Effects of a mindfulness based intervention on mental well-being and quality of life in Indian adults: an early attempt for integration into community clinical practice

Authors

  • Anirban Pal Department of Anaesthesia and Pain Medicine, Apollo Medical center, Kolkata, West Bengal, India
  • Purnava Mukhopadhyay Department of Public Health, Kalyani ESI Hospital, West Bengal, India
  • Nidhi Dawar Pal Sankara Netralaya, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20221238

Keywords:

Mindfulness-based intervention, Indian adults, Anxiety, Depression, Quality of life

Abstract

Background: In India, the burden of mental ill-health is ever increasing. There is an urgent requirement for the implementation of interventions to prevent psychosocial problems from getting manifested as psychiatric diseases. The researchers see potential in mindfulness, an evidence-based group therapy popular in Western countries. This study shares a ground-level experience with an eight-week face-to-face mindfulness-based intervention. The aim was to see the effects of mindfulness on anxiety, depression, and quality of life in Indian adults.

Methods: Participants were randomized into two groups (n=74): group M participated in the mindfulness program while group C attended placebo sessions. The Hospital anxiety and depression score (HADS) for anxiety and depression and WHO quality of life (WHO QOL 100) were measured pre-program and post-program. Statistical analysis used was the paired and unpaired t-Test and one-way ANOVA for the outcome variables.

Results: The HADS-A (anxiety) and HADS-D (depression) improved with p=0.0001 and p=0.0003 with the practice of mindfulness. In the mindfulness group, domains 1, 2, and 4 of WHO quality of life also improved post-session with p<0.0001 when compared to the control group.

Conclusions: Mindfulness improved the anxiety, depression, and quality of life of Indian adults. Mindfulness holds initial promise for integration into community clinical practice. This study being an early attempt, further studies will be needed before widespread implementation in the country.

 

References

Sagar R, Pattanayak RD, Chandrasekaran R, Chaudhury PK, Deswal BS, Lenin Singh RK, et al. Twelve-month prevalence and treatment gap for common mental disorders: findings from a large-scale epidemiological survey in India. Indian J Psychiatry. 2017;59:46-55.

Kolappa K, Henderson DC, Kishore SP. No physical health without mental health: lessons unlearned? Bull World Health Organ. 2013;91:3.

Murthy RS. National Mental Health Survey of India 2015-2016. Indian J Psychiatry. 2017;59:21-6.

Thirunavukarasu M. Closing the treatment gap. Indian J Psychiatry. 2011;53:199-201.

India State-Level Disease Burden Initiative Mental Disorders Collaborators. The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990-2017. Lancet Psychiat. 2020;7:148-161.

Srivastava K, Chatterjee K, Bhat PS. Mental health awareness: The Indian scenario. Ind Psychiatry J. 2016;25:131-4.

Kabat-Zinn J. Mindfulness-Based Interventions in Context: Past, Present, and Future. Clin Psychol Sci Pract. 2003;10:13.

Kabat-Zinn J. Coming to Our Senses: Healing Ourselves and the World through Mindfulness. New York: Hyperion; 2005.

Keng SL, Smoski MJ, Robins CJ. Effects of mindfulness on psychological health: a review of empirical studies. Clin Psychol Rev. 2011;31:1041-56.

Garg K, Kumar CN, Chandra PS. Number of psychiatrists in India: Baby steps forward, but a long way to go. Indian J Psychiatry. 2019;61:104-5.

Rod K. Observing the Effects of Mindfulness-Based Meditation on Anxiety and Depression in Chronic Pain Patients. Psychiatr Danub. 2015;27:S209-11.

Chang YY, Wang LY, Liu CY, Chien TJ, Chen IJ, Hsu CH. The effects of a mindfulness meditation program on quality of life in cancer outpatients: an exploratory study. Integr Cancer Ther. 2018;17:363-70.

Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361-70.

Gallego J. Effect of a Mindfulness Program on Stress, Anxiety and Depression in University Students. Spanish J Psychol. 2014;17:e109.

