Mindfulness-based stress reduction (MBSR) improves long-term mental fatigue after stroke or traumatic brain injury

Johansson, Birgitta; Bjuhr, Helena; Rönnbäck, Lars

doi:10.3109/02699052.2012.700082

Cited by 185 publications

(198 citation statements)

References 36 publications

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“…The most positive effects were seen for ICU-diary interventions in reducing the incidence of PTSD. 69 The authors conclude that more directed interventions and further research are needed before definitive conclusions can be drawn. 53,70 The future Mindfulness meditation is a technique that has been used in other specialities to assist with reducing anxiety, stress and depression, improving coping strategies, reducing mental fatigue, with an overall aim to improve cognitive function and overall quality of life.…”

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confidence: 99%

“…Authors found that there was a significant improvement in mental fatigue, anxiety and depression self-assessment scores and word fluency and information processing speed following an 8-week programme using a mindfulness-based stress reduction (MBSR) approach. 69 Potential mechanisms are thought to be mediated by structural changes in the left prefrontal cortex and associated with changes in emotion regulation that can impact on cognition, emotion and behaviour. 71 …”

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The psychological and neurocognitive consequences of critical illness. A pragmatic review of current evidence

Clancy

Edginton

Casarin

et al. 2015

Journal of the Intensive Care Society

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Mortality rates alone are no longer a sufficient guide to quality of care. Due to medical advances, patients are surviving for longer following critical illness and major surgery; therefore, functional outcomes and long-term quality of life are of increasing consequence. Post-operative cognitive dysfunction has been acknowledged as a complication following anaesthesia for many years, and interest in persistent cognitive dysfunction following a critical illness is growing. Psychological and neurocognitive sequelae following discharge from intensive care are acknowledged to occur with sufficient significance to have recently coined the term 'the post-intensive care syndrome'. Rehabilitation following critical illness has been highlighted as an important goal in recently published national UK guidelines, including the need to focus on both physical and non-physical recovery. Neuropsychological and cognitive consequences following anaesthesia and critical illness are significant. The exact pathophysiological mechanisms linking delirium, cognitive dysfunction and neuropsychological symptoms following critical illness are not fully elucidated but have been studied elsewhere and are outside the scope of this article. There is limited evidence as yet for specific peri-operative preventative strategies, but early management and rehabilitation strategies following intensive care discharge are now emerging. This article aims to summarise the issues and appraise current options for management, including both neuroprotective and neurorehabilitative strategies in intensive care. KeywordsIntensive care, critical illness, rehabilitation, cognitive dysfunction, delirium, post-traumatic stress disorder Over the last decade, there has been an increase in the complexity of patients presenting to intensive care, due in part to the severity of co-morbidities at presentation and an increasingly elderly population. Despite this, mortality rates are improving; the long-term consequences of critical illness are thus becoming ever more relevant. The risk factors and pathogenesis of delirium and post-cognitive dysfunction have been reviewed thoroughly elsewhere. This article summarises the relevant findings in these areas and deliberately focuses on the psychological and neurocognitive sequelae following critical illness including depression, anxiety, post-traumatic stress disorder and cognitive dysfunction; reviewing the evidence for incidence, pathophysiology and management. Psychological and neurocognitive consequences of critical illnessThe neuropsychological sequelae that occur following a critical care admission are numerous and can be highly distressing for patients and their families. Symptoms that occur include intrusive memories, delusions, delirium, panic episodes and nightmares. Conditions such as depression, anxiety, post-traumatic stress disorder (PTSD) and cognitive dysfunction are increasingly recognised among patients who survive an intensive care admission and are described collectively as the 'post-intensive care...

