Browsing by Subject "MBSR"

Now showing 1 - 3 of 3
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    The effects of a mindfulness based intervention on impulsivity, symptoms of depression, anxiety, experiences and quality of life of persons suffering from substance use disorders and traumatic brain injury.
    (2012-08) Kristofersson, Gisli Kort
    Background: Studies have shown that of the 1.4 million Americans who experience a traumatic brain injury (TBI) each year, many have significant cognitive disabilities as a result of their injuries and up to half suffer from substance use disorders (SUDs). This often leads to significant issues such as increased rates of mental health problems and delay or lack of return to full employment. Aims: The purpose of this pilot study was to examine the effectiveness and impact of an adapted MBSR program on different psychosocial dimensions of persons suffering from a dual diagnosis of SUDs and TBI. Method: Anxiety, depression, quality of life, impulsivity and participants’ and staff persons’ experiences were explored using a mixed methods design to gain a comprehensive picture of the impact of the adapted eight week mindfulness intervention on the participants of the study. The qualitative evaluation focused on the impact that mindfulness meditation practice had on clients’ and staff persons experiences using an adapted grounded theory approach. Descriptive and analytical statistics were used to examine outcomes of quantitative measures Results: The general health perceptions scale of the SF-36 declined over the course of the study in a statistically significant manner. Changes in other measures were mostly in the predicted direction but were not statistically significant. The qualitative interviews revealed numerous perceived benefits reported by participants gleaned from their involvement in the intervention. These included subjective reports of positive effects of the intervention on mood, impulsivity, anxiety and personal relationships. Conclusions: The adapted mindfulness based intervention applied in this study is an inexpensive and safe method that appeared to fit the needs of the participants in this study well according to qualitative interviews. However, the exploratory nature of this study and the paucity of statistically significant results, indicates that future studies with a larger sample size are needed in this field.
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    Mindfulness based stress reduction effects on registered nurses.
    (2009-12) Penque, Susan
    Mindfulness Based Stress Reduction (MBSR) Effects on Registered Nurses Background: Nursing turnover is reaching disturbing rates and proving to be a crisis. Nurses are leaving the profession mostly due to stress from clinical work and inability to practice as they were prepared. Strategies are needed to assist nurses manage clinical work and their overall health. The MBSR program promotes overall well being and reduces stress in some populations. The purpose of this study was to determine whether MBSR is an effective tool to support nurses psychologically and to improve work satisfaction as they perform their essential work roles. Theoretical Framework: This study was based on Heideggerian philosophy of `being' and Kabat Zinn's work on mindfulness. METHOD: A quasi-experimental, longitudinal, pretest post test design was used to examine the effects of MBSR on mindfulness, self compassion, empathy, serenity, and work satisfaction of nurses (N=80). The correlation between mindfulness and self compassion, serenity and empathy were examined. The effects of MBSR on incidental overtime and job burnout were also analyzed. RESULTS: Most (N=61) nurses completed the MBSR program (76%). Statistically significant differences were found pre to post MBSR in mindfulness (33.2 to 42.9), self compassion (2.8 to 3.8), serenity (3.0 to 3.7), work satisfaction measure of autonomy (3.3 to 4.3), and all subscales of job burnout. There was a statistically significant increase in empathetic concern from baseline (21.3 to 22.5). Mindfulness was significantly correlated with self compassion (r=.79) and serenity (r=.78). Incidental overtime trended downward throughout the study. IMPLICATIONS: Findings support the utilization of MBSR to improve overall psychological outcomes and work satisfaction for registered nurses. MBSR statistically increased mindfulness in nurses which impacts practice by enhancing nursing presence. Mindfulness may improve patient care through patient safety, satisfaction, and quality of outcomes. RECOMMENDATIONS: Further research is needed to explore the effects of MBSR on different groups of nurses. The utilization of MBSR as an intervention to help transition new graduates to staff nursing may be an effective means for overall retention. MBSR may be helpful in settings with high stress such as critical care units. The program of MBSR enhances mindful thoughts and actions. Further nursing research is needed to explore the effects of MBSR on nursing practice as it relates to patient safety.
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    Moderators of the effectiveness of a mindfulness-based stress reduction intervention compared to an active control for solid organ transplant patients.
    (2010-08) Sherr, Laura Jayne
    Psychological distress and sleep disturbance are common among post-operative transplant patients. Mindfulness-Based Stress Reduction (MBSR) may be helpful in providing relief for these symptoms without interfering with a demanding medication regimen. This study is based on the Wellness Intervention After Transplant Study (Gross, Kreitzer, Thomas, Reilly-Spong, Cramer-Bornemann, Nyman, Frazier, & Ibrahim, in press) and evaluated moderators of the effectiveness of MBSR compared to an active control group for reducing depression, anxiety, and sleep dysfunction. The active control group was referred to as Health Education (HE) and was based on Stanford University's Chronic Disease Self-Management Program (Lorig et. al, 2000). It was hypothesized that individuals with greater levels of depression, anxiety, and sleep disturbance, and fewer psychosocial resources (mindfulness and self-efficacy) would benefit from either intervention more than individuals with less distress and more psychosocial resources. Additionally, individuals would do better in the intervention that targeted the domain in which they were lacking (e.g. those with lower baseline mindfulness would do better in MBSR than HE; those with lower baseline self-efficacy would do better in HE than MBSR). Participants consisted of 127 solid organ transplant recipients who were at least six months post-surgery, randomized to either the MBSR or HE groups, and completed baseline and post-intervention (8-week) assessments. Results indicated that participants with fewer psychosocial resources and greater distress did better in the HE group in regards to reducing symptoms. This pattern did not hold for those in the MBSR group where individuals with greater psychosocial resources reduced symptoms; whereas those with more distress and fewer resources increased in symptoms.