“Hidden gains”? Measuring the impact of mindfulness-based interventions for people with mild traumatic brain injury: a scoping review

Lovette, Brenda C; Kanaya, Millan R.; Bannon, Sarah M.; Vranceanu, Ana‐Maria; Greenberg, Jonathan

doi:10.1080/02699052.2022.2109745

Cited by 11 publications

(4 citation statements)

References 69 publications

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“…Our results also emphasized the positive impact of core attitudes of mindfulness (i.e., acceptance; Kabat-Zinn, 1990), patience, gratitude, optimism, and focusing on values for recovery. These findings are in line with the growing evidence that mind–body interventions may be an effective way to enhance concussion recovery (Acabchuk et al, 2021; Lovette et al, 2022).…”

Section: Discussionsupporting

confidence: 87%

“I completely shut down”: A mixed methods evaluation of the fear–avoidance model for young adults with a recent concussion and anxiety.

Lovette,

Briskin,

Grunberg

et al. 2024

Rehabilitation Psychology

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Purpose/Objectives: The fear-avoidance model is a well-established framework for understanding the transition from acute to chronic pain. However, its applicability to concussions is not yet well understood. Here, we conduct the first mixed methods analysis of the fear-avoidance model in young adults with a recent concussion and co-occurring anxiety and assess the model's alignment with their lived experience. Research Method/Design: We conducted a mixed methods analysis using a cross-sectional parallel design. Seventeen participants completed questionnaires corresponding with the elements in the fear-avoidance model (e.g., pain catastrophizing, avoidance, disability, anxiety, depression, etc.) and participated in semistructured interviews probing their experiences following their concussion between March 2021 and February 2022. We calculated bivariate correlations for quantitative data and analyzed the qualitative data using hybrid inductive-deductive thematic analysis. Results: Quantitative results demonstrated strong and medium-sized correlations among theorized relationships within the fear-avoidance model (rs = .40-.85) with the majority being statistically significant. Qualitative results provided substantial convergent and complementary support (e.g., bi-directionality of some relationships, associations between nonadjacent model components, centrality of anxiety in symptom persistence) for the application of the fear-avoidance model to concussions. Findings highlighted additional factors (social factors and post-injury endurance patterns) relevant to this population. Conclusion/Implications: The fear-avoidance model is a useful lens for understanding the lived experience of young adults with a recent concussion and co-occurring anxiety. Psychosocial treatment for this population would benefit from focusing on the interplay of concussion symptoms, anxiety, depression, disability, and pain-related fear, offering adaptive confrontation strategies, and addressing the interpersonal impact of concussion. Impact and ImplicationsOur findings suggest that the fear-avoidance model is a useful lens for understanding the lived experiences of young adults with co-occurring anxiety-a population at risk for developing persistent concussion symptoms. Treatment should consider the interplay of concussion symptoms, anxiety, depression, disability, and pain-related fear by offering adaptive confrontation strategies and addressing the interpersonal impact of concussion. Results emphasize the value of psychosocial treatment during the early phase of recovery, a crucial time to impact outcomes. Future research should include more diverse populations, longitudinal designs, and deeper exploration of symptom confrontation strategies to support recovery.

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Section: Discussionsupporting

confidence: 87%

“I completely shut down”: A mixed methods evaluation of the fear–avoidance model for young adults with a recent concussion and anxiety.

Lovette,

Briskin,

Grunberg

et al. 2024

Rehabilitation Psychology

Self Cite

View full text Add to dashboard Cite

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“…Stress-reducing interventions like deep breathing and mindfulness-based stress reduction (MBSR) have been shown to decrease biomarkers of neuroinflammation in clinical trials of central sensitization-related symptoms [151]. Multiple clinical trials suggest that mindfulness-based interventions are supportive of mTBI recovery [152].…”

Section: Stress Reductionmentioning

confidence: 99%

Conservative Management of Acute Sports-Related Concussions: A Narrative Review

Kureshi,

Mendizabal,

Francis

et al. 2024

Healthcare

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This review explores the application of the conservative management model for pain to sports-related concussions (SRCs), framing concussions as a distinct form of pain syndrome with a pathophysiological foundation in central sensitization. Drawing parallels with proven pain management models, we underscore the significance of a proactive approach to concussion management. Recognizing concussions as a pain syndrome allows for the tailoring of interventions in alignment with conservative principles. This review first covers the epidemiology and controversies surrounding prolonged concussion recovery and persistent post-concussion symptoms (PPCS). Next, the pathophysiology of concussions is presented within the central sensitization framework, emphasizing the need for early intervention to mitigate the neuroplastic changes that lead to heightened pain sensitivity. Five components of the central sensitization process specific to concussion injuries are highlighted as targets for conservative interventions in the acute period: peripheral sensitization, cerebral metabolic dysfunction, neuroinflammation, glymphatic system dysfunction, and pain catastrophizing. These proactive interventions are emphasized as pivotal in accelerating concussion recovery and reducing the risk of prolonged symptoms and PPCS, in line with the philosophy of conservative management.

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“…Specifically, there is evidence for the effectiveness of mindfulness-based interventions in patients with movement disorders associated with behavioural symptoms, such as Parkinson disease [12], multiple sclerosis [13][14][15][16], epilepsy [17,18], sleep disorders [19][20][21][22], headache [23][24][25][26], and chronic pain symptoms [27][28][29]. Patients with acquired brain pathologies such as mild traumatic brain injury [30,31], cerebrovascular accidents [32,33] and dementia [34][35][36] have also been shown to potentially benefit from mindfulness-based interventions, as well as their carers [37][38][39].…”

Section: The Third Wave Of Cognitive Behavioural Therapy For Neuropsy...mentioning

confidence: 99%

The Western origins of mindfulness therapy in ancient Rome

et al. 2023

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Stoic philosophy has multiple parallels with cognitive behavioural therapy interventions. In their ancient texts, the Roman Stoics present a set of theoretical principles and behavioural strategies that are directly relevant to the clinical care of patients with a wide range of neuropsychiatric conditions. Mindfulness is a key component of the ‘third wave’ of modern psychotherapy that closely resembles the ancient Stoic practice of attention or ‘concentration on the present moment’. Stoic mindfulness draws attention to one of the main principles driving both Stoicism and modern psychotherapy: the assumption that cognitive activity (reasoning) mediates emotions and behaviours. This principle can be traced back to Epictetus’ Enchiridion, where he recognises that ‘men are disturbed not by things, but by the views which they take of things’. It has been shown that cognitive behavioural therapies and mindfulness-based interventions directed at patients with neuropsychiatric disorders were originally developed as Stoic-inspired treatment interventions. Both Albert Ellis and Aaron Beck (the founders of rational emotive behaviour therapy and cognitive behavioural therapy, respectively) explicitly acknowledged the role of Stoicism as the philosophical precursor of their treatment approaches. The effective implementation of evidence-based guidelines would benefit from an increased awareness of the influence of the Stoic tradition of philosophical therapy on the treatment approaches currently in use in neuropsychiatry.

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“Hidden gains”? Measuring the impact of mindfulness-based interventions for people with mild traumatic brain injury: a scoping review

Cited by 11 publications

References 69 publications

“I completely shut down”: A mixed methods evaluation of the fear–avoidance model for young adults with a recent concussion and anxiety.

“I completely shut down”: A mixed methods evaluation of the fear–avoidance model for young adults with a recent concussion and anxiety.

Conservative Management of Acute Sports-Related Concussions: A Narrative Review

The Western origins of mindfulness therapy in ancient Rome

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