Psychology Service, South Texas Veterans Health Care System.
Rehabil Psychol. 2018 May;63(2):182-193. doi: 10.1037/rep0000179. Epub 2018 Mar 12.
This preliminary, pilot study assessed the effectiveness of a group-based, mindfulness intervention in a residential, rehabilitation setting with specific focus on assessing participants' self-report of perceived benefit of the intervention on overall health, pain, sleep, mood/anxiety, attention, and self-awareness, as well as implementing modifications needed for successful intervention application among a diverse, clinical military population.
METHOD/DESIGN: Participants were 19 veterans and active duty service members with a history of traumatic brain injury (TBI; 63% severe) who completed a mindfulness-based group intervention during inpatient admission at a Veterans Affairs Polytrauma Transitional Rehabilitation Program (PTRP). Mindfulness and yoga skills were taught in a required, weekly group incorporated into participants' rehabilitation schedule. Opinions and attitudes about mindfulness, as well as pertinent self-report outcome measures, were obtained pre- and postgroup participation.
Results suggested that participation in the group was positively associated with individuals' self-reported belief about the benefit of mindfulness in the areas of overall health, physical health, mood, focus, and self-awareness. The more groups attended, the more positive the participants' beliefs about potential impact on overall health and mood became, even while controlling for length of rehabilitation stay. Additionally, several specific group modifications relevant to this population (e.g., physical/environmental modifications, repetition, ignoring/reorienting) were implemented to support successful participation.
CONCLUSIONS/IMPLICATIONS: These preliminary and exploratory findings suggest that it may be worthwhile for psychologists, clinicians, and other health care providers working with a mixed TBI population, and more specifically a military population with TBI, to consider introducing mindfulness skills as part of multidisciplinary rehabilitation. (PsycINFO Database Record
本初步探索性研究评估了以小组为基础的正念干预在住宿康复环境中的有效性，特别关注评估参与者对干预对整体健康、疼痛、睡眠、情绪/焦虑、注意力和自我意识的自我报告益处，以及为成功实施针对不同临床军事人群的干预措施所需的修改。
方法/设计：19 名退伍军人和现役军人参加了一项基于正念的小组干预，他们有创伤性脑损伤（TBI；63%为重度）病史，在退伍军人事务部创伤性脑损伤过渡康复计划（PTRP）住院期间完成了正念小组干预。正念和瑜伽技能在每周一次的小组中教授，该小组纳入了参与者的康复计划。在参加小组之前和之后，获得了对正念的意见和态度以及相关的自我报告结果测量。
结果表明，参加小组与个体自我报告的正念在整体健康、身体健康、情绪、专注和自我意识方面的益处的信念呈正相关。参加小组的次数越多，参与者对潜在对整体健康和情绪影响的信念就越积极，即使控制康复期的长短。此外，还针对该人群实施了一些与小组相关的特定修改（例如，身体/环境修改、重复、忽略/重新定向），以支持成功参与。
结论/意义：这些初步和探索性的发现表明，对于与混合性 TBI 人群合作的心理学家、临床医生和其他医疗保健提供者，以及更具体地说与患有 TBI 的军事人群合作的心理学家、临床医生和其他医疗保健提供者来说，考虑将正念技能作为多学科康复的一部分可能是值得的。
