The effect of mindfulness-based interventions on caregiver burden, quality of life and psychological distress in caregivers of adults with chronic diseases: Systematic review and meta-analysis of randomized controlled trials.
caregiver burden
caregivers
chronic disease
meta‐analysis
mindfulness‐based interventions
psychological distress
quality of life
Journal
Worldviews on evidence-based nursing
ISSN: 1741-6787
Titre abrégé: Worldviews Evid Based Nurs
Pays: United States
ID NLM: 101185267
Informations de publication
Date de publication:
13 Jun 2024
13 Jun 2024
Historique:
revised:
31
03
2024
received:
04
01
2024
accepted:
05
05
2024
medline:
13
6
2024
pubmed:
13
6
2024
entrez:
13
6
2024
Statut:
aheadofprint
Résumé
Chronic diseases requiring long-term treatment, care, and follow-up can negatively affect the health and well-being of caregivers. Mindfulness-based interventions (MBIs) are increasingly used as a mental health intervention to control the psychological problems experienced by caregivers and improve their quality of life. This systematic review and meta-analysis aimed to provide evidence for a holistic evaluation and synthesis of the effects of MBIs applied to caregivers of adults with chronic disease on the burden, quality of life, and psychological distress. Studies evaluating the effects of mindfulness-based interventions on caregivers of adults with chronic diseases and published through September 2023 were searched using PubMed, Web of Science, Scopus, and EBSCO. Methodological quality was assessed with the modified JADAD scale, and bias was assessed with the Cochrane risk-of-bias tool for randomized trials. Randomized controlled studies were included. The standardized mean difference with a 95% confidence interval was calculated. Heterogeneity was analyzed using the I This meta-analysis included 12 studies. Pooled evidence found that MBIs resulted in significant improvements in stress, anxiety, depression, and caregiver burden in caregivers of adults with chronic illness but had no significant effects on quality of life, resilience, and mindfulness. The Egger's test showed no evidence of publication bias. MBIs can be considered as a helpful method to increase psychological well-being and reduce caregiver burden in caregivers of adults with chronic diseases. These findings may direct clinicians to conduct mindfulness-based interventions for caregivers of adults with chronic diseases.
Sections du résumé
BACKGROUND
BACKGROUND
Chronic diseases requiring long-term treatment, care, and follow-up can negatively affect the health and well-being of caregivers. Mindfulness-based interventions (MBIs) are increasingly used as a mental health intervention to control the psychological problems experienced by caregivers and improve their quality of life.
AIMS
OBJECTIVE
This systematic review and meta-analysis aimed to provide evidence for a holistic evaluation and synthesis of the effects of MBIs applied to caregivers of adults with chronic disease on the burden, quality of life, and psychological distress.
METHODS
METHODS
Studies evaluating the effects of mindfulness-based interventions on caregivers of adults with chronic diseases and published through September 2023 were searched using PubMed, Web of Science, Scopus, and EBSCO. Methodological quality was assessed with the modified JADAD scale, and bias was assessed with the Cochrane risk-of-bias tool for randomized trials. Randomized controlled studies were included. The standardized mean difference with a 95% confidence interval was calculated. Heterogeneity was analyzed using the I
RESULTS
RESULTS
This meta-analysis included 12 studies. Pooled evidence found that MBIs resulted in significant improvements in stress, anxiety, depression, and caregiver burden in caregivers of adults with chronic illness but had no significant effects on quality of life, resilience, and mindfulness. The Egger's test showed no evidence of publication bias.
LINKING EVIDENCE TO ACTION
CONCLUSIONS
MBIs can be considered as a helpful method to increase psychological well-being and reduce caregiver burden in caregivers of adults with chronic diseases. These findings may direct clinicians to conduct mindfulness-based interventions for caregivers of adults with chronic diseases.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Author(s). Worldviews on Evidence‐based Nursing published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International.
