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Volume 8, Issue 2 (9-2018)
PCNM 2018, 8(2): 42-49 |
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Amini K, Dehghani S, Niroomand S, Hasanlo M, Amini D, Faghihzadeh S. Effects of Meditation on Depression among Patients Undergoing Hemodialysis. PCNM 2018; 8 (2) :42-49
URL: http://nmcjournal.zums.ac.ir/article-1-582-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-582-en.html
Kourosh Amini * 
, Sahar Dehghani , Soudabeh Niroomand , Masomeh Hasanlo , Daryoush Amini , Soghrat Faghihzadeh
, Sahar Dehghani , Soudabeh Niroomand , Masomeh Hasanlo , Daryoush Amini , Soghrat Faghihzadeh
zanjan medical sciences university , korosh@zums.ac.ir
Abstract: (12446 Views)
Background: Considering the increasing prevalence of psychological problems, complications, and consequences of depression in patients undergoing hemodialysis (HD), the application of complementary therapies such as meditation counseling is highly important.
Objectives: Therefore, this study aimed to investigate the effect of meditation on depression in patients undergoing HD.
Methods: This clinical trial was conducted on 57 patients who met the inclusion criteria by the convenience sampling method. The participants were randomly allocated to intervention and control groups. Those in the intervention group attended three 15-20 minute educational practice sessions weekly offered over an eight-week period while the control group received no intervention. A validated questionnaire assessed depressive symptoms at baseline and after 4 and 8 weeks. In addition, the CONSORT statement was adhered to where possible. Finally, t-test, repeated-measures ANOVA, Fisher’s exact test, and Chi-square tests were used to analyze data using SPSS 16.
Results: The mean depression score among the patients of the intervention group decreased from 85±1.56 at baseline to 70±1.27 at 8-week follow-up (P=0.003). Further, the mean score of depressive symptoms significantly decreased during eight weeks after the intervention (P<0.001).
Conclusion: Simple and non-expensive meditation exercises could fruitfully decrease depression symptoms in patients undergoing HD. The prevalence of depressive symptoms is high among the patients, therefore, the implementation of meditation exercises should help minimize a major problem in these groups of patients.
Objectives: Therefore, this study aimed to investigate the effect of meditation on depression in patients undergoing HD.
Methods: This clinical trial was conducted on 57 patients who met the inclusion criteria by the convenience sampling method. The participants were randomly allocated to intervention and control groups. Those in the intervention group attended three 15-20 minute educational practice sessions weekly offered over an eight-week period while the control group received no intervention. A validated questionnaire assessed depressive symptoms at baseline and after 4 and 8 weeks. In addition, the CONSORT statement was adhered to where possible. Finally, t-test, repeated-measures ANOVA, Fisher’s exact test, and Chi-square tests were used to analyze data using SPSS 16.
Results: The mean depression score among the patients of the intervention group decreased from 85±1.56 at baseline to 70±1.27 at 8-week follow-up (P=0.003). Further, the mean score of depressive symptoms significantly decreased during eight weeks after the intervention (P<0.001).
Conclusion: Simple and non-expensive meditation exercises could fruitfully decrease depression symptoms in patients undergoing HD. The prevalence of depressive symptoms is high among the patients, therefore, the implementation of meditation exercises should help minimize a major problem in these groups of patients.
Type of Study: Orginal research |
Subject:
Midwifery
Received: 2019/07/13 | Accepted: 2018/09/17 | Published: 2018/09/17
Received: 2019/07/13 | Accepted: 2018/09/17 | Published: 2018/09/17
References
1. Kasper DL, Fauci AS, Hauser SL, Longo DL, Jameson JL, Loscalzo J. Harrison's Principles of Internal Medicine. 1 st, 2 nd ed. United States: McGraw Hill Professional; 2018.
2. Trillini M, Perico N, Remuzzi G. Epidemiology of end-stage renal failure: the burden of kidney diseases to global health. Kidney Transplantation, Bioengineering and Regeneration: Elsevier; 2017. p. 5-11. [Crossref]
3. Germain MJ, Davison SN, Moss AH. When Enough Is Enough: The Nephrologist's Responsibility in Ordering Dialysis Treatments. Am J Kidney Dis. 2011; 58(1): 135-43. [Crossref]
4. Schell JO, Arnold RM. NephroTalk: communication tools to enhance patient‐centered care. Semin Dial. 2012; 25(6): 611-16. [Crossref]
5. Kashinath G, Hemant B, Praerna C, Nagarathna R, Nagendra H. Role of yoga in chronic kidney disease: A hypothetical review. J Nephrol Ther. 2014; 4(3).
