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The role of dispositional mindfulness in a stress-health pathway among Parkinson’s disease patients and caregiving partners

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Abstract

Purpose

Parkinson’s disease (PD) patients and their caregivers experience significant distress that impacts physical, emotional and social functioning in the patient, and in turn, has a significant impact on the caregiver. Lower levels of stress have been associated with a better prognosis in PD. The quality of dispositional mindfulness—innate present moment, non-judgmental awareness—has consistently been associated with less perceived stress, greater well-being, and better physical health in both clinical and healthy populations. To date, associations of mindfulness with distress, depression, sleep problems, and other variables that define health-related quality of life have not been examined in the context of PD patient/caregiver dyads.

Methods

We investigated the impact of dispositional mindfulness in a stress-health model among eighteen dyads consisting of PD patients and their caregivers.

Results

Multilevel linear modeling (actor–partner interdependence models) revealed significant associations between dispositional mindfulness and stress appraisal, interpersonal support, depressive symptoms, sleep, and health-related quality of life (HRQOL) within both dyadic partners. As expected, results demonstrated significant associations of distress with interpersonal support, depressive symptoms, sleep and HRQOL for both PD patients and caregivers.

Conclusions

Dispositional mindfulness was associated with reduced distress and its downstream clinical consequences. These results support an ameliorative role for dispositional mindfulness among PD patients and caregivers, as a protective factor against psychosocial burdens imposed on couples related to disease and caregiving. Findings suggest future studies should explore mindfulness training as a therapeutic option.

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Funding

This study was funded through an Intramural Research Incentive Grants: Multidisciplinary Research Grant from the Office of the Executive Vice President for Research and Innovation at the University of Louisville

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Authors and Affiliations

  1. Department of Psychological & Brain Sciences, University of Louisville, Louisville, KY, USA

    Allison Hicks, Kala Phillips, Chelsea Siwik, Paul Salmon & Sandra E. Sephton

  2. Department of Neurology, University of California San Diego, San Diego, CA, USA

    Irene Litvan

  3. Department of Psychology, Frazier Rehabilitation Hospital, Louisville, KY, USA

    Megan E. Jablonski

  4. Department of Psychiatry, University of California San Diego, San Diego, CA, USA

    J. Vincent Filoteo

  5. Kent School of Social Work, University of Louisville, Louisville, KY, USA

    Karen Kayser

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  1. Allison Hicks
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  2. Kala Phillips
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Correspondence to Sandra E. Sephton.

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Hicks, A., Phillips, K., Siwik, C. et al. The role of dispositional mindfulness in a stress-health pathway among Parkinson’s disease patients and caregiving partners. Qual Life Res 28, 2705–2716 (2019). https://doi.org/10.1007/s11136-019-02217-6

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