Evidence map›Paper›PMID 20882729›Full record

Trial reportAlternative therapies in health and medicine

Mindfulness-based stress reduction for solid organ transplant recipients: a randomized controlled trial.

Cynthia R Gross, Mary Jo Kreitzer, William Thomas, Maryanne Reilly-Spong, Michel Cramer-Bornemann, John A Nyman, Patricia Frazier, Hassan N Ibrahim

3 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alternative therapies in health and medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 49 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 11 pooled it
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02495376 nacompletednot on this map

REDEFINE AYAO: Reducing Emotional Distress, Enhancing Function and Improving Network Engagement in Adolescent and Young Adult Oncology

TypeinterventionalSponsorNorthwestern UniversityRan2014 to 2017Enrolled151ConditionsCancerArmsMBSR
NCT02871752 nacompletednot on this map

Reducing the Effects of Active Surveillance Stress, Uncertainty and Rumination Thru Engagement in Mindfulness Education

TypeinterventionalSponsorNorthwestern UniversityRan2016 to 2023Enrolled225ConditionsProstate CancerArmsHealth promotion
NCT03167528 nacompletednot on this map

Contribution of Learning and Practice of Different Complementary Therapies in Pulmonary Transplant Patients

TypeinterventionalSponsorHopital FochRan2017 to 2020Enrolled80ConditionsLung TransplantArmsRelaxation, Hypnosis, Holistic gymnastics, Transcutaneous electrical nerve stimulation (TENS), Sophrology
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 11 syntheses or guidelines pooled it, 138 citations in OpenAlex.

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  10. Mindfulness: a systematic review of instruments to measure an emergent patient-reported outcome (PRO).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2013
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Cynthia R GrossCollege of Pharmacy, University of Minnesota, Minneapolis, USA. gross002@umn.edu
Mary Jo Kreitzer
William Thomas
Maryanne Reilly-Spong
Michel Cramer-Bornemann
John A Nyman
Patricia Frazier
Hassan N Ibrahim
Twin Cities Orthopedics · USUniversity of Minnesota · US

Funding

YOUTH DRUG ABUSE, ADHD, AND RELATED DISRUPTIVE DISORDERSM01RR000400 · NCRR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI SMITH, ANGELA L · 1985 to 2009
$33.7M
Impact of Mind-Body Interventions Post Organ TransplantR01NR008585 · NINR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI GROSS, CYNTHIA RUTH · 2003 to 2007
$2.2M
NCRR NIH HHS M01 RR000400NINR NIH HHS R01 NR008585
6 · The paper itself

Abstract

contextPatients who have received solid organ transplants continue to experience a myriad of complex symptoms related to their underlying disease and to chronic immunosuppression that reduce the quality of life. Beneficial nonpharmacologic therapies to address these symptoms have not been established in the transplant population.

objectiveAssess the efficacy of mindfulness-based stress reduction (MBSR) in reducing symptoms of anxiety, depression, and poor sleep in transplant patients. DESIGN, SETTING, AND PATIENTS: Controlled trial with a two-staged randomization. Recipients of kidney, kidney/pancreas, liver, heart, or lung transplants were randomized to MBSR (n=72) or health education (n=66) initially or after serving in a waitlist. Mean age was 54 years (range 21-75); 55% were men, and 91% were white.

interventionsMBSR, a mindfulness meditation training program consisting of eight weekly 2.5-hour classes; health education, a peer-led active control. PRIMARY OUTCOME MEASURES: Anxiety (State-Trait Anxiety Inventory), depression (Center for Epidemiologic Studies Depression Scale), and sleep quality (Pittsburgh Sleep Quality Index) scales assessed by self-report at baseline, 8 weeks, 6 months, and 1 year.

resultsBenefits of MBSR were above and beyond those afforded by the active control. MBSR reduced anxiety and sleep symptoms (P < .02), with medium treatment effects (.51 and .56) at 1 year compared to health education in intention-to-treat analyses. Within the MBSR group, anxiety, depression, and sleep symptoms decreased and quality-of-life measures improved by 8 weeks (P < .01, all), and benefits were retained at 1 year (P < .05, all). Initial symptom reductions in the health education group were smaller and not sustained. Comparisons to the waitlist confirmed the impact of MBSR on both symptoms and quality of life, whereas health education improvements were limited to quality-of-life ratings.

conclusionsMBSR reduced distressing symptoms of anxiety, depression, and poor sleep and improved quality of life. Benefits were sustained over 1 year. A health education program provided fewer benefits, and effects were not as durable. MBSR is a relatively inexpensive, safe, and effective community-based intervention.

Indexed as

Mind-Body Relations, MetaphysicalAdaptation, PsychologicalAdultAgedAnxietyDepressionFemaleHumansLife Change EventsMaleMeditationMiddle AgedOrgan TransplantationQuality of LifeSick RoleStress, Psychological

Identifiers

PMID20882729
PMCPMC3076132
OpenAlexW136267775

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.