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The Effects of Mindfulness-based Str...

HOU, Jing.

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The Effects of Mindfulness-based Stress Reduction Program on Depressive Symptoms Reduction among Family Caregivers in Hong Kong.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The Effects of Mindfulness-based Stress Reduction Program on Depressive Symptoms Reduction among Family Caregivers in Hong Kong./
Author:	HOU, Jing.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2012,
Description:	135 p.
Notes:	Source: Dissertation Abstracts International, Volume: 74-08(E), Section: B.
Contained By:	Dissertation Abstracts International74-08B(E).
Subject:	Mental health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3538906
ISBN:	9781303022289

The Effects of Mindfulness-based Stress Reduction Program on Depressive Symptoms Reduction among Family Caregivers in Hong Kong.
HOU, Jing.

The Effects of Mindfulness-based Stress Reduction Program on Depressive Symptoms Reduction among Family Caregivers in Hong Kong. - Ann Arbor : ProQuest Dissertations & Theses, 2012 - 135 p.

Source: Dissertation Abstracts International, Volume: 74-08(E), Section: B.

Thesis (Ph.D.)--The Chinese University of Hong Kong (Hong Kong), 2012.

Introduction: Mindfulness-based stress reduction (MBSR) program has been receiving increasing attention in recent years. However, no questionnaires were validated to measure "mindfulness" in Hong Kong Chinese adults. In addition, few studies have been conducted to examine the effectiveness of MBSR on mental wellbeing of family caregivers.

ISBN: 9781303022289Subjects--Topical Terms:

534751
Mental health.

The Effects of Mindfulness-based Stress Reduction Program on Depressive Symptoms Reduction among Family Caregivers in Hong Kong.
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100 1 $a HOU, Jing. $3 3290240
245 1 4 $a The Effects of Mindfulness-based Stress Reduction Program on Depressive Symptoms Reduction among Family Caregivers in Hong Kong.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2012
300 $a 135 p.
500 $a Source: Dissertation Abstracts International, Volume: 74-08(E), Section: B.
502 $a Thesis (Ph.D.)--The Chinese University of Hong Kong (Hong Kong), 2012.
520 $a Introduction: Mindfulness-based stress reduction (MBSR) program has been receiving increasing attention in recent years. However, no questionnaires were validated to measure "mindfulness" in Hong Kong Chinese adults. In addition, few studies have been conducted to examine the effectiveness of MBSR on mental wellbeing of family caregivers.
520 $a Objectives: The first part of this thesis aimed to validate the Chinese version of Five Facet Mindfulness Questionnaire (FFMQ-C) in Hong Kong and to develop a short form scale (FFMQ-SF). The second part of the thesis aimed to evaluate the effectiveness of MBSR in reducing depressive symptoms among family caregivers in Hong Kong Chinese adults.
520 $a Subjects and Methods: In the first part of the thesis, 230 community adults and 156 patients with clinical diagnosis of generalized anxiety disorder (GAD) were recruited. Both test-retest and internal consistency reliability were used to examine the reliability of FFMQ-C, while confirmatory factor analyses (CFA) were used to examine the structure validity of FFMQ-C.
520 $a In the second part of the thesis, 141 caregivers, who met the inclusion/exclusion criteria, were randomly assigned to either the 8-week MBSR group or the control group (self-learning booklets on mental health and stress management). The Center for Epidemiologic Studies Depression Scale (CESD) was used to measure the depressive symptoms as the primary outcome. A score of CESD above 16 was used to identify the clinically significant depression and a 50% or more reduction in CESD was regarded as clinical improvement. The secondary outcomes included anxiety, self-efficacy, mindfulness and quality of life and so on. All the outcome measures were self-administrated at baseline, post-intervention and 3-month follow-up. Intention-to-treat analyses were used to test the group effects of MBSR on outcome measures.
520 $a Results: The test-retest reliability of FFMQ-C was 0.88, and Cronbach's alpha was 0.83 in the community sample and 0.80 in the GAD sample. CFA showed adequate model fit for correlated five-factor structure (NNFI 0.94, CFI 0.95, RMSEA 0.076 (0.063-0.086)). A 20-item FFMQ-SF was developed and showed sufficient reliability, validity and psychometric property.
520 $a In the second part of the thesis, the MBSR group (n=70) showed significantly lower attrition rate than the control group (n=71) (12.9% vs 26.8%, p= .039). Participants in the MBSR group reported significantly greater reduction in CESD compared to the controls immediately post-intervention (-6.72 +/- 6.38 vs -2.85 +/- 4.82, p= .001) and at 3 months post-intervention (-4.70 +/- 6.32 vs -1.39 +/- 8.52, p=.001). MBSR group had a significantly larger proportion of participants with clinical improvement than the control group immediately post-intervention (35.3% vs 4.7%, OR (2.29, 54.51)) and at 3 months post-intervention (23.5% vs 7.0%, OR (1.00, 16.90)). Significant group effects of MBSR were also shown on the reduction of anxiety symptoms, the improvement in self-efficacy, and the increase in mindfulness.
520 $a Conclusions: The FFMQ-C and FFMQ-SF are reliable and valid instruments to measure mindfulness in Hong Kong Chinese adults.
520 $a MBSR is a feasible and acceptable program to effectively reduce psychological symptoms, and to improve mindfulness and self-efficacy among adult caregivers in Hong Kong Chinese.
590 $a School code: 1307.
650 4 $a Mental health. $3 534751
650 4 $a Quantitative psychology. $3 2144748
650 4 $a Clinical psychology. $3 524863
650 4 $a Asian studies. $3 1571829
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710 2 $a The Chinese University of Hong Kong (Hong Kong). $b Public Health. $3 3290241
773 0 $t Dissertation Abstracts International $g 74-08B(E).
790 $a 1307
791 $a Ph.D.
792 $a 2012
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3538906