Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Mindfulness 2/2015

01-04-2015 | ORIGINAL PAPER

Evaluation of an Advanced Mindfulness Program Following a Mindfulness-Based Stress Reduction Program for Participants Suffering from Mental Fatigue After Acquired Brain Injury

Auteurs: Birgitta Johansson, Helena Bjuhr, Lars Rönnbäck

Gepubliceerd in: Mindfulness | Uitgave 2/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Mental fatigue is, for many, a very distressing and long-term problem after a traumatic brain injury (TBI) or stroke. This will make it more difficult for the individual to return to work and resume social activities, and it can take several years to find the right balance between rest and activity in daily life, to find strategies and to accept the new situation. The aim of this study was to evaluate the effect of an advanced mindfulness program following a MBSR program, designed for subjects suffering from long-term mental fatigue after a brain injury. The advanced program was based on The Brahma Viharas, meditative practices known for cultivating four mental states: compassion, metta, appreciative joy, and equanimity. Fourteen participants followed the 8-month advanced mindfulness program, with group visits once a month and a final all-day retreat. All the participants were suffering from mental fatigue at least 1 year after a brain injury following a stroke or a TBI. The assessments after the advanced program showed a significant and sustained positive effect on mental fatigue and on tests measuring information processing speed and attention. With mindfulness practice it was possible to improve wakefulness during meditation and, above all, improve the mental fatigue levels. We propose that mindfulness is a promising treatment for mental fatigue after a stroke or TBI.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
go back to reference Ashman, T. A., Cantor, J. B., Gordon, W. A., Spielman, L., Egan, M., Ginsberg, A., et al. (2008). Objective measurement of fatigue following traumatic brain injury. The Journal of Head Trauma Rehabilitation, 23(1), 33–40. CrossRefPubMed Ashman, T. A., Cantor, J. B., Gordon, W. A., Spielman, L., Egan, M., Ginsberg, A., et al. (2008). Objective measurement of fatigue following traumatic brain injury. The Journal of Head Trauma Rehabilitation, 23(1), 33–40. CrossRefPubMed
go back to reference Azulay, J., Smart, C., Mott, T., & Cicerone, K. D. (2012). A pilot study examining the effect of mindfulness-based stress reduction on symptoms of chronic mild traumatic brain injury/postconcussive syndrome. Journal of Head Trauma Rehabilitation, 28(4), 323–331. CrossRef Azulay, J., Smart, C., Mott, T., & Cicerone, K. D. (2012). A pilot study examining the effect of mindfulness-based stress reduction on symptoms of chronic mild traumatic brain injury/postconcussive syndrome. Journal of Head Trauma Rehabilitation, 28(4), 323–331. CrossRef
go back to reference Bedard, M., Felteau, M., Mazmanian, D., Fedyk, K., Klein, R., Richardson, J., et al. (2003). Pilot evaluation of a mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries. Disability and Rehabilitation, 25(13), 722–731. CrossRefPubMed Bedard, M., Felteau, M., Mazmanian, D., Fedyk, K., Klein, R., Richardson, J., et al. (2003). Pilot evaluation of a mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries. Disability and Rehabilitation, 25(13), 722–731. CrossRefPubMed
go back to reference Bedard, M., Mazmanian, D., Felteau, M., Fedyk, K., Gibbons, C., Mack, G., & Klein, R. (2005). A mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries: one-year follow-Up. The Journal of Cognitive Rehabilitation, spring, 8–13 Bedard, M., Mazmanian, D., Felteau, M., Fedyk, K., Gibbons, C., Mack, G., & Klein, R. (2005). A mindfulness-based intervention to improve quality of life among individuals who sustained traumatic brain injuries: one-year follow-Up. The Journal of Cognitive Rehabilitation, spring, 8–13
