JFK Johnson Rehabilitation Institute, University of Victoria, British Columbia, Canada.
J Head Trauma Rehabil. 2013 Jul-Aug;28(4):323-31. doi: 10.1097/HTR.0b013e318250ebda.
To evaluate the effectiveness of the mindfulness-based stress reduction (MBSR) program tailored to individuals with mild traumatic brain injury (mTBI).
A convenience sample recruited from clinical referrals over a 2-year period completed outcome measures pre- and posttreatment intervention.
Post-acute brain injury rehabilitation center within a suburban medical facility.
Twenty-two individuals with mTBI and a time postinjury more than 7 months. Eleven participants were men and 11 were women, ranging in age from 18 to 62 years.
A 10-week group (with weekly 2-hour sessions) modeled after the MBSR program of Kabat-Zinn, but with modifications designed to facilitate implementation in a population of individuals with brain injury. (The treatment involved enhancement of attentional skills, in addition to increased awareness of internal and external experiences associated with the perspective change of acceptance and nonjudgmental attitude regarding those experiences).
Perceived Quality of Life Scale, Perceived Self-Efficacy Scale, and the Neurobehavioral Symptom Inventory. Secondary measures included neuropsychological tests, a self-report problem-solving inventory, and a self-report measure of mindfulness.
Clinically meaningful improvements were noted on measures of quality of life (Cohen d = 0.43) and perceived self-efficacy (Cohen d = 0.50) with smaller but still significant effects on measures of central executive aspects of working memory and regulation of attention.
The MBSR program can be adapted for participants with mTBI. Improved performance on measures associated with improved quality of life and self-efficacy may be related to treatment directed at improving awareness and acceptance, thereby minimizing the catastrophic assessment of symptoms associated with mTBI and chronic disability. Additional research on the comparative effectiveness of the MBSR program for people with mTBI is warranted.
评估针对轻度创伤性脑损伤（mTBI）个体的正念减压（MBSR）方案的有效性。
在为期 2 年的时间内，通过临床转介招募方便样本，在治疗干预前后完成结果测量。
郊区医疗设施内的急性脑损伤后康复中心。
22 名 mTBI 患者，受伤后时间超过 7 个月。11 名参与者为男性，11 名参与者为女性，年龄在 18 岁至 62 岁之间。
一项为期 10 周的小组（每周 2 小时），模仿 Kabat-Zinn 的 MBSR 方案，但进行了修改，以促进在脑损伤人群中实施。（治疗涉及增强注意力技能，以及增加对与接受和非评判态度相关的内部和外部体验的认识）。
生活质量感知量表、自我效能感量表和神经行为症状量表。次要测量包括神经心理学测试、自我报告问题解决量表和自我报告的正念量表。
生活质量（Cohen d = 0.43）和自我效能感（Cohen d = 0.50）方面的临床意义上的改善显著，而对工作记忆和注意力调节的中央执行方面的测量结果则有较小但仍然显著的影响。
MBSR 方案可以为 mTBI 患者进行改编。与改善生活质量和自我效能感相关的测量结果的改善可能与旨在提高意识和接受度的治疗有关，从而最大限度地减少与 mTBI 和慢性残疾相关的症状的灾难性评估。需要进一步研究 MBSR 方案对 mTBI 患者的比较有效性。
