A Pilot Study on the Effectiveness of Mindfulness-Based Intervention in Reducing Mental Health Problems among Female Elderly during Covid-19 Outbreak

  • Huynh Cong Du
  • Nguyen Phuong Lan


Related literature has shown that COVID-19 has spread around the world, which has brought about negative impacts on the lives of people, and that the elderly, however, face special challenges of mental health problems during the pandemic outbreak including depression, anxiety, and stress. Recent studies also revealed that in emotional reaction to the Covid-19 pandemic, the women experienced more stress, anxiety and depression than men. To address this issue, this pilot study aimed to test whether mindfulness-based intervention can help the female elderly reduce their mental health problems in this difficult time of Covid-19 outbreak. Pilot result showed that the intervention is effective in reducing the mental health problems of depression, anxiety, and stress. This finding suggests that the program is significant for the female elderly, mental health practitioners, guidance counsellors, psychologists, and that future researchers should conduct more studies with larger scale to further validate the program effectiveness.


Aylaz R., Aktürk Ü., Erci B., Öztürk H., Aslan H. (2012). Relationship between depression and loneliness in elderly and examination of influential factors. Archives of Gerontology and Geriatrics, 55(3), 548–554.
Andreas S, Schulz H, Volkert J, Dehoust M, Sehner S, Suling A, Ausín B, Canuto A, Crawford M, Da Ronch C, Grassi L, Hershkovitz Y, Muñoz M, Quirk A, Rotenstein O, Santos-Olmo AB, Shalev A, Strehle J, Weber K, Wegscheider K, Wittchen HU, Härter M. (2017). Prevalence of mental disorders in elderly people: the European MentDis_ICF65+ study. The British Journal of Psychiatry, 210(2), 125-131.
Dekeyser, M., Raes, F., Leijssen, M. Leyson, S., & Dewulf, D. (2008). Mindfulness skills and interpersonal behavior. Personality and Individual Differences, 44, 1235–1245.
Ernst S, Welke J, Heintze C, Gabriel R, Zöllner A, Kiehne S, Schwantes U, Esch T. (2008). Effects of mindfulness-based stress reduction on quality of life in nursing home residents: a feasibility study. Forsch Komplementmed, 15(2),74-81.
Breslin, F. C., Zack, M., & McMain, S. (2002). An information-processing analysis of mindfulness: Implications for relapse prevention in the treatment of substance abuse. Clinical Psychology: Science and Practice, 9(3),275–299.
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet, 395(10227), 912-920.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.
Courtin E, & Knapp M, (2017). Social isolation, loneliness and health in old age: a scoping review. Health Soc Care Community, 25(3), 799-812.
Cohen, J. S., & Miller, L. J. (2009). Interpersonal mindfulness training for well-being: A pilot study with psychology graduate students. Teachers College Record, 111(12), 2760–2774
Doherty, R.W. (1997). The Emotional Contagion Scale: A measure of individual differences. Journal of Nonverbal Behavior, 21: 131–154.
Harrison, L., Manocha, R., & Rubia, K. (2004). Sahaja Yoga Meditation as a Family Treatment Programme for Children with Attention Deficit-Hyperactivity Disorder. Clinical Child Psychology and Psychiatry, 9(4), 479-497.
Healy Banskota S., M., & Goldberg, E. M. (2020). 15 Smartphone Apps for Older Adults to Use While in Isolation during the COVID-19 Pandemic. The western journal of emergency medicine, 21(3), 514–525.
Kabat-Zinn, J. (1990). Full catastrophe living:Using the wisdom of your body and mind to face stress, pain, and illness. New York:Delacorte.
Lazar, S. W., Kerr, C. E., Wasserman, R. H., Gray, J. R., Greve, D. N., Treadway, M. T., McGarvey, M., Quinn, B. T., Dusek, J. A., Benson, H., Rauch, S. L., Moore, C. I., & Fischl, B. (2005). Meditation experience is associated with increased cortical thickness. Neuroreport, 16(17), 1893–1897.
Geiger PJ, Boggero IA, Brake CA, Caldera CA, Combs HL, Peters JR, Baer RA. (2016). Mindfulness-Based Interventions for Older Adults: A Review of the Effects on Physical and Emotional Well-being. Mindfulness (NY), 7(2), 296-307.
Gallegos AM, Hoerger M, Talbot NL, Krasner MS, Knight JM, Moynihan JA, & Duberstein PR (2013). Toward identifying the effects of the specific components of mindfulness based stress reduction on biologic and emotional outcomes among older adults. Journal Alternative Complementary Medicine, 19(10), 787-92.
Germer, C. K., Siegel, R. D., & Fulton, P. R. (2005). Mindfulness and psychotherapy / edited by Christopher K. Germer, Ronald D. Siegel, Paul R. Fulton: Edited by Christopher K. Germer, Ronald D. Siegel, Paul R. Fulton. New York: Guilford Press.
Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559.
Khoury B, Lecomte T, Fortin G, Masse M, Therien P, Bouchard V, Chapleau MA, Paquin K, Hofmann SG (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33(6):763-771.
Khoury B, Sharma M, Rush SE, Fournier C. Mindfulness-based stress reduction for healthy individuals: A meta-analysis (2015). Journal Psychosomatic Research, 78(6):519-28.
