Mindfulness based stress reduction in people with Parkinson's disease and their care partners

Author: Deepal Shah-Zamora1, Allison M Allen2, Lacy Rardin2, Margaret Ivancic2, Katie Durham2, Patrick Hickey1, Jeffrey W Cooney1, Burton L Scott1, Sneha Mantri3
Affiliation:
1 Department of Neurology, Duke University School of Medicine, USA.
2 Duke University Hospital (DUH) Case Management, Duke Health, USA.
3 Department of Neurology, Duke University School of Medicine, USA. Electronic address: sneha.mantri@duke.edu.
Conference/Journal: Complement Ther Clin Pract
Date published: 2021 Mar 31
Other: Volume ID: 43 , Pages: 101377 , Special Notes: doi: 10.1016/j.ctcp.2021.101377. , Word Count: 174


Background:
Parkinson's Disease (PD) leads to poor quality of life and caregiver burden. Mindfulness-based stress reduction (MBSR) may improve these symptoms. We assessed the impact of a 9-week MBSR course on people with PD (PwP) and their care partners (CPs).

Methods:
Participants completed questionnaires at screening, at the end of the course, and at 3-month follow-up: Parkinson's Disease Quality-39 (PDQ-39, PD only), Zarit Burden Inventory (ZBI, CP only) and Mindful Attention Awareness Scale (MAAS, both). The primary outcome measure was change in PDQ-39 (for PwP) or ZBI (for CP). Patient-reported scales were analyzed quantitatively; qualitative data on perceived effectiveness was collected.

Results:
53.8% PwP and 100% CPs completed the course. Among PwP, there was a significant reduction in MAAS(p < 0.001) and in PDQ-39 (p = 0.008). CPs experienced an increase in MAAS (p = 0.02) but no change in ZBI (p = 0.239). Qualitatively, both PwP and CPs expressed satisfaction with the course.

Discussion:
MBSR improves mindful awareness in CPs and improves health-related quality of life in PwP.

Keywords: Caregiver burden; Mindfulness; Mindfulness-based stress reduction; Parkinson's disease.

PMID: 33831804 DOI: 10.1016/j.ctcp.2021.101377

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