一项基于正念的干预措施对改善创伤性脑损伤患者生活质量的初步评估。

Pilot evaluation of a mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries.

作者信息

Bédard Michel, Felteau Melissa, Mazmanian Dwight, Fedyk Karilyn, Klein Rupert, Richardson Julie, Parkinson William, Minthorn-Biggs Mary-Beth

机构信息

Department of Psychology, Lakehead University, Lakehead Psychiatric Hospital, 955 Oliver Road, Thunder Bay, Ontario P7B 5E1, Canada.

出版信息

Disabil Rehabil. 2003 Jul 8;25(13):722-31. doi: 10.1080/0963828031000090489.

DOI:10.1080/0963828031000090489

PMID:12791557

Abstract

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.

摘要

主要目标

研究基于正念减压法对改善创伤性脑损伤患者生活质量的潜在疗效。

研究设计

以前测-后测设计，将退出者作为对照。

方法与程序

我们招募了轻度至中度脑损伤患者，损伤时间至少为1年。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3名有完整数据的退出者进行了比较。

实验干预

干预通过每周一次、为期12周的小组课程进行。干预依靠内观冥想、呼吸练习、引导式想象和小组讨论。我们旨在鼓励一种看待残疾和生活的新思维方式，以带来接纳感，使参与者超越限制信念。

主要结果

与对照组相比，治疗组的生活质量均值（SF-36）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）。贝克抑郁量表第二版（BDI-II）的认知-情感领域有改善（p=0.029），而BDI-II总分（p=0.059）和症状自评量表90修订版（SCL-90R）的阳性症状苦恼量表（p=0.054）的变化接近统计学显著性。