Academic journal article Iranian Journal of Public Health

Effect of Mindfulness Based Stress Reduction on Quality of Life (SF-36) and Spirometry Parameters, in Chemically Pulmonary Injured Veterans

Academic journal article Iranian Journal of Public Health

Effect of Mindfulness Based Stress Reduction on Quality of Life (SF-36) and Spirometry Parameters, in Chemically Pulmonary Injured Veterans

Article excerpt

Abstract

Background:Studies have shown that Mindfulness Based Stress Reduction (MBSR) has positive effect on physical and psychological dimensions of chronic illnesses. In this study for the first time we examine the effect of this new technique on quality of life and pulmonary function in chemically pulmonary injured veterans who have chronic pul- monary problem, psychological problems and low quality of life.

Methods: Forty male pulmonary injured veterans were randomly replaced in two groups with 20 participants (MBSR and control Wait List (WL)). Then MBSR group received 8-weekly sessions intervention. We evaluate quality of life (used SF-36 questionnaire) and Spirometry parameters two times; before and after intervention in two group. We used "mixed factorial analyses of variance" test for analyzing data in each dependent variables. Then if we have significant interactional effect, we used "paired-sample t-test" forcomparing before and after intervention data of each group, and "Independent-Samplet-test" for comparing after intervention data of two groups.

Results: The MBSR compare to WL group improved SF-36 total score, (F (1, 38) =12.09,P=0.001), "Role limitations due to physical problems"(F(1,38)= 6.92, P=0.01), "Role limitations due to emotional problems"(F(1,38)= 7.75, P=0.008), "Social functioning"(F(1,38)= 9.89, P=0.003), "Mental health"(F(1,38)= 15.93, P=0), "Vitality"(F(1,38)= 40.03, P≤0.001), and "Pain"(F(1,38)= 27.60, P≤0.001). MBSR had no significant effect on "FEV1" (F (1, 38) = 0.03, P=0.85),"FVC" (F (1, 38) = 0.16,P=0.69) and "FEV1/FVC" (F (1, 38) = 2.21,P=0.14).

Conclusion: MBSR can improve individual's quality of life but not lung function in chemically pulmonary injured veterans.

Keywords:Mindfulness, Stress, Quality of life, SF-36, Spirometry, Veterans

Introduction

Mindfulness-Based Stress Reduction (MBSR) orig- inated at the university of Massachusetts medical center in 1979, and developed for relieving stress and better coping with illnesses (1). MBSR is a program with eight weekly mindfulness training sessions. The sessions have standardized elements, including body-scan exercises, mental exercises focusing on the breath, physical exercises focusing on bodily sensations and own limits during the exercises, and practice of being fully aware during everyday activities by using the breath (2). The MBSR intervention is usually used for people with chronic physical and psychological illnesses (3). In last three decades, many studies examine the ef- fect of mindfulness-based interventions that showed positive effect on patients' physical and psychological problems in many chronic diseases (4). Studies showed the effect of MBSR in reduc- ing negative mood psychological distress, anxiety and depression in many populations (5-6) and Others showed positive effect of this method on quality of life (4, 6-11). Some studies evaluated the effect of psy-chological intervention on Spirome- try parameters in patients with pulmonary prob- lems. Lahman in asthma diseases showed that "functional relaxation" and "guided imagery" can improve FEV1and Specific airway Resistance (SRaw) (12). Also Pbert et al. (2012) evaluated the efficacy of MBSR in improving asthma-related quality of life and lung function; they concluded that MBSR can improve significantly quality of life but not lung function (13). Chemically pulmonary injured vete-rans, have many psychological and physical problems science nearly three decades ago (Iran -Iraq war) that effect on their health, and quality of life. Furthermore, most treatments that have been used for them are chemical drugs and palliative therapies. Thus development of new non-drug intervention that can improve health and quality of life is essential in their rehabilitation program.

In our searches in some indexing sites like Pub- med, SCOPUS, EMBAS and Google scholar there is not any studies about MBSR and its effects on these patients so we designed this study with the assumption that this intervention will improve their lung function and quality of life. …

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