Randomized Controlled Trial of Inner Resources Meditation for Family Dementia Caregivers

J Clin Psychol. 2017 Dec;73(12):1629-1641. doi: 10.1002/jclp.22470. Epub 2017 Mar 6.

Abstract

Objective: This randomized controlled trial examined the comparative effectiveness of 2 interventions for improving diurnal cortisol slope and life satisfaction and reducing stress symptoms among older female dementia family caregivers.

Method: Thirty-one family dementia caregivers were randomized to 8 weeks of Inner Resources for Stress mindfulness meditation and mantra training (IR) or psychoeducation and telephone support (PTS).

Results: Intention-to-treat analyses revealed statistically significant pre-post improvements in diurnal cortisol slope and overall life satisfaction, but not depression or self-efficacy, in the IR relative to the PTS group. Adherence to between-session meditation practice was significantly associated with decreases in depression and self-reported improvements in ability to cope with stress. In addition, IR participants rated the overall benefits of the program more highly than the PTS group.

Conclusion: These results indicate that mindfulness meditation and mantra has promise as a feasible and effective caregiver intervention for quality of life and physiological responding to stress.

Keywords: cortisol; dementia caregivers; mantra; meditation; mindfulness; older adults; satisfaction with life.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Caregivers / psychology*
  • Dementia / nursing*
  • Depression / therapy*
  • Family
  • Female
  • Humans
  • Hydrocortisone / metabolism
  • Meditation / methods*
  • Middle Aged
  • Mindfulness / methods*
  • Outcome Assessment, Health Care*
  • Personal Satisfaction*
  • Self Efficacy*
  • Stress, Psychological / metabolism
  • Stress, Psychological / therapy*

Substances

  • Hydrocortisone