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Quality of Life Research

, Volume 26, Issue 4, pp 893–902 | Cite as

Mindful creativity matters: trajectories of reported functioning after severe traumatic brain injury as a function of mindful creativity in patients’ relatives: a multilevel analysis

  • Chiara S. HallerEmail author
  • Colin M. Bosma
  • Kush Kapur
  • Ross Zafonte
  • Ellen J. Langer
Article

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.

Keywords

Mindfulness Creativity Severe traumatic brain injury Functioning of the patient Association with the relative 

Abbreviations

TBI

Traumatic brain injury

SA

Self-awareness

PFC

Prefrontal cortex

ACC

Anterior cingulate cortex

PPC

Posterior parietal cortex

HAIS

Abbreviated Injury Scale of the head region

MCS-s

Mindful Creativity Scale—short version

LMS

Langer Mindfulness Scale

PCRS-NR

Patient Competency Rating Scale for Neuro-rehabilitation

AIC

Akaike information criterion