Mindfulness in Parkinson's disease: A French national survey and a pilot intervention feasibility trial using the MBSR program (M-Park)

In Parkinson's disease (PD), some limitations and side effects of proven symptomatic treatments as well as somewhat limited therapeutic innovations over the last 20 years have favored particular interest towards complementary and integrative non-pharmacological interventions. PD patients have strong expectations for such interventions [1], [2]. Among them, the most studied, and the most promising in PD, are adapted physical activity and mind-body practices [1]. They have been the subject of interventional trials and meta-analyses, showing evidence on their acceptability and efficacy on motor and non-motor signs and quality of life [1]. These include, for example, Tai Chi and Qi Gong [3], Yoga [4], dance and various forms of adapted and/or supervised physical activity [5], and mindfulness meditation [6]. The latter seems particularly effective on the patient's psychological distress, i.e. on anxiety and depression, which affects one-third to one half of PD patients [7], but also on disease-related coping strategies and emotional regulation [6]. Mindfulness meditation can be taught in structured programs, the mindfulness-based stress reduction (MBSR) program being the most studied in medicine [8]. MBSR is a standardized, group-based program with sessions that takes place weekly over eight weeks. This program, often adapted or modified, has been the subject of several studies of variable methodology in PD [6], [9], [10], [11], [12], [13]. Results are often mixed regarding patient acceptance and compliance or effect size [6], [12], however effects seem to be the strongest on emotional distress (depression, anxiety) and quality of life [6], [9], [10], [11], [12], [13]. Available knowledge on mindfulness in PD are still somewhat limited, particularly in European countries, and nothing is known on how mindfulness-based programs are perceived, or about their acceptability and efficacy in the French population and healthcare context. We present herein the main results of the two phases M-PARK study, which consisted in a French national survey on mindfulness in PD and a single-center pilot interventional trial using the standard MBSR program.

留言 (0)

沒有登入
gif