Yasemin ÇIRAK, Yunus Emre TÜTÜNEKEN, Gül Deniz YILMAZ YELVAR, Zeynep SEYRAN, Kübra KÖÇE, Burcu IŞIKCI, Nurgül DÜRÜSTKAN ELBAŞI

Is Mindfulness-Based Program Applied Via Telerehabilitation Effective on Mental and Physical Health in Postmenopausal Women?

Objective: To compare the effects of mindfulness-based intervention with supervised telerehabilitation (ST) or video-based telerehabilitation (VBT) on endurance, sleep quality, mental health, quality of life, body awareness, physical activity level, and pelvic floor dysfunction symptoms in postmenopausal women. Methods: Fifty postmenopausal women aged 50-65 years were randomly allocated to either the supervised telerehabilitation group (STG) (n=26) or the video-based telerehabilitation group (VBTG) (n=24). In both groups, 20 minutes of mindfulness-based intervention was applied every day for six weeks. Before and after intervention, Brief Resilience Scale, Beck Depression Inventory, Richard–Campbell Sleep Scale, Nottingham Health Profile, Body Awareness Questionnaire, short forms of International Physical Activity Questionnaire, and Pelvic Floor Distress Inventory were applied for assessment. Results: The groups were similar in terms of sociodemographic characteristics and outcome measures (p>0.05). There was a statistically significant difference in all parameters measured in the STG before and after the intervention, and only in short forms of International Physical Activity Questionnaire, and Nottingham Health Profile scores in the VBTG (p<0.05). When the difference between groups was compared, there was a statistically significant difference between the groups in terms of Brief Resilience Scale, Nottingham Health Profile (except social isolation subscale score), Body Awareness Questionnaire, and Pelvic Floor Distress Inventory-20 scores (p<0.05). Conclusion: These results suggest that Mindfulness-based intervention with ST is more effective than VBT in improving resilience, mental health, sleep quality, quality of life, body awareness, and pelvic floor dysfunction symptoms in postmenopausal women, and ST is an alternative approach.

Keywords:

Mental health, mindfulness, postmenopausal, telerehabilitation,

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Johnson A, Roberts L, Elkins G. Complementary and alternative medicine for menopause. J. Evid.-Based Integr. Med. 2019;24:2515690X19829380. doi: 10.3389/fneur.2021.554375
Shobeiri F, Jenabi E, Hazavehei SMM, Roshanaei G. Quality of life in postmenopausal women in Iran: a population-based study. J. Menopausal Med. 2016;22(1):31-38. doi: 10.6118/jmm.2016.22.1.31
Hill K. The demography of menopause. Maturitas. 1996;23(2):113-127. doi: 10.1016/0378-5122(95)00968-X
Innes KE, Selfe TK, Vishnu A. Mind-body therapies for menopausal symptoms: a systematic review. Maturitas. 2010;66(2):135-149. doi: 10.1016/j.maturitas.2010.01.016
White L. Mindfulness in nursing: an evolutionary concept analysis. J. Adv. Nurs. 2014;70(2):282-294. doi: 10.1111/jan.12182
Kabat-Zinn J, Zinn JK. Mindfulness Meditation in Everyday Life. BettterListen! LLC; 2013.
De Jong M, Lazar SW, Hug K, et al. Effects of mindfulness-based cognitive therapy on body awareness in patients with chronic pain and comorbid depression. Front. Psychol. 2016:967. doi: 10.3389/fpsyg.2016.00967
Garcia MC, Pompéia S, Hachul H, et al. Is mindfulness associated with insomnia after menopause? Menopause. 2014;21(3):301-305. doi: 10.1097/GME.0b013e31829996fc
Robins JLW, Kiken L, Holt M, McCain NL. Mindfulness: An effective coaching tool for improving physical and mental health. J Am Assoc Nurse Pract. 2014;26(9):511-518. doi: 10.1002/2327-6924.12086
Cejudo J, García-Castillo F-J, Luna P, Rodrigo-Ruiz D, Feltrero R, Moreno-Gómez A. Using a mindfulness-based intervention to promote subjective well-being, trait emotional intelligence, mental health, and resilience in women with fibromyalgia. Front. Psychol. 2019;10:2541. doi: 10.3389/fpsyg.2019.02541
Green SM, Key BL, McCabe RE. Cognitive-behavioral, behavioral, and mindfulness-based therapies for menopausal depression: a review. Maturitas. 2015;80(1):37-47. doi: 10.1016/j.maturitas.2014.10.004
Kanter G, Komesu YM, Qaedan F, et al. Mindfulness-based stress reduction as a novel treatment for interstitial cystitis/bladder pain syndrome: a randomized controlled trial. Int Urogynecol J. 2016;27(11):1705-1711. doi: 10.1007/s00192-016-3022-8
Baker J, Costa D, Nygaard I. Mindfulness-based stress reduction for treatment of urinary urge incontinence: a pilot study. Female Pelvic Med. Reconstr. Surg. 2012;18(1):46-49. doi: 10.1097/SPV.0b013e31824107a6
Rosen A, Liu WLG, Tofighi M-R. Guest Editorial. IEEE Trans. Microw. Theory Tech. 2009;57(10):2477-2479.
Quigley A, Johnson H, McArthur C. Transforming the provision of physiotherapy in the time of COVID-19: a call to action for telerehabilitation. Physiother Can. 2021;73(1):1-2. doi: 10.3138/ptc-2020-0031-gee
Cottrell MA, Galea OA, O’Leary SP, Hill AJ, Russell TG. Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clin. Rehabil. 2017;31(5):625-638. doi: 10.1177/0269215516645148
Chan C, Yamabayashi C, Syed N, Kirkham A, Camp PG. Exercise Telemonitoring and Telerehabilitation Compared with Traditional Cardiac and Pulmonary Rehabilitation: A Systematic Review and Meta-Analysis. Physiother Can. 2016;68(3):242-251. doi:10.3138/ptc.2015-33. doi: 10.3138/ptc.2015-33
Khan F, Amatya B, Kesselring J, Galea M. Telerehabilitation for persons with multiple sclerosis. Cochrane Database Syst. Rev. 2015;(4). doi: 10.1002/14651858.CD010508.pub2
Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int. J. Behav. Med. 2008;15(3):194-200. doi: 10.1080/10705500802222972
Tarsuslu T, Tütün YÜMİN E, Öztürk A, Yümi̇n M. Kronik fiziksel özürlü bireylerde ağrı, depresyon, anksiyete ve fonksiyonel bağımsızlık ile yaşam kalitesi arasındaki ilişki. Ağrı. 2010;22(67):30-36.
Kücükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23(1):31-38.
Essink-Bot M-L, Krabbe PFM, Bonsel GJ, Aaronson NK. An empirical comparison of four generic health status measures: the Nottingham Health Profile, the Medical Outcomes Study 36-item Short-Form Health Survey, the COOP/WONCA charts, and the EuroQol instrument. Med. Care. 1997:522-537.
Karaca S, Bayar B. Turkish version of body awareness questionnaire: validity and reliability study. Turk J Physiother Rehabil. 2021;32(1):44-50. doi: 10.21653/tjpr.660186
Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-284. doi: 10.2466/06.08.PMS.111.4.278-2
Toprak Celenay S, Akbayrak T, Kaya S, Ekici G, Beksac S. Validity and reliability of the Turkish version of the Pelvic Floor Distress Inventory-20. Int Urogynecol J. 2012;23(8):1123-1127. doi: 10.1007/s00192-012-1729-8
Perez-Lopez FR, Perez-Roncero G, Fernandez-Iñarrea J, Fernandez-Alonso AM, Chedraui P, Llaneza P. MARIA (MenopAuse risk assessment) research group. Resilience, depressed mood, and menopausal women. Menopause. 2014;21:159-164. doi: 10.1097/GME.0b013e31829479bb
Charmchi N, Asgari P, Hafezi F, Makvandi B, BakhtiarPour S. The effect of “cognitive behavior therapy” in method group on anxiety and psychological resilience of menopausal women. J. Promot. Manag. 2016;5(5):15-22.
Hervás G. Psicopatología de la regulación emocional: el papel de los déficit emocionales en los trastornos clínicos. Psicol. Conduct. 2011;19(2):347.
Waelde LC, Uddo M, Marquett R, et al. A pilot study of meditation for mental health workers following Hurricane Katrina. J. Trauma. Stress. 2008;21(5):497-500. doi: 10.1002/jts.20365
Way BM, Creswell JD, Eisenberger NI, Lieberman MD. Dispositional mindfulness and depressive symptomatology: correlations with limbic and self-referential neural activity during rest. Emotion. 2010;10(1):12. doi: 10.1037/a0018312
Garcia MC, Kozasa EH, Tufik S, Mello LEAM, Hachul H. The effects of mindfulness and relaxation training for insomnia (MRTI) on postmenopausal women: a pilot study. Menopause. 2018;25(9):992-1003. doi: 10.1097/GME.0000000000001118
van Son J, Nyklíček I, Pop VJ, et al. The effects of a mindfulness-based intervention on emotional distress, quality of life, and HbA1c in outpatients with diabetes (DiaMind) a randomized controlled trial. Diabetes Care. 2013;36(4):823-830. doi: 10.2337/dc12-1477
Black DS, O’Reilly GA, Olmstead R, Breen EC, Irwin MR. Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: a randomized clinical trial. JAMA Intern. Med. 2015;175(4):494-501. doi:10.1001/jamainternmed.2014.8081
Treves IN, Tello LY, Davidson RJ, Goldberg SB. The relationship between mindfulness and objective measures of body awareness: A meta-analysis. Sci. Rep. 2019;9(1):1-12. doi: 10.1038/s41598-019-53978-6
Pintado S, Andrade S. Randomized controlled trial of mindfulness program to enhance body image in patients with breast cancer. Eur. J. Integr. Med. 2017;12:147-152. doi: 10.1016/j.eujim.2017.05.009
Strowger M, Kiken LG, Ramcharran K. Mindfulness meditation and physical activity: Evidence from 2012 National Health Interview Survey. Health Psychol. 2018;37(10):924. doi: 10.1037/hea0000656
Tsafou K-E, De Ridder DTD, van Ee R, Lacroix JPW. Mindfulness and satisfaction in physical activity: A cross-sectional study in the Dutch population. J. Health Psychol. 2016;21(9):1817-1827. doi: 10.1177/1359105314567207
Schneider J, Malinowski P, Watson PM, Lattimore P. The role of mindfulness in physical activity: A systematic review. Obes. Rev. 2019;20(3):448-463. doi: 10.1111/obr.12795
Bradley CS, Zimmerman MB, Wang Q, Nygaard IE, Initiative WH. Vaginal descent and pelvic floor symptoms in postmenopausal women: a longitudinal study. Obstet. Gynecol. 2008;111(5):1148-1153. doi: 10.1097/AOG.0b013e31816a3b96
Ai F, Deng M, Mao M, Xu T, Zhu L. Depressive symptoms screening in postmenopausal women with symptomatic pelvic organ prolapse. Menopause. 2018;25(3):314-319. doi: doi.org/10.1097/GME.0000000000001006