Impact of In-Person and Virtual World Mindfulness Training on Symptoms of Post-Traumatic Stress Disorder and Attention Deficit and Hyperactivity Disorder

Rice, Valerie; Liu, Baoxia; Schroeder, Paul J.

doi:10.1093/milmed/usx227

Cited by 23 publications

(23 citation statements)

References 27 publications

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“…Two interventions involved hybrid delivery. One studied an intervention with face-to-face as well as phone-based support [57][58][59][60][61][62][63][64] and another involved face-to-face and online support [65][66][67][68][69][70]. Five of the studies (36%) involved peers, not as the intervention deliverer but through some form of group-delivered activities.…”

Section: Resultsmentioning

confidence: 99%

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A Scoping Review of the Role and Training of Para-professionals Delivering Psychological Interventions for Adults with Post-traumatic Stress Disorder

Xiong¹,

Wozney²,

Olthuis³

et al. 2019

J Dep Anxiety

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Background: The delivery of interventions for traumatic stress disorders by paraprofessionals is of interest across mental health systems as decision-makers work to meet growing need for services and demand for evidence-based care. Given the need for any system change to reflect scientific evidence, our scoping review aimed to identify and summarize the research on paraprofessional-delivered trauma-focused psychological interventions for adults, with a particular focus on the role and training of paraprofessionals. Method: We searched seven databases for peerreviewed published studies that employed controlled trial designs to evaluate paraprofessional-led interventions for traumatic stress. Using Covidence software, we completed iterative eligibility screening and extracted study data. Descriptive statistics were used to identify trends and gaps in the literature and inform synthesis of findings. Results: Fourteen studies met inclusion criteria. The majority of studies (71%; 10/14) evaluated interventions that were delivered face-to-face across a diverse patient populations and clinical contexts. Training of paraprofessionals ranged in length from two training sessions (approx. 16 hours) to a 6-week full day, in-person course. Ongoing supervision of paraprofessionals during the intervention was reported in 64% (9/14) of the studies, but few details of supervision processes were reported. Conclusion: Paraprofessionals are taking on therapeutic roles in the delivery of trauma-focused psychological interventions but there are significant knowledge gaps around training and supervision they require. Lack of consensus on the defining characteristics of a "paraprofessional" makes synthesizing this literature particularly challenging.

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Section: Resultsmentioning

confidence: 99%

“…Among studies reporting sufficient detail on the level of exposure to the intervention, 82% (9/11) involved interventions with 5 sessions or more. A few interventions combined a typical weekly session with an intense full weekend or multi-day activity [67,70] (Table 2).…”

Section: Resultsmentioning

confidence: 99%

A Scoping Review of the Role and Training of Para-professionals Delivering Psychological Interventions for Adults with Post-traumatic Stress Disorder

Xiong¹,

Wozney²,

Olthuis³

et al. 2019

J Dep Anxiety

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“…An overview of MBCT-Dual therapy sessions is provided in Table 4. Rice et al (2018) considered weekly in-person (IP) and virtual world (VW) MBSR in different groups of eight weeks each, where VW training involved avatar-to-avatar interaction. The IP group met between two and 2½ hours with an "all-day" silent class of 3½ hours whilst the VW group met for 1½ hours per week with a silent class under the same conditions as the IP group.…”

Section: What Formats Of Mbct and Mbsr Have Been Offered?mentioning

confidence: 99%

“…With regards to PTSD outcome measures, all studies used the post-traumatic checklist for DSM-5 (PCL-5) or its variations, although the methodology varied with regards to the application of this measurement, with only two applying the questionnaire at the assessment and post-treatment stage (Rice et al, 2018;Waldron & Burnett-Zeigler, 2022). The PCL-5 consists of a 20-item self-assessment questionnaire of symptoms related to the five dimensions identified in PTSD, where answers are given on five-point Likert scales ranging from 0 (not at all) to 4 (extremely; Blevins, Weathers, Davis, Witte, & Domino, 2015).…”

Section: What Outcome Measurements Have Been Used To Monitor Ptsd Sym...mentioning

confidence: 99%

Mindfulness-Based Cognitive Therapy (MBCT) and Mindfulness-Based Stress Reduction (MBSR) in the treatment of Post-Traumatic Stress Disorder (PTSD): A literature review

