Academic journal article Indian Journal of Positive Psychology

Efficacy of MBSR Program in Treating Depression, Anxiety and Perceived Stress in Coronary Heart Disease Patients

Academic journal article Indian Journal of Positive Psychology

Efficacy of MBSR Program in Treating Depression, Anxiety and Perceived Stress in Coronary Heart Disease Patients

Article excerpt

Coronary heart disease (CHD) is a major public health concern being one of the leading causes of death world-wide (Mackay & Mensah, 2004). Moreover, CHD is forecasted to be the most common cause of death globally, including India, by 2020 (Yusuf, Reddy, Ounpuu, et al., 2001). Epidemiological studies suggest that there are more than 32 million patients with CHD in our country (Gupta, 2005); and Indians are more likely to have types of heart disease that lead to worse outcomes (Gupta et al., 2008). The average age of patients with heart disease is lower among Indian people; over 30% of patients are below 40 years of age (Joshi, Islam, Pais et al., 2007). CHD is believed to be attributable to a number of lifestyle factors including tobacco smoking, unhealthy diet, and physical inactivity (Sanderson, Waller, Jarvis, et al., 2009). Despite, research findings that recommended lifestyle changes for CHD patients, since years (Pischke, Weidner, Elliott-Eller, Ornish, 2007); health professionals still face a huge challenge trying to make individuals positively change their lifestyles and reduce unhealthy behaviors, in order to improve health conditions (Reichert et al., 2010). It is seems quite relevant in the cases of established CHD, where reduction of all unhealthy lifestyle behaviors becomes increasingly paramount, but coexisting psychosocial stresses form an important barrier to successful modification of these lifestyle behaviors (Rozanski, Blumenthal, Kaplan, 1999). In addition, to be a barrier in behavior modification, psychosocial factors is also believed to contribute to CHD risk (Williams, Steptoe, Chambers, Kooner, 2009). There is now mounting evidence that Psychological risk factors are associated with not only with incidence (Ferketich et al., 2000) but also with progression (Lett et al., 2004) of CHD. A meta-analysis (Van Melle et al, 2004) showed that depression postmyocardial infarction was associated with a 2- to 2.5-fold increased risk for all-cause mortality, cardiovascular mortality and cardiovascular events. Unwelcome psychological consequences (depression, anxiety, and perceived stress) in CHD population make the situation even more alarming (Nehra et al., 2012a,b) and posing a massive challenge globally. Since these factors can have a major impact on the quality of life of cardiac patients and seems negatively affect the long term outcome in these patients. As a result, there has been a great deal of interest into potential treatments for these factors in cardiac patients, with the hope that successful mental health treatment might also have a favorable effect on cardiovascular and physical health outcomes. Now, there is clear evidence from the Western World that psychological and meditation programs have both preventive and therapeutic effects on CHD as well as many other long-term conditions.

An enlarging body of evidence establishes that psychosocial factors contribute significantly to the pathogenesis of CHD (Rozanski, Blumenthal, Kaplan, 1999). So, there is an urgent need to start genuine attempts to move away from a simple linear model of health and looks at the combination of factors involved in illness such as biological, psychological and social, particularly in CHD population. There is substantial evidence that Mindfulness Based Stress Reduction (MBSR) program improves mental and physical health compared to wait-list controls and treatment as usual, and is of comparable efficacy to other psychological interventions (MacCoon, Imel et. al., 2012; Gregg, Callaghan, Hayes, & Glenn - Lawson, 2007; Kabat-Zinn, 1990; Ma & Teasdale, 2004). Despite strong evidence on the efficacy of MBSR for psychiatric and physical disorders, notably less studies has been conducted in Indian settings.

Aims and Objectives

Aim of the study was to assess the efficacy of MBSR Program in the management of Depression, Anxiety and Perceived Stress in patient with CHD.

Method

Participants

Aim of the present study was to evaluate efficacy of Mindfulness Based Stress Reduction program in management of depression, anxiety and Perceived stress in CHD patients. …

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