Pilot evaluation of a mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries
Pilot evaluation of a mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries
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DOI：
10.1080/0963828031000090489
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发表时间：
2003-07-08
影响因子：
2.2
通讯作者：
Minthorn-Biggs, MB
中科院分区：
文献类型：
--
作者：
Bédard, M;Felteau, M;Minthorn-Biggs, MB
主要目的：检验基于正念的减压方法在改善创伤性脑损伤患者生活质量方面的潜在功效。
研究设计：前后测设计，以中途退出者作为对照。
方法与步骤：我们招募了伤后至少1年的轻至中度脑损伤患者。我们测量了他们的生活质量、心理状态和功能。将完成该项目的10名参与者的结果与有完整数据的3名中途退出者进行比较。
实验干预：干预在为期12周的小组课程中进行。干预依赖于内观冥想、呼吸练习、引导式想象和小组讨论。我们旨在鼓励一种关于残疾和生活的新思维方式，以带来一种接受感，使参与者能够超越限制性信念。
主要结果：治疗组的生活质量（SF - 36）均值提高了15.40（标准差 = 9.08），而对照组为 - 1.67（标准差 = 16.65；p = 0.036）。据报道，贝克抑郁量表II（BDI - II）的认知 - 情感领域有所改善（p = 0.029），而贝克抑郁量表II的总体变化（p = 0.059）以及症状自评量表90修订版（SCL - 90R）的阳性症状痛苦量表（p = 0.054）接近统计学意义。
结论：该干预措施简单，在这些参与者用尽其他治疗途径后改善了生活质量。
Primary objective: To examine the potential efficacy of a mindfulness-based stress reduction approach to improve quality of life in individuals who have suffered traumatic brain injuries.Research design: Pre-post design with drop-outs as controls.Methods and procedures: We recruited individuals with mild to moderate brain injuries, at least 1 year post-injury. We measured their quality of life, psychological status, and function. Results of 10 participants who completed the programme were compared to three drop-outs with complete data.Experimental intervention: The intervention was delivered in 12-weekly group sessions. The intervention relied on insight meditation, breathing exercises, guided visualization, and group discussion. We aimed to encourage a new way of thinking about disability and life to bring a sense of acceptance, allowing participants to move beyond limiting beliefs.Main outcomes and results: The treatment group mean quality of life (SF-36) improved by 15.40 (SD = 9.08) compared to - 1.67 (SD = 16.65; p = 0.036) for controls. Improvements on the cognitive-affective domain of the Beck Depression Inventory II (BDI-II) were reported (p = 0.029), while changes in the overall BDI-II (p = 0.059) and the Positive Symptom Distress Inventory of the SCL-90R (p = 0.054) approached statistical significance.Conclusions: The intervention was simple, and improved quality of life after other treatment avenues for these participants were exhausted.