Efficacy of Internet-Delivered Mindfulness for Improving Depression in Caregivers of People With Spinal Cord Injuries and Chronic Neuropathic Pain: A Randomized Controlled Feasibility Trial.

作者: Jasmine Heath Hearn , Imogen Cotter , Katherine Anne Finlay

DOI: 10.1016/J.APMR.2018.08.182

关键词:

摘要: Abstract Objectives To explore the feasibility and efficacy of web-based mindfulness training for carers people with spinal cord injury (SCI). Design Randomized controlled study 3-month follow-up. Setting Community setting. Participants Spouses or family caregivers (N=55) SCI chronic neuropathic pain were recruited via direct care team advertisements. older than 18 years (no upper age limit), Internet access duration study. randomly allocated to an 8-week online intervention (n=28), receive 8 weeks psychoeducational materials on (n=27). Interventions An established web-based, course was delivered over weeks. completed 10 minutes practices, twice per day, 6 days week, totaling 960 minutes. The control group received a weekly e-mail (based elements) Main Outcome Measure Depression severity. Results Mindfulness reduced depression severity more psychoeducation at T2 (mean difference= −.891; 95% confidence interval,−1.48 −.30) T3 difference=−1.96; interval, −2.94 −.97). also anxiety difference=−.888; −1.40 −.38) difference=−2.44; −3.20 −1.69). Conclusions indicate that Internet-delivered offers unique benefits is viable pain. Further work should combined education incorporating both patient caregiver, optimum benefit.

参考文章(38)
Ehsan Modirian, Pirouz Pirouzi, MohammadReza Soroush, Sima Karbalaei-Esmaeili, Hadi Shojaei, HamidReza Zamani, Chronic pain after spinal cord injury: results of a long-term study Pain Medicine. ,vol. 11, pp. 1037- 1043 ,(2010) , 10.1111/J.1526-4637.2010.00865.X
Juan Carlos Arango-Lasprilla, Silvia Leonor Olivera Plaza, Allison Drew, Jose Libardo Perdomo Romero, Jose Anselmo Arango Pizarro, Kathryn Francis, Jeffrey Kreutzer, Family needs and psychosocial functioning of caregivers of individuals with spinal cord injury from Colombia, South America. NeuroRehabilitation. ,vol. 27, pp. 83- 93 ,(2010) , 10.3233/NRE-2010-0583
Soraya Ghadakpour, Tayebeh Falahati, Iran Jahanbin, Zahra Molazem, Peyman Jafari, The Effect of Psycho-Educational Interventions on the Quality of Life of the Family Caregivers of the Patients with Spinal Cord Injury: A Randomized Controlled Trial International Journal of Community Based Nursing and Midwifery. ,vol. 2, pp. 31- 39 ,(2014)
R F Murray, A Asghari, D D Egorov, S B Rutkowski, P J Siddall, R J Soden, R Ruff, Impact of spinal cord injury on self-perceived pre- and postmorbid cognitive, emotional and physical functioning. Spinal Cord. ,vol. 45, pp. 429- 436 ,(2007) , 10.1038/SJ.SC.3102022
David A. Weitzenkamp, Kenneth A. Gerhart, Susan W. Charlifue, Gale G. Whiteneck, Gordana Savic, Spouses of spinal cord injury survivors: The added impact of caregiving Archives of Physical Medicine and Rehabilitation. ,vol. 78, pp. 822- 827 ,(1997) , 10.1016/S0003-9993(97)90194-5
Kevin W Chen, Anthony Comerford, Phillip Shinnick, Douglas M. Ziedonis, Introducing Qigong Meditation into Residential Addiction Treatment: A Pilot Study Where Gender Makes a Difference Journal of Alternative and Complementary Medicine. ,vol. 16, pp. 875- 882 ,(2010) , 10.1089/ACM.2009.0443
Ingvar Bjelland, Alv A Dahl, Tone Tangen Haug, Dag Neckelmann, The validity of the Hospital Anxiety and Depression Scale: An updated literature review Journal of Psychosomatic Research. ,vol. 52, pp. 69- 77 ,(2002) , 10.1016/S0022-3999(01)00296-3
Sherri L. LaVela, Kelsie Landers, Bella Etingen, Vytas P. Karalius, Scott Miskevics, Factors related to caregiving for individuals with spinal cord injury compared to caregiving for individuals with other neurologic conditions Journal of Spinal Cord Medicine. ,vol. 38, pp. 505- 514 ,(2015) , 10.1179/2045772314Y.0000000240
Kathleen T. Lucke, Holly Coccia, Joseph S. Goode, Joseph F. Lucke, Quality of life in spinal cord injured individuals and their caregivers during the initial 6 months following rehabilitation Quality of Life Research. ,vol. 13, pp. 97- 110 ,(2004) , 10.1023/B:QURE.0000015284.95515.17