Compassionate mind training for patients with heart problems

ISRCTN ISRCTN16627738
DOI https://doi.org/10.1186/ISRCTN16627738
EudraCT/CTIS number Nil Known
Submission date
01/10/2023
Registration date
09/10/2023
Last edited
09/10/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
There is a large group of patients who report mental ill-health who also have the diagnosis of symptomatic ectopic heartbeats. No psychological intervention has been tried so far on this patient group.
The study aimed to investigate the effects of compassionate mind training on reducing mental ill-health in patients with extra heartbeats compared with treatment as usual.

Who can participate?
Adults over 18 years, with ectopic heartbeats.

What does the study involve?
Participants were randomly allocated to receive a psychological programme (6 week long) focusing on stress reduction and cultivating the flow of compassion; receiving compassion, giving compassion to others and self-compassion or treatment at usual.

What are the possible benefits and risks of participating?
Potential benefits of participating in the study are increased mental health by reducing symptoms of percieved stress, anxiety and depression as well as increased compassion and benevolence, sleep quality and satisfaction with life. There are no anticipated risks of participating as participants are screened by physicians and because the intervention, which is only a complement to their usual treatment, has been evaluated in multiple studies without any known risk factors. The study started in 2015 and ended in 2019.

Where is the study run from?
Karolinska Institutet (Sweden)

When is the study starting and how long is it expected to run for?
January 2014 to March 2019

Who is funding the study?
Skandia Research (Sweden)

Who is the main contact?
Christina Andersson, PhD, christina.andersson80@telia.com

Contact information

Dr Christina Andersson
Public, Scientific

Strömsön 153
Ornskoldsvik
89196
Sweden

ORCiD logoORCID ID 0000-0001-9076-0406
Phone +46 (0)70 2750898
Email christina.andersson80@telia.com
Dr Walter Osika
Principal Investigator

Fagerviksvägen 5
Stockholm
16839
Sweden

ORCiD logoORCID ID 0000-0002-1583-7319
Phone +47 (0)704530546
Email walter.osika@ki.se

Study information

Study designInterventional randomized controlled trial
Primary study designInterventional
Secondary study design
Study setting(s)Hospital, Workplace
Study typePrevention, Treatment, Efficacy
Participant information sheet Not available in web format, please use contact details to request a participant information sheet.
Scientific titleCompassionate mind training for patients with symptomatic ectopic heartbeats – A pilot randomized controlled trial
Study objectivesThe compassionate mind training group has a beneficial effect on participants’ levels of perceived stress, anxiety and depression symptoms, sleep quality, satisfaction with life, self-compassion and benevolence compared to treatment as usual.

Ethics approval(s)

1. Approved 24/08/2016, Stockholm (Tomtebodavägen 18A, Stockholm, 17165, Sweden; +46 10-4750800; registrator@etikprovning.se), ref: 2016/1418-31/1

2. Approved 07/03/2018, Stockholm (Tomtebodavägen 18A, Stockholm, 17165, Sweden; +46 10-4750800; registrator@etikprovning.se), ref: 2017-1984-32-1

Health condition(s) or problem(s) studiedSymptomatic ectopic heartbeats
InterventionThe study adopted a randomized controlled trial design, with one between-group factor (intervention group: compassionate mind training and treatment as usual) and one within-group factor (timepoint: pre- and post-intervention).

Participants were randomised to groups using random.org.

The compassionate mind training is based on Compassion-focused therapy developed by Professor Paul Gilbert and self-compassion practices from Mindful Self-compassion developed by professor Kristin Neff and psychologist Christopher Germer. The Swedish program was designed by Christina Andersson together with Dr. Chris Irons, one of the world’s leading researchers on CFT. The program included six weekly 2 hour sessions, including compassion theory, exercises, and homework in between sessions.
Intervention typeBehavioural
Primary outcome measurePerceived stress measured using PSS, perceived stress scale at pre and post the intervention, at baseline and after 6 weeks.
Secondary outcome measuresMeasured pre and post-intervention:
1. Anxiety and depression symptoms was measured by the Hospital Anxiety and Depression Scale (HADS).
2. Sleep quality was measured by the Karolinska Sleep Questionnaire (KSQ)
3. Satisfaction with life was measured by the satisfaction with life scale (SWLS)
4. Self-Compassion was measured by using the Self-Compassion Scale Short-Form (SCS-SF)
5. Benevolence was measured by using the Benevolence scale (BS)
Overall study start date01/01/2014
Completion date02/03/2019

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit80 Years
SexBoth
Target number of participants60
Total final enrolment21
Key inclusion criteriaExtra symptomatic heartbeats recorded on Holter electrocardiogram (ECG).
Key exclusion criteriaOther untreated cardiovascular diseases (e.g., hypertonia), and untreated sleep apnea.
Date of first enrolment01/01/2017
Date of final enrolment09/09/2018

Locations

Countries of recruitment

  • Sweden

Study participating centres

Danderyds Hospital
Entrevägen 2
Stockholm
182 88
Sweden
Stockholm Heart Center
Kungsgatan 38
Stockholm
11135
Sweden

Sponsor information

Karolinska Institutet
University/education

Institutionen för klinisk neurovetenskap
Stockholm
11364
Sweden

Phone +46 (0)70 4530546
Email walter.osika@ki.se
Website https://ki.se
ROR logo "ROR" https://ror.org/056d84691

Funders

Funder type

Industry

Skandia Research and Advisory

No information available

Results and Publications

Intention to publish date01/11/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in non-publicly available repository, Available on request
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe dataset generated and analysed during the current study will be stored in a non-publicly available repository. Contact information: Christina Andersson
christina.andersson80@telia.com

Editorial Notes

09/10/2023: Trial's existence confirmed by Swedish Ethical Review Authority (Etikprövningsmyndigheten)