Würtzen H, Dalton SO, Elsass P, Sumbundu AD, Steding-Jensen M, Karlsen RV, et al. Mindfulness significantly reduces self-reported levels of anxiety and depression: Results of a randomised controlled trial among 336 Danish women treated for stage I–III breast cancer. Eur J Cancer. 2013;49:1365-73

Galante J, Friedrich C, Dawson AF, Modrego-Alarcón M, Gebbing P, Delgado-Suárez I, et al. Mindfulness-based program for mental health promotion in adults in nonclinical settings: A systematic review and meta-analysis of randomised controlled trials. PLoS Med. 2021;18:e1003481

Pouy S, Attari Peikani F, Nourmohammadi H, Sanei P, Tarjoman A, Borji M. Investigating the effect of mindfulness-based training on psychological status and quality of life in patients with breast cancer. Asian Pac J Cancer Prev. 2018;19:1993-8.

Ayromlou H, Najmi S, Ranjbar F, Ghaemian N, Rikhtegar R. The impact of mindfulness on quality of life in Parkinson’s disease. BJMP. 2020;13:a003

Chandra M, Raveendranathan D, Johnson Pradeep R, Patra S, Rushi, Prasad K. Managing depression in diabetes mellitus: a multicentric randomized controlled trial comparing effectiveness of fluoxetine and mindfulness in primary care: protocol for diabetes mellitus and depression (DIAMAND) Study. Indian J Psychol Med. 2020;42:S31-8.

Dada T, Mittal D, Mohanty K, Faiq MA, Bhat MA, Yadav RK, et al. Mindfulness meditation reduces intraocular pressure, lowers stress biomarkers and modulates gene expression in glaucoma: a randomized controlled trial. J Glaucoma. 2018;27:1061-7.

Chandran S, Raman R, Kishor M, Nandeesh HP. The effectiveness of mindfulness meditation in relief of symptoms of depression and quality of life in patients with gastroesophageal reflux disease. Indian J Gastroenterol. 2019;38:29-38.

Mongia M, Gupta AK, Vijay A, Sadhu R. Management of stuttering using cognitive behavior therapy and mindfulness meditation. Ind Psychiatry J. 2019;28:4-12.

Muthukrishnan S, Jain R, Kohli S, Batra S. Effect of Mindfulness Meditation on Perceived Stress Scores and Autonomic Function Tests of Pregnant Indian Women. J Clin Diagn Res. 2016;10:CC05-8.

Gaiha SM, Taylor Salisbury T, Koschorke M, Raman U, Petticrew M. Stigma associated with mental health problems among young people in India: a systematic review of magnitude, manifestations and recommend-dations. BMC Psychiat. 2020;20:538.

Venkatesh BT, Andrews T, Mayya SS, Singh MM, Parsekar SS. Perception of stigma toward mental illness in South India. J Family Med Prim Care. 2015;4:449-53.

Chatterjee S, Naik S, John S, Dabholkar H, Balaji M, Koschorke M, et al. Effectiveness of a community-based intervention for people with schizophrenia and their caregivers in India (COPSI): a randomised controlled trial. Lancet. 2014;383:1385-94.

Chatterjee S, Chowdhary N, Pednekar S, Cohen A, Andrew G, Araya R, et al. Integrating evidence-based treatments for common mental disorders in routine primary care: feasibility and acceptability of the MANAS intervention in Goa, India. World Psychiat. 2008;7:39-46.

Baer RA, Smith GT, Allen KB. Assessment of mindfulness by self-report: The Kentucky inventory of mindfulness skills. Assessment. 2004;11:191-206.

Brown KW, Ryan RM. The Benefits of Being Present: Mindfulness and Its Role in Psychological Well-Being. Lancet. 2003;84:822-48.

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Published

2022-04-27

How to Cite

Pal, A., Mukhopadhyay, P., & Dawar Pal, N. (2022). Effects of a mindfulness based intervention on mental well-being and quality of life in Indian adults: an early attempt for integration into community clinical practice. International Journal Of Community Medicine And Public Health, 9(5), 2183–2189. https://doi.org/10.18203/2394-6040.ijcmph20221238

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Original Research Articles