A Systematic Review of the Benefits of Mindfulness-Based Interventions following Transient Ischemic Attack and Stroke

Lawrence, Maggie; Booth, Jo; Mercer, Stewart W; Crawford, Elizabeth

doi:10.1111/ijs.12135

Cited by 106 publications

(97 citation statements)

References 46 publications

(107 reference statements)

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“…Recent meta-analyses have established MBSR as efficacious in improving mental health outcomes in cancer [14–16]. Systematic reviews in adults with cancer [17,18,15] and in non-cancer populations [19,20] have concluded that mindfulness-based interventions are promising but require further investigation, particularly with respect to treating fatigue and its correlates [1,21]. Although clinical practice guidelines added MBSR as an evidence-based intervention for fatigue following cancer treatment in 2014 [10], to date only trials comparing MBSR to wait-list controls on fatigue outcomes have been conducted [11–13].…”

Section: Introductionmentioning

confidence: 99%

Randomized controlled pilot trial of mindfulness-based stress reduction compared to psychoeducational support for persistently fatigued breast and colorectal cancer survivors

Johns

Brown

Beck-Coon

et al. 2016

Support Care Cancer

146

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Purpose Cancer-related fatigue (CRF) is a disruptive symptom for many survivors. Despite promising evidence for efficacy of Mindfulness-Based Stress Reduction (MBSR) in reducing CRF, no trials comparing it to an active comparator for fatigued survivors have been published. The purpose of this trial was to compare MBSR to psychoeducation for CRF and associated symptoms. Methods Breast (n=60) and colorectal (n=11) cancer survivors (stage 0–III) with clinically significant CRF after completing chemotherapy and/or radiation therapy an average of 28 months prior to enrollment were randomized to MBSR or psychoeducation/support groups (PES). MBSR focused on mindfulness training; PES focused on CRF self-management. Outcomes included CRF interference (primary), CRF severity and global improvement, vitality, depression, anxiety, sleep disturbance, and pain. Outcomes were assessed at baseline (T1), post-intervention (T2), and 6-month follow-up (T3) using intent-to-treat analysis. Results Between-group differences in CRF interference were not significant at any time point; however, there was a trend favoring MBSR (d=−0.46, p=0.073) at T2. MBSR participants reported significantly greater improvement in vitality (d=0.53, p=0.003) and were more likely to report CRF as moderately-to-completely improved compared to the PES group (χ2 (1)=4.1765, p=0.041) at T2. MBSR participants also reported significantly greater reductions in pain at T2 (d=0.53, p=0.014). In addition, both MBSR and PES produced moderate-to-large and significant within-group improvements in all fatigue outcomes, depression, anxiety, and sleep at T2 and T3 compared to T1. Conclusion MBSR and PES appear efficacious for CRF and related symptoms. Larger trials including a usual care arm are warranted.

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Section: Introductionmentioning

confidence: 99%

Randomized controlled pilot trial of mindfulness-based stress reduction compared to psychoeducational support for persistently fatigued breast and colorectal cancer survivors

Johns

Brown

Beck-Coon

et al. 2016

Support Care Cancer

146

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“…MM has also been successfully applied to clinical populations dealing with similar symptoms. An RCT demonstrated positive benefits of meditation in persons with multiple sclerosis (Grossman, et al, 2010), and studies with less rigorous methodologies have shown benefits of meditation in traumatic brain injury (Bedard et al, 2012; Johansson, Bjuhr, & Ronnback, 2012) and stroke (Johansson, et al, 2012; Lawrence, Booth, Mercer, & Crawford, 2013). MM training has also been explored in people with aphasia resulting in improved reaction times in a cognitive task (Orenstein, et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Teaching mindfulness meditation to adults with severe speech and physical impairments: An exploratory study

Goodrich

Wahbeh

Mooney

et al. 2014

Neuropsychological Rehabilitation

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People with severe speech and physical impairments may benefit from mindfulness meditation training because it has the potential to enhance their ability to cope with anxiety, depression, and pain and improve their attentional capacity to use brain-computer interface systems. Seven adults with severe speech and physical impairments—defined as speech that is understood less than 25% of the time and/or severely reduced hand function for writing/typing—participated in this exploratory, uncontrolled intervention study. The objectives of this study were to describe the development and implementation of a six-week mindfulness meditation intervention and to identify feasible outcome measures in this population. The weekly intervention was delivered by an instructor in the participant's home, and participants were encouraged to practice daily using audio recordings. The objective adherence to home practice was 10.2 minutes per day. Exploratory outcome measures were an n-back working memory task, the Attention Process Training-II Attention Questionnaire, the Pittsburgh Sleep Quality Index, the Perceived Stress Scale, the Positive and Negative Affect Schedule, and a qualitative feedback survey. There were no statistically significant pre-post results in this small sample, yet administration of the measures proved feasible and qualitative reports were overall positive. Obstacles to teaching mindfulness meditation to persons with SSPI are reported, and solutions are proposed.

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“…et al в своих статьях говорят о необходимости как предоставления информации о забо-левании квалифицированными медицинскими работника-ми, так и поддержки со стороны медицинского персонала и семьи, что будет способствовать повышению привержен-ности лечебным мероприятиям и вторичной профилакти-ке инсульта [33][34][35]. Ранее Lawrence M. et al провели исследование, которое показало положительное влияние мероприятий, основанных на осознанных действиях паци-ента, на целый ряд психологических, физиологических и психосоциальных последствий ТИА, таких как тревога, депрессия, умственная усталость, артериальное давление, неадекватное восприятие здоровья и качества жизни [34]. Мотивация пациентов очень важна, так как есть исследова-ния (Hilldson et al), которые отражают недооценку пациен-тами, перенесшими ТИА, тяжести их заболевания [36].…”

Section: медицинская реабилитацияunclassified

Medico-Social Aspects of Complex Rehabilitation of Patients Who Underwent Transient Ischemic Attacks

2018

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A Systematic Review of the Benefits of Mindfulness-Based Interventions following Transient Ischemic Attack and Stroke

Abstract: Following transient ischemic attack/stroke, people may derive a range of benefits from mindfulness-based interventions; however, further methodologically robust trials are required.

Cited by 106 publications

References 46 publications

Randomized controlled pilot trial of mindfulness-based stress reduction compared to psychoeducational support for persistently fatigued breast and colorectal cancer survivors

Randomized controlled pilot trial of mindfulness-based stress reduction compared to psychoeducational support for persistently fatigued breast and colorectal cancer survivors

Teaching mindfulness meditation to adults with severe speech and physical impairments: An exploratory study

Medico-Social Aspects of Complex Rehabilitation of Patients Who Underwent Transient Ischemic Attacks

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