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A pilot study: mindfulness meditation intervention in COPD

Authors Chan RR, Giardino N, Larson JL

Received 6 September 2014

Accepted for publication 17 November 2014

Published 2 March 2015 Volume 2015:10(1) Pages 445—454

DOI https://doi.org/10.2147/COPD.S73864

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Editor who approved publication: Dr Richard Russell

Roxane Raffin Chan,1 Nicholas Giardino,2 Janet L Larson3

1College of Nursing, Michigan State University, East Lansing, 2Department of Psychiatry, 3School of Nursing, University of Michigan, Ann Arbor, MI, USA

Abstract: Living well with chronic obstructive pulmonary disease (COPD) requires people to manage disease-related symptoms in order to participate in activities of daily living. Mindfulness practice is an intervention that has been shown to reduce symptoms of chronic disease and improve accurate symptom assessment, both of which could result in improved disease management and increased wellness for people with COPD. A randomized controlled trial was conducted to investigate an 8-week mindful meditation intervention program tailored for the COPD population and explore the use of breathing timing parameters as a possible physiological measure of meditation uptake. Results demonstrated that those randomized to the mindful meditation intervention group (N=19) had a significant increase in respiratory rate over time as compared to those randomized to the wait-list group (N=22) (P=0.045). It was also found that the mindful meditation intervention group demonstrated a significant decrease in level of mindfulness over time as compared to the wait-list group (P=0.023). When examining participants from the mindful meditation intervention who had completed six or more classes, it was found that respiratory rate did not significantly increase in comparison to the wait-list group. Furthermore, those who completed six or more classes (N=12) demonstrated significant improvement in emotional function in comparison to the wait-list group (P=0.032) even though their level of mindfulness did not improve. This study identifies that there may be a complex relationship between breathing parameters, emotion, and mindfulness in the COPD population. The results describe good feasibility and acceptability for meditation interventions in the COPD population.

Keywords: integrative therapies, contemplative therapies, breathing timing parameters, chronic obstructive pulmonary disease, pulmonary rehabilitation


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