Internet Mindfulness Meditation Intervention (IMMI) Improves Depression Symptoms in Older Adults

<b>Background:</b> Older adults have fewer physiological reserves and are more likely to be affected by stress. Mindfulness meditation has the potential to be an effective treatment for depression, but little research has been conducted on older adults. The primary objective of this stud...

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Main Author: Helané Wahbeh
Format: Article
Language:English
Published: MDPI AG 2018-11-01
Series:Medicines
Subjects:
Online Access:https://www.mdpi.com/2305-6320/5/4/119
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author Helané Wahbeh
author_facet Helané Wahbeh
author_sort Helané Wahbeh
collection DOAJ
description <b>Background:</b> Older adults have fewer physiological reserves and are more likely to be affected by stress. Mindfulness meditation has the potential to be an effective treatment for depression, but little research has been conducted on older adults. The primary objective of this study was to evaluate depression symptom changes in older adults (55&#8315;80 years old) taking an Internet Mindfulness Meditation Intervention (IMMI) compared to a waitlist control. The secondary aims were to collect data on pain, perceived stress, resilience, mindfulness, sleep quality, and spirituality. <b>Methods:</b> Fifty older adults were randomized to either the Internet Mindfulness Meditation Intervention, a six-week online intervention with daily home practice, or a waitlist control. Measures were collected at baseline, after the six-week intervention period, and again six weeks later after the waitlist participants completed IMMI. Adherence to home practice was objectively measured with iMINDr. Changes in outcomes for the IMMI and waitlist participants were compared. All participants who completed IMMI were then combined for a within-participant analysis. <b>Results:</b> Adherence to the intervention was low, likely due to a traumatic event in the local area of the participants. Compared to the waitlist participants, those in IMMI had improved depression symptoms (<i>p</i> &lt; 0.00005), perceived stress (<i>p</i> = 0.0007), insomnia symptoms ((<i>p</i> = 0.0009), and pain severity (<i>p</i> = 0.05). In the within-participant analysis of all data before and after IMMI (i.e., those initially randomized to IMMI and waitlist participants who took it), we found improvements in depression symptoms (<i>p</i> = 0.0001), perceived stress (<i>p</i> = 0.0001), insomnia symptoms (<i>p</i> &lt; 0.00005), pain interference (<i>p</i> = 0.003), and spirituality (<i>p</i> = 0.018). A seven-week follow-up after the original six-week IMMI program showed sustained improvements in the IMMI participants. <b>Conclusions:</b> IMMI improved depression and related symptoms compared to controls despite minimal support from study staff. IMMI offers a low-dose, low-cost, easily accessible mindfulness meditation intervention for older adults with depression symptoms.
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spelling doaj.art-2cc1f4c050104da28a7f9d2846ece03d2022-12-22T01:55:38ZengMDPI AGMedicines2305-63202018-11-015411910.3390/medicines5040119medicines5040119Internet Mindfulness Meditation Intervention (IMMI) Improves Depression Symptoms in Older AdultsHelané Wahbeh0Institute of Noetic Sciences, 101 San Antonio Rd., Petaluma, CA 94952, USA<b>Background:</b> Older adults have fewer physiological reserves and are more likely to be affected by stress. Mindfulness meditation has the potential to be an effective treatment for depression, but little research has been conducted on older adults. The primary objective of this study was to evaluate depression symptom changes in older adults (55&#8315;80 years old) taking an Internet Mindfulness Meditation Intervention (IMMI) compared to a waitlist control. The secondary aims were to collect data on pain, perceived stress, resilience, mindfulness, sleep quality, and spirituality. <b>Methods:</b> Fifty older adults were randomized to either the Internet Mindfulness Meditation Intervention, a six-week online intervention with daily home practice, or a waitlist control. Measures were collected at baseline, after the six-week intervention period, and again six weeks later after the waitlist participants completed IMMI. Adherence to home practice was objectively measured with iMINDr. Changes in outcomes for the IMMI and waitlist participants were compared. All participants who completed IMMI were then combined for a within-participant analysis. <b>Results:</b> Adherence to the intervention was low, likely due to a traumatic event in the local area of the participants. Compared to the waitlist participants, those in IMMI had improved depression symptoms (<i>p</i> &lt; 0.00005), perceived stress (<i>p</i> = 0.0007), insomnia symptoms ((<i>p</i> = 0.0009), and pain severity (<i>p</i> = 0.05). In the within-participant analysis of all data before and after IMMI (i.e., those initially randomized to IMMI and waitlist participants who took it), we found improvements in depression symptoms (<i>p</i> = 0.0001), perceived stress (<i>p</i> = 0.0001), insomnia symptoms (<i>p</i> &lt; 0.00005), pain interference (<i>p</i> = 0.003), and spirituality (<i>p</i> = 0.018). A seven-week follow-up after the original six-week IMMI program showed sustained improvements in the IMMI participants. <b>Conclusions:</b> IMMI improved depression and related symptoms compared to controls despite minimal support from study staff. IMMI offers a low-dose, low-cost, easily accessible mindfulness meditation intervention for older adults with depression symptoms.https://www.mdpi.com/2305-6320/5/4/119older adultsdepressionmindfulness meditation
spellingShingle Helané Wahbeh
Internet Mindfulness Meditation Intervention (IMMI) Improves Depression Symptoms in Older Adults
Medicines
older adults
depression
mindfulness meditation
title Internet Mindfulness Meditation Intervention (IMMI) Improves Depression Symptoms in Older Adults
title_full Internet Mindfulness Meditation Intervention (IMMI) Improves Depression Symptoms in Older Adults
title_fullStr Internet Mindfulness Meditation Intervention (IMMI) Improves Depression Symptoms in Older Adults
title_full_unstemmed Internet Mindfulness Meditation Intervention (IMMI) Improves Depression Symptoms in Older Adults
title_short Internet Mindfulness Meditation Intervention (IMMI) Improves Depression Symptoms in Older Adults
title_sort internet mindfulness meditation intervention immi improves depression symptoms in older adults
topic older adults
depression
mindfulness meditation
url https://www.mdpi.com/2305-6320/5/4/119
work_keys_str_mv AT helanewahbeh internetmindfulnessmeditationinterventionimmiimprovesdepressionsymptomsinolderadults