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Open Access 01-12-2024 | Mood Disorders | Research

Mindfulness-based intervention for hypertension patients with depression and/or anxiety in the community: a randomized controlled trial

Authors: Hailiang Zhang, Xiangrong Zhang, Xiaomei Jiang, Runjing Dai, Na Zhao, Weimin Pan, Jiaohong Guo, Jingchun Fan, Shisan Bao

Published in: Trials | Issue 1/2024

Abstract

Objective

To evaluate mindfulness-based intervention for hypertension with depression and/or anxiety.

Methods

10-week mindfulness-based intervention, including health education for hypertension, exclusively for the control group, was administered to the intervention group to assist sixty hypertension patients with depression/anxiety. Among them, the intervention group comprised 8 men and 22 women, with a mean age of 60.02 years and a mean duration of hypertension of 6.29 years. The control group consisted of 14 men and 16 women with a mean age of 57.68 years and a mean duration of hypertension of 6.32 years. The severity of depressive and/or anxiety symptoms was assessed using the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder scale (GAD-7), along with blood pressure (BP) measurements taken twice daily. The study utilized a self-made self-efficacy scale and awareness of physical and mental health to evaluate mental health and state.

Results

The depression PHQ-9 or GAD-7 scores reduced by 21.1% or 17.8% in the mindfulness-based intervention group, compared to the control (Z = -2.040, P = 0.041) post 10-week period, suggesting significant reduction in anxiety/stress. These results were consistent with a reduction in systolic BP of 12.24 mm Hg (t = 6.041, P = 0.000). The self-efficacy score of the mindfulness intervention group significantly improved compared to the control (t = 7.818, P < 0.001), while the awareness of physical and mental health in the mindfulness intervention group significantly improved compared to the control (χ2 = 5.781, P = 0.016).

Conclusion

Mindfulness-based, short-term focused interventions provide modest relief for depression and/or anxiety and are effective in lowering blood pressure and improving self-efficacy scores.

Trial registration

Chinese Clinical Trial Registry, ChiCTR1900028258. Registered 16 December 2019, https://www.chictr.org.cn/showproj.html?proj=43627.

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Title: Mindfulness-based intervention for hypertension patients with depression and/or anxiety in the community: a randomized controlled trial
Authors: Hailiang Zhang
Xiangrong Zhang
Xiaomei Jiang
Runjing Dai
Na Zhao
Weimin Pan
Jiaohong Guo
Jingchun Fan
Shisan Bao
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Mood Disorders
Affective Disorder
Anxiety
Hypertension
Hypertension
Generalised Anxiety Disorder
Published in: Trials / Issue 1/2024
Electronic ISSN: 1745-6215
DOI: https://doi.org/10.1186/s13063-024-08139-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mindfulness-based intervention for hypertension patients with depression and/or anxiety in the community: a randomized controlled trial

Abstract

Objective

Methods

Results

Conclusion

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

Trial registration

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