Wagner¹,

Cáceres-Melillo

2023

Salud Ment

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Background. Previous reviews have concluded that whilst mindfulness-based interventions reduce PTSD symptoms through fear extinction and cognitive restructuring, further research is needed. Objective. The aim of this report is to systematically review existing literature about the association between standardized mindfulness-based interventions and PTSD with the aim of identifying implications for practice and recommendations for future research. Method. The CINAHL Complete, PsycINFO, Medline, and PsycArticles databases were searched, looking for full-text articles from 2018 up to march 2022. Results. There was a significant improvement in PTSD symptoms in MBCT participants, even if some experienced a high increase at baseline. MBSR participants with moderate to severe trauma symptoms showed a greater reduction in symptoms whereas mild trauma symptoms at baseline showed slightly higher symptomatology at the end of treatment. Discussion and conclusion. From the results, MBCT, MBSR, and their variations seem to tackle different domains of the diagnosis. Whilst MBSR is associated with improvements in terms of attentional difficulties, MBCT facilitates the connection between dysfunctional cognitive concepts and avoidant behaviours that maintain the symptomatology. Nevertheless, the active components of MBCT or MBSR that have an impact on symptom reduction are undetermined. Future studies will be enhanced by monitoring the change in underlying mechanisms attached to the practice of mindfulness through outcome measurements, among other considerations.

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“…The scientific literature reports that MBIs decrease the symptoms of PTSD, depression, anxiety, stress, and pain, as well as improve the management of diabetes mellitus and irritable bowel syndrome among Veterans. 11 , 25 – 49 …”

Section: Introductionmentioning

confidence: 99%

Veterans’ interests, perceptions, and use of mindfulness

et al. 2020

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Objective: Mindfulness-based interventions are an evidence-based approach utilized in health care. There is developing evidence for effective use with military Veterans. However, little is known about Veterans’ view of mindfulness. This study aims to understand their interests, perceptions, and use of mindfulness to enhance educational outreach and treatment engagement. Methods: A cross-sectional study was conducted across the Veterans Health Administration in Salt Lake City, UT by administering a questionnaire to military Veterans. The questionnaire included the following themes: (1) demographics and respondents’ mindfulness practice; (2) respondents’ perceptions and beliefs about mindfulness; and (3) respondents’ knowledge and interest in learning about mindfulness. Results: In all, 185 military Veterans were surveyed; 30% practiced mindfulness in the past year, mainly for stress, posttraumatic stress disorder, sleep, and depression. Over 75% who practiced reported perceived benefit. Veterans rarely reported negative beliefs about mindfulness; 56% perceived an understanding of mindfulness and 46% were aware of Veterans Health Administration mindfulness offerings. In all, 55% were interested in learning about mindfulness, 58% were interested in learning how it could help, and 43% were interested in combining mindfulness with a pleasurable activity. Conclusion: Educational engagement approaches should be directed toward the benefits of mindfulness practice with minimal need to address negative beliefs. Outreach including education, with an experiential component, about mindfulness classes, availability of evening and weekend classes, individual sessions, and virtual offerings into Veteran’s homes, may enhance engagement in mindfulness-based interventions. Mindfulness-based interventions that combine mindfulness training with an experiential pleasurable activity may be one mechanism to enhance treatment engagement.

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Impact of In-Person and Virtual World Mindfulness Training on Symptoms of Post-Traumatic Stress Disorder and Attention Deficit and Hyperactivity Disorder

Cited by 23 publications

References 27 publications

A Scoping Review of the Role and Training of Para-professionals Delivering Psychological Interventions for Adults with Post-traumatic Stress Disorder

A Scoping Review of the Role and Training of Para-professionals Delivering Psychological Interventions for Adults with Post-traumatic Stress Disorder

Mindfulness-Based Cognitive Therapy (MBCT) and Mindfulness-Based Stress Reduction (MBSR) in the treatment of Post-Traumatic Stress Disorder (PTSD): A literature review

Veterans’ interests, perceptions, and use of mindfulness

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