Chiara S Haller1,2, Colin M Bosma3, Kush Kapur4,5, Ross Zafonte6, Ellen J Langer3. 1. Department of Psychology, Harvard University, 33 Kirland street, Cambridge, MA, 02138, USA. haller@fas.harvard.edu. 2. Division of Public Psychiatry, Massachusetts Mental Health Center, 75 Fenwood Road, Boston, MA, 02115, USA. haller@fas.harvard.edu. 3. Department of Psychology, Harvard University, 33 Kirland street, Cambridge, MA, 02138, USA. 4. Harvard Medical School, Boston, MA, 02115, USA. 5. Clinical Research Center and Department of Neurology, Boston Children's Hospital, 21 Autumn St, Boston, MA, 02115, USA. 6. Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Massachusetts General Hospital, Harvard Medical School, Cambridge, MA, USA.
Abstract
OBJECTIVE: The objective of the present investigation was to examine the association of mindful creativity with the trajectory of recovery (emotional, interpersonal, cognitive, and total functioning) of patients with severe TBI. METHODS: This was drawn from a subsample of an adult prospective cohort study on severe TBI in Switzerland; patients and their relatives were assessed at 3, 6, and 12 months (patients N = 176, relatives N = 176). Predictor measures were assessed using Mindful Creativity Scale-short form and time (trajectory of functioning of the patient over time). Outcome measures were assessed using Patient Competency Rating Scale for Neuro-rehabilitation (PCRS-NR; measuring emotional, interpersonal, cognitive, and total functioning post-injury). All measures were assessed at each time point. Mixed linear models were run separately for ages >50 and ≤50 (i.e., bimodal distribution). RESULTS: Patients' mindful creativity showed no significant association with patients' functioning across time in any of the models. In all age groups, interpersonal functioning decreased across time (slope>50 = -4.66, p = .037; slope≤50 = -7.19, p = .007). Interestingly, in age group ≤50, interpersonal functioning increased when looking at relative mindful creativity by time (slope = 1.69, p = .005). Additionally, relatives mindful creativity was significantly associated with patients' functioning in age group ≤50: (a) patients' total functioning (slope = 0.18, p = .03) and (b) cognitive functioning (slope = 0.72, p = .020). CONCLUSIONS: Relatives' mindful creativity was significantly associated with patients' functioning after severe TBI. Implications for treatment and future research are discussed.
OBJECTIVE: The objective of the present investigation was to examine the association of mindful creativity with the trajectory of recovery (emotional, interpersonal, cognitive, and total functioning) of patients with severe TBI. METHODS: This was drawn from a subsample of an adult prospective cohort study on severe TBI in Switzerland; patients and their relatives were assessed at 3, 6, and 12 months (patients N = 176, relatives N = 176). Predictor measures were assessed using Mindful Creativity Scale-short form and time (trajectory of functioning of the patient over time). Outcome measures were assessed using Patient Competency Rating Scale for Neuro-rehabilitation (PCRS-NR; measuring emotional, interpersonal, cognitive, and total functioning post-injury). All measures were assessed at each time point. Mixed linear models were run separately for ages >50 and ≤50 (i.e., bimodal distribution). RESULTS:Patients' mindful creativity showed no significant association with patients' functioning across time in any of the models. In all age groups, interpersonal functioning decreased across time (slope>50 = -4.66, p = .037; slope≤50 = -7.19, p = .007). Interestingly, in age group ≤50, interpersonal functioning increased when looking at relative mindful creativity by time (slope = 1.69, p = .005). Additionally, relatives mindful creativity was significantly associated with patients' functioning in age group ≤50: (a) patients' total functioning (slope = 0.18, p = .03) and (b) cognitive functioning (slope = 0.72, p = .020). CONCLUSIONS: Relatives' mindful creativity was significantly associated with patients' functioning after severe TBI. Implications for treatment and future research are discussed.
Entities:
Keywords:
Association with the relative; Creativity; Functioning of the patient; Mindfulness; Severe traumatic brain injury
Authors: Carlos D Marquez de la Plata; Juanita Garces; Ehsan Shokri Kojori; Jack Grinnan; Kamini Krishnan; Rajesh Pidikiti; Jeffrey Spence; Michael D Devous; Carol Moore; Rodderick McColl; Christopher Madden; Ramon Diaz-Arrastia Journal: Arch Neurol Date: 2011-01
Authors: M Løvstad; I Funderud; T Endestad; P Due-Tønnessen; T R Meling; M Lindgren; R T Knight; A K Solbakk Journal: Brain Inj Date: 2012-06-25 Impact factor: 2.311