Feasibility study to assess the effect of a brief mindfulness intervention for patients with chronic obstructive pulmonary disease: a randomized controlled trial
Open accessAbstract
Psychological distress is common among patients with chronic obstructive pulmonary disease (COPD). This study aimed to assess whether a 10-minute mindfulness intervention reduces distress and breathlessness, improves mood and increases mindfulness among hospital inpatients following acute exacerbation of COPD.Fifty patients were recruited following an acute admission. The immediate effects of a 10-minute mindfulness-based body scan were compared with a control intervention. Participants were randomized to receive either a mindfulness-based body scan ( n = 24) or a control condition ( n = 26) via a 10-minute audio recording. Participants completed a self-assessment survey, including the Borg scale for breathlessness, Philadelphia Mindfulness Scale and Hospital Anxiety and Depression Scale. They then completed six brief single item measures of dyspnoea, anxiety, depression, happiness, stress and mindfulness before and after the intervention daily for three consecutive days. Acceptability was rated according to 'usefulness' and whether they would recommend the intervention to other patients. Results showed that there was a tendency for change in most outcomes, but no significant differences between the groups. Most participants rated the intervention as useful and would recommend it. Existing knowledge of mindfulness interventions among these patients is very limited and this study may be helpful in the development of other brief interventions.
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A 10-minute mindfulness-based intervention in patients with COPD showed no significant difference between groups in depression, anxiety, happiness, dyspnoea, mindfulness and stress.
“A 10-minute MBI in patients with COPD has shown a changing tendency in the outcomes of the intervention group, including depression, anxiety, happiness, dyspnoea, mindfulness and stress. While no significant difference exists among groups, most participants supposed that the mindfulness interventions were useful and were glad to recommend it.16”
From The efficacy of mindfulness-based interventions for patients with COPD: A systematic review and meta-analysis protocol (2019) · cites this paper as [16]
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Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · see citing works
Depression and quality of life in older persons: A review
Sivertsen, H., Bjørkløf, G. H., Engedal, K., Selbæk, G., & Helvik, A.-S. (2015) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000437299 · Cited by 14,152 · see citing works
Mindfulness-based stress reduction and health benefits
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00573-7 · Cited by 3,958 · see citing works
Carmody, J., & Baer, R. A. (2008) · Journal of Behavioral Medicine · doi:10.1007/s10865-007-9130-7 · Cited by 1,823 · see citing works
The Toronto Mindfulness Scale: Development and validation
Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., Shapiro, S., Carmody, J., Abbey, S., & Devins, G. (2006) · Journal of Clinical Psychology · doi:10.1002/jclp.20326 · Cited by 1,456 · see citing works
Mindfulness-based stress reduction and health benefits: A meta-analysis
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2003) · Focus on Alternative and Complementary Therapies · doi:10.1111/j.2042-7166.2003.tb04008.x · Cited by 1,394 · see citing works
Griffiths, T., Burr, M., Campbell, I., Lewis-Jenkins, V, Mullins, J., Shiels, K., Turner-Lawlor, P., Payne, N., Newcombe, R., Lonescu, A., et al. (2000) · The Lancet · doi:10.1016/s0140-6736(99)07042-7 · Cited by 952 · see citing works
The Assessment of Present-Moment Awareness and Acceptance: The Philadelphia Mindfulness Scale
Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008) · Assessment · doi:10.1177/1073191107311467 · Cited by 940 · see citing works
Anxiety and Depression in COPD
Maurer, J., Rebbapragada, V., Borson, S., Goldstein, R., Kunik, M. E., Yohannes, A. M., & Hanania, N. A. (2008) · Chest · doi:10.1378/chest.08-0342 · Cited by 720 · see citing works
Depressive Symptoms and Chronic Obstructive Pulmonary Disease
Ng, T. P. (2007) · Archives of Internal Medicine · doi:10.1001/archinte.167.1.60 · Cited by 625 · see citing works
Carmody, J., & Baer, R. A. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20555 · Cited by 568 · cited 1× · see citing works
“16 There is a limited literature examining the use of mindfulness among COPD patients and no studies examining the use of brief interventions of 30 minutes or less.”