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confidence: 99%

mentioning

confidence: 99%

The psychological and neurocognitive consequences of critical illness. A pragmatic review of current evidence

Clancy

Edginton

Casarin

et al. 2015

Journal of the Intensive Care Society

View full text Add to dashboard Cite

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“…The data are taken from previously published studies and also from unpublished studies [27,[30][31][32][33]. In these studies we have used the same assessments with rating scales and cognitive tests, and in this study, we have only used the baseline data taken from these studies.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of the Mental Fatigue Scale and its relation to Cognitive and Emotional Functioning after Traumatic Brain Injury or Stroke

Johansson¹

2013

Int J Phys Med Rehabil

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Objective: After traumatic brain injury (TBI) or stroke, long-term mental fatigue may occur with significant impact on work and social interactions. With the intention to measure mental fatigue irrespective of neurological illness, we developed the Mental Fatigue Scale (MFS). The scale incorporates affective, cognitive and sensory symptoms, duration of sleep and daytime variation in symptom severity. In this study, we evaluated the MFS and its relationship to cognitive and emotional functions.Participants: Healthy controls and well-rehabilitated subjects suffering from mental fatigue after mild TBI, TBI or stroke (age 19-69) were included in the study.Results: The results showed MFS to be invariant to age, gender and education. A cutoff score at 10.5 is suggested. Of the cognitive functions measured, information processing speed was found to be a significant predictor for the rating on MFS. We found that a significant effect on depression between controls and brain injured subjects can be a misleading conclusion if the effect of mental fatigue is not considered.Conclusions: We suggest MFS to be linked to mental impairment after brain injury. This study also demonstrated that mental fatigue must be treated as a separate construct and should not be mixed up with depression or anxiety.

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“…They found that the yoga intervention group had significant improvements in HRQOL, and participants reported high satisfaction ratings indicating that yoga is potentially feasible for individuals with brain injuries. Other studies examined the effects of mindfulness-based stress reduction (MBSR) for individuals after TBI [25,26], and MBSR programs contain a Hatha yoga element but are not designed to be yoga interventions [27]. There is however more yogaspecific research available regarding other clinical populations (non-TBI).…”

Section: Introductionmentioning

confidence: 99%

Yoga after Traumatic Brain Injury: Changes in Emotional Regulation and Health-Related Quality of Life in a Case-Study

Grimm

Ctrs

Miller

et al. 2017

IJCAM

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Purpose: The purpose of this study was to analyze changes in emotional regulation and health-related quality of life (HRQOL) following a yoga intervention for three participants with traumatic brain injury (TBI). Yoga was utilized as a modality to improve HRQOL and emotional regulation.Methods: A mixed method design was used to analyze changes in emotional regulation and HRQOL. Participants completed an eight-week yoga intervention and assessments were completed before and after the intervention. Outcome measures included the Difficulty in Emotional Regulation Scale (DERS) and Quality of Life after Brain Injury Scale (QOLIBRI, both are reliable and valid after TBI. The Change in score (percent change) were calculated for data from both assessments. Semi-structured interviews were completed, data were transcribed, and qualitative data were analyzed with a focus on emotional regulation and HRQOL.Results: On average, the three participants had a 16% improvement in DERS scores and 6% improvement in QOLIBRI scores following the yoga intervention. Analysis of the qualitative data indicate that participants identified improvements related to emotional regulation in the mind-body connection, peaceful and calm feelings, concentration and focus, and self-control. In relation to HRQOL participants noted social changes, physical changes leading to life changes, confidence to do things and self-development. Conclusion:Yoga is a potential intervention to address emotional regulation and HRQOL for individuals with chronic TBI. Emotional regulation and HRQOL are two important factors affected post-TBI that through this study were impacted by yoga as a focused mind-body intervention.

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Mindfulness-based stress reduction (MBSR) improves long-term mental fatigue after stroke or traumatic brain injury

Abstract: The results from the present study show that MBSR may be a promising non-pharmacological treatment for mental fatigue after a stroke or TBI.

Cited by 185 publications

References 36 publications

The psychological and neurocognitive consequences of critical illness. A pragmatic review of current evidence

The psychological and neurocognitive consequences of critical illness. A pragmatic review of current evidence

Evaluation of the Mental Fatigue Scale and its relation to Cognitive and Emotional Functioning after Traumatic Brain Injury or Stroke

Yoga after Traumatic Brain Injury: Changes in Emotional Regulation and Health-Related Quality of Life in a Case-Study

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