Being Mindful Affects Experiences and Treatment of Arthritis Patients: A Qualitative Study
Mindfulness and Arthritis
DOI:
https://doi.org/10.54393/pjhs.v5i07.1738Keywords:
Arthritis, Mindfulness, Thematic Analysis, Pain ControlAbstract
Arthritis, a common chronic disease, presents major difficulties to patients’ functional abilities. Mindfulness therapies may help to compensate for the lack of positive health outcomes that arthritis symptoms cause in a patient’s life. Objective: To describe the perceptions and experiences of the participants of mindfulness practices in Faisalabad, Pakistan, who have arthritis? It describes the attitudes towards mindfulness, its implementation and impact on the symptoms. Methods: There were 7 males and 7 females, and all were selected purposively, aged 31 to 51 years, interviewed by the researcher using semi-structured interviews. Thematic analysis revealed following themes; awareness, benefits, challenges, ways of managing, and sources of support. Results: Some key issues were identified as elevation in the recognition of the body and mind associations, pain control, strengthening of the emotional aspects, and some issues like time limitations and cultural attitudes. Mindfulness was identified as an important aspect that enabled participants to regain control of their conditions; however, participants stressed the need to design the mindfulness-based interventions that are culturally appropriate or responsive to the informational needs of patients. The results highlight the feasibility of using mindfulness practices for enriching the quality of life of patients. Conclusions: However, the experience of implementation demonstrates that there are various types of barriers, educational needs, and practices as well as cultural beliefs in this sphere. Adapting mindfulness’ intervention to the particular nature and circumstances of arthritis could potentially enhance the programs’ application and acceptance in both clinical and community practicing environments
References
Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Annals of the Rheumatic Diseases. 2014 Jun; 73(6): 968-74. doi: 10.1136/annrheumdis-2013-204428. DOI: https://doi.org/10.1136/annrheumdis-2013-204428
Bodhi B. What does mindfulness really mean? A canonical perspective. InMindfulness. 2013 Oct; 19-39. doi: 10.1080/14639947.2011.564813. DOI: https://doi.org/10.1080/14639947.2011.564813
Brown KW, Ryan RM, Creswell JD. Mindfulness: Theoretical foundations and evidence for its salutary effects. Psychological Inquiry. 2007 Oct; 18(4): 211-37. doi: 10.1080/10478400701598298. DOI: https://doi.org/10.1080/10478400701598298
Oliveira LN, de Vilela Araújo AT, Branco JN, De Claudio JC, Michel JL, Machado RC. Mindfulness for patients with rheumatoid arthritis: systematic review. Research, Society and Development. 2021 Feb; 10(2): e2610212047-. doi: 10.33448/rsd-v10i2.12047. DOI: https://doi.org/10.33448/rsd-v10i2.12047
Slagter L, Demyttenaere K, Verschueren P, De Cock D. The effect of meditation, mindfulness, and yoga in patients with rheumatoid arthritis. Journal of Personalized Medicine. 2022 Nov; 12(11): 1905. doi: 10.3390/jpm12111905. DOI: https://doi.org/10.3390/jpm12111905
Zhou B, Wang G, Hong Y, Xu S, Wang J, Yu H et al. Mindfulness interventions for rheumatoid arthritis: a systematic review and meta-analysis. Complementary Therapies in Clinical Practice. 2020 May; 39: 101088. doi: 10.1016/j.ctcp.2020.101088. DOI: https://doi.org/10.1016/j.ctcp.2020.101088
Pradhan EK, Baumgarten M, Langenberg P, Handwerger B, Gilpin AK, Magyari T et al. Effect of mindfulness‐based stress reduction in rheumatoid arthritis patients. Arthritis Care & Research. 2007 Oct; 57(7): 1134-42. doi: 10.1002/art.23010. DOI: https://doi.org/10.1002/art.23010
Gu J, Strauss C, Bond R, Cavanagh K. How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review. 2015 Apr; 37: 1-2. doi: 10.1016/j.cpr.2015.01.006. DOI: https://doi.org/10.1016/j.cpr.2015.01.006
