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    Effect of mindfulness training on asthma quality of life and lung function: a randomised controlled trial

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    Authors
    Pbert, Lori
    Madison, J. Mark
    Druker, Susan
    Olendzki, Nicholas
    Magner, Robert P.
    Reed, George W.
    Allison, Jeroan J.
    Carmody, James F.
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Department of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Document Type
    Journal Article
    Publication Date
    2012-09-01
    Keywords
    Asthma
    Meditation
    Quality of Life
    Stress, Psychological
    Alternative and Complementary Medicine
    Behavioral Disciplines and Activities
    Behavior and Behavior Mechanisms
    Community Health and Preventive Medicine
    Preventive Medicine
    Respiratory Tract Diseases
    
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    Link to Full Text
    http://dx.doi.org/10.1136/thoraxjnl-2011-200253
    Abstract
    BACKGROUND: This study evaluated the efficacy of a mindfulness training programme (mindfulness-based stress reduction (MBSR)) in improving asthma-related quality of life and lung function in patients with asthma. METHODS: A randomised controlled trial compared an 8-week MBSR group-based programme (n=42) with an educational control programme (n=41) in adults with mild, moderate or severe persistent asthma recruited at a university hospital outpatient primary care and pulmonary care clinic. Primary outcomes were quality of life (Asthma Quality of Life Questionnaire) and lung function (change from baseline in 2-week average morning peak expiratory flow (PEF)). Secondary outcomes were asthma control assessed by 2007 National Institutes of Health/National Heart Lung and Blood Institute guidelines, and stress (Perceived Stress Scale (PSS)). Follow-up assessments were conducted at 10 weeks, 6 and 12 months. RESULTS: At 12 months MBSR resulted in clinically significant improvements from baseline in quality of life (differential change in Asthma Quality of Life Questionnaire score for MBSR vs control: 0.66 (95% CI 0.30 to 1.03; p<0.001)) but not in lung function (morning PEF, PEF variability and forced expiratory volume in 1 s). MBSR also resulted in clinically significant improvements in perceived stress (differential change in PSS score for MBSR vs control: -4.5 (95% CI -7.1 to -1.9; p=0.001)). There was no significant difference (p=0.301) in percentage of patients in MBSR with well controlled asthma (7.3% at baseline to 19.4%) compared with the control condition (7.5% at baseline to 7.9%). CONCLUSIONS: MBSR produced lasting and clinically significant improvements in asthma-related quality of life and stress in patients with persistent asthma, without improvements in lung function. CLINICAL TRIAL REGISTRATION NUMBER: Asthma and Mindfulness-Based Reduction (MBSR) Identifier: NCT00682669. clinicaltrials.gov.
    Source
    Thorax. 2012 Sep;67(9):769-76. Epub 2012 Apr 27. Link to article on publisher's site
    DOI
    10.1136/thoraxjnl-2011-200253
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/44832
    PubMed ID
    22544892
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1136/thoraxjnl-2011-200253
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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