6. Jha V, Garcia-Garcia G, Iseki K, et al. Chronic kidney disease: global dimension and perspectives. Lancet. 2013; 382(9888): 260-72. [Crossref]
7. Goyal M, Singh S, Sibinga EMS, et al. Meditation Programs for Psychological Stress and Well-being: A Systematic Review and Meta-analysisMeditation for Psychological Stress and Well-beingMeditation for Psychological Stress and Well-being. JAMA Intern Med. 2014; 174(3): 357-68. [Crossref]
8. Kristeller JL, Rikhye K. Meditative Traditions and Contemporary Psychology. In: Rao KR, Paranjpe A, Dalal AK, editors. Handbook of Indian Psychology. Foundation Books; 2008: 506–38. [Crossref]
9. Sedlmeier P, Eberth J, Schwarz M, et al. The psychological effects of meditation: a meta-analysis. Psychol Bull. 2012; 138(6): 1139-71. [Crossref]
10. Hashemi J. Two heart meditation. Tehran: Culture and Art of Creative Visualization Institute; 2012.
11. Koike MK, Cardoso R. Meditation can produce beneficial effects to prevent cardiovascular disease. Horm Mol Biol Clin Investig. 2014; 18(3): 137-43. [Crossref]
12. Panta P. The possible role of meditation in myofascial pain syndrome: a new hypothesis. Indian J Palliat Care. 2017;23(2):180-87. [Crossref]
13. Boxleitner G, Jolie S, Shaffer D, Pasacreta N, Bai M, McCorkle R. Comparison of Two Types of Meditation on Patients' Psychosocial Responses During Radiation Therapy for Head and Neck Cancer. J Altern Complement Med. 2017; 23(5): 355-61. [Crossref]
14. Khusid MA, Vythilingam M. The emerging role of mindfulness meditation as effective self-management strategy, part 1: clinical implications for depression, post-traumatic stress disorder, and anxiety. Mil Med. 2016; 181(9):961-68. [Crossref]
15. Park K, Jun J, Jung S. The effects of Korean mindfulness based stress reduction program on the psychological symptoms, sleep and quality of life. Korea breast cancer patients. Korean J Str Res. 2013; 21(3): 249-62. [Crossref]
16. Kim YH, Kim HJ, Do Ahn S, Seo YJ, Kim SH. Effects of meditation on anxiety, depression, fatigue, and quality of life of women undergoing radiation therapy for breast cancer. Complement Ther Med. 2013; 21(4): 379-87. [Crossref]
17. Henry JD, Crawford JR. The short‐form version of the Depression Anxiety Stress Scales (DASS‐21): Construct validity and normative data in a large non‐clinical sample. Br J Clin psychol. 2005; 44(2):227-39. [Crossref]
18. Sahebi A, Asghari MJ, Salari RS. Validation of depression anxiety and stress scale (DASS-21) for an Iranian population. Iran Psychol. 2005; 4(1): 299-313. [In Persian]
19. Ahmadzadeh GH, Mehdi M. The Prevalence of Depression, Anxiety and Psychosis among Hemodialysis patients in Nour and Ali Asghar Hospitals in Isfahan. Isfahan Med School. 2012; 29(162). [In Persian]
20. Cukor D, Ver Halen N, Asher DR, et al. Psychosocial intervention improves depression, quality of life, and fluid adherence in hemodialysis. J Am Soc Nephrol. 2014; 25(1): 196-206. [Crossref]
21. Writers group. Nurse and dialysis. 2 nd ed. Tehran: Soha; 2009: 5-6. [In Persian]
22. Goh ZS, Griva K. Anxiety and depression in patients with end-stage renal disease: impact and management challenges–a narrative review. Int J Nephrol Renovasc Dis. 2018;11:93-102. [Crossref]
23. Hölzel BK, Lazar SW, Gard T, Schuman-Olivier Z, Vago DR, Ott U. How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspect Psychol Sci. 2011; 6(6):537-59. [Crossref]
24. Lee SH, Ahn SC, Lee YJ, Choi TK, Yook KH, Suh SY. Effectiveness of a meditation-based stress management program as an adjunct to pharmacotherapy in patients with anxiety disorder. J Psychosom Res. 2007; 62(2): 189-95. [Crossref]
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