The outcomes of mindfulness-based interventions for adults who have experienced a traumatic brain injury: A systematic review of the literature
DOI:
https://doi.org/10.5055/ajrt.2017.0129Keywords:
traumatic brain injury, mindfulness-based interventionsAbstract
This literature review aims to evaluate the effectiveness of mindfulness-based interventions (MBIs) for adults following a traumatic brain injury. A comprehensive literature search yielded 56 articles, of which 16 met the inclusion criteria. Five different MBIs were identified, including mindfulness-based stress reduction, mindfulness-based cognitive therapy, mindfulness training, yoga, tai chi, and qigong. A total of 88 outcomes in the areas of cognition, home and community activities, physical functioning, psychosocial functioning, and recovery and general health were measured across the studies, of which 66 of the 88 outcomes found significant, positive, or significant and positive mixed results (75 percent) across all of the studies. Although more research is needed, these findings indicate that MBIs hold promise in improving functioning. Recommendations for recreational therapy practice and future research are provided.
References
Centers for Disease Control and Prevention: Report to Congress on Traumatic Brain Injury in the United States: Epidemiology and Rehabilitation. Atlanta, GA: Centers for Disease Control and Prevention, 2015.
Dikmen S, Machame J, Janet M, et al.: Outcome 3 to 5 years after moderate to severe traumatic brain injury. Arch Phys Med Rehabil. 2003; 84(10): 1449–1457.
Bédard M, Felteau M, Marshall S, et al.: Mindfulness-based cognitive therapy: Benefits in reducing depression following a traumatic brain injury. Adv Mind Body Med. 2012; 26(1): 14-20.
Fleminger S: Neuropsychiatric effects of traumatic brain injury. Psychiatr Times. 2010; 27(3): 40-45.
McAllister T: Psychopharmacological issues in the treatment of TBI and PTSD. Clin Neuropsychol. 2009; 23(8): 1338-1367.
Agrawal A, Timothy J, Pandit L, et al.: Post-traumatic epilepsy: An overview. Clin Neurol Neurosurg. 2006; 108(5): 433-439.
Ray W, Chung C, Murray K, et al.: Atypical antipsychotic drugs and the risk of sudden cardiac death. N Engl J Med. 2009; 360(3): 225-235.
Parry-Jones B, Vaughan F, Cox M: Traumatic brain injury and substance misuse: A systematic review of prevalence and outcomes research (1994-2004). Neuropsychol Rehabil. 2006; 16(5): 537-560.
Taylor L, Kreutzer J, Demm S, et al.: Traumatic brain injury and substance abuse: A review and analysis of the literature. Neuropsychol Rehabil. 2003; 13(1/2): 165-188.
Carruthers C, Hood C: Mindfulness and well-being: Implications for TR practice. Ther Recreat J. 2011; 45(3): 171-189.
Kabat-Zinn J: Mindfulness-based stress reduction (MBSR). Constructivism Human Sci. 2003; 8(2): 73-83.
Hoffman S, Sawyer A, Witt A, et al.: The effect of mindfulness-based therapy on anxiety and depression: A metaanalytic review. J Consult Clin Psychol. 2011; 78(2): 169-183.
Chiesa A, Calati R, Serretti A: Does mindfulness training improve cognitive abilities?. A systematic review of neuropsychological findings. Clin Psychol Rev. 2011; 31(3): 449-464.
Ledesma D, Kumano H: Mindfulness-based stress reduction and cancer: A meta-analysis. Psychooncology. 2008; 18(6): 571-579.
Blake H, Batson M: Exercise intervention in brain injury: A pilot randomized study of tai chi qigong. Clin Rehabil. 2009; 23: 589-598.
Johansson B, Bjuhr H, Rönnbäck L: Mindfulness-based stress reduction (MBSR) improves long-term mental fatigue after stroke or traumatic brain injury. Brain Inj. 2012; 26(13-14): 1621-1628.
