Do Brief Mindfulness Interventions (BMI) and Health Enhancement Programs (HEP) Improve Sleep in Patients in Hemodialysis with Depression and Anxiety?

Do Brief Mindfulness Interventions (BMI) and Health Enhancement Programs (HEP) Improve Sleep in Patients in Hemodialysis with Depression and Anxiety?

(1) Objective: to determine if a brief mindfulness intervention (BMI) and a health education program (HEP) could improve measures of insomnia in patients undergoing hemodialysis. (2) Methods: this was a planned secondary analysis of a randomized controlled trial of BMI vs. HEP for hemodialysis patie...

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Autores principales: Paola Lavin, Rim Nazar, Marouane Nassim, Helen Noble, Elizaveta Solomonova, Elena Dikaios, Marta Novak, Istvan Mucsi, Emilie Trinh, Angela Potes, Ahsan Alam, Rita S. Suri, Zoe Thomas, Clare Mc Veigh, Mark Lipman, Susana Torres-Platas, Outi Linnaranta, Soham Rej
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
Materias:
mindfulness
hemodialysis
sleep
actigraphy
meditation
psychosocial intervention
Medicine
R
Acceso en línea:https://doaj.org/article/1d6e16c8e79c44c29b6fc6ac31670675
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spelling oai:doaj.org-article:1d6e16c8e79c44c29b6fc6ac316706752021-11-25T17:43:35ZDo Brief Mindfulness Interventions (BMI) and Health Enhancement Programs (HEP) Improve Sleep in Patients in Hemodialysis with Depression and Anxiety?10.3390/healthcare91114102227-9032https://doaj.org/article/1d6e16c8e79c44c29b6fc6ac316706752021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1410https://doaj.org/toc/2227-9032(1) Objective: to determine if a brief mindfulness intervention (BMI) and a health education program (HEP) could improve measures of insomnia in patients undergoing hemodialysis. (2) Methods: this was a planned secondary analysis of a randomized controlled trial of BMI vs. HEP for hemodialysis patients with depression and/or anxiety symptoms. The primary outcome for the analysis was the Athens Insomnia Scale (AIS). The secondary outcome was consolidation of daily inactivity (ConDI), an actigraphy measure that describes sleep continuity and is based on a sleep detection algorithm validated by polysomnography. We also explored whether changes in AIS and ConDI were associated with changes in depression, anxiety, and quality of life scores over 8-week follow-up. (3) Results: BMI and HEP groups did not differ significantly from one another. Exposure to BMI or HEP improved sleep quality (baseline AIS 9.9 (±5.0) vs. 8-week follow-up 6.4 (±3.9), (V = 155.5, <i>p</i> = 0.015)), but not ConDI. Improvements in AIS were associated with lower depression scores (Rho = 0.57, <i>p</i> = 0.01) and higher quality-of-life scores (Rho = 0.46, <i>p</i> = 0.04). (4) Conclusions: mindfulness and HEP may be helpful interventions to improve self-reported sleep quality in patients undergoing hemodialysis. Decreases in insomnia scores were associated with decreased depression symptoms and increased quality of life scores.Paola LavinRim NazarMarouane NassimHelen NobleElizaveta SolomonovaElena DikaiosMarta NovakIstvan MucsiEmilie TrinhAngela PotesAhsan AlamRita S. SuriZoe ThomasClare Mc VeighMark LipmanSusana Torres-PlatasOuti LinnarantaSoham RejMDPI AGarticlemindfulnesshemodialysissleepactigraphymeditationpsychosocial interventionMedicineRENHealthcare, Vol 9, Iss 1410, p 1410 (2021)
institution DOAJ
collection DOAJ
language EN
topic mindfulness
hemodialysis
sleep
actigraphy
meditation
psychosocial intervention
Medicine
R
spellingShingle mindfulness
