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The aim of the study is to constitute a proof of concept study for a larger study investigating the effect of mindfulness on anxiety and agitation in Parkinson's disease (PD) based on the results of a preliminary feasibility.
Neuropsychiatric and behavioral non motor symptoms are common in PD often requiring hospitalization and/or specific drug management. Mindfulness-based stress reduction (MBSR) programs have proved to be efficacious in PD both for the management of motor and non-motor symptoms. This is however the case only in out-patients and by using standardized 8 weeks programs. The team has experienced in the hospitalization unit that methods derived from the MBSR program such as the "body scan", administered by the paramedical personnel, is of great help for the non-pharmacological management of anxiety and agitation in PD, avoiding physical contention in many cases. Based on this experience the study aims at evaluating the feasibility and preliminary efficacy of a simple and standardized administration of the "body scan" meditation in the management of anxiety and agitation in PD admitted in the unit since less than 48h.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| standardized meditation technique "body-scan" | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| body-scan meditation | Other | 15 minutes audio-guided body-scan meditation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of patients that received a first experience of standardized "body scan" meditation within 48H after admission | 48 hours after admission |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of patient's eligibility and causes of non-eligibility | At inclusion (day 0) | |
| Rate of study drop-out | through study completion, an average of 1 year | |
| Causes of study drop-outs |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| François TISON, Prof | University Hospital Bordeaux, France | Study Director |
| Caroline GAUTIER | University Hospital Bordeaux, France | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de neurologie motricité,Hôpital Pellegrin | Bordeaux | France |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| Psychological evaluation | Diagnostic Test | NPI (Neuropsychiatric symptoms Inventory) - PAS (Parkinson's disease Anxiety Screening Questionnaire) - VAS measuring pain, anxiety and discomfort Before and after "body-scan" meditation |
|
by oral questionnaire |
| through study completion, an average of 1 year |
| Mean delay between admission and first meditation | After "body scan" meditation, an average of 48 hours after admission |
| Cause of failure of meditation administration within 48h | Failure factors: related to staffing (insufficient, untrained...), related to the organization of the service (double room / individual), related to the patient (visits, temporary refusal), related to the equipment (unavailable, non-functional) | 48 hours after admission (day 0) |
| Percentage of improvement pain, anxiety and discomfort | by visual analog scales (VAS) | before and after "body scan" meditation, an average of 48 hours after admission |
| Percentage of improvement at the Parkinson's disease | by Anxiety Screening Questionnaire (PAS) | before and after "body scan" meditation, an average of 48 hours after admission |
| Percentage of improvement at the Parkinson's disease | by the Neuropsychiatric symptoms Inventory (NPI) total scores | before and after "body scan" meditation, an average of 48 hours after admission |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D001523 | Mental Disorders |