Références
Ahn, S. H., & Kim, S. H. (2022). Distress, family resilience, and quality of life among family caregivers of cancer patients undergoing chemotherapy: The moderating role of family resilience. Korean Journal of Adult Nursing, 34(2), 225. https://doi.org/10.7475/kjan.2022.34.2.225
Al Daken, L. I., & Ahmad, M. M. (2018). The implementation of mindfulness‐based interventions and educational interventions to support family caregivers of patients with cancer: A systematic review. Perspectives in Psychiatric Care, 54(3), 441–452. https://doi.org/10.1111/ppc.12286
Al Dawsari, S. M., Alsalhabi, H. M. A., Alshamrani, M. A., & Alsalhabi, M. M. A. (2023). Quality of life among patients with chronic diseases: Integrative review. Journal of Medical and Health Studies, 4(1), 39–46. https://doi.org/10.32996/jmhs.2023.4.1.4
Amir‐Behghadami, M., & Janati, A. (2020). Population, intervention, comparison, outcomes and study (PICOS) design as a framework to formulate eligibility criteria in systematic reviews. Emergency Medicine Journal, 37(6), 387. https://doi.org/10.1136/emermed‐2020‐209567
Bilgin, A., Ozdemir, L., & Oksuzoglu, O. B. (2022). Examination of family caregivers of advanced cancer patients within the scope of the cancer family caregiving experience model: An embedded mixed‐methods design. European Journal of Cancer Care, 31(6), 1–17. https://doi.org/10.1111/ecc.13659
Brown, K. W., Coogle, C. L., & Wegelin, J. (2016). A pilot randomized controlled trial of mindfulness‐based stress reduction for caregivers of family members with dementia. Aging & Mental Health, 20(11), 1157–1166. https://doi.org/10.1080/13607863.2015.1065790
Chacko, E., Ling, B. J. M., Avny, N., Barak, Y., Cullum, S., Sundram, F., & Cheung, G. (2022). Mindfulness‐based cognitive therapy for stress reduction in family carers of people living with dementia: A systematic review. International Journal of Environmental Research and Public Health, 19(1), 614. https://doi.org/10.3390/ijerph19010614
Collins, R. N., & Kishita, N. (2019). The effectiveness of mindfulness‐ and acceptance‐based interventions for informal caregivers of people with dementia: A meta‐analysis. Gerontologist, 59(4), E363–E379. https://doi.org/10.1093/geront/gny024
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997). Bias in meta‐analysis detected by a simple, graphical test. BMJ, 315(7109), 629–634. https://doi.org/10.1136/bmj.315.7109.629
Fernández‐Portero, C., Alarcón, D., Gallardo‐Flores, A., Amián, J. G., & Sánchez‐Medina, J. A. (2021). Effectiveness of a mindfulness‐based intervention program for women family caregivers of older adults. Healthcare, 9(9), 1216. https://doi.org/10.3390/healthcare9091216
Gilbertson, E. L., Krishnasamy, R., Foote, C., Kennard, A. L., Jardine, M. J., & Gray, N. A. (2019). Burden of care and quality of life among caregivers for adults receiving maintenance dialysis: A systematic review. American Journal of Kidney Diseases, 73(3), 332–343. https://doi.org/10.1053/j.ajkd.2018.09.006
Greeson, J. M., & Chin, G. R. (2019). Mindfulness and physical disease: A concise review. Current Opinion in Psychology, 28, 204–210. https://doi.org/10.1016/j.copsyc.2018.12.014
Han, A. (2022). Effects of mindfulness‐based interventions on depressive symptoms, anxiety, stress, and quality of life in family caregivers of persons living with dementia: A systematic review and meta‐analysis. Research on Aging, 44(7–8), 494–509. https://doi.org/10.1177/01640275211043486
Higgins, J. P., Savović, J., Page, M. J., Elbers, R. G., & Sterne, J. A. (2019). Assessing risk of bias in a randomized trial. In J. P. T. Higgins, J. Thomas, J. Chandler, M. Cumpston, T. Li, M. J. Page, & V. A. Welch (Eds.), Cochrane handbook for systematic reviews of interventions (pp. 205–228). Wiley. https://doi.org/10.1002/9781119536604.ch8
Higgins, J. P., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta‐analyses. BMJ, 327(7414), 557–560. https://doi.org/10.1136/bmj.327.7414.557