go back to reference Belmont, A., Agar, N., Hugeron, C., Gallais, B., & Azouvi, P. (2006). Fatigue and traumatic brain injury. Annales de Réadaptation et de Médecine Physique, 49, 283–288. CrossRefPubMed Belmont, A., Agar, N., Hugeron, C., Gallais, B., & Azouvi, P. (2006). Fatigue and traumatic brain injury. Annales de Réadaptation et de Médecine Physique, 49, 283–288. CrossRefPubMed
go back to reference Carlson, L. E., & Garland, S. N. (2005). Impact of mindfulness-based stress reduction (MBSR) on sleep, mood, stress and fatigue symptoms in cancer outpatients. International Journal of Behavioral Medicine, 12(4), 278–285. CrossRefPubMed Carlson, L. E., & Garland, S. N. (2005). Impact of mindfulness-based stress reduction (MBSR) on sleep, mood, stress and fatigue symptoms in cancer outpatients. International Journal of Behavioral Medicine, 12(4), 278–285. CrossRefPubMed
go back to reference Chaudhuri, A., & Behan, P. O. (2000). Fatigue and basal ganglia. Journal of the Neurological Sciences, 179, 34–42. CrossRefPubMed Chaudhuri, A., & Behan, P. O. (2000). Fatigue and basal ganglia. Journal of the Neurological Sciences, 179, 34–42. CrossRefPubMed
go back to reference Cullen, M. (2011). Mindfulness-based interventions: an emerging phenomenon. Mindfulness, 2, 186–193. CrossRef Cullen, M. (2011). Mindfulness-based interventions: an emerging phenomenon. Mindfulness, 2, 186–193. CrossRef
go back to reference Frencham, K. A. R., Fox, A. M., & Maybery, M. T. (2005). Neuropsychological studies of mild traumatic brain injury: a meta-analytical review of research since 1995. Journal of Clinical and Experimental Neuropsychology, 27(3), 334–351. CrossRefPubMed Frencham, K. A. R., Fox, A. M., & Maybery, M. T. (2005). Neuropsychological studies of mild traumatic brain injury: a meta-analytical review of research since 1995. Journal of Clinical and Experimental Neuropsychology, 27(3), 334–351. CrossRefPubMed
go back to reference Geary, C., & Rosenthal, S. L. (2011). Sustained impact of MBSR on stress, well-being, and daily spiritual experiences for 1 year in academic health care employees. Journal of Alternative and Complementary Medicine, 17(10), 939–944. CrossRef Geary, C., & Rosenthal, S. L. (2011). Sustained impact of MBSR on stress, well-being, and daily spiritual experiences for 1 year in academic health care employees. Journal of Alternative and Complementary Medicine, 17(10), 939–944. CrossRef
go back to reference Grossman, P., Tiefenthaler-Gilmer, U., Raysz, A., & Kesper, U. (2007). Mindfulness training as an intervention for fibromyalgia: evidence of postintervention and 3-year follow-up benefits in well-being. Psychotherapy and Psychosomatics, 76(4), 226–233. CrossRefPubMed Grossman, P., Tiefenthaler-Gilmer, U., Raysz, A., & Kesper, U. (2007). Mindfulness training as an intervention for fibromyalgia: evidence of postintervention and 3-year follow-up benefits in well-being. Psychotherapy and Psychosomatics, 76(4), 226–233. CrossRefPubMed
go back to reference Grossmana, P., Niemannb, L., Schmidtc, S., & Walachc, H. (2004). Mindfulness- based stress reduction and health benefits: a meta- analysis. Journal of Psychosomatic Research 57 (2004) 35–43, 57, 35–43. Grossmana, P., Niemannb, L., Schmidtc, S., & Walachc, H. (2004). Mindfulness- based stress reduction and health benefits: a meta- analysis. Journal of Psychosomatic Research 57 (2004) 35–43, 57, 35–43.
go back to reference Hanson, R. (2009). Buddha’s brain: the practical neuroscience of happiness. Love & Wisdom Oakland: New Harbinger Publications. Hanson, R. (2009). Buddha’s brain: the practical neuroscience of happiness. Love & Wisdom Oakland: New Harbinger Publications.
