Mindfulness meditation and chronic pain management in Iraq and Afghanistan veterans with traumatic brain injury: A pilot study

Nassif, Thomas H.; Chapman, Julie; Sandbrink, Friedhelm; Norris, Deborah O.; Soltes, Karen L.; Reinhard, Matthew J.; Blackman, Marc R.

doi:10.1080/21635781.2015.1119772

Cited by 12 publications

(14 citation statements)

References 18 publications

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“…Most studies ( k = 18) focused on adult‐only populations ( M age = 43), and only two studies included adolescents (Kubiesa, 2017; McMillan, Robertson, Brock, & Chorlton, 2002; M age = 20, SD = 1.38). The gender distribution was relatively even (55% male) across the 18 studies that reported gender, but two studies included only males (Barnes, Rigg, & Williams, 2013; Nassif, 2013). In addition to seeking individuals with brain injury or concussion, additional target populations were military personnel and veterans ( k = 4; two of which focused on veterans with PTSD), college athletes ( k = 1), people with comorbid depression ( k = 2), and substance abuse ( k = 1).…”

Section: Resultsmentioning

confidence: 99%

“…The number of in‐person sessions ranged from 1 to 36 ( M = 12, SD = 8.52). In addition to in‐person group sessions ( k = 19), one study had one‐on‐one sessions (Barnes et al, 2013), one utilised group phone sessions (Bay & Chan, 2019), one used audiotapes for portable instructions (Nassif, 2013), and one included an online platform for delivery of treatment (Johansson, Bjuhr, Karlsson, et al, 2015). One study's delivery was entirely one‐on‐one (Schmid et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

“…Intervention types included Mindfulness‐Based Stress Reduction ( k = 10), yoga ( k = 5), transcendental meditation (Barnes et al, 2013), iREST (Nassif, 2013), attentional control training (McMillan et al, 2002), Mindfulness‐Based Cognitive Therapy (Bédard et al, 2014), and other mindfulness‐based interventions ( k = 3). Modifications for this population included more sessions, smaller group sizes, reduced paperwork burden, additional instructors, modified language, abbreviated meditation, and tailoring exercises to involve less vigor and exertion.…”

Section: Resultsmentioning

confidence: 99%

“…Biological markers were not included in the meta‐analysis because of their scarcity; four biological outcomes were reported in individual studies and included O 2 consumption (Lilliecreutz et al, 2017), serum interleukin‐6 (Nassif, 2013), urinary free cortisol/creatinine (Nassif, 2013), and heart rate variability in athletes (Kubiesa, 2017).…”

Section: Resultsmentioning

confidence: 99%

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Therapeutic Effects of Meditation, Yoga, and Mindfulness‐Based Interventions for Chronic Symptoms of Mild Traumatic Brain Injury: A Systematic Review and Meta‐Analysis

Acabchuk

Brisson

Park

et al. 2020

Applied Psych Health & Well

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Background Chronic symptoms of mild traumatic brain injury (mTBI) vary greatly and are difficult to treat; we investigate the impact of meditation, yoga, and mindfulness‐based interventions on this treatment group. Method Search included four databases, allowing studies of any design containing pre/post outcomes for meditation, yoga, or mindfulness‐based interventions in people suffering from brain injury acquired by mechanical force. Analyses used robust variance estimation to assess overall effects and random‐effects models for selected outcomes; we evaluated both between‐ and within‐group changes. Results Twenty studies (N = 539) were included. Results revealed significant improvement of overall symptoms compared to controls (d = 0.41; 95% CI [0.04, 0.77]; τ2 = 0.06), with significant within‐group improvements in mental health (d = 0.39), physical health (d = 0.39), cognitive performance (d = 0.24), quality of life (d = 0.39), and self‐related processing (d = 0.38). Symptoms showing greatest improvement were fatigue (d = 0.96) and depression (d = 0.40). Findings were homogeneous across studies. Study quality concerns include lack of randomisation, blinding, and recording of adverse events. Conclusions This first‐ever meta‐analysis on meditation, yoga, and mindfulness‐based interventions for chronic symptoms of mTBI offers hope but highlights the need for rigorous new trials to advance clinical applications and to explore mechanistic pathways.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Therapeutic Effects of Meditation, Yoga, and Mindfulness‐Based Interventions for Chronic Symptoms of Mild Traumatic Brain Injury: A Systematic Review and Meta‐Analysis

Acabchuk

Brisson

Park

et al. 2020

Applied Psych Health & Well

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“…The iRest® sleep meditation program is based on yoga nidra principles (i.e., practices that promote the state between sleep and wakefulness) and provides verbal narration to guide users to a restful state of body and mind (Miller, 2010). Although a number of studies have demonstrated that the iRest® meditation program has helped decrease stress levels in veterans with PTSD (Stankovic, 2011), female patients with multiple sclerosis and cancer (Pritchard, Elison-Bowers, & Birdsall, 2010), students with anxiety (Eastman-Mueller, Wilson, Jung, Kimura, & Tarrant, 2013), adults with chemical dependence (Temme, Fenster, & Ream, 2012), veterans with chronic pain (Nassif et al, 2016), and health care providers (Bingham, Inman, Walter, Zhang, & Peacock, 2012), no studies to date have assessed the iRest® meditation program’s ability to improve sleep quality.…”

mentioning

confidence: 99%

Comparative Effectiveness of Three Occupational Therapy Sleep Interventions

Gutman

Gregory

Sadlier-Brown

et al. 2016

OTJR: Occupational Therapy Journal of Research

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Although sleep intervention is within the domain of occupational therapy, few studies exist supporting practice. Effectiveness of three sleep interventions was compared: Dreampad Pillow®, iRest® meditation, and sleep hygiene. Twenty-nine participants were randomly assigned to the Dreampad Pillow® ( n = 10), iRest® meditation ( n = 9), and sleep hygiene ( n = 10) groups. In Phase 1, all participants used a 7-day sleep hygiene regimen to reduce poor sleep habits. In Phase 2 (14 days), 10 participants used the Dreampad Pillow® and sleep hygiene, nine used the iRest meditation and sleep hygiene, and 10 continued sleep hygiene only. At intervention-end, the iRest meditation group experienced statistically greater time asleep than both the Dreampad Pillow® ( p < .006, d = 1.87) and sleep hygiene groups ( p < .03, d = 1.80). The Dreampad Pillow® group experienced statistically fewer nighttime awakenings than the iRest® meditation ( p < .04, d = -1.53) and sleep hygiene ( p < .004, d = -1.43) groups. No differences were found between groups in perceived sleep quality, length of time needed to fall asleep, and fatigue level next day. This study provides support for sleep interventions within occupational therapy's domain.

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