Hou, R. J., Wong, S. Y., Yip, B. H., Hung, A. T., Lo, H. H., Chan, P. H., Lo, C. S., Kwok, T. C., Tang, W. K., Mak, W. W., Mercer, S. W., & Ma, S. H. (2014). The effects of mindfulness‐based stress reduction program on the mental health of family caregivers: A randomized controlled trial. Psychotherapy and Psychosomatics, 83(1), 45–53. https://doi.org/10.1159/000353278
Kazemi, A., Azimian, J., Mafi, M., Allen, K. A., & Motalebi, S. A. (2021). Caregiver burden and coping strategies in caregivers of older patients with stroke. BMC Psychology, 9(1), 51. https://doi.org/10.1186/s40359‐021‐00556‐z
Kor, P. P. K., Liu, J. Y. W., & Chien, W. T. (2021). Effects of a modified mindfulness‐based cognitive therapy for family caregivers of people with dementia: A randomized clinical trial. Gerontologist, 61(6), 977–990. https://doi.org/10.1093/geront/gnaa125
Kor, P. P. K., Liu, J. Y. W., & Chien, W. T. (2019). Effects of a modified mindfulness‐based cognitive therapy for family caregivers of people with dementia: A pilot randomized controlled trial. International Journal of Nursing Studies, 98, 107–117. https://doi.org/10.1016/j.ijnurstu.2019.02.020
Kubo, A., Kurtovich, E., McGinnis, M., Aghaee, S., Altschuler, A., Quesenberry, C. J., Kolevska, T., & Avins, A. L. (2019). A randomized controlled trial of mhealth mindfulness intervention for cancer patients and informal cancer caregivers: A feasibility study within an integrated health care delivery system. Integrative Cancer Therapies, 18, 1534735419850634. https://doi.org/10.1177/1534735419850634
LaManna, J. B., Unruh, L., Chisholm, L., Pericles, P., & Fotovvat, H. (2020). Perceptions of health and well‐being among older adult caregivers: Comparisons of current caregivers with former and never caregivers. Geriatric Nursing, 41(4), 429–435. https://doi.org/10.1016/j.gerinurse.2020.01.015
Liu, Z., Chen, Q. L., & Sun, Y. Y. (2017). Mindfulness training for psychological stress in family caregivers of persons with dementia: A systematic review and meta‐analysis of randomized controlled trials. Clinical Interventions in Aging, 12, 1521–1529. https://doi.org/10.2147/CIA.S146213
Liu, Z., Heffernan, C., & Tan, J. (2020). Caregiver burden: A concept analysis. International Journal of Nursing Sciences, 7(4), 438–445. https://doi.org/10.1016/j.ijnss.2020.07.012
Maresova, P., Javanmardi, E., Barakovic, S., Barakovic Husic, J., Tomsone, S., Krejcar, O., & Kuca, K. (2019). Consequences of chronic diseases and other limitations associated with old age – A scoping review. BMC Public Health, 19(1), 1431. https://doi.org/10.1186/s12889‐019‐7762‐5
Molero Jurado, M., del, M., Pérez‐Fuentes, M., del, C., Barragán Martín, A. B., Soriano Sánchez, J. G., Oropesa Ruiz, N. F., Sisto, M., & Gázquez Linares, J. J. (2020). Mindfulness in family caregivers of persons with dementia: Systematic review and meta‐analysis. Healthcare, 8(3), 193. https://doi.org/10.3390/healthcare8030193
Nguyen, S. A., Oughli, H. A., & Lavretsky, H. (2022). Complementary and integrative medicine for neurocognitive disorders and caregiver health. Current Psychiatry Reports, 24(9), 469–480. https://doi.org/10.1007/s11920‐022‐01355‐y
Oken, B. S., Fonareva, I., Haas, M., Wahbeh, H., Lane, J. B., Zajdel, D., & Amen, A. (2010). Pilot controlled trial of mindfulness meditation and education for dementia caregivers. The Journal of Alternative and Complementary Medicine, 16(10), 1031–1038. https://doi.org/10.1089/acm.2009.0733
Oremus, M., Wolfson, C., Perrault, A., Demers, L., Momoli, F., & Moride, Y. (2001). Interrater reliability of the modified jadad quality scale for systematic reviews of Alzheimer's disease drug trials. Dementia and Geriatric Cognitive Disorders, 12(3), 232–236. https://doi.org/10.1159/000051263
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., & Moher, D. (2021). Updating guidance for reporting systematic reviews: Development of the PRISMA 2020 statement. Journal of Clinical Epidemiology, 134, 103–112. https://doi.org/10.1016/j.jclinepi.2021.02.003
Pagnini, F., Phillips, D., Haulman, A., Bankert, M., Simmons, Z., & Langer, E. (2022). An online non‐meditative mindfulness intervention for people with ALS and their caregivers: A randomized controlled trial. Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, 23(1–2), 116–127. https://doi.org/10.1080/21678421.2021.1928707
