Effect of a mindfulness intervention on patients admitted after multisystem trauma
Background The incidence of depression, anxiety, and post-traumatic stress disorders is reported to be as high as 50% in trauma patients. The perpetual negative emotions and state of mind in these disorders predisposes patients to negative mental health outcomes. Mindfulness, on the other hand, help...
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| Veröffentlicht in: | Trauma (London, England) England), 2020-07, Vol.22 (3), p.208-212 |
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| creator | Clement, Elizabeth Yoon, Jenny Sutherland, Tala Tsang, Bonnie Fawcett, Vanessa Kim, Michael Widder, Sandy |
| description | Background
The incidence of depression, anxiety, and post-traumatic stress disorders is reported to be as high as 50% in trauma patients. The perpetual negative emotions and state of mind in these disorders predisposes patients to negative mental health outcomes. Mindfulness, on the other hand, helps people to process their experience and emotions in a non-judgmental manner, and recently, there has been increased utilization of mindfulness-based therapies for the treatment of mental health conditions. This proof-of-concept study evaluates the use of a mindfulness-based online application in patients admitted to the trauma service at a Level 1 Trauma Centre.
Methods
Trauma patients who were English speaking, over the age of 18, and without brain injury or pre-existing neurocognitive disorder were included. Participants completed the Depression Anxiety Stress Scale (DASS)-21 to assess level of depression, anxiety, and stress, and the Connor-Davidson Resilience Scale (CD-RISC) to assess level of resiliency. Then, after 28 consecutive days of practicing mindfulness using the app ‘Stop, Breathe, and Think,’ the questionnaires were repeated and an exit survey conducted.
Results
For this study, 13 participants were enrolled, 2 withdrew, and 5 were lost to follow-up. The mean DASS-21 score at time enrollment was 16.4 and was 11.2 at follow-up (p = 0.10). There were no differences between the level of depression and stress from enrollment to follow-up, but there was significant decrease in anxiety symptoms from 7.2 to 3.0 ( |
| doi_str_mv | 10.1177/1460408619872593 |
| format | Article |
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The incidence of depression, anxiety, and post-traumatic stress disorders is reported to be as high as 50% in trauma patients. The perpetual negative emotions and state of mind in these disorders predisposes patients to negative mental health outcomes. Mindfulness, on the other hand, helps people to process their experience and emotions in a non-judgmental manner, and recently, there has been increased utilization of mindfulness-based therapies for the treatment of mental health conditions. This proof-of-concept study evaluates the use of a mindfulness-based online application in patients admitted to the trauma service at a Level 1 Trauma Centre.
Methods
Trauma patients who were English speaking, over the age of 18, and without brain injury or pre-existing neurocognitive disorder were included. Participants completed the Depression Anxiety Stress Scale (DASS)-21 to assess level of depression, anxiety, and stress, and the Connor-Davidson Resilience Scale (CD-RISC) to assess level of resiliency. Then, after 28 consecutive days of practicing mindfulness using the app ‘Stop, Breathe, and Think,’ the questionnaires were repeated and an exit survey conducted.
Results
For this study, 13 participants were enrolled, 2 withdrew, and 5 were lost to follow-up. The mean DASS-21 score at time enrollment was 16.4 and was 11.2 at follow-up (p = 0.10). There were no differences between the level of depression and stress from enrollment to follow-up, but there was significant decrease in anxiety symptoms from 7.2 to 3.0 (<0.05). CD-RISC scores at enrollment and follow-up were 77.8 and 81 (p = 0.23), respectively. At the time of exit interview, 67% of patients continued to use the application three to four times a week and 67% responded they plan to continue using the application. In addition, 83% of patients always or often felt better after practicing mindfulness and stated they would recommend the application to others.
