In addition, the authors encourage further studies on this topic, to investigate and reinforce the importance of implementing higher quality methodologies such as RCTs, use of active controls and appropriately sized samples 40. (2018) 40 showed promisingly positive results for disorders such as anxiety, stress, depression, sleep disorders and quality of life. In a recent narrative review of the effects of meditative interventions and CKD, Bennett et al. Other studies involving randomized controlled trials (RCTs) have shown the benefits of MBIs in people with CKD in improving quality of life 36, depression and anxiety 37, reducing stress 38 and hypertension 39. Some systematic reviews and meta-analyses involving this theme addressed the positive effects of MBIs for chronic conditions such as: fibromyalgia 29, somatization disorder 30, chronic pain 31, 32, cancer 33, 34 and multiple sclerosis 35. Over the years, studies involving MBIs have shown effectiveness for a wide range of conditions, including chronic diseases 24, 28. The first protocol called mindfulness-based stress reduction (MBSR) was developed by Jon Kabat-Zinn (1990) 20 with the aim of helping people with chronic pain and stress associated with long-term conditions and served as the basis for the construction of other MBIs 27. Currently, there are a variety of MBI protocols for different clinical outcomes and populations 15, 23 - 26. Mindfulness practices involve paying attention to the experience as it is in the present moment, bringing higher awareness regarding the external and internal experiences, greater cognitive and behavioral flexibility, and tolerance of unpleasantries 21, 22. Mindfulness is characterized by paying attention to the present moment, with openness, curiosity and acceptance 20. Mindfulness-based interventions (MBIs) are part of the "third wave of CBT" and have been arousing interest concerning their effectiveness in clinical disorders and physical diseases, as they deal with mental and physical aspects 18, 19. The most well-established and prevalent integrative therapy for mind and body is the practice of cognitive-behavioral therapy (CBT), the one most used to treat various mental disorders, reduce stress and psychological symptoms in people with chronic diseases, due to its structure and flexible content 16, 17. In addition to conventional therapies for this population, complementary interventions offer new options with the aim of improving general health, reducing side effects and treatment costs 15. Dialysis is an invasive, complex and time-consuming process, leading to depression and anxiety 6, 7, sleep disorders 8, non-compliance to dialysis 9, and chronic pain 10, which are associated with low quality of life and high mortality rates 11 - 14. People with CKD have a range of physical and psychological comorbidities 2, in addition to facing costly treatments, lifestyle and dietary restrictions 3 - 5. Chronic kidney disease (CKD) is a serious public health problem worldwide 1.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |