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Internet-delivered mindfulness for people with depression and chronic pain following spinal cord injury: a randomized, controlled feasibility trial.

Spinal cord
August 1, 2018
Jasmine Heath Hearn et al. (2 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to explore the efficacy and feasibility of web-based mindfulness training for reducing depression, anxiety, and pain in people with spinal cord injury (SCI).

Results Summary

Mindfulness training significantly reduced depression, anxiety, pain unpleasantness, and catastrophizing compared to psychoeducation, with effects persisting at follow-up. Mindfulness scores also improved, except for the observing facet.

Population

People with spinal cord injury (SCI) in a UK community sample.

Effective Dosage

8-week online mindfulness intervention (specific frequency not detailed).

Duration

8 weeks, with follow-up at 3 months post-intervention.

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
8-week online mindfulness intervention
decrease
depression symptom severity
people with spinal cord injury (SCI)
mean difference = -1.50, 95% CI [-2.43, -0.58]
reduced depression significantly more than psychoeducation
#1
8-week online mindfulness intervention
decrease
depression symptom severity
people with spinal cord injury (SCI)
mean difference = -2.34, 95% CI [-3.62, -1.10]
reduced depression significantly more than psychoeducation
#2
mindfulness training
decrease
anxiety
people with spinal cord injury (SCI)
-
significantly reduced
#3
mindfulness training
decrease
pain unpleasantness
people with spinal cord injury (SCI)
-
significantly reduced
#4
mindfulness training
decrease
pain catastrophizing
people with spinal cord injury (SCI)
-
significantly reduced
#5
mindfulness training
increase
total mindfulness scores
people with spinal cord injury (SCI)
-
significantly higher
#6
mindfulness training
increase
all facets of mindfulness except observing
people with spinal cord injury (SCI)
-
significantly higher
#7
mindfulness training
decrease
anxiety
people with spinal cord injury (SCI)
-
reductions persisted
#8
mindfulness training
decrease
catastrophizing
people with spinal cord injury (SCI)
-
reductions persisted
#9
Abstract

STUDY DESIGN: Between-subjects, randomized controlled feasibility study. OBJECTIVES: Populations with reduced sensory and motor function are at increased risk of depression, anxiety and pain, and may be less geographically mobile. This study explored the efficacy and feasibility of web-based mindfulness training for people with spinal cord injury (SCI). SETTING: UK community sample. METHODS: Participants were randomly allocated to an 8-week online mindfulness intervention (N = 36), or to internet-delivered psychoeducation (N = 31). Depression symptom severity was the primary outcome. Secondary outcomes included anxiety, quality of life (QoL), pain perception, pain catastrophizing and mindfulness. Measures were taken before (T1), at completion of, (T2), and 3 months following the intervention (T3). RESULTS: At T2, ten participants discontinued mindfulness training, and five discontinued psychoeducation. Dropouts were of significantly older age. Nine participants were lost to follow-up. Mindfulness reduced depression significantly more than psychoeducation at T2 (mean difference = -1.50, 95% CI [-2.43, -0.58]) and T3 (mean difference = -2.34, 95% CI [-3.62, -1.10]). Anxiety, pain unpleasantness and catastrophizing were significantly reduced compared with psychoeducation. Total mindfulness scores, and all facets of mindfulness except observing were significantly higher following mindfulness training. At follow-up, reductions in anxiety and catastrophizing persisted. CONCLUSIONS: Internet-delivered mindfulness training offers unique benefits and is viable for people with reduced sensory awareness. Future work should explore the feasibility of combined education and mindfulness training. The use of brief interventions shows promise in maximizing participant retention.

Medical Subject Headings (MeSH)
AdultAnxietyCatastrophizationChronic PainDepressionFeasibility StudiesFemaleFollow-Up StudiesHumansInternetMaleMiddle AgedMindfulnessPain PerceptionPatient CompliancePatient Education as TopicQuality of LifeSpinal Cord InjuriesTherapy, Computer-AssistedTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations54
Citations/Year7.7
Relative Citation Ratio4.26
NIH Percentile91.1%
Research Impact Scores
APT Score0.95
Weight Score2.20
Normalized Score0.69
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