Conclusions
Mindfulness shows promising potential to decrease psychological distress in trauma patients.</description><identifier>ISSN: 1460-4086</identifier><identifier>EISSN: 1477-0350</identifier><identifier>DOI: 10.1177/1460408619872593</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Anxiety ; Brain injury ; Cognition ; Disorders ; Emotions ; Head injuries ; Mental depression ; Mental disorders ; Mental health ; Mindfulness ; Post traumatic stress disorder ; Psychological stress ; Reliability analysis ; Resilience ; Signs and symptoms ; Stress ; Trauma</subject><ispartof>Trauma (London, England), 2020-07, Vol.22 (3), p.208-212</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c309t-fa81148a8b4318a441cbb1c4299ccd5fe6ed7eecfffc5de04247d6de58d1d1383</citedby><cites>FETCH-LOGICAL-c309t-fa81148a8b4318a441cbb1c4299ccd5fe6ed7eecfffc5de04247d6de58d1d1383</cites><orcidid>0000-0001-8222-4048</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1460408619872593$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1460408619872593$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids></links><search><creatorcontrib>Clement, Elizabeth</creatorcontrib><creatorcontrib>Yoon, Jenny</creatorcontrib><creatorcontrib>Sutherland, Tala</creatorcontrib><creatorcontrib>Tsang, Bonnie</creatorcontrib><creatorcontrib>Fawcett, Vanessa</creatorcontrib><creatorcontrib>Kim, Michael</creatorcontrib><creatorcontrib>Widder, Sandy</creatorcontrib><title>Effect of a mindfulness intervention on patients admitted after multisystem trauma</title><title>Trauma (London, England)</title><description>Background
The incidence of depression, anxiety, and post-traumatic stress disorders is reported to be as high as 50% in trauma patients. The perpetual negative emotions and state of mind in these disorders predisposes patients to negative mental health outcomes. Mindfulness, on the other hand, helps people to process their experience and emotions in a non-judgmental manner, and recently, there has been increased utilization of mindfulness-based therapies for the treatment of mental health conditions. This proof-of-concept study evaluates the use of a mindfulness-based online application in patients admitted to the trauma service at a Level 1 Trauma Centre.
Methods
Trauma patients who were English speaking, over the age of 18, and without brain injury or pre-existing neurocognitive disorder were included. Participants completed the Depression Anxiety Stress Scale (DASS)-21 to assess level of depression, anxiety, and stress, and the Connor-Davidson Resilience Scale (CD-RISC) to assess level of resiliency. Then, after 28 consecutive days of practicing mindfulness using the app ‘Stop, Breathe, and Think,’ the questionnaires were repeated and an exit survey conducted.
Results
For this study, 13 participants were enrolled, 2 withdrew, and 5 were lost to follow-up. The mean DASS-21 score at time enrollment was 16.4 and was 11.2 at follow-up (p = 0.10). There were no differences between the level of depression and stress from enrollment to follow-up, but there was significant decrease in anxiety symptoms from 7.2 to 3.0 (<0.05). CD-RISC scores at enrollment and follow-up were 77.8 and 81 (p = 0.23), respectively. At the time of exit interview, 67% of patients continued to use the application three to four times a week and 67% responded they plan to continue using the application. In addition, 83% of patients always or often felt better after practicing mindfulness and stated they would recommend the application to others.
Conclusions
Mindfulness shows promising potential to decrease psychological distress in trauma patients.</description><subject>Anxiety</subject><subject>Brain injury</subject><subject>Cognition</subject><subject>Disorders</subject><subject>Emotions</subject><subject>Head injuries</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mindfulness</subject><subject>Post traumatic stress disorder</subject><subject>Psychological stress</subject><subject>Reliability analysis</subject><subject>Resilience</subject><subject>Signs and symptoms</subject><subject>Stress</subject><subject>Trauma</subject><issn>1460-4086</issn><issn>1477-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp1kM1LAzEQxYMoWKt3jwHPqzObbJI9SqkfUBBEz0uaTGRLd7cmWaH_vVsqCIIwMDPM772Bx9g1wi2i1ncoFUgwCmujy6oWJ2yGUusCRAWnh1lBcbifs4uUNgCl0AJm7HUZArnMh8At79reh3HbU0q87TPFL-pzO_R8qp3N7bQlbn3X5kye2zARvBu3uU37lKnjOdqxs5fsLNhtoqufPmfvD8u3xVOxenl8XtyvCiegzkWwBlEaa9ZSoLFSoluv0cmyrp3zVSBFXhO5EIKrPIEspfbKU2U8ehRGzNnN0XcXh8-RUm42wxj76WVTSgSotUI1UXCkXBxSihSaXWw7G_cNQnNIrvmb3CQpjpJkP-jX9F_-GyTlbzA</recordid><startdate>202007</startdate><enddate>202007</enddate><creator>Clement, Elizabeth</creator><creator>Yoon, Jenny</creator><creator>Sutherland, Tala</creator><creator>Tsang, Bonnie</creator><creator>Fawcett, Vanessa</creator><creator>Kim, Michael</creator><creator>Widder, Sandy</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7TS</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>U9A</scope><orcidid>https://orcid.org/0000-0001-8222-4048</orcidid></search><sort><creationdate>202007</creationdate><title>Effect