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Clinical Utility of Mindfulness Training in the Treatment of Fatigue After Stroke, Traumatic Brain Injury and Multiple Sclerosis: A Systematic Literature Review and Meta-analysis

Background: Fatigue is a common symptom following neurological illnesses and injuries, and is rated as one of the most debilitating sequela in conditions such as stroke, traumatic brain injury (TBI), and multiple sclerosis (MS). Yet effective treatments are lacking, suggesting a pressing need for a...

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Autores principales: Ulrichsen, Kristine M., Kaufmann, Tobias, Dørum, Erlend S., Kolskår, Knut K., Richard, Geneviève, Alnæs, Dag, Arneberg, Tone J., Westlye, Lars T., Nordvik, Jan E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917545/
https://www.ncbi.nlm.nih.gov/pubmed/27445888
http://dx.doi.org/10.3389/fpsyg.2016.00912
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author Ulrichsen, Kristine M.
Kaufmann, Tobias
Dørum, Erlend S.
Kolskår, Knut K.
Richard, Geneviève
Alnæs, Dag
Arneberg, Tone J.
Westlye, Lars T.
Nordvik, Jan E.
author_facet Ulrichsen, Kristine M.
Kaufmann, Tobias
Dørum, Erlend S.
Kolskår, Knut K.
Richard, Geneviève
Alnæs, Dag
Arneberg, Tone J.
Westlye, Lars T.
Nordvik, Jan E.
author_sort Ulrichsen, Kristine M.
collection PubMed
description Background: Fatigue is a common symptom following neurological illnesses and injuries, and is rated as one of the most debilitating sequela in conditions such as stroke, traumatic brain injury (TBI), and multiple sclerosis (MS). Yet effective treatments are lacking, suggesting a pressing need for a better understanding of its etiology and mechanisms that may alleviate the symptoms. Recently mindfulness-based interventions have demonstrated promising results for fatigue symptom relief. Objective: Investigate the efficacy of mindfulness-based interventions for fatigue across neurological conditions and acquired brain injuries. Materials and Methods: Systematic literature searches were conducted in PubMed, Medline, Web of Science, and PsycINFO. We included randomized controlled trials applying mindfulness-based interventions in patients with neurological conditions or acquired brain injuries. Four studies (N = 257) were retained for meta-analysis. The studies included patients diagnosed with MS, TBI, and stroke. Results: The estimated effect size for the total sample was -0.37 (95% CI: -0.58, -0.17). Conclusion: The results indicate that mindfulness-based interventions may relieve fatigue in neurological conditions such as stroke, TBI, and MS. However, the effect size is moderate, and further research is needed in order to determine the effect and improve our understanding of how mindfulness-based interventions affect fatigue symptom perception in patients with neurological conditions.
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spelling pubmed-49175452016-07-21 Clinical Utility of Mindfulness Training in the Treatment of Fatigue After Stroke, Traumatic Brain Injury and Multiple Sclerosis: A Systematic Literature Review and Meta-analysis Ulrichsen, Kristine M. Kaufmann, Tobias Dørum, Erlend S. Kolskår, Knut K. Richard, Geneviève Alnæs, Dag Arneberg, Tone J. Westlye, Lars T. Nordvik, Jan E. Front Psychol Psychology Background: Fatigue is a common symptom following neurological illnesses and injuries, and is rated as one of the most debilitating sequela in conditions such as stroke, traumatic brain injury (TBI), and multiple sclerosis (MS). Yet effective treatments are lacking, suggesting a pressing need for a better understanding of its etiology and mechanisms that may alleviate the symptoms. Recently mindfulness-based interventions have demonstrated promising results for fatigue symptom relief. Objective: Investigate the efficacy of mindfulness-based interventions for fatigue across neurological conditions and acquired brain injuries. Materials and Methods: Systematic literature searches were conducted in PubMed, Medline, Web of Science, and PsycINFO. We included randomized controlled trials applying mindfulness-based interventions in patients with neurological conditions or acquired brain injuries. Four studies (N = 257) were retained for meta-analysis. The studies included patients diagnosed with MS, TBI, and stroke. Results: The estimated effect size for the total sample was -0.37 (95% CI: -0.58, -0.17). Conclusion: The results indicate that mindfulness-based interventions may relieve fatigue in neurological conditions such as stroke, TBI, and MS. However, the effect size is moderate, and further research is needed in order to determine the effect and improve our understanding of how mindfulness-based interventions affect fatigue symptom perception in patients with neurological conditions. Frontiers Media S.A. 2016-06-23 /pmc/articles/PMC4917545/ /pubmed/27445888 http://dx.doi.org/10.3389/fpsyg.2016.00912 Text en Copyright © 2016 Ulrichsen, Kaufmann, Dørum, Kolskår, Richard, Alnæs, Arneberg, Westlye and Nordvik. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Ulrichsen, Kristine M.
Kaufmann, Tobias
Dørum, Erlend S.
Kolskår, Knut K.
Richard, Geneviève
Alnæs, Dag
Arneberg, Tone J.
Westlye, Lars T.
Nordvik, Jan E.
Clinical Utility of Mindfulness Training in the Treatment of Fatigue After Stroke, Traumatic Brain Injury and Multiple Sclerosis: A Systematic Literature Review and Meta-analysis
title Clinical Utility of Mindfulness Training in the Treatment of Fatigue After Stroke, Traumatic Brain Injury and Multiple Sclerosis: A Systematic Literature Review and Meta-analysis
title_full Clinical Utility of Mindfulness Training in the Treatment of Fatigue After Stroke, Traumatic Brain Injury and Multiple Sclerosis: A Systematic Literature Review and Meta-analysis
title_fullStr Clinical Utility of Mindfulness Training in the Treatment of Fatigue After Stroke, Traumatic Brain Injury and Multiple Sclerosis: A Systematic Literature Review and Meta-analysis
title_full_unstemmed Clinical Utility of Mindfulness Training in the Treatment of Fatigue After Stroke, Traumatic Brain Injury and Multiple Sclerosis: A Systematic Literature Review and Meta-analysis
title_short Clinical Utility of Mindfulness Training in the Treatment of Fatigue After Stroke, Traumatic Brain Injury and Multiple Sclerosis: A Systematic Literature Review and Meta-analysis
title_sort clinical utility of mindfulness training in the treatment of fatigue after stroke, traumatic brain injury and multiple sclerosis: a systematic literature review and meta-analysis
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917545/
https://www.ncbi.nlm.nih.gov/pubmed/27445888
http://dx.doi.org/10.3389/fpsyg.2016.00912
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