Weiss Katharina, Mahnkopf Christian, Kohls Niko
Faculty for Applied Natural Sciences and Health, Coburg University of Applied Sciences, Coburg, Germany.
Cardiovasc Diagn Ther. 2024 Aug 31;14(4):537-546. doi: 10.21037/cdt-24-74. Epub 2024 Aug 8.
The aim of this pilot study is to determine, in the context of a controlled intervention study, whether the health-promoting personal protective factors of sense of coherence, resilience, and self-compassion are strengthened by the practice of Metta meditation in individuals with cardiovascular disease. The interactions between mind and body play a pivotal role in health and mortality. Lifestyle factors and especially stress also play a decisive role in the development and progression of cardiovascular diseases. With health-promoting personal protective factors, which can be actively formed over the entire lifespan, stressors can be managed more adequately.
Data collection will be conducted as part of a controlled nonrandomized longitudinal pilot intervention study that will enrol individuals with cardiovascular disease (n=29). After the first interview, a 12-week Metta meditation course will start for the intervention group (IG) (n=9), while the control group (CG) (n=20) will receive no intervention. The Minnesota Living with Heart Failure Questionnaire (MLHFQ), the 13-item Sense of Coherence Scale (SOC-13), the Resilience Scale, the Self-Compassion Scale short form (SCS-sf) German version, the German version of the 10-item Perceived Stress Scale (PSS-10), and the Stress Coping subscale of the Stress and Coping Inventory (SCI) are used at both measurement time (MT) points. In addition, blood pressure parameters are collected. Furthermore, selected literature will be consulted to integrate the evaluated data into existing research findings.
The health-promoting personal competencies of sense of coherence, resilience, and self-compassion were not strengthened by the practice of Metta meditation in individuals with cardiovascular disease. However, there was a significant reduction in perceived stress {F[1, 27] =4.351, P=0.047, f=0.402} and improved stress coping skills {F[1, 26] =6.790, P=0.02, f=0.511} in the IG. Furthermore, the frequency of rehospitalization {F[1, 27] =5.607, P=0.03, f=0.456} differed significantly in the pre-post comparison.
Due to the insufficient size of the sample, the results are only exploratory in nature and should therefore only be considered preliminary. Also, the correlations between the significant changes in the parameters and Metta meditation cannot be finally assessed. For this purpose, further studies with larger samples are needed.
本试点研究的目的是，在一项对照干预研究的背景下，确定对于心血管疾病患者，慈爱冥想练习是否能增强其具有促进健康作用的个人保护因素，即连贯感、心理弹性和自我同情。身心之间的相互作用在健康和死亡率方面起着关键作用。生活方式因素尤其是压力，在心血管疾病的发生和发展中也起着决定性作用。借助可在整个生命周期中积极形成的促进健康的个人保护因素，可更充分地应对压力源。
数据收集将作为一项对照非随机纵向试点干预研究的一部分进行，该研究将招募心血管疾病患者（n = 29）。首次访谈后，干预组（IG）（n = 9）将开始为期12周的慈爱冥想课程，而对照组（CG）（n = 20）将不接受任何干预。在两个测量时间点均使用明尼苏达心力衰竭生活问卷（MLHFQ）、13项连贯感量表（SOC - 13）、心理弹性量表、自我同情量表简版（SCS - sf）德文版、10项感知压力量表（PSS - 10）德文版以及压力与应对量表（SCI）的压力应对子量表。此外，收集血压参数。此外，将查阅选定的文献，以便将评估数据整合到现有研究结果中。
对于心血管疾病患者，慈爱冥想练习并未增强其连贯感、心理弹性和自我同情等促进健康的个人能力。然而，干预组的感知压力显著降低{F[1, 27] = 4.351，P = 0.047，f = 0.402}，压力应对技能得到改善{F[1, 26] = 6.790，P = 0.02，f = 0.511}。此外，前后比较中再次住院的频率{F[1, 27] = 5.607，P = 0.03，f = 0.456}存在显著差异。
由于样本量不足，结果仅具有探索性，因此应仅视为初步结果。此外，参数的显著变化与慈爱冥想之间的相关性尚无法最终评估。为此，需要进行更大样本量的进一步研究。
