文献类型：期刊文献

英文题名：Mindfulness-based intervention for hypertension patients with depression and/or anxiety in the community: a randomized controlled trial

作者：Zhang, Hailiang[1,2,3];Zhang, Xiangrong[4];Jiang, Xiaomei[5];Dai, Runjing[1];Zhao, Na[6];Pan, Weimin[3];Guo, Jiaohong[7];Fan, Jingchun[1,2];Bao, Shisan[1,2]

第一作者：张虎林;张惠玲;Zhang, Hailiang

通信作者：Fan, JC[1];Bao, SS[1];Fan, JC[2];Bao, SS[2];Guo, JH[3]

机构：[1]Gansu Univ Chinese Med, Ctr Lab & Simulat Training, Ctr Evidence Based Med, Sch Publ Hlth, Lanzhou 730101, Gansu, Peoples R China;[2]Collaborat Innovat Ctr Tradit Chinese Med Prevent, Lanzhou 730101, Gansu, Peoples R China;[3]Gansu Prov Ctr Dis Control & Prevent, Dept Mental Hlth, Lanzhou 730030, Gansu, Peoples R China;[4]Ctr Hekou Town, Dept Chinese Med, Lanzhou 730094, Gansu, Peoples R China;[5]Gansu Gem Flower Hosp, Dept Psychosomat & Sleep Med, Lanzhou 730060, Gansu, Peoples R China;[6]Gansu Univ Chinese Med, Dept Hosp Infect Control, Affiliated Hosp, Lanzhou 730020, Gansu, Peoples R China;[7]Pingliang Second Peoples Hosp, Dept Vasculo Cardiol, Pingliang 744000, Gansu, Peoples R China

第一机构：甘肃中医药大学公共卫生学院

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Ctr Lab & Simulat Training, Ctr Evidence Based Med, Sch Publ Hlth, Lanzhou 730101, Gansu, Peoples R China;[2]corresponding author), Collaborat Innovat Ctr Tradit Chinese Med Prevent, Lanzhou 730101, Gansu, Peoples R China;[3]corresponding author), Pingliang Second Peoples Hosp, Dept Vasculo Cardiol, Pingliang 744000, Gansu, Peoples R China.|[10735e9d5e7087247e71b]甘肃中医药大学公共卫生学院;[10735]甘肃中医药大学;

年份：2024

卷号：25

期号：1

外文期刊名：TRIALS

收录：;Scopus(收录号：2-s2.0-85192013108);WOS:【SCI-EXPANDED(收录号:WOS:001225929500003)】；

基金：This work was supported by the 2020 Science and Technology Project of Chengguan District, Lanzhou [grant number 2020-2-11-16], the Talent Introduction Program of Gansu University of Chinese Medicine, Gansu University of Chinese Medicine [grant number 2016YJRC-01], the University Innovation Capacity Improvement Project in Gansu Province [grant number 2020B-153], and the innovation Fund of Postgraduate, Gansu University of Chinese Medicine [grant number 2021CX69].

语种：英文

外文关键词：Hypertension; Anxiety; Depression; Mindfulness-based therapy; Blood pressure (BP)

摘要：Objective To evaluate mindfulness-based intervention for hypertension with depression and/or anxiety. Methods 10-week mindfulness-based intervention, including health education for hypertension, exclusively for the control group, was administered to the intervention group to assist sixty hypertension patients with depression/anxiety. Among them, the intervention group comprised 8 men and 22 women, with a mean age of 60.02 years and a mean duration of hypertension of 6.29 years. The control group consisted of 14 men and 16 women with a mean age of 57.68 years and a mean duration of hypertension of 6.32 years. The severity of depressive and/or anxiety symptoms was assessed using the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder scale (GAD-7), along with blood pressure (BP) measurements taken twice daily. The study utilized a self-made self-efficacy scale and awareness of physical and mental health to evaluate mental health and state. Results The depression PHQ-9 or GAD-7 scores reduced by 21.1% or 17.8% in the mindfulness-based intervention group, compared to the control (Z = -2.040, P = 0.041) post 10-week period, suggesting significant reduction in anxiety/stress. These results were consistent with a reduction in systolic BP of 12.24 mm Hg (t = 6.041, P = 0.000). The self-efficacy score of the mindfulness intervention group significantly improved compared to the control (t = 7.818, P < 0.001), while the awareness of physical and mental health in the mindfulness intervention group significantly improved compared to the control (chi 2 = 5.781, P = 0.016). Conclusion Mindfulness-based, short-term focused interventions provide modest relief for depression and/or anxiety and are effective in lowering blood pressure and improving self-efficacy scores.