Background: This study aimed to evaluate the feasibility, acceptability, and effectiveness of a mindfulness-based intervention for patients with inflammatory bowel disease (MI-IBD).
Design: Treatment-as-usual control versus mindfulness-based stress reduction intervention.
Methods: Sixty patients participated in either the MI-IBD (n = 33) or treatment-as-usual group (n = 27) conditions. The MI-IBD consisted of an 8-week mindfulness-based stress reduction training group. Outcome measures were administered at baseline (before intervention), immediately after intervention, and 6 months after intervention. Primary outcomes included measures of quality of life, psychological distress (depression and anxiety), and mindfulness. Data for MI-IBD group participants also included weekly attendance, daily minutes meditated, and satisfaction with the program.
Results: There were no baseline differences between intervention and control groups on demographic variables or inflammatory bowel disease severity. Compared with the control group, the MI-IBD group reported significantly greater improvements in anxiety, quality of life, and mindfulness at after intervention, with reduction in depression and improvements in quality of life and mindfulness maintained at 6 months after intervention.
Conclusions: Results demonstrate the feasibility, acceptability, and efficacy of a mindfulness intervention for patients with inflammatory bowel disease, with medium-to-large effects on psychological distress, quality of life, and mindfulness.
Article first published online 4 November 2015.
*Department of Psychiatry, The University of Melbourne, Melbourne, Australia;
Departments of †Psychiatry, and
‡Gastroenterology, St. Vincent's Hospital, Melbourne, Australia; and
§Department of Psychology, Faculty Health, Arts, and Design, Swinburne University of Technology, Melbourne, Australia.
Reprints: David Castle, MD, Department of Psychiatry, St. Vincent's Hospital, Melbourne 3065, Australia (e-mail: firstname.lastname@example.org).
Supported by the University of Melbourne Research Collaboration Grant Scheme.
The authors have no conflict of interest to disclose.
Received August 16, 2015
Accepted September 11, 2015