Effects of mindfulness meditation on occupational functioning and health care utilization in individuals with anxiety

To examine the effect of mindfulness meditation on occupational functioning in individuals with Generalized anxiety disorder (GAD). Fifty-seven individuals with GAD (mean (SD) age=39 (13); 56% women) participated in an 8-week clinical trial in which they were randomized to mindfulness-based stress r...

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Veröffentlicht in:Journal of psychosomatic research 2017-04, Vol.95, p.7-11
Hauptverfasser: Hoge, Elizabeth A., Guidos, Brittany M., Mete, Mihriye, Bui, Eric, Pollack, Mark H., Simon, Naomi M., Dutton, Mary Ann
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container_end_page 11
container_issue
container_start_page 7
container_title Journal of psychosomatic research
container_volume 95
creator Hoge, Elizabeth A.
Guidos, Brittany M.
Mete, Mihriye
Bui, Eric
Pollack, Mark H.
Simon, Naomi M.
Dutton, Mary Ann
description To examine the effect of mindfulness meditation on occupational functioning in individuals with Generalized anxiety disorder (GAD). Fifty-seven individuals with GAD (mean (SD) age=39 (13); 56% women) participated in an 8-week clinical trial in which they were randomized to mindfulness-based stress reduction (MBSR) or an attention control class. In this secondary analysis, absenteeism, entire workdays missed, partial workdays missed, and healthcare utilization patterns were assessed before and after treatment. Compared to the attention control class, participation in MBSR was associated with a significantly greater decrease in partial work days missed for adults with GAD (t=2.734, df=51, p=0.009). Interestingly, a dose effect was observed during the 24-week post-treatment follow-up period: among MBSR participants, greater home mindfulness meditation practice was associated with less work loss and with fewer mental health professional visits. Mindfulness meditation training may improve occupational functioning and decrease healthcare utilization in adults with GAD. •Individuals that received mindfulness training had a reduction in partial workdays missed.•Work loss, specifically partial days missed decreased as patients practiced mindfulness more often at home.•Mental health visits decreased more in patients who practiced mindfulness more often at home.
doi_str_mv 10.1016/j.jpsychores.2017.01.011
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Fifty-seven individuals with GAD (mean (SD) age=39 (13); 56% women) participated in an 8-week clinical trial in which they were randomized to mindfulness-based stress reduction (MBSR) or an attention control class. In this secondary analysis, absenteeism, entire workdays missed, partial workdays missed, and healthcare utilization patterns were assessed before and after treatment. Compared to the attention control class, participation in MBSR was associated with a significantly greater decrease in partial work days missed for adults with GAD (t=2.734, df=51, p=0.009). Interestingly, a dose effect was observed during the 24-week post-treatment follow-up period: among MBSR participants, greater home mindfulness meditation practice was associated with less work loss and with fewer mental health professional visits. Mindfulness meditation training may improve occupational functioning and decrease healthcare utilization in adults with GAD. •Individuals that received mindfulness training had a reduction in partial workdays missed.•Work loss, specifically partial days missed decreased as patients practiced mindfulness more often at home.•Mental health visits decreased more in patients who practiced mindfulness more often at home.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2017.01.011</identifier><identifier>PMID: 28314552</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Absenteeism ; Adult ; Aged ; Anxiety ; Anxiety - psychology ; Anxiety - therapy ; Anxiety disorders ; Attention ; Clinical research ; Clinical trials ; ClinicalTrials.gov identifier: NCT01033851 ; Female ; Generalized anxiety disorder ; Generalized anxiety disorder (GAD) ; Health care ; Health care utilization ; Health services utilization ; Help seeking behavior ; Humans ; Male ; Medical personnel ; Meditation ; Meditation - methods ; Meditation - psychology ; Mental disorders ; Mental Health ; Mental health professionals ; Mindfulness ; Mindfulness - trends ; Mindfulness/meditation ; Occupational Health - trends ; Patient Acceptance of Health Care - psychology ; Professional training ; Stress management ; Stress, Psychological - psychology ; Stress, Psychological - therapy ; Treatment Outcome ; Women ; Work loss</subject><ispartof>Journal of psychosomatic research, 2017-04, Vol.95, p.7-11</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. 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source MEDLINE; Elsevier ScienceDirect Journals Complete; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Absenteeism
Adult
Aged
Anxiety
Anxiety - psychology
Anxiety - therapy
Anxiety disorders
Attention
Clinical research
Clinical trials
ClinicalTrials.gov identifier: NCT01033851
Female
Generalized anxiety disorder
Generalized anxiety disorder (GAD)
Health care
Health care utilization
Health services utilization
Help seeking behavior
Humans
Male
Medical personnel
Meditation
Meditation - methods
Meditation - psychology
Mental disorders
Mental Health
Mental health professionals
Mindfulness
Mindfulness - trends
Mindfulness/meditation
Occupational Health - trends
Patient Acceptance of Health Care - psychology
Professional training
Stress management
Stress, Psychological - psychology
Stress, Psychological - therapy
Treatment Outcome
Women
Work loss
title Effects of mindfulness meditation on occupational functioning and health care utilization in individuals with anxiety
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