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Effects of a Mindfulness-Based Intervention versus Health Self-Management on Subclinical Anxiety in Older Adults with Subjective Cognitive Decline: The SCD-Well Randomized Superiority Trial

dc.rights.licenseopenen_US
dc.contributor.authorMARCHANT, Natalie L.
dc.contributor.authorBARNHOFER, Thorsten
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCOUERON, Roxane
dc.contributor.authorWIRTH, Miranka
dc.contributor.authorLUTZ, Antoine
dc.contributor.authorARENAZA-URQUIJO, Eider M.
dc.contributor.authorCOLLETTE, Fabienne
dc.contributor.authorPOISNEL, Geraldine
dc.contributor.authorDEMNITZ-KING, Harriet
dc.contributor.authorSCHILD, Ann-Katrin
dc.contributor.authorCOLL-PADROS, Nina
dc.contributor.authorDELPHIN-COMBE, Floriane
dc.contributor.authorWHITFIELD, Tim
dc.contributor.authorSCHLOSSER, Marco
dc.contributor.authorGONNEAUD, Julie
dc.contributor.authorASSELINEAU, Julien
dc.contributor.authorWALKER, Zuzana
dc.contributor.authorKROLAK-SALMON, Pierre
dc.contributor.authorMOLINUEVO, Jose Luis
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorFRISON, Eric
dc.contributor.authorCHETELAT, Gael
dc.contributor.authorJESSEN, Frank
dc.contributor.authorKLIMECKI, Olga M.
dc.date.accessioned2021-06-29T12:55:54Z
dc.date.available2021-06-29T12:55:54Z
dc.date.issued2021-04-19
dc.identifier.issn0033-3190en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/82036
dc.description.abstractEnINTRODUCTION: Older adults experiencing subjective cognitive decline (SCD) have a heightened risk of developing dementia and frequently experience subclinical anxiety, which is itself associated with dementia risk. OBJECTIVE: To understand whether subclinical anxiety symptoms in SCD can be reduced through behavioral interventions. METHODS: SCD-Well is a randomized controlled trial designed to determine whether an 8-week mindfulness-based intervention (caring mindfulness-based approach for seniors; CMBAS) is superior to a structurally matched health self-management program (HSMP) in reducing subclinical anxiety. Participants were recruited from memory clinics at 4 European sites. The primary outcome was change in anxiety symptoms (trait subscale of the State-Trait Anxiety Inventory; trait-STAI) from pre- to postintervention. Secondary outcomes included a change in state anxiety and depression symptoms postintervention and 6 months postrandomization (follow-up). RESULTS: One hundred forty-seven participants (mean [SD] age: 72.7 [6.9] years; 64.6% women; CMBAS, n = 73; HSMP, n = 74) were included in the intention-to-treat analysis. There was no difference in trait-STAI between groups postintervention (adjusted change difference: -1.25 points; 95% CI -4.76 to 2.25) or at follow-up (adjusted change difference: -0.43 points; 95% CI -2.92 to 2.07). Trait-STAI decreased postintervention in both groups (CMBAS: -3.43 points; 95% CI -5.27 to -1.59; HSMP: -2.29 points; 95% CI -4.14 to -0.44) and reductions were maintained at follow-up. No between-group differences were observed for change in state anxiety or depression symptoms. CONCLUSIONS: A time-limited mindfulness intervention is not superior to health self-management in reducing subclinical anxiety symptoms in SCD. The sustained reduction observed across both groups suggests that subclinical anxiety symptoms in SCD are modifiable. ClinicalTrials.gov identifier: NCT03005652.
dc.language.isoENen_US
dc.rightsAttribution-NonCommercial 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/3.0/us/*
dc.title.enEffects of a Mindfulness-Based Intervention versus Health Self-Management on Subclinical Anxiety in Older Adults with Subjective Cognitive Decline: The SCD-Well Randomized Superiority Trial
dc.typeArticle de revueen_US
dc.identifier.doi10.1159/000515669en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed33873195en_US
dc.description.sponsorshipEuropeHorizon 2020 research and innovation programmeen_US
dc.description.sponsorshipEuropeInvestigating the impact of meditation training on mental health and wellbeing in the ageing populationen_US
bordeaux.journalPsychotherapy and Psychosomaticsen_US
bordeaux.page1-10en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamVINTAGEen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDInstitut National de la Santé et de la Recherche Médicaleen_US
hal.identifierhal-03273712
hal.version1
hal.date.transferred2021-06-29T12:56:00Z
hal.exporttrue
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