go back to reference Hartmann, M., Kopf, S., Kircher, C., Faude-Lang, V., Djuric, Z., Augstein, F., et al. (2012). Sustained effects of a mindfulness-based stress-reduction intervention in type 2 diabetic patients: design and first results of a randomized controlled trial (the Heidelberger Diabetes and Stress-study). Diabetes Care, 35(5), 945–947. CrossRefPubMedCentralPubMed Hartmann, M., Kopf, S., Kircher, C., Faude-Lang, V., Djuric, Z., Augstein, F., et al. (2012). Sustained effects of a mindfulness-based stress-reduction intervention in type 2 diabetic patients: design and first results of a randomized controlled trial (the Heidelberger Diabetes and Stress-study). Diabetes Care, 35(5), 945–947. CrossRefPubMedCentralPubMed
go back to reference Johansson, B., & Rönnbäck, L. (2012). Mental fatigue and cognitive impairment after an almost neurological recovered stroke. ISRN Psychiatry(vol. 2012, Article ID 686425, 7 pages, doi: 10.​5402/​2012/​686425), 7pages Johansson, B., & Rönnbäck, L. (2012). Mental fatigue and cognitive impairment after an almost neurological recovered stroke. ISRN Psychiatry(vol. 2012, Article ID 686425, 7 pages, doi: 10.​5402/​2012/​686425), 7pages
go back to reference Johansson, B., Berglund, P., & Rönnbäck, L. (2009). Mental fatigue and impaired information processing after mild and moderate traumatic brain injury. Brain Injury, 23(13–14), 1027–1040. CrossRefPubMed Johansson, B., Berglund, P., & Rönnbäck, L. (2009). Mental fatigue and impaired information processing after mild and moderate traumatic brain injury. Brain Injury, 23(13–14), 1027–1040. CrossRefPubMed
go back to reference Johansson, B., Starmark, A., Berglund, P., Rödholm, M., & Rönnbäck, L. (2010). A self-assessment questionnaire for mental fatigue and related symptoms after neurological disorders and injuries. Brain Injury, 24(1), 2–12. CrossRefPubMed Johansson, B., Starmark, A., Berglund, P., Rödholm, M., & Rönnbäck, L. (2010). A self-assessment questionnaire for mental fatigue and related symptoms after neurological disorders and injuries. Brain Injury, 24(1), 2–12. CrossRefPubMed
go back to reference Johansson, B., Bjuhr, H., & Rönnbäck, L. (2012b). Mindfullness based stress reduction improves long-term mental fatigue after stroke or traumatic brain injury. Brain Injury, 26(13–14), 1621–1628. CrossRefPubMed Johansson, B., Bjuhr, H., & Rönnbäck, L. (2012b). Mindfullness based stress reduction improves long-term mental fatigue after stroke or traumatic brain injury. Brain Injury, 26(13–14), 1621–1628. CrossRefPubMed
go back to reference Joo, H. M., Lee, S. J., Chung, Y. G., & Shin, Y. (2010). Effects of mindfulness based stress reduction program on depression, anxiety and stress in patients with aneurysmal subarachnoid hemorrhage. Journal of Korean Neurosurgery Social, 47(5), 345–351. CrossRef Joo, H. M., Lee, S. J., Chung, Y. G., & Shin, Y. (2010). Effects of mindfulness based stress reduction program on depression, anxiety and stress in patients with aneurysmal subarachnoid hemorrhage. Journal of Korean Neurosurgery Social, 47(5), 345–351. CrossRef
go back to reference Kabat-Zinn, J. (2001). Full catastrophe living: how to cope with stress, pain and illness using mindfulness meditation (15th ed.). London: Piatkus Books. Kabat-Zinn, J. (2001). Full catastrophe living: how to cope with stress, pain and illness using mindfulness meditation (15th ed.). London: Piatkus Books.