Marks R. Self-efficacy and arthritis disability: An updated synthesis of the evidence base and its relevance to optimal patient care. Health Psychology Open. 2014 Dec; 1(1): 2055102914564582. doi: 10.1177/2055102914564582. DOI: https://doi.org/10.1177/2055102914564582
Barsky AJ, Ahern DK, Orav EJ, Nestoriuc Y, Liang MH, Berman IT et al. A randomized trial of three psychosocial treatments for the symptoms of rheumatoid arthritis. InSeminars in arthritis and rheumatism 2010 Dec; 40(3): 222-232. doi: 10.1016/j.semarthrit.2010.04.001. DOI: https://doi.org/10.1016/j.semarthrit.2010.04.001
Efthimiou P and Kukar M. Complementary and alternative medicine use in rheumatoid arthritis: proposed mechanism of action and efficacy of commonly used modalities. Rheumatology International. 2010 Mar; 30: 571-86. doi: 10.1007/s00296-009-1206-y. DOI: https://doi.org/10.1007/s00296-009-1206-y
Swain N, Lennox Thompson B, Gallagher S, Paddison J, Mercer S. Gratitude Enhanced Mindfulness (GEM): A pilot study of an internet-delivered programme for self-management of pain and disability in people with arthritis. The Journal of Positive Psychology. 2020 May; 15(3): 420-6. doi: 10.1080/17439760.2019.1627397. DOI: https://doi.org/10.1080/17439760.2019.1627397
Toledano E, Pérez-Sancristóbal I, Montilla C. Ab0411 effect of a mindfulness-based intervention on the health and well-being of patients with psoriatic arthritis (the oniros study). BMJ Journals. 2024, 83(1): 1455. DOI: https://doi.org/10.1136/annrheumdis-2024-eular.2333
Gaboury I, Dobkin PL, Gendron F, Roberge P, Beaulieu MC, Carrier N et al. Mindfulness-based stress reduction to improve depression, pain and high patient global assessment in controlled rheumatoid arthritis. Rheumatology Advances in Practice. 2022 Sep; 6(3): rkac074. doi: 10.1093/rap/rkac074. DOI: https://doi.org/10.1093/rap/rkac074
Menzies RE, Sharpe L, Richmond B, Dudeney J, Todd J, Szabo M et al. Randomised controlled trial of cognitive behaviour therapy versus mindfulness for people with rheumatoid arthritis with and without a history of recurrent depression: study protocol and design. British Medical Journal Open. 2022 May; 12(5): e056504. doi: 10.1136/bmjopen-2021-056504. DOI: https://doi.org/10.1136/bmjopen-2021-056504
Yousefi S, Zanjani Z, Omidi A, Zamani B, Sayyah M. Comparison of mindfulness-based stress reduction therapy and cognitive-behavioral therapy of chronic fatigue, sleep quality, executive function and disease activity in patients with rheumatoid arthritis. Journal of Contemporary Psychotherapy. 2023 Jun; 53(2): 173-80. doi: 10.1007/s10879-022-09558-3. DOI: https://doi.org/10.1007/s10879-022-09558-3
Munir M, Javaid ZK, Mahmood K, Fareed M, Mubeen A, Ali AL. Mediating Role of Quality of Life between Perceived Stress and Sleep Quality among Patients with Rheumatoid Arthritis. Journal of Health and Rehabilitation Research. 2024 Jun; 4(2): 1570-5. doi: 10.61919/jhrr.v4i2.1176. DOI: https://doi.org/10.61919/jhrr.v4i2.1176
Paknahad N and Saffarinia M. The Effectiveness of Mindfulness-Based Stress Reduction on Perceived Stress, Negative Mood, Self-Efficacy and Pain Perception in Patients with Rheumatoid Arthritis. Health Psychology. 2023 Apr; 12(45): 129-46. doi: 10.30473/hpj.2023.53231.4838.
Chen Q, Yang G, Lin S, Li M, Liu Z, Fu Y et al. The effects of mindfulness-based stress reduction therapy combined with intensive education on the effectiveness of the care and the awareness rate in patients with arthritis and diabetes. American Journal of Translational Research. 2021; 13(4): 3190.
Nagy Z, Szigedi E, Takács S, Császár-Nagy N. The effectiveness of psychological interventions for rheumatoid arthritis (RA): a systematic review and meta-analysis. Life. 2023 Mar; 13(3): 849. doi: 10.3390/life13030849. DOI: https://doi.org/10.3390/life13030849
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Pakistan Journal of Health Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments