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Improving quality of life using compound mind-body therapies: evaluation of a course intervention with body movement and breath therapy, guided imagery, chakra experiencing and mindfulness meditation

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Abstract

Objective Assess changes in quality of life and in sense of coherence (SOC), after an intervention involving a self-development course using mind–body medicine (MBM) activities.

Design A questionnaire study using a health-related quality of life (HRQOL) instrument, the SWEDQUAL, with 13 subscales and scores ranging from 0 to 100, combined with the SOC-13 scale, healthcare utilisation, medication and sick listing data.

Setting A training centre for MBM. Eligible course attendants (study group, SG, n = 83) assessed their HRQOL before and 6 months after a 1-week course. A control group (CG) of individuals who had previously attended the course (n = 69), matched for age, sex and length of course time to the SG, also made assessments.

Main outcome Changes in HRQOL and SOC in SG and CG.

Results Of the 13 HRQOL subscales, eight showed clinically significant improvement in the SG (>9%, p < 0.01), namely, General health perceptions (9%), Emotional well-being [negative (45%) and positive (26%)], Cognitive functioning (24%), Sleep (15%), Pain (10%), Role limitation due to emotional health (22%) and Family functioning (16%). Sexual, marital and physical function and role in the SG as well as all CG scores were similar to average population values. The assessed SOC also improved in the SG after intervention (p < 0.01), challenging previous statements of ‘the stableness of SOC’. Use of psychotropic medication was slightly reduced in the younger aged SG participants after intervention.

Conclusions This group of men and women (SG), starting from a clinically significant low health assessment, had improved their HRQOL and SOC after the course intervention.

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Abbreviations

CAM:

Complementary and alternative medicine

CG:

Control group

HRQOL:

Health-related quality of life

MBM:

Mind–body medicine, subgroup of CAM (including relaxation techniques)

MBR:

Mind-body relations (MESH term definition: the relation between the mind and the body in a religious, social, spiritual, behavioural, and metaphysical context. This concept is significant in the field of alternative medicine)

PD:

Psychoactive drugs: (in this study) SSRI depression medication, tranquillisers and/or sleeping pills

PMTA:

Primary modes of therapeutic action

QOL:

Quality of life (in general)

SG:

Study group

SOC:

Sense of coherence

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Acknowledgements

This study was supported by separate grants from the Stockholm County Council and it’s Center for Family and Community Medicine, Huddinge, Sweden.

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Authors and Affiliations

  1. Karolinska Institutet/Stockholm County Council’s Center for Family and Community Medicine, Huddinge, Sweden

    Lotta Fernros, Anna-Karin Furhoff & Per E. Wändell

  2. Center for Family and Community Medicine, Karolinska Insitutet, Alfred Nobel’s allé 12, 14183, Huddinge, Sweden

    Lotta Fernros

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  1. Lotta Fernros
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  2. Anna-Karin Furhoff
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Correspondence to Lotta Fernros.

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Fernros, L., Furhoff, AK. & Wändell, P.E. Improving quality of life using compound mind-body therapies: evaluation of a course intervention with body movement and breath therapy, guided imagery, chakra experiencing and mindfulness meditation. Qual Life Res 17, 367–376 (2008). https://doi.org/10.1007/s11136-008-9321-x

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