of a mindfulness intervention on patients admitted after multisystem trauma</title><author>Clement, Elizabeth ; Yoon, Jenny ; Sutherland, Tala ; Tsang, Bonnie ; Fawcett, Vanessa ; Kim, Michael ; Widder, Sandy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c309t-fa81148a8b4318a441cbb1c4299ccd5fe6ed7eecfffc5de04247d6de58d1d1383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anxiety</topic><topic>Brain injury</topic><topic>Cognition</topic><topic>Disorders</topic><topic>Emotions</topic><topic>Head injuries</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mindfulness</topic><topic>Post traumatic stress disorder</topic><topic>Psychological stress</topic><topic>Reliability analysis</topic><topic>Resilience</topic><topic>Signs and symptoms</topic><topic>Stress</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Clement, Elizabeth</creatorcontrib><creatorcontrib>Yoon, Jenny</creatorcontrib><creatorcontrib>Sutherland, Tala</creatorcontrib><creatorcontrib>Tsang, Bonnie</creatorcontrib><creatorcontrib>Fawcett, Vanessa</creatorcontrib><creatorcontrib>Kim, Michael</creatorcontrib><creatorcontrib>Widder, Sandy</creatorcontrib><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Trauma (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clement, Elizabeth</au><au>Yoon, Jenny</au><au>Sutherland, Tala</au><au>Tsang, Bonnie</au><au>Fawcett, Vanessa</au><au>Kim, Michael</au><au>Widder, Sandy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of a mindfulness intervention on patients admitted after multisystem trauma</atitle><jtitle>Trauma (London, England)</jtitle><date>2020-07</date><risdate>2020</risdate><volume>22</volume><issue>3</issue><spage>208</spage><epage>212</epage><pages>208-212</pages><issn>1460-4086</issn><eissn>1477-0350</eissn><abstract>Background
The incidence of depression, anxiety, and post-traumatic stress disorders is reported to be as high as 50% in trauma patients. The perpetual negative emotions and state of mind in these disorders predisposes patients to negative mental health outcomes. Mindfulness, on the other hand, helps people to process their experience and emotions in a non-judgmental manner, and recently, there has been increased utilization of mindfulness-based therapies for the treatment of mental health conditions. This proof-of-concept study evaluates the use of a mindfulness-based online application in patients admitted to the trauma service at a Level 1 Trauma Centre.
Methods
Trauma patients who were English speaking, over the age of 18, and without brain injury or pre-existing neurocognitive disorder were included. Participants completed the Depression Anxiety Stress Scale (DASS)-21 to assess level of depression, anxiety, and stress, and the Connor-Davidson Resilience Scale (CD-RISC) to assess level of resiliency. Then, after 28 consecutive days of practicing mindfulness using the app ‘Stop, Breathe, and Think,’ the questionnaires were repeated and an exit survey conducted.
Results
For this study, 13 participants were enrolled, 2 withdrew, and 5 were lost to follow-up. The mean DASS-21 score at time enrollment was 16.4 and was 11.2 at follow-up (p = 0.10). There were no differences between the level of depression and stress from enrollment to follow-up, but there was significant decrease in anxiety symptoms from 7.2 to 3.0 (<0.05). CD-RISC scores at enrollment and follow-up were 77.8 and 81 (p = 0.23), respectively. At the time of exit interview, 67% of patients continued to use the application three to four times a week and 67% responded they plan to continue using the application. In addition, 83% of patients always or often felt better after practicing mindfulness and stated they would recommend the application to others.
Conclusions
Mindfulness shows promising potential to decrease psychological distress in trauma patients.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><doi>10.1177/1460408619872593</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-8222-4048</orcidid></addata></record> |
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| ispartof | Trauma (London, England), 2020-07, Vol.22 (3), p.208-212 |
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| source | SAGE Complete |
| subjects | Anxiety Brain injury Cognition Disorders Emotions Head injuries Mental depression Mental disorders Mental health Mindfulness Post traumatic stress disorder Psychological stress Reliability analysis Resilience Signs and symptoms Stress Trauma |
| title | Effect of a mindfulness intervention on patients admitted after multisystem trauma |
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