Relationship Among Mindfulness, Spiritual Well-being, Acceptance, and Psychological Distress in Family Caregiver of Chronic non-Communicable Disease Patients (NCDS)

Main Article Content

Harit Mahaton
Nattasuda Taephant

Abstract

Objective: To investigate the relation among mindfulness, spiritual wellbeing, and acceptance and psychological distress in family caregiver of chronic Non-Communicable Disease (NCDs) patients.


Materials and methods: This was a cross-sectional study, which was carried out from May to August 2020. Participants were 130 family caregivers of chronic Non-Communicable Disease (NCDs) patients living in Thailand and were selected by convenience sampling. Instruments were (1) Freiburg mindfulness inventory (2) the acceptance and action questionnaire (3) spiritual wellbeing questionnaire. (4) Depression, Anxiety and Stress Scale (DASS21). Spearman’s product moment correlation and multiple regression analyses were used to analyses the data.


Results: Mindfulness, spiritual well-being and acceptance were negatively correlated with psychological distress (r = -.76) (r = -.60) (r = -.86). Mindfulness, acceptance, and spiritual wellbeing significantly predicted stress and accounted for 75.8 percent of the total variance (R2= .758, p < .01). When considered standard regression coefficient (ß) of each variables, this study found that acceptance has the most influence (ß = -.662, p < .01) for predicting psychological distress while mindfulness (ß = -.150, p < .05) and spiritual wellbeing (ß = -.150, p < .05)  have subsequence influence respectively. (ß = -.144, p < .01)


Conclusion: Mindfulness, spiritual well-being and acceptance were negatively correlated with psychological distress. Mindfulness, spiritual well-being and acceptance were significantly predicted of stress.

Article Details

Section
Original article (นิพนธ์ต้นฉบับ)

References

Sirapo-ngam Y. Family caregiver: concept and research issues. RNJ 2539;2:84-94. (in Thai)

Kasemkitwattana S, Prison P. Chronic patients’ family caregivers: a risk group that must not be overlooked. JTNMC 2557;29:22-31. (in Thai)

Schoenmakers B, Buntinx F, Delepeleire J. Factors determining the impact of care-giving on caregivers of elderly patients with dementia: a systematic literature review. Maturitas 2010;66:191-200. PMID: 20307942.

Mellon S. Comparisons between cancer survivors and family members on meaning of the illness and family quality of life. Oncol Nurs Forum 2002;29:1117-25. PMID: 12183760.

Smith CE, Piamjariyakul U, Yadrich DM, Ross VM, Gajewski B, Williams AR. Complex home care: part III-economic impact on family caregiver quality of life and patients' clinical outcomes. Nurs Econ 2010;28:393-414. PMID: 21291060.

Pinquart M, Sörensen S. Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis. Psychol Aging 2003;18:250-67. PMID: 12825775.

Gomez R, Fisher JW. Domains of spiritual well-being and development and validation of the spiritual well-being questionnaire. Pers Individ Dif [Internet]. 2003 [cited 2020 Oct 10];35:1975-91. Available from: https://doi.org/10.1016/S0191-8869(03)00045-X

Rowold J. Effects of spiritual well-being on subsequent happiness, psychological well-being, and stress. J Relig Health 2011;50:950-63. PMID: 20052545.

Nuraeni A, Mirwanti R, Iskandar AA. Relationship of spiritual-wellbeing with anxiety and depression in patients with cardiac heart disease. Belitung Nurs J 2018;4:45-50. doi:10.33546/bnj.231.

Jim HS, Pustejovsky JE, Park CL, Danhauer SC, Sherman AC, Fitchett G, et al. Religion, spirituality, and physical health in cancer patients: a meta-analysis. Cancer 2015;121:3760-8. PMID: 26258868.

Walach H, Buchheld N, Buttenmüller V, Kleinknecht N, Schmidt S. Measuring mindfulness-the Freiburg Mindfulness Inventory (FMI). Pers Individ Dif [Internet]. 2006 [cited 2020 Nov 11];40:1543-55. Available from: https://doi.org/10.1016/j.paid.2005.11.025.

Eberth J, Sedlmeier P. The effects of mindfulness meditation: a meta-analysis. Mindfulness (N Y) [Internet]. 2012 [cited 2020 Oct 10];3:174-89. Available from: https://doi.org/10.1007/s12671-012-0101-x

Lam AG, Sterling S, Margines E. Effects of five-minute mindfulness meditation on mental health care professionals. J Psychol Clin Psychiatr 2015;2:11-2. doi: 10.15406/jpcpy.2015.02.00076.

C-Maharsujchakuen J. The effect of mindful self-compassion training program on depression in persons with depressive disorder [Thesis]. Bangkok: Faculty of Nursing, Chulalongkorn University; 2016. (in Thai)

Siripanit K, Manasveepongsakul T, Ratanachatchuchai S. Relationship between rumination and anxiety: the moderating effect of mindfulness [Senior project]. Bangkok: Faculty of Psychology, Chulalongkorn University; 2013. (in Thai)

Hayes SC. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behav Ther [Internet]. 2004 [cited 2020 Nov 24];35:639-65. Available from: https://doi.org/10.1016/S0005-7894(04)80013-3

A-Tjak JGL, Davis ML, Morina N, Powers MB, Smits JAJ, Emmelkamp PMG. A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychother Psychosom. 2015;84:30-6. PMID: 25547522.

Feros DL, Lane L, Ciarrochi J, Blackledge JT. Acceptance and Commitment Therapy (ACT) for improving the lives of cancer patients: a preliminary study. Psychooncology 2013;22:459-64. PMID: 23382134.

Brinkborg H, Michanek J, Hesser H, Berglund G. Acceptance and commitment therapy for the treatment of stress among social workers: a randomized controlled trial. Behav Res Ther 2011;49:389-98. PMID: 21513917.

Hair JF, Black WC, Babin BJ, Anderson RE, Tatham RL. Multivariate data analysis. 7thed. Upper Saddle River, NJ: Prentice hall; 2010.

Jarukasemthawee S. Putting Buddhist understanding back to mindfulness training [Thesis]. Brisbane, Australia: University of Queensland; 2015.

Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, et al. Preliminary psychometric properties of the acceptance and action questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther 2011;42:676–88. PMID: 22035996.

Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck depression and anxiety inventories. Behav Res Ther 1995;33:335-43. PMID: 7726811.

Nuibandan A, Noopetch P, Damkliang J, Promtape N. Effect of mindfulness by hand movementon stress and sati level of nurse students of Prince of Songkla University. Songklanagarind J Nurs 2009;31:19-34. (in Thai)

Promkeawngam S, Namwong A. The spiritual well-being of community-dwelling Thai older people with chronic illness. Journal of Nursing and Health Care 2017;35:204-13. (in Thai)

Stutzman H, Abraham S. A correlational study of spiritual well-being and depression in the adult cancer patient. Health Care Manag (Frederick) 2017;36:164-72. PMID: 28346295.

Knight BG, Silverstein M, McCallum TJ, Fox LS. A sociocultural stress and coping model for mental health outcomes among African American caregivers in Southern California. J Gerontol B Psychol Sci Soc Sci 2000;55:142-50. PMID: 11833976.

Losada A, Márquez-González M, Romero-Moreno R, Mausbach BT, López J, Fernández-Fernández V, et al. Cognitive-Behavioral Therapy (CBT) versus Acceptance and Commitment Therapy (ACT) for dementia family caregivers with significant depressive symptoms: results of a randomized clinical trial. J Consult Clin Psychol 2015;83:760-72. PMID: 26075381.