Jalloh, M. F., Li, W., Bunnell, R. E., Ethier, K. A., O'Leary, A., Hageman, K. M., Sengeh, P., Jalloh, M. B., Morgan, O., Hersey, S., Marston, B. J., Dafae, F., & Redd, J. T. (2018). Impact of Ebola experiences and risk perceptions on mental health in Sierra Leone, July 2015. BMJ global health, 3(2), e000471.
O'Connor, M., Piet, J., & Hougaard, E. (2014). The effects of mindfulness-based cognitive therapy on depressive symptoms in elderly bereaved people with loss-related distress: A controlled pilot study. Mindfulness, 5(4), 400–409.
Lenze EJ, Hickman S, Hershey T, Wendleton L, Ly K, Dixon D, Doré P, Wetherell J. (2014). Mindfulness-based stress reduction for older adults with worry symptoms and co-occurring cognitive dysfunction. International Journal of Geriatric Psychiatry, 29(10), 991-1000.
Liu, N., Zhang, F., Wei, C., Jia, Y., Shang, Z., Sun, L., Wu, L., Sun, Z., Zhou, Y., Wang, Y., & Liu, W. (2020). Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry research, 287, 112921.
Li, L. Z., & Wang, S. (2020). Prevalence and predictors of general psychiatric disorders and loneliness during COVID-19 in the United Kingdom. Psychiatry research, 291, 113267.
Martin, P., Kliegel, M., Rott, C., Poon, L. W., & Johnson, M. A. (2008). Age differences and changes of coping behavior in three age groups: Findings from the Georgia Centenarian Study. The International Journal of Aging and Human Development, 66(2), 97–114.
Mukhtar S. (2020). Mental health and emotional impact of COVID-19: Applying Health Belief Model for medical staff to general public of Pakistan. Brain Behavior, and Immunity, 87, 28-29.
Napoli, M., Krech, P., & Holley, L. (2005). Mindfulness Training for Elementary School Students: The Attention Academy. Journal of Applied School Psychology, 21(1), 99-125.
Parra Diana C., Julie Loebach Wetherell, Alexandria Van Zandt, Ross C. Brownson, Janardan Abhishek & Eric J. Lenze (2019). A qualitative study of older adults’ perspectives on initiating exercise and mindfulness practice. BMC Geriatrics, 19,354. https://doi.org/10.1186/s12877-019-1375-9
Perry TE, Ruggiano N, Shtompel N, Hassevoort L (2015). Applying Erikson's wisdom to self-management practices of older adults: findings from two field studies. Res Aging, 37(3), 253-274.
Querstret, D., Cropley, M. & Fife-Schaw, C (2018). The effects of an online mindfulness intervention on perceived stress, depression and anxiety in a non-clinical sample: a randomized waitlist control trial. Mindfulness, 9, 1825-1836.
Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. General Psychiatry, 6, 33(2):e100213.
Robb CE, de Jager CA, Ahmadi-Abhari S, Giannakopoulou P, Udeh-Momoh C, McKeand J, Price G, Car J, Majeed A, Ward H and Middleton L (2020). Associations of Social Isolation with Anxiety and Depression during the EarlyCOVID-19 Pandemic: A Survey of Older Adults in London, UK. Front. Psychiatry 11:591120.
Rosaen C, Benn R. (2006). The experience of transcendental meditation in middle school students: a qualitative report. Explore (NY), 2(5):422-425.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness based Cognitive Therapy for Depression: A New Approach to Preventing Relapse. New York: Guilford.
Splevins K, Smith A, Simpson J. Do improvements in emotional distress correlate with becoming more mindful? A study of older adults (2009). Aging and Mental Health. 13(3), 328–335.
Spijkerman M.P.J., Pots W.T.M., & Bohlmeijer E.T., (2016). Effectiveness of online mindfulness-based interventions in improving mental health: A review and meta-analysis of randomized controlled trials. Clinical Psychology Review, 45, 102-114.
Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. (2020). Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry and Clinical Neuroscience, 74(4), 281-282.
Sepúlveda-Loyola W, Rodríguez-Sánchez I, Pérez-Rodríguez P, Ganz F, Torralba R, Oliveira DV, Rodríguez-Mañas L.( 2020). Impact of social isolation due to covid-19 on health in older people: mental and physical effects and recommendations. Journal of Nutrition, Health & Aging, 24(9), 938-947.
Thich Nhat Hanh (2005). Happiness: Essential Mindfulness Practices. Parallax Press.
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID 19) Epidemic among the General Population in China (2020). International Journal of Environmental Research and Public Health, 17(5), 1729.
Wall RB. (2005). Tai Chi and Mindfulness-based Stress Reduction in a Boston Public Middle School. Journal of Pediatric Health Care, 19(4), 230-237.
World Health Organization (2020). Older people & COVID-19. Retrieved from https://www.who.int/teams/social-determinants-of-health/covid-19.
Young, L. A., & Baime, M. J. (2010). Mindfulness-based stress reduction: Effect on emotional distress in older adults. Complementary Health Practice Review, 15(2), 59–64.
How to Cite
CONG DU, Huynh; PHUONG LAN, Nguyen. A Pilot Study on the Effectiveness of Mindfulness-Based Intervention in Reducing Mental Health Problems among Female Elderly during Covid-19 Outbreak. Asian Journal of Behavioural Sciences, [S.l.], v. 3, n. 3, p. 1-10, sep. 2021. ISSN 2710-5865. Available at: <https://myjms.mohe.gov.my/index.php/ajbs/article/view/15150>. Date accessed: 25 oct. 2021.