hemodialysis
sleep
actigraphy
meditation
psychosocial intervention
Medicine
R
Paola Lavin
Rim Nazar
Marouane Nassim
Helen Noble
Elizaveta Solomonova
Elena Dikaios
Marta Novak
Istvan Mucsi
Emilie Trinh
Angela Potes
Ahsan Alam
Rita S. Suri
Zoe Thomas
Clare Mc Veigh
Mark Lipman
Susana Torres-Platas
Outi Linnaranta
Soham Rej
Do Brief Mindfulness Interventions (BMI) and Health Enhancement Programs (HEP) Improve Sleep in Patients in Hemodialysis with Depression and Anxiety?
description (1) Objective: to determine if a brief mindfulness intervention (BMI) and a health education program (HEP) could improve measures of insomnia in patients undergoing hemodialysis. (2) Methods: this was a planned secondary analysis of a randomized controlled trial of BMI vs. HEP for hemodialysis patients with depression and/or anxiety symptoms. The primary outcome for the analysis was the Athens Insomnia Scale (AIS). The secondary outcome was consolidation of daily inactivity (ConDI), an actigraphy measure that describes sleep continuity and is based on a sleep detection algorithm validated by polysomnography. We also explored whether changes in AIS and ConDI were associated with changes in depression, anxiety, and quality of life scores over 8-week follow-up. (3) Results: BMI and HEP groups did not differ significantly from one another. Exposure to BMI or HEP improved sleep quality (baseline AIS 9.9 (±5.0) vs. 8-week follow-up 6.4 (±3.9), (V = 155.5, <i>p</i> = 0.015)), but not ConDI. Improvements in AIS were associated with lower depression scores (Rho = 0.57, <i>p</i> = 0.01) and higher quality-of-life scores (Rho = 0.46, <i>p</i> = 0.04). (4) Conclusions: mindfulness and HEP may be helpful interventions to improve self-reported sleep quality in patients undergoing hemodialysis. Decreases in insomnia scores were associated with decreased depression symptoms and increased quality of life scores.
format article
author Paola Lavin
Rim Nazar
Marouane Nassim
Helen Noble
Elizaveta Solomonova
Elena Dikaios
Marta Novak
Istvan Mucsi
Emilie Trinh
Angela Potes
Ahsan Alam
Rita S. Suri
Zoe Thomas
Clare Mc Veigh
Mark Lipman
Susana Torres-Platas
Outi Linnaranta
Soham Rej
author_facet Paola Lavin
Rim Nazar
Marouane Nassim
Helen Noble
Elizaveta Solomonova
Elena Dikaios
Marta Novak
Istvan Mucsi
Emilie Trinh
Angela Potes
Ahsan Alam
Rita S. Suri
Zoe Thomas
Clare Mc Veigh
Mark Lipman
Susana Torres-Platas
Outi Linnaranta
Soham Rej
author_sort Paola Lavin
title Do Brief Mindfulness Interventions (BMI) and Health Enhancement Programs (HEP) Improve Sleep in Patients in Hemodialysis with Depression and Anxiety?
title_short Do Brief Mindfulness Interventions (BMI) and Health Enhancement Programs (HEP) Improve Sleep in Patients in Hemodialysis with Depression and Anxiety?
title_full Do Brief Mindfulness Interventions (BMI) and Health Enhancement Programs (HEP) Improve Sleep in Patients in Hemodialysis with Depression and Anxiety?
title_fullStr Do Brief Mindfulness Interventions (BMI) and Health Enhancement Programs (HEP) Improve Sleep in Patients in Hemodialysis with Depression and Anxiety?
title_full_unstemmed Do Brief Mindfulness Interventions (BMI) and Health Enhancement Programs (HEP) Improve Sleep in Patients in Hemodialysis with Depression and Anxiety?
title_sort do brief mindfulness interventions (bmi) and health enhancement programs (hep) improve sleep in patients in hemodialysis with depression and anxiety?
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/1d6e16c8e79c44c29b6fc6ac31670675
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