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Effects of brief mindfulness-based cognitive behavioural therapy on health-related quality of life and sense of coherence in atrial fibrillation patients
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Department of Internal Medicine, County Hospital Ryhov, Jönköping, Sweden.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Department of Internal Medicine, County Hospital Ryhov, Jönköping, Sweden.
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2018 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 17, no 7, p. 589-597Article in journal (Refereed) Published
Abstract [en]

Background: The aim of this study was to evaluate the effects of a brief dyadic cognitive behavioural therapy (CBT) programme on the health-related quality of life (HRQoL), as well as the sense of coherence in atrial fibrillation patients, up to 12 months post atrial fibrillation.

Methods: A longitudinal randomised controlled trial with a pre and 12-month post-test recruitment of 163 persons and their spouses, at a county hospital in southern Sweden. In all, 104 persons were randomly assigned to either a CBT (n=56) or a treatment as usual (TAU) group (n=55). The primary outcome was changes in the HRQoL (Euroqol questionnaire; EQ-5D), and the secondary outcomes were changes in psychological distress (hospital anxiety and depression scale; HADS) and sense of coherence (sense of coherence scale; SOC-13).

Results: At the 12-month follow-up, the CBT group experienced a higher HRQoL than the TAU group (mean changes in the CBT group 0.062 vs. mean changes in the TAU group −0.015; P=0.02). The sense of coherence improved in the CBT group after the 12-month follow-up, compared to the TAU group (mean changes in the CBT group 0.062 vs. mean changes in the TAU group −0.16; P=0.04). The association between the intervention effect and the HRQoL was totally mediated by the sense of coherence (z=2.07, P=0.04).

Conclusions: A dyadic mindfulness-based CBT programme improved HRQoL and reduced psychological distress up to 12 months post atrial fibrillation. The sense of coherence strongly mediated the HRQoL; consequently, the sense of coherence is an important determinant to consider when designing programmes for atrial fibrillation patients. 

Place, publisher, year, edition, pages
Sage Publications, 2018. Vol. 17, no 7, p. 589-597
Keywords [en]
atrial fibrillation, Cognitive behavioural therapy, health-related quality of life, intervention, randomised controlled trial, sense of coherence, spouse, aged, Article, cognitive behavioral therapy, controlled study, distress syndrome, dyspnea, female, Hospital Anxiety and Depression Scale, hospital discharge, human, Likert scale, longitudinal study, major clinical study, male, priority journal, quality of life, questionnaire, randomized controlled trial
National Category
Cardiac and Cardiovascular Systems Nursing
Identifiers
URN: urn:nbn:se:hj:diva-42334DOI: 10.1177/1474515118762796ISI: 000446099600003PubMedID: 29493266Scopus ID: 2-s2.0-85057837415Local ID: HHJMPROVEISOAI: oai:DiVA.org:hj-42334DiVA, id: diva2:1271748
Funder
Medical Research Council of Southeast Sweden (FORSS), 464211Available from: 2018-12-18 Created: 2018-12-18 Last updated: 2018-12-18Bibliographically approved

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Malm, DanFridlund, BengtEkblad, HelenaPakpour, Amir H.

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European Journal of Cardiovascular Nursing
Cardiac and Cardiovascular SystemsNursing

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