BackgroundClinical handbook of mindfulness
(2009) · doi:10.1007/978-0-387-09593-6 · Cited by 543 · cited 1× · see citing works
“Mindfulness is defined as ‘the awareness that emerges through paying attention to purpose, in the present moment, and non-judgementally to the unfolding of experience moment-to-moment’.(12) A programme of mindfulness-based stress reduction (MBSR) has been shown to reduce stress, anxiety and depression in a range of cl…”
BackgroundRisk of depression in patients with chronic obstructive pulmonary disease and its determinants
van Manen, J. G. (2002) · Thorax · doi:10.1136/thorax.57.5.412 · Cited by 449 · see citing works
Xu, W., Collet, J., Shapiro, S. H., Lin, Y., Yang, T., Platt, R. W., Wang, C., & Bourbeau, J. (2008) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200804-619oc · Cited by 308 · see citing works
Prevalence of depression in patients with chronic obstructive pulmonary disease: a systematic review
van Ede, L., Yzermans, C. J., & Brouwer, H. J. (1999) · Thorax · doi:10.1136/thx.54.8.688 · Cited by 287 · see citing works
Mindfulness-Based Cognitive Therapy: Theory and Practice
Sipe, W. E. B., & Eisendrath, S. J. (2012) · The Canadian Journal of Psychiatry · doi:10.1177/070674371205700202 · Cited by 285 · see citing works
Evaluation of the mood and physical symptoms scale (MPSS) to assess cigarette withdrawal
West, R., & Hájek, P. (2004) · Psychopharmacology · doi:10.1007/s00213-004-1923-6 · Cited by 257 · see citing works
Breathing exercises for chronic obstructive pulmonary disease
Holland, A. E., Hill, C. J., JONES, A. Y. M., & McDonald, C. F. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008250.pub2 · Cited by 219 · see citing works
Coventry, P. A., & Hind, D. (2007) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.08.002 · Cited by 197 · see citing works
Orhan Aydin, I., & Uluşahin, A. (2001) · General Hospital Psychiatry · doi:10.1016/s0163-8343(01)00116-5 · Cited by 161 · see citing works
Frequent hospital readmissions for acute exacerbation of COPD and their associated factors
Zhenying, C. A. O., Kian Chung, O. N. G., Eng, P., Tan, W. C., & Ng, T. P. (2006) · Respirology · doi:10.1111/j.1440-1843.2006.00819.x · Cited by 135 · see citing works
Dyspnea in relation to symptoms of anxiety and depression: A prospective population study
Neuman, Å., Gunnbjörnsdóttir, M., Tunsäter, A., Nyström, L., Franklin, K. A., Norrman, E., & Janson, C. (2006) · Respiratory Medicine · doi:10.1016/j.rmed.2006.01.016 · Cited by 130 · see citing works
Cafarella, P., Effing, T., Usmani, Z. A., & Frith, P. A. (2012) · Respirology · doi:10.1111/j.1440-1843.2012.02148.x · Cited by 128 · see citing works
Immediate effects of a brief mindfulness-based body scan on patients with chronic pain
Ussher, M., Spatz, A., Copland, C., Nicolaou, A., Cargill, A., Amini-Tabrizi, N., & McCracken, L. M. (2014) · Journal of Behavioral Medicine · doi:10.1007/s10865-012-9466-5 · Cited by 122 · see citing works
Panic Attacks and Perception of Inspiratory Resistive Loads in Chronic Obstructive Pulmonary Disease
Livermore, N., Butler, J. E., Sharpe, L., McBain, R. A., Gandevia, S. C., & McKenzie, D. K. (2008) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200711-1700oc · Cited by 113 · see citing works
Kaminsky, D., Guntupalli, K., Lippmann, J., Burns, S., Brock, M. A., Skelly, J., Desarno, M., Pecott-Grimm, H., Mohsin, A., LaRock-McMahon, C., et al. (2017) · Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2017.0102 · Cited by 113 · see citing works
Effect of isometric exercise and body scanning on cigarette cravings and withdrawal symptoms
Ussher, M., Cropley, M., Playle, S., Mohidin, R., & West, R. (2009) · Addiction · doi:10.1111/j.1360-0443.2009.02605.x · Cited by 110 · see citing works
