Abstract 12200: Feasibility and Effect of a Mindfulness Based Stress Reduction Program on Anxiety, Depression, and Coping in Adolescents With Implantable Cardioverter Defibrillators or Pacemakers
Background: Adolescents with ICDs or pacemakers (PMs) face unique challenges that can cause psychosocial distress. Psychosocial interventions are effective for adults with cardiac devices and could positively impact adolescents’ adjustment to these devices. This study examines the feasibility of a Mindfulness Based Stress Reduction (MBSR) program for adolescents with ICDs/PMs. MBSR is a structured psycho-educational program which includes meditation, yoga, and group support; and has been studied extensively among adults.
Methods: This study was a descriptive, prospective, one-group, pretest-posttest design. The participants were evaluated on measures of anxiety and depression (Hospital Anxiety and Depression Scale), and coping (Responses to Stress Questionnaire) at baseline and after the 6- session MBSR intervention. Qualitative data were obtained from post intervention interviews.
Results: Mean age of the cohort (n=10) was 15 ±3 years, 6 were male, 6 had a PM, and 4 had an ICD. Seven participants had structural heart disease, 2 primary conduction system disease, and 1 antiphospholipid antibody syndrome. Feasibility was demonstrated by successful recruitment of 10 participants, 100% participation and completion. Anxiety decreased significantly following the intervention, with a large effect size, t(9)= 3.67, p ≤ .01, [[Unable to Display Character: ŋ]]2=.59. Anxiety frequency decreased from baseline to post-intervention (Fishers exact test p=.024), and 9/10 participants reported decreased anxiety scores post-intervention. Coping skills related negatively to anxiety (r = -.65, p = .04) and depression (r = -.88, p =.001). Post- intervention, the group independently formed their own Facebook group and requested to continue meeting monthly.
Conclusion: The growing research literature on MBSR interventions in adolescents supports a positive impact on anxiety, depression, and coping. This study verifies the efficacy and tolerability of the intervention in adolescents with ICD’s/PMs- a group previously unexamined in the research literature. Generalizability is limited due to the small sample size. This feasibility study will pave the way for larger studies to further examine the efficacy of MBSR interventions in adolescents with high risk cardiac diagnoses.
- Pediatric cardiology
- Patient education/teaching psychosocial aspects
- Implantable cardioconvert defibrillator
- © 2013 by American Heart Association, Inc.