Schmid AA, Miller KK, Van Puymbroeck M, et al.: Feasibility and results of a case study of yoga to improve physical functioning in people with chronic traumatic brain injury. Disabil Rehabil. 2016; 38(9): 914-20.
Letts L, Wilkins S, Law M, et al.: Critical review form: Qualitative studies (version 2.0). 2007. Available at http://srs-mcmaster.ca/wp-content/uploads/2015/04/Critical-Review-Form-Qualitative-Studies-Version-2.pdf. Accessed November 25, 2015.
Bédard M, Felteau M, Marshall S, et al.: Mindfulness-based cognitive therapy reduces symptoms of depression in people with a traumatic brain injury: Results from a randomized controlled trial. J Head Trauma Rehabil. 2013; 29(4): 13-22.
Gemmell C, Leathem JM: A study investigating the effects of Tai Chi Chuan: Individuals with traumatic brain injury compared to controls. Brain Inj. 2006; 20(2): 151-156.
Man´ko G, Ziótkowski A, Mirski A, et al.: The effectiveness of selected tai chi exercises in a program of strategic rehabilitation aimed at improving the self-care skills of patients arouse from prolonged coma after severe TBI. Med Sci Monit. 2013; 19(1): 767-772.
McHugh L, Wood R: Stimulus over-selectivity in temporal brain injury: Mindfulness as a potential intervention. Brain Inj. 2013; 27(13-14): 1595-1599.
McMillan T, Robertson IH, Brock D, et al.: Brief mindfulness training for attentional problems after traumatic brain injury: A randomised control treatment trial. Neuropsychol Rehabil. 2002; 12(2): 117-125.
Bédard M, Felteau M, Mazmanian D, et al.: Pilot evaluation of a mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries. Disabil Rehabil. 2003; 25(13): 722-731.
Silverthorne C, Khalsa SBS, Gueth R, et al.: Respiratory, physical, and psychological benefits of breath-focused yoga for adults with severe traumatic brain injury (TBI): A brief pilot study report. Int J Yoga Therap. 2012; 22: 47-51.
Azulay J, Smart C, Mott T, et al.: A pilot study examining the effect of mindfulness-based stress reduction on symptoms of chronic mild traumatic brain injury/postconcussive syndrome. J Head Trauma Rehabil. 2013; 28(4): 323-331.
Bédard M, Felteau M, Gibbons C, et al.: A mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries: One-year follow-up. J Cogn Rehabil. 2005; 23(1): 8-13.
Cole MA, Muir JJ, Gans JJ, et al.: Simultaneous treatment of neurocognitive and psychiatric symptoms in veterans with post-traumatic stress disorder and history of mild traumatic brain injury: A pilot study of mindfulness-based stress reduction. Mil Med. 2015; 180: 956-964.
Yost TL, Taylor AG: Qigong as a novel intervention for service members with mild traumatic brain injury. Explore. 2013; 9(3): 142-149.
Shapira MY, Chelouche M, Yanai R, et al.: Tai chi chuan practice as a tool for rehabilitation of severe head trauma: 3 case reports. Arch Phys Med Rehabil. 2001; 82(9): 1283-1285.
Gélinas C, Arbour C, Michaud C, et al.: Patients and ICU nurses’ perspectives of non-pharmacological interventions for pain management. Nurs Crit Care. 2012; 18(6): 307-318.
Brownsberger M, Novik R: Brain injury rehabilitation: What works, for whom and at what cost. 2015. Available at http://neurorehab.bancroft.org/wp-content/uploads/2015/07/Research-in-Traumatic-Brain-Injuries.pdf. Accessed December 17, 2015.
Brown KW, Ryan RM: The benefits of being present: Mindfulness and its role in psychological well-being. J Pers Soc Psychol. 2003; 84(4): 822-848.
Sherer M, Hart T, Nick T, et al.: Early impaired self-awareness after traumatic brain injury. Arch Phys Med Rehabil. 2003; 84(2): 168-176.
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