Cropley, M., Ussher, M., & Charitou, E. (2007) · Addiction · doi:10.1111/j.1360-0443.2007.01832.x · Cited by 102 · see citing works
The Association Between Depressive Symptoms and Acute Exacerbations of COPD
Jennings, J. H., DiGiovine, B., Obeid, D., & Frank, C. (2009) · Lung · doi:10.1007/s00408-009-9135-9 · Cited by 92 · see citing works
Mularski, R. A., Munjas, B. A., Lorenz, K. A., Sun, S., Robertson, S. J., Schmelzer, W., Kim, A. C., & Shekelle, P. G. (2009) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2009.0037 · Cited by 92 · see citing works
Colle, K. F. F., Vincent, A., Cha, S. S., Loehrer, L. L., Bauer, B. A., & Wahner‐Roedler, D. L. (2009) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2009.06.008 · Cited by 64 · see citing works
Dyspnea, anxiety, and depression in chronic respiratory impairment
Kellner, R., Samet, J. M., & Pathak, D. R. (1992) · General Hospital Psychiatry · doi:10.1016/0163-8343(92)90022-3 · Cited by 63 · see citing works
Yohannes, A. M., Baldwin, R. C., & Connolly, M. J. (2000) · International Journal of Geriatric Psychiatry · doi:10.1002/1099-1166(200012)15:12 · Cited by 58 · see citing works
The natural history of Selborne
White, G., Marns, F., & Bewick, T. A. (1908) · doi:10.5962/bhl.title.54552 · Cited by 41 · see citing works
White, R. J., Rudkin, S. T., Harrison, S. T., Day, K. L., & Harvey, I. M. (2002) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200209000-00006 · Cited by 29 · see citing works
An Attentional Control Task Reduces Intrusive Thoughts About Smoking
May, J., Andrade, J., Willoughby, K., & Brown, C. (2012) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntr238 · Cited by 24 · see citing works
Views on a brief mindfulness intervention among patients with long-term illness
Howarth, A., Perkins-Porras, L., Copland, C., & Ussher, M. (2016) · BMC Psychology · doi:10.1186/s40359-016-0163-y · Cited by 24 · see citing works
Self-citation(2013) · PubMed Central · Cited by 19 · see citing works
Calverley, P. M. A. (2003) · Medicine · doi:10.1383/medc.31.12.76.27177 · Cited by 2 · see citing works
Pulmonary rehabilitation: what is it and why does it work?
Evans, R. A., & Morgan, M. K. (2007) · The Journal of the Royal College of Physicians of Edinburgh · doi:10.1177/1478271520073704010 · Cited by 1 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [24]Hayes S Strosahl K Wilson K Acceptance and commitment therapy: an experimental approach to behaviour change. New York: Guilford Press, 1999.
Cited by
Sorted by citations
Effects of Brief Mindfulness-Based Interventions on Health-Related Outcomes: a Systematic Review
Howarth, A., Smith, J. G., Perkins-Porras, L., & Ussher, M. (2019) · Mindfulness · doi:10.1007/s12671-019-01163-1 · Cited by 219 · see citing works
Self-management interventions for people with chronic obstructive pulmonary disease
Schrijver, J., Lenferink, A., Brusse-Keizer, M., Zwerink, M., van der Valk, P. D., van der Palen, J. A. M., & Effing, T. (2022) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002990.pub4 · Cited by 170 · see citing works
Psychological therapies for the treatment of depression in chronic obstructive pulmonary disease
Pollok, J., van Agteren, J. E., Esterman, A. J., & Carson‐Chahhoud, K. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012347.pub2 · Cited by 91 · see citing works
Affective traits, states, and breathlessness
von Leupoldt, A., & Denutte, Y. (2020) · Current Opinion in Supportive and Palliative Care · doi:10.1097/spc.0000000000000506 · Cited by 22 · see citing works
Application of mindfulness techniques in patients with asthma or COPD
López-Lois, B., González‐Barcala, F. J., & Facal-Mayo, D. (2020) · Journal of Asthma · doi:10.1080/02770903.2020.1776729 · Cited by 21 · see citing works
BPCO, troubles anxio-dépressifs et cognitifs : l’inflammation joue-t-elle un rôle prépondérant ?