Rezaei, H., Niksima, S. H., & Ghanei Gheshlagh, R. (2020). Burden of care in caregivers of Iranian patients with chronic disorders: A systematic review and meta‐analysis. Health and Quality of Life Outcomes, 18(1), 261. https://doi.org/10.1186/s12955‐020‐01503‐z
Saragih, I. D., Batubara, S. O., Sharma, S., Saragih, I. S., & Chou, F. (2023). A meta‐analysis of mindfulness‐based interventions for improving mental health and burden among caregivers of persons living with dementia. Worldviews on Evidence‐Based Nursing, 21(2), 183–193. https://doi.org/10.1111/wvn.12690
Schellekens, M. P. J., van den Hurk, D. G. M., Prins, J. B., Donders, A. R. T., Molema, J., Dekhuijzen, R., van der Drift, M. A., & Speckens, A. E. M. (2017). Mindfulness‐based stress reduction added to care as usual for lung cancer patients and/or their partners: A multicentre randomized controlled trial. Psycho‐Oncology, 26(12), 2118–2126. https://doi.org/10.1002/pon.4430
Shim, M., Tilley, J. L., Im, S., Price, K., & Gonzalez, A. (2021). A systematic review of mindfulness‐based interventions for patients with mild cognitive impairment or dementia and caregivers. Journal of Geriatric Psychiatry and Neurology, 34(6), 528–554. https://doi.org/10.1177/0891988720957104
Stathopoulou, A., & Fragkiadakis, G. F. (2023). Assessment of psychological distress and quality of life of family caregivers caring for patients with chronic diseases at home. AIMS Public Health, 10(2), 456–468. https://doi.org/10.3934/publichealth.2023032
Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H.‐Y., Corbett, M. S., Eldridge, S. M., Emberson, J. R., Hernán, M. A., Hopewell, S., Hróbjartsson, A., Junqueira, D. R., Jüni, P., Kirkham, J. J., Lasserson, T., Li, T., … Higgins, J. P. T. (2019). RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ, 366, l4898. https://doi.org/10.1136/bmj.l4898
Sui, Y. F., Kor, P. P., Li, M. L., & Wang, J. J. (2023). Effects of a social media‐based mind‐body intervention embedded with acupressure and mindfulness for stress reduction among family caregivers of frail older adults: Pilot randomized controlled trial. JMIR Formative Research, 7, e42861. https://doi.org/10.2196/42861
Sung, P., Goh, V. S., Azman, N. D., Visaria, A., & Malhotra, R. (2022). Types of caregiving experience and their association with caregiver depressive symptoms and quality of life. Journal of Aging and Health, 34(4–5), 591–601. https://doi.org/10.1177/08982643211051568
Tan, K. P., Ang, J. K., Koh, E. B. Y., Pang, N. T. P., & Mat Saher, Z. (2023). Relationship of psychological flexibility and mindfulness to caregiver burden, and depressive and anxiety symptoms in caregivers of people with dementia. International Journal of Environmental Research and Public Health, 20(5), 4232. https://doi.org/10.3390/ijerph20054232
The Jamovi Project. (2022). Jamovi (version 2.3). https://www.jamovi.org
Whitebird, R. R., Kreitzer, M., Crain, A. L., Lewis, B. A., Hanson, L. R., & Enstad, C. J. (2013). Mindfulness‐based stress reduction for family caregivers: A randomized controlled trial. Gerontologist, 53(4), 676–686. https://doi.org/10.1093/geront/gns126
World Health Organization. (2020). WHO package of essential noncommunicable (PEN) disease intervention for primary health care. https://iris.paho.org/handle/10665.2/52998
World Health Organization. (2022). Non‐communicable diseases progress monitor 2022. https://www.who.int/publications/i/item/9789240047761
Yousefi, A., Naeimijoo, P., Ghadiany, M., Lighvan, M. A., Bakhtiyari, M., & Arani, A. M. (2022). A randomized control trial of the effectiveness of online Mindfulness‐Based Cancer recovery program on psychological well‐being, caregiver burden and resilience in cancer patients' caregivers. Medical Science, 26(123), ms181e2098. https://doi.org/10.54905/disssi/v26i123/ms181e2098
Zhang, D., Lee, E. K. P., Mak, E. C. W., Ho, C. Y., & Wong, S. Y. S. (2021). Mindfulness‐based interventions: An overall review. British Medical Bulletin, 138(1), 41–57. https://doi.org/10.1093/bmb/ldab005