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14.06.2019

The role of dispositional mindfulness in a stress-health pathway among Parkinson’s disease patients and caregiving partners

verfasst von: Allison Hicks, Kala Phillips, Chelsea Siwik, Paul Salmon, Irene Litvan, Megan E. Jablonski, J. Vincent Filoteo, Karen Kayser, Sandra E. Sephton

Erschienen in: Quality of Life Research | Ausgabe 10/2019

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Abstract

Purpose

Parkinson’s disease (PD) patients and their caregivers experience significant distress that impacts physical, emotional and social functioning in the patient, and in turn, has a significant impact on the caregiver. Lower levels of stress have been associated with a better prognosis in PD. The quality of dispositional mindfulness—innate present moment, non-judgmental awareness—has consistently been associated with less perceived stress, greater well-being, and better physical health in both clinical and healthy populations. To date, associations of mindfulness with distress, depression, sleep problems, and other variables that define health-related quality of life have not been examined in the context of PD patient/caregiver dyads.

Methods

We investigated the impact of dispositional mindfulness in a stress-health model among eighteen dyads consisting of PD patients and their caregivers.

Results

Multilevel linear modeling (actor–partner interdependence models) revealed significant associations between dispositional mindfulness and stress appraisal, interpersonal support, depressive symptoms, sleep, and health-related quality of life (HRQOL) within both dyadic partners. As expected, results demonstrated significant associations of distress with interpersonal support, depressive symptoms, sleep and HRQOL for both PD patients and caregivers.

Conclusions

Dispositional mindfulness was associated with reduced distress and its downstream clinical consequences. These results support an ameliorative role for dispositional mindfulness among PD patients and caregivers, as a protective factor against psychosocial burdens imposed on couples related to disease and caregiving. Findings suggest future studies should explore mindfulness training as a therapeutic option.

Vorheriger Artikel Using path analysis to investigate the relationships between depression, anxiety, and health-related quality of life among patients with coronary artery disease

Nächster Artikel Towards patients’ understanding of health-related quality of life—a mixed-method study in psoriasis and multiple sclerosis

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Titel: The role of dispositional mindfulness in a stress-health pathway among Parkinson’s disease patients and caregiving partners
verfasst von: Allison Hicks
Kala Phillips
Chelsea Siwik
Paul Salmon
Irene Litvan
Megan E. Jablonski
J. Vincent Filoteo
Karen Kayser
Sandra E. Sephton
Publikationsdatum: 14.06.2019
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 10/2019
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-019-02217-6

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