Abstract
Objective: In this study, the Mindfulness Based Stress Reduction (MBSR) program was applied to patients presenting with depression and anxiety after surgery from spontaneous subarachnoid hemorrhage (SAH) and the effects were assessed. Methods: The subjects were patients admitted for cerebral aneurysm rupture and treated by means of surgery from March to December, 2007. More than 6 months had passed after surgery, without any special lesions showing up on computed tomography (CT), and the Glasgow outcome scale (GOS) was 5 points. Among patients with anxiety and depression symptoms, 11 patients completed the program. The MBSR program was conducted once a week, 2.5 hours each, for 8 weeks. The evaluation criteria were: 1) the Beck Depression Inventory (BDI): it measures the type and level of depression, 2) the State-Trait Anxiety Inventory: the anxiety state of normal adults without mental disorder, and 3) Heart Rate Variability (HRV): the influence of the autonomous nervous system on the sinoarterial node varies continuously in response to the change of the internal/external environment. Results: The BDI value was decreased from 18.5 ± 10.9 to 9.5 ± 7.1 (p = 0.013): it was statistically significant, and the depression level of patients was lowered. The state anxiety was decreased from 51.3 ± 13.9 to 42.3 ± 15.2; the trait anxiety was reduced from 50.9 ± 12.3 to 41.3 ± 12.8, and a borderline significant difference was shown (p = 0.091, p = 0.056). In other words, after the treatment, although it was not statistically significant, a decreased tendency in anxiety was shown. In the HRV measurement, standard deviation normal to normal (SDNN), square root of the square root of the mean sum of squared differences between adjacent normal to normal intervals (RMSSD), and total power (TP) showed significant increase, Physical Stress Index (PSI) showed a significant reduction, and thus an improvement in the homeostatic control mechanism of the autonomic nervous system was ween. Conclusion: The MBSR program was applied to the patients showing anxiety and depression reaction after SAH treatment, and a reduction in depression symptoms and physiological reactions were observed. The application of the MBSR program may be considered as a new tool in improving the quality of life for patients after surgery.
| Original language | English |
|---|---|
| Pages (from-to) | 345-351 |
| Number of pages | 7 |
| Journal | Journal of Korean Neurosurgical Society |
| Volume | 47 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2010 Jul 1 |
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Keywords
- Depression anxiety
- Mindfulness based stress reduction program
- Subarachnoid hemorrhage
ASJC Scopus subject areas
- Neuroscience(all)
- Surgery
- Clinical Neurology
Cite this
Effects of mindfulness based stress reduction program on depression, anxiety and stress in patients with aneurysmal subarachnoid hemorrhage. / Joo, Hye Myung; Lee, Sung Jae; Chung, Yong Gu; Shin, Il Young.
In: Journal of Korean Neurosurgical Society, Vol. 47, No. 5, 01.07.2010, p. 345-351.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effects of mindfulness based stress reduction program on depression, anxiety and stress in patients with aneurysmal subarachnoid hemorrhage
AU - Joo, Hye Myung
AU - Lee, Sung Jae
AU - Chung, Yong Gu
AU - Shin, Il Young
PY - 2010/7/1
Y1 - 2010/7/1
N2 - Objective: In this study, the Mindfulness Based Stress Reduction (MBSR) program was applied to patients presenting with depression and anxiety after surgery from spontaneous subarachnoid hemorrhage (SAH) and the effects were assessed. Methods: The subjects were patients admitted for cerebral aneurysm rupture and treated by means of surgery from March to December, 2007. More than 6 months had passed after surgery, without any special lesions showing up on computed tomography (CT), and the Glasgow outcome scale (GOS) was 5 points. Among patients with anxiety and depression symptoms, 11 patients completed the program. The MBSR program was conducted once a week, 2.5 hours each, for 8 weeks. The evaluation criteria were: 1) the Beck Depression Inventory (BDI): it measures the type and level of depression, 2) the State-Trait Anxiety Inventory: the