go back to reference Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8(2), 163–190. CrossRefPubMed Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8(2), 163–190. CrossRefPubMed
go back to reference Kilpatrick, L. A., Suyenobu, B. Y., Smith, S. R., Bueller, J. A., Goodman, T., Creswell, J. D., et al. (2011). Impact of mindfulness-based stress reduction training on intrinsic brain connectivity. NeuroImage, 1(56), 290–298. CrossRef Kilpatrick, L. A., Suyenobu, B. Y., Smith, S. R., Bueller, J. A., Goodman, T., Creswell, J. D., et al. (2011). Impact of mindfulness-based stress reduction training on intrinsic brain connectivity. NeuroImage, 1(56), 290–298. CrossRef
go back to reference Kramer, G., Meleo Meyer, F., & Turner, M. L. (2008). Cultivating mindfulness in relationship: insight dialogue and the interpersonal mindfulness program In S. F. Hick & T. Bien (Eds.), Mindfulness and the therapeutic relationship (pp. 176–194). New York: The Guilford Press. Kramer, G., Meleo Meyer, F., & Turner, M. L. (2008). Cultivating mindfulness in relationship: insight dialogue and the interpersonal mindfulness program In S. F. Hick & T. Bien (Eds.), Mindfulness and the therapeutic relationship (pp. 176–194). New York: The Guilford Press.
go back to reference Lindqvist, G., & Malmgren, H. (1993). Organic mental disorders as hypothetical pathogenetic processes. Acta Psychiatrica Scandinavica, 88(suppl 373), 5–17. CrossRef Lindqvist, G., & Malmgren, H. (1993). Organic mental disorders as hypothetical pathogenetic processes. Acta Psychiatrica Scandinavica, 88(suppl 373), 5–17. CrossRef
go back to reference Madigan, N. K., DeLuca, J., Diamond, B. J., Tramontano, G., & Averill, A. (2000). Speed of information processing in traumatic brain injury: modality-specific factors. The Journal of Head Trauma Rehabilitation, 15(3), 943–956. CrossRefPubMed Madigan, N. K., DeLuca, J., Diamond, B. J., Tramontano, G., & Averill, A. (2000). Speed of information processing in traumatic brain injury: modality-specific factors. The Journal of Head Trauma Rehabilitation, 15(3), 943–956. CrossRefPubMed
go back to reference McMillan, T., Robertson, I., Brock, D., & Chorlton, L. (2002). Brief mindfulness training for attentional problems after traumatic brain injury: a randomised control treatment trial. Neuropsychological Rehabilitation, 12(2), 117–125. CrossRef McMillan, T., Robertson, I., Brock, D., & Chorlton, L. (2002). Brief mindfulness training for attentional problems after traumatic brain injury: a randomised control treatment trial. Neuropsychological Rehabilitation, 12(2), 117–125. CrossRef
go back to reference Miller, J. J., Fletcher, K., & Kabat-Zinn, J. (1995). Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry, 17(3), 192–200. CrossRefPubMed Miller, J. J., Fletcher, K., & Kabat-Zinn, J. (1995). Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry, 17(3), 192–200. CrossRefPubMed
go back to reference Moore, A., & Malinowski, P. (2009). Meditation, mindfulness and cognitive flexibility. Consciousness and Cognition, 18, 176–186. CrossRefPubMed Moore, A., & Malinowski, P. (2009). Meditation, mindfulness and cognitive flexibility. Consciousness and Cognition, 18, 176–186. CrossRefPubMed
go back to reference Peacock, J. (2008). Opening talk for the metta retreat—loving kindness and compassion as a path to awakening Winchester: Dharma Hardcopy Peacock, J. (2008). Opening talk for the metta retreat—loving kindness and compassion as a path to awakening Winchester: Dharma Hardcopy
go back to reference Reibel, D. K., Greeson, J. M., Brainard, G. C., & Rosenzweig, S. (2001). Mindfulness-based stress reduction and health-related quality of life in a heterogeneous patient population. General Hospital Psychiatry, 23(3), 183–192. CrossRefPubMed Reibel, D. K., Greeson, J. M., Brainard, G. C., & Rosenzweig, S. (2001). Mindfulness-based stress reduction and health-related quality of life in a heterogeneous patient population. General Hospital Psychiatry, 23(3), 183–192. CrossRefPubMed
go back to reference Reitan, R. M., & Wolfson, D. (1985). The Halstead-Reitan neuropsychological test battery. Theory and clinical interpretation. Tucson: Neuropsychology Press. Reitan, R. M., & Wolfson, D. (1985). The Halstead-Reitan neuropsychological test battery. Theory and clinical interpretation. Tucson: Neuropsychology Press.
