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 |
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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. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Apr 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-82f8a231cd922ae39a778b5536edc24d1e7669fd661bf2a8b513af0f30884a883</citedby><cites>FETCH-LOGICAL-c402t-82f8a231cd922ae39a778b5536edc24d1e7669fd661bf2a8b513af0f30884a883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpsychores.2017.01.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28314552$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hoge, Elizabeth A.</creatorcontrib><creatorcontrib>Guidos, Brittany M.</creatorcontrib><creatorcontrib>Mete, Mihriye</creatorcontrib><creatorcontrib>Bui, Eric</creatorcontrib><creatorcontrib>Pollack, Mark H.</creatorcontrib><creatorcontrib>Simon, Naomi M.</creatorcontrib><creatorcontrib>Dutton, Mary Ann</creatorcontrib><title>Effects of mindfulness meditation on occupational functioning and health care utilization in individuals with anxiety</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><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.</description><subject>Absenteeism</subject><subject>Adult</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Anxiety - psychology</subject><subject>Anxiety - therapy</subject><subject>Anxiety disorders</subject><subject>Attention</subject><subject>Clinical research</subject><subject>Clinical trials</subject><subject>ClinicalTrials.gov identifier: NCT01033851</subject><subject>Female</subject><subject>Generalized anxiety disorder</subject><subject>Generalized anxiety disorder (GAD)</subject><subject>Health care</subject><subject>Health care utilization</subject><subject>Health services utilization</subject><subject>Help seeking behavior</subject><subject>Humans</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Meditation</subject><subject>Meditation - methods</subject><subject>Meditation - psychology</subject><subject>Mental disorders</subject><subject>Mental Health</subject><subject>Mental health professionals</subject><subject>Mindfulness</subject><subject>Mindfulness - trends</subject><subject>Mindfulness/meditation</subject><subject>Occupational Health - trends</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Professional training</subject><subject>Stress management</subject><subject>Stress, Psychological - psychology</subject><subject>Stress, Psychological - therapy</subject><subject>Treatment Outcome</subject><subject>Women</subject><subject>Work loss</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU9v1DAQxS1ERZfCV0CWuHDJMrY3jnOEqlCkSr20Z8trj1lHWWex48Ly6XG6BSQuSE_yv9_Mk-cRQhmsGTD5flgPh3y0uylhXnNg3RpYFXtGVkx1fcOEhOdkBcB5I_q-Pycvcx4AQPa8fUHOuRJs07Z8RcqV92jnTCdP9yE6X8aIOdM9ujCbOUyRLrK2HB5PZqS-RLtsQ_xKTXR0h2acd9SahLTMYQw_T3VhkQsPwRUzZvo9VMjEHwHn4yty5usdvn5aL8j9p6u7y-vm5vbzl8sPN43dAJ8bxb0yXDDres4Nit50ndq2rZDoLN84hp2UvXdSsq3npj4xYTx4AUptjFLigrw79T2k6VvBPOt9yBbH0UScStZ1WEpxBsAq-vYfdJhKqv-tVC86qaQCXil1omyack7o9SGFvUlHzUAv0ehB_41GL9FoYFWLwZsng7Kt0_1T-DuLCnw8AVgn8hAw6WwDRluTSDUi7abwf5dfzIOnIg</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Hoge, Elizabeth A.</creator><creator>Guidos, Brittany M.</creator><creator>Mete, Mihriye</creator><creator>Bui, Eric</creator><creator>Pollack, Mark H.</creator><creator>Simon, Naomi M.</creator><creator>Dutton, Mary Ann</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>201704</creationdate><title>Effects of mindfulness meditation on occupational functioning and health care utilization in individuals with anxiety</title><author>Hoge, Elizabeth A. ; Guidos, Brittany M. ; Mete, Mihriye ; Bui, Eric ; Pollack, Mark H. ; Simon, Naomi M. ; Dutton, Mary Ann</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-82f8a231cd922ae39a778b5536edc24d1e7669fd661bf2a8b513af0f30884a883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Absenteeism</topic><topic>Adult</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Anxiety - psychology</topic><topic>Anxiety - therapy</topic><topic>Anxiety disorders</topic><topic>Attention</topic><topic>Clinical research</topic><topic>Clinical trials</topic><topic>ClinicalTrials.gov identifier: NCT01033851</topic><topic>Female</topic><topic>Generalized anxiety disorder</topic><topic>Generalized anxiety disorder (GAD)</topic><topic>Health care</topic><topic>Health care utilization</topic><topic>Health services utilization</topic><topic>Help seeking behavior</topic><topic>Humans</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Meditation</topic><topic>Meditation - methods</topic><topic>Meditation - psychology</topic><topic>Mental disorders</topic><topic>Mental Health</topic><topic>Mental health professionals</topic><topic>Mindfulness</topic><topic>Mindfulness - trends</topic><topic>Mindfulness/meditation</topic><topic>Occupational Health - trends</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Professional training</topic><topic>Stress management</topic><topic>Stress, Psychological - psychology</topic><topic>Stress, Psychological - therapy</topic><topic>Treatment Outcome</topic><topic>Women</topic><topic>Work loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoge, Elizabeth A.</creatorcontrib><creatorcontrib>Guidos, Brittany M.</creatorcontrib><creatorcontrib>Mete, Mihriye</creatorcontrib><creatorcontrib>Bui, Eric</creatorcontrib><creatorcontrib>Pollack, Mark H.</creatorcontrib><creatorcontrib>Simon, Naomi M.</creatorcontrib><creatorcontrib>Dutton, Mary Ann</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoge, Elizabeth A.</au><au>Guidos, Brittany M.</au><au>Mete, Mihriye</au><au>Bui, Eric</au><au>Pollack, Mark H.</au><au>Simon, Naomi M.</au><au>Dutton, Mary Ann</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of mindfulness meditation on occupational functioning and health care utilization in individuals with anxiety</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2017-04</date><risdate>2017</risdate><volume>95</volume><spage>7</spage><epage>11</epage><pages>7-11</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>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.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>28314552</pmid><doi>10.1016/j.jpsychores.2017.01.011</doi><tpages>5</tpages></addata></record> |
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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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