caregivers of demented persons. Soc Sci Med. 1996; 43(1): 41-49.
Scholte op Reimer WJ, de Haan RJ, Pijnenborg JM, et al.: Assessment of burden in partners of stroke patients with the Sense of Competence Questionnaire. Stroke. 1998; 29(2): 373-379.
Radloff LS, Teri L: Use of the Center for Epidemiological Studies-Depression Scale with older adults. Clin Gerontol. 1986; 5(1/2): 119-136.
McDowell I, Newell C: Measuring Health: A Guide to Rating Scales and Questionnaires, 2nd ed. New York: Oxford University Press, 1996.
Zauszniewski JA, Bekhet AK: Depressive symptoms in elderly women with chronic conditions: Measurement issues. Aging Ment Health. 2009; 13(1): 64-72.
Spielberger CD: State-Trait Anxiety Inventory for Adults. Redwood City, California: Mind Garden, 1983.
Barnes LLB, Harp D, Jung WS: Reliability generalization of scores on the Spielberger State-Trait Anxiety Inventory. Educ Psychol Meas. 2002; 62(4): 603-618.
Diener E, Emmons RA, Larsen RJ, et al.: The Satisfaction with Life Scale. J Pers Assess. 1985; 49(1): 71-75.
Pavot W, Diener E: Review of the Satisfaction With Life Scale. Psychol Assess. 1993; 5(2): 164-172.
Diener E: Understanding Scores on the Satisfaction on the Satisfaction with Life Scale. Champaign-Urbana: University of Illinois, 2006.
Chumbler NR, Rittman M, Van Puymbroeck M, et al.: The sense of coherence, burden, and depressive symptoms in informal caregivers during the first month after stroke. Int J Geriatr Psychiatry. 2004; 19(10): 935-943.
Farran CJ, Loukissa D, Perraud S, et al.: Alzheimer’s disease caregiving information and skills, Part 2: Family caregiver issues and concerns. Res Nurs Health. 2004; 27(1): 40-51.
Grossman P, Niemann L, Schmidt S, et al.: Mindfulness-Based Stress Reduction and health benefits: A meta-analysis. J Psychosom Res. 2004; 57(1): 35-43.
Baer RA: Mindfulness training as a clinical intervention: A conceptual and empirical review. Clin Psychol. 2003; 10(2): 125-143.
Grant JS, Bartolucci AA, Elliot TR, et al.: Sociodemographic, physical, and psychosocial characteristics of depressed and non-depressed family caregivers of stroke survivors. Brain Inj. 2000; 14(12): 1089-1100.
Brown DR, Wang Y, Ward A, et al.: Chronic psychological effects of exercise and exercise plus cognitive strategies. Med Sci Sports Exerc. 1995; 27(5): 765-775.
Kabat-Zinn J: Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain and Illness. New York, NY: Delacorte, 1990.
Roemer L, Orsillo SM: Mindfulness: A promising intervention strategy in need of further study. Clin Psychol. 2003; 10(2): 172-178.
Nieboer AP, Schulz R, Matthews KA, et al.: Spousal caregivers’ activity restriction and depression: A model for changes over time. Soc Sci Med. 1998; 47(9): 1361-1371.
Van Puymbroeck M, Payne LL, Hsieh P-C: A phase I feasibility study of yoga on the physical health and coping of informal caregivers. eCAM, 2007:nem075. Available at http://ecam.oxfordjournals.org/cgi/content/abstract/nem075v1. Accessed September 26, 2007.
Hartke RJ, King RB: Analysis of problem types and difficulty among older stroke caregivers. Top Stroke Rehabil. 2002; 9(1): 16-33.
Mant J, Carter J, Wade DT, et al.: Family support for stroke: A randomised controlled trial. Lancet. 2000; 356(9232): 808-813.
Northouse LL, Rosset T, Phillips L, et al.: Research with families facing cancer: The challenges of accrual and retention. Res Nurs Health. 2006; 29(3): 199-211.
Banks-Wallace J, Conn V: Interventions to promote physical activity among African American women. Public Health Nurs. 2002; 19(5): 321-335.
Dorfman LT, Holmes CA, Berlin KL: Wife caregivers of frail elderly veterans: Correlates of caregiver satisfaction and caregiver strain. Fam Relat. 1996; 45(1): 46-55.
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