Evidence map›Paper›PMID 24677282›Full record

ArticleInternational journal of geriatric psychiatry2014

Mindfulness-based stress reduction for older adults with worry symptoms and co-occurring cognitive dysfunction.

Eric J Lenze, Steven Hickman, Tamara Hershey, Leah Wendleton, Khanh Ly, David Dixon, Peter Doré, Julie Loebach Wetherell

Abstract read
In one paragraph

Article in International journal of geriatric psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  11. Video-Delivered Relaxation Intervention Reduces Late-Life Anxiety: A Pilot Randomized Controlled Trial.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019
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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.

Eric J LenzeWashington University School of Medicine, St. Louis, MO, USA.
Steven Hickman
Tamara Hershey
Leah Wendleton
Khanh Ly
David Dixon
Peter Doré
Julie Loebach Wetherell

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
2/2 MINDFULNESS-BASED STRESS REDUCTION AND COGNITIVE FUNCTION IN STRESS AND AGINGR34AT007070 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI WETHERELL, JULIE L · 2011 to 2013
$736k
MINDFULNESS- BASED STRESS REDUCTION AND COGNITIVE FUNCTION IN STRESS AND AGINGR34AT007064 · NCCIH · WASHINGTON UNIVERSITY · PI LENZE, ERIC J · 2011 to 2013
$636k
NCATS NIH HHS UL1 TR000448NCCIH NIH HHS R34 AT007064NCCIH NIH HHS R34 AT007070
6 · The paper itself

Abstract

backgroundMindfulness-based stress reduction (MBSR) has the potential to reduce worry and improve cognitive functioning.

objectivesIn this treatment development project, we examined MBSR in older adults with worry symptoms and co-occurring cognitive dysfunction. We examined (i) acceptability of MBSR, (ii) whether MBSR needs to be lengthened providing more repetition, (iii) MBSR's benefits for worry reduction and cognitive improvements, and (iv) continued use of MBSR techniques during follow-up.

methodsTwo sites (St. Louis and San Diego) enrolled individuals aged 65 years or older with significant anxiety-related distress plus subjective cognitive dysfunction, into traditional 8-session MBSR groups and 12-session groups that had the same content but more repetition of topics and techniques. We examined measures of mindfulness, worry, and a neuropsychological battery focused on memory and executive function before and after the MBSR program, and we followed up participants for 6 months after the completion of MBSR regarding their continued use of its techniques.

resultsParticipants (N = 34) showed improvements in worry severity, increases in mindfulness, and improvements in memory as measured by paragraph learning and recall after a delay, all with a large effect size. Most participants continued to use MBSR techniques for 6 months post-instruction and found them helpful in stressful situations. There was no evidence that the extended 12-week MBSR produced superior cognitive or clinical outcomes, greater satisfaction, or greater continuation of MBSR techniques than 8-week MBSR.

conclusionsThese preliminary findings are promising for the further testing and use of MBSR in older adults suffering from clinical worry symptoms and co-occurring cognitive dysfunction. These are common problems in a broad range of older adults, many of whom have anxiety and mood disorders; therefore, stress reduction intervention for them may have great public health value.

Indexed as

MindfulnessAgedAged, 80 and overAnxietyAnxiety DisordersCognition DisordersDepressive DisorderExerciseFeasibility StudiesFemaleHumansMaleMeditationStress, PsychologicalYogaanxietymeditationmemorymindfulnessolder adultsstressyoga

Identifiers

PMID24677282
PMCPMC4136987

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Registered trials

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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.