go back to reference Rönnbäck, L., & Johansson, B. (2012). Long-lasting mental fatigue after traumatic brain injury or stroke—e new perspective Saarbrucken: LAP Lambert Academic Publishing Rönnbäck, L., & Johansson, B. (2012). Long-lasting mental fatigue after traumatic brain injury or stroke—e new perspective Saarbrucken: LAP Lambert Academic Publishing
go back to reference Slagter, H. A., Lutz, A., Greischar, L. L., Francis, A. D., Nieuwenhuis, S., Davis, J. M., et al. (2007). Mental training affects distribution of limited brain resources. PLoS Biology, 5(6), 1228–1235. CrossRef Slagter, H. A., Lutz, A., Greischar, L. L., Francis, A. D., Nieuwenhuis, S., Davis, J. M., et al. (2007). Mental training affects distribution of limited brain resources. PLoS Biology, 5(6), 1228–1235. CrossRef
go back to reference Smith, B. W., Shelley, B. M., Dalen, J., Wiggins, K., Tooley, E., & Bernard, J. S. (2008). A pilot study comparing the effects of mindfulness-based and cognitive-behavioral stress reduction. Journal of Alternative and Complementary Medicine, 14(3), 251–258. CrossRef Smith, B. W., Shelley, B. M., Dalen, J., Wiggins, K., Tooley, E., & Bernard, J. S. (2008). A pilot study comparing the effects of mindfulness-based and cognitive-behavioral stress reduction. Journal of Alternative and Complementary Medicine, 14(3), 251–258. CrossRef
go back to reference Staub, F., & Bogousslavsky, J. (2001). Fatigue after stroke: a major but neglected issue. Cerebrovascular Diseases, 12, 75–81. CrossRefPubMed Staub, F., & Bogousslavsky, J. (2001). Fatigue after stroke: a major but neglected issue. Cerebrovascular Diseases, 12, 75–81. CrossRefPubMed
go back to reference Wechsler, D. (2003). Wechsler adult intelligence scale—third edition, WAIS-III. Pearson Assessment: Swedish version. Wechsler, D. (2003). Wechsler adult intelligence scale—third edition, WAIS-III. Pearson Assessment: Swedish version.
go back to reference Yee, R. (1998). Living yoga—back care yoga for beginners [video] Yee, R. (1998). Living yoga—back care yoga for beginners [video]
go back to reference Young, S. (2005). Break through pain: a step-by-step mindfulness meditation program for transforming chronic and acute pain. Louisville: Sounds True, Inc. Young, S. (2005). Break through pain: a step-by-step mindfulness meditation program for transforming chronic and acute pain. Louisville: Sounds True, Inc.
go back to reference Ziino, C., & Ponsford, J. (2006). Selective attention deficits and subjective fatigue following traumatic brain injury. Neuropsychology, 20, 383–390. CrossRefPubMed Ziino, C., & Ponsford, J. (2006). Selective attention deficits and subjective fatigue following traumatic brain injury. Neuropsychology, 20, 383–390. CrossRefPubMed
Metagegevens
Titel
Evaluation of an Advanced Mindfulness Program Following a Mindfulness-Based Stress Reduction Program for Participants Suffering from Mental Fatigue After Acquired Brain Injury
Auteurs
Birgitta Johansson
Helena Bjuhr
Lars Rönnbäck
Publicatiedatum
01-04-2015
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 2/2015
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-013-0249-z

Andere artikelen Uitgave 2/2015

Mindfulness 2/2015 Naar de uitgave