248
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Quantitative Research
Journal of Holistic Nursing
American Holistic Nurses Association
Volume 31 Number 4
December 2013 248-255
© The Author(s) 2013
10.1177/0898010113495975
http://jhn.sagepub.com
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The Evaluation of Mindfulness-Based Stress
Reduction for Veterans With Mental Health
Conditions
Lisa Kluepfel, DNP, PMHNP, RN
James J. Peters VA Medical Center
Duke University School of Nursing
Terry Ward, PhD, RN
Duke University School of Nursing
Rachel Yehuda, PhD
Eleni Dimoulas, PhD
James J. Peters VA Medical Center
Ann Smith, PhD
Maryland VA Medical Center
Kelly Daly, RYT
James J.Peters VA Medical Center
Purpose: To assess the feasibility of mindfulness-based stress reduction (MBSR) for veterans with
mental health conditions and to evaluate its efficacy on psychological well-being and stress reduction.
Design: Single-group, pretest–posttest design. Method: 30 veterans within a mental health clinic of a
VA (Veterans Administration) medical center were enrolled in an 8-week standard MBSR program.
Perceived stress, sleep, mindfulness, and depression were measured via self-reports at baseline and
study end. Feasibility was measured by compliance and satisfaction with the course. Findings: Scores
on the Perceived Stress Scale (p =.002) and Beck Depression Inventory–II (p = .005) were significantly
reduced (p = .002). The global measure for sleep from the Pittsburgh Sleep Quality Index improved
significantly (p = .035). Satisfaction and compliance were high. Conclusion: MBSR is a feasible inter-
vention that has potential efficacy for veterans with mental health conditions. Future controlled trials
are needed in this area.
Keywords: veterans; mental health; mindfulness
The veteran population is at risk for postdeploy-
ment stress-related conditions and mental health
disorders such as anxiety and depression. Chronic
stress and poor coping can have deleterious effects
on health outcomes in this population. Complementary
alternative medicine interventions are widely
requested by mental health consumers, including
veterans and active duty personnel, to manage their
stress and stress-related conditions (Williams,
Gierisch, McDuffie, Strauss, & Nagi, 2011). The
Veterans Health Administration has embarked on a
journey to significantly enhance the veteran’s experi-
ence by introducing new nonpharmacologic models
Authors’ Note: This material is based on work supported by the
U.S. Department of Veterans Affairs, Veterans Health
Administration, and Office of Research and Development. This
material is the result of work supported with resources and the
use of facilities at the James J. Peters VA Medical Center in
Bronx, New York. The author gratefully acknowledges Duke
Integrative Medicine for providing mindfulness training for
professionals. Please address correspondence to Lisa Anne
Kluepfel, James J. Peters VA Medical Center, 130 West Kingsbridge
Road, Bronx, NY 10468, USA; e-mail: lisa.kluepfel@va.gov.