Peiffer, G., Underner, M., Perriot, J., & Fond, G. B. (2021) · Revue des Maladies Respiratoires · doi:10.1016/j.rmr.2021.03.004 · Cited by 22 · see citing works
Farver-Vestergaard, I., Danielsen, J. T., Løkke, A., & Zachariae, R. H. (2022) · Psychosomatic Medicine · doi:10.1097/psy.0000000000001043 · Cited by 21 · see citing works
Levy, I., Elimeleh, Y., Gavrieli, S., Attias, S., Schiff, A., Oliven, A., & Schiff, E. (2022) · Acupuncture in Medicine · doi:10.1177/09645284221086293 · Cited by 15 · see citing works
Sohanpal, R., Pinnock, H., Steed, L., Heslop-Marshall, K., Kelly, M. J., Chan, C. L., Wileman, V., Barradell, A. C., Dibao-Dina, C., Gilabert, P. F., et al. (2023) · Health Technology Assessment · doi:10.3310/pawa7221 · Cited by 13 · see citing works
Tschenett, H., Vafai-Tabrizi, F., Zwick, R. H., Valipour, A., Funk, G., & Nater, U. M. (2025) · Respiratory Research · doi:10.1186/s12931-025-03243-4 · Cited by 10 · see citing works
Santiago, P. H. R., Meira, L. R. V. S. E., & Colussi, C. F. (2019) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2019.01.005 · Cited by 9 · see citing works
Tian, L., Zhang, Y., Li, L., Wu, Y., & Li, Y. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-026061 · Cited by 5 · see citing works
“Outcome measures The primary outcomes will include the MBIs' efficacy for patients with COPD in terms of dyspnoea based on scales such as the modified Medical Research Council Scale30and the Borg Dyspnoea Scale,35 depression and anxiety evaluated by a scale such as the Hospital Anxiety and Depression Scale.16 The seco…”
BackgroundMethodInfluentialBramanti, A., Pessolano, C., Garofano, M., Maglio, A., Ciccarelli, M., Budaci, L., Calabrese, M., Marino, A., Loria, F., Corallo, F., et al. (2025) · Bioengineering · doi:10.3390/bioengineering12090931 · Cited by 5 · see citing works
A preliminary study of an online pain management programme for patients with ankylosing spondylitis
Yu, K., Lo, L., Lin, M., Cheung, Y., & Wong, S. (2020) · Counselling and Psychotherapy Research · doi:10.1002/capr.12314 · Cited by 3 · see citing works
Screening of Anxiolytic and Antidepressant of Methanolic Leaves Extract of Syzygium Cumini in Mice
Rehman, A. A., Riaz, A., Asghar, M. A., Sikandar, B., & Baig, M. (2020) · RADS Journal of Pharmacy and Pharmaceutical Sciences · doi:10.37962/jpps.v8i2.368 · Cited by 3 · see citing works
Tschenett, H., Funk, G., Vafai-Tabrizi, F., & Nater, U. M. (2024) · Mindfulness · doi:10.1007/s12671-024-02387-6 · Cited by 2 · see citing works
Le rôle du kinésithérapeute dans l’évaluation et la gestion de la dyspnée
Beaumont, M., Latiers, A.-C., & Prieur, G. (2023) · Revue des Maladies Respiratoires · doi:10.1016/j.rmr.2022.12.016 · Cited by 1 · see citing works
Dehkordi, P. F., Heidari, H., Masoudi, R., Sedehi, M., & Khajeali, F. (2024) · Journal of Multidisciplinary Care · doi:10.34172/jmdc.1280 · Cited by 1 · see citing works
Visger, T. V., Gill, A. S., & Matura, L. A. (2026) · Heart & Lung · doi:10.1016/j.hrtlng.2026.102740
Psychotherapeutic Techniques for Dyspnea in Cancer and Chronic Illness: Systematic Review
Kako, J., Kajiwara, K., Kobayashi, M., Ito, Y., Ichikura, K., Matsuda, Y., & Yamaguchi, T. (2026) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2026.03.021
- Authors
- Perkins-Porras, L., Riaz, M., Okekunle, A., Zhelezna, S., Chakravorty, I., & Ussher, M.
- Affiliations
- St George's, University of London (GB)
- University of London (GB)
- Sports Surgery Clinic (IE)
- St George’s University Hospitals NHS Foundation Trust (GB)
- Corresponding author
- Perkins-Porras, Linda
- Venue
- Chronic Respiratory Disease
- Publisher
- SAGE Publications
- Published
- 2018-04-24
- Volume
- 15
- Issue
- 4
- Pages
- 400-410
- ISSN
- 1479-9723 (ISSN-L)
- 1479-9731
- PMC
- PMC6234574
- OpenAlex
- W2801039930
- Cited by
- 20
- References
- 40
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 4 · 2019: 4
- FWCI
- 2.64
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Chronic Respiratory Disease (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
- St George's Online Research Archive (St George's University of London) (acceptedVersion)
- Open Research Online (The Open University) (acceptedVersion)
- Stirling Online Research Repository (University of Stirling) (submittedVersion, cc-by-nc)
- Funders
- St. George's, University of London
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- mindfulness-based interventions, chronic obstructive pulmonary disease, acute exacerbation, psychological distress, anxiety, depression, dyspnea, body scanning, brief intervention, hospitalized patients, treatment acceptability, mood
- MeSH terms
- Aged, Aged, 80 and over, Anxiety, Depression, Dyspnea, Feasibility Studies, Female, Happiness, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Stress, Psychological, Pulmonary Disease, Chronic Obstructive, Mindfulness
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