anxiety state of normal adults without mental disorder, and 3) Heart Rate Variability (HRV): the influence of the autonomous nervous system on the sinoarterial node varies continuously in response to the change of the internal/external environment. Results: The BDI value was decreased from 18.5 ± 10.9 to 9.5 ± 7.1 (p = 0.013): it was statistically significant, and the depression level of patients was lowered. The state anxiety was decreased from 51.3 ± 13.9 to 42.3 ± 15.2; the trait anxiety was reduced from 50.9 ± 12.3 to 41.3 ± 12.8, and a borderline significant difference was shown (p = 0.091, p = 0.056). In other words, after the treatment, although it was not statistically significant, a decreased tendency in anxiety was shown. In the HRV measurement, standard deviation normal to normal (SDNN), square root of the square root of the mean sum of squared differences between adjacent normal to normal intervals (RMSSD), and total power (TP) showed significant increase, Physical Stress Index (PSI) showed a significant reduction, and thus an improvement in the homeostatic control mechanism of the autonomic nervous system was ween. Conclusion: The MBSR program was applied to the patients showing anxiety and depression reaction after SAH treatment, and a reduction in depression symptoms and physiological reactions were observed. The application of the MBSR program may be considered as a new tool in improving the quality of life for patients after surgery.
AB - Objective: In this study, the Mindfulness Based Stress Reduction (MBSR) program was applied to patients presenting with depression and anxiety after surgery from spontaneous subarachnoid hemorrhage (SAH) and the effects were assessed. Methods: The subjects were patients admitted for cerebral aneurysm rupture and treated by means of surgery from March to December, 2007. More than 6 months had passed after surgery, without any special lesions showing up on computed tomography (CT), and the Glasgow outcome scale (GOS) was 5 points. Among patients with anxiety and depression symptoms, 11 patients completed the program. The MBSR program was conducted once a week, 2.5 hours each, for 8 weeks. The evaluation criteria were: 1) the Beck Depression Inventory (BDI): it measures the type and level of depression, 2) the State-Trait Anxiety Inventory: the anxiety state of normal adults without mental disorder, and 3) Heart Rate Variability (HRV): the influence of the autonomous nervous system on the sinoarterial node varies continuously in response to the change of the internal/external environment. Results: The BDI value was decreased from 18.5 ± 10.9 to 9.5 ± 7.1 (p = 0.013): it was statistically significant, and the depression level of patients was lowered. The state anxiety was decreased from 51.3 ± 13.9 to 42.3 ± 15.2; the trait anxiety was reduced from 50.9 ± 12.3 to 41.3 ± 12.8, and a borderline significant difference was shown (p = 0.091, p = 0.056). In other words, after the treatment, although it was not statistically significant, a decreased tendency in anxiety was shown. In the HRV measurement, standard deviation normal to normal (SDNN), square root of the square root of the mean sum of squared differences between adjacent normal to normal intervals (RMSSD), and total power (TP) showed significant increase, Physical Stress Index (PSI) showed a significant reduction, and thus an improvement in the homeostatic control mechanism of the autonomic nervous system was ween. Conclusion: The MBSR program was applied to the patients showing anxiety and depression reaction after SAH treatment, and a reduction in depression symptoms and physiological reactions were observed. The application of the MBSR program may be considered as a new tool in improving the quality of life for patients after surgery.
KW - Depression anxiety
KW - Mindfulness based stress reduction program
KW - Subarachnoid hemorrhage
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UR - http://www.scopus.com/inward/citedby.url?scp=77954020095&partnerID=8YFLogxK
U2 - 10.3340/jkns.2010.47.5.345
DO - 10.3340/jkns.2010.47.5.345
M3 - Article
VL - 47
SP - 345
EP - 351
JO - Journal of Korean Neurosurgical Society
JF - Journal of Korean Neurosurgical Society
SN - 2005-3711
IS - 5
ER -