Affiliation:
1. Gansu University of Chinese Medicine
2. Gansu Provincial Centre for Disease Control and Prevention
3. Pingliang Second People's Hospital
4. Center of Hekou Town
5. Gansu Gem Flower Hospital
6. Gansu University of Traditional Chinese Medicine: Gansu University of Chinese Medicine
7. Affiliated Hospital of Gansu University of Chinese Medicine
Abstract
Abstract
Objective
To evaluate mindfulness-based intervention for hypertension with depression and/or anxiety.
Methods
A 10-week mindfulness-based intervention, including health education about hypertension, which only for control group, was applied to intervention group to sooth sixty hypertension patients with depression/anxiety. Patients Health Questionnaire 9-items (PHQ-9) and the Generalized Anxiety Disorder scale-7 items (GAD-7) were used to assess severity of depressive and/or anxiety; in conjunction with blood pressure (BP) measured twice daily. The study used the self-made self-efficacy scale and awareness of physical and mental health to evaluate the 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 reduced anxiety/stress. These results were consistent with reduction of systolic BP of 12.24 mm Hg (t = 6.041, P = 0.000). The self-efficacy score of the mindfulness intervention group was significantly improved compared to the control (t = 7.818, P < 0.001), while the awareness rate of physical and mental health of the mindfulness intervention group was significantly improved compared to the control (χ2 = 5.781, P = 0.016).
Conclusion
Mindfulness-based intervention reduces the severity of depression and/or anxiety, improves BP in hypertensive patients, as well as, improved self-efficacy score.
Trial registration
Chinese Clinical Trial Registry, ChiCTR1900028258. Registered 16 December 2019, https://www.chictr.org.cn/showproj.html?proj=43627.
Publisher
Research Square Platform LLC