Universität zu Köln

Buchwitz, Timo Marcel, Maier, Franziska, Greuel, Andrea ORCID: 0000-0002-0001-9225, Thieken, Franziska, Steidel, Kenan, Jakobs, Viktoria and Eggers, Carsten (2021). Pilot Study of Mindfulness Training on the Self-Awareness of Motor Symptoms in Parkinson's Disease - A Randomized Controlled Trial. Front. Psychol., 12. LAUSANNE: FRONTIERS MEDIA SA. ISSN 1664-1078

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Abstract

Objective: This study aims to evaluate feasibility and effects of a newly developed mindfulness intervention tailored to specific needs of patients with Parkinson's disease (PD).Background: The phenomenon of impaired self-awareness of motor symptoms (ISAm) in PD might be reduced by increasing patients' mindfulness. A PD-specific mindfulness intervention has been developed and evaluated as a potential treatment option: IPSUM (Insight into Parkinson's Disease Symptoms by using Mindfulness).Methods: IPSUM's effectiveness is evaluated by comparing an intervention with a waitlist-control group. Applying a pre-post design, patients were assessed before, directly after and 8weeks after treatment. The primary outcome was the change in a quantitative ISAm score from baseline to post-assessment. Secondary outcome measures were PD-related affective changes and neuropsychological test performance. Feasibility was evaluated via feedback forms.Results: In total, 30 non-depressed and non-demented PD patients were included (intervention: n=14, waitlist-control: n=16). ISAm score did not change significantly, but the training group showed greater performance in sustained attention and language tasks over time. Additional changes included greater mindfulness as well as less sleeping problems and anxiety. Cognitive disturbances, apathy, and sleeping problems worsened only in the waitlist-control group. Patients' feedback regarding the training concept and material was excellent.Conclusion: Insight into Parkinson's Disease Symptoms by using Mindfulness has not been capable of reducing ISAm in PD patients but appears to be a feasible and effective concept to, among others, support mental health in the mid-term. It has to be noted though that the study was stopped beforehand because of the SARS CoV-2 pandemic. The lack of findings might therefore be caused by a lack of statistical power. The need for further research to better understand the mechanisms of ISAm and its connection to mindfulness in PD is highlighted.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Buchwitz, Timo Marcel UNSPECIFIED UNSPECIFIED UNSPECIFIED Maier, Franziska UNSPECIFIED UNSPECIFIED UNSPECIFIED Greuel, Andrea UNSPECIFIED orcid.org/0000-0002-0001-9225 UNSPECIFIED Thieken, Franziska UNSPECIFIED UNSPECIFIED UNSPECIFIED Steidel, Kenan UNSPECIFIED UNSPECIFIED UNSPECIFIED Jakobs, Viktoria UNSPECIFIED UNSPECIFIED UNSPECIFIED Eggers, Carsten UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-585708
DOI:	10.3389/fpsyg.2021.763350
Journal or Publication Title:	Front. Psychol.
Volume:	12
Date:	2021
Publisher:	FRONTIERS MEDIA SA
Place of Publication:	LAUSANNE
ISSN:	1664-1078
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MILD COGNITIVE IMPAIRMENT; DIAGNOSTIC-CRITERIA; STRESS REDUCTION; BODY AWARENESS; ANOSOGNOSIA; MEDITATION; QUESTIONNAIRE; DEMENTIA; DYSKINESIAS; RELIABILITY Multiple languages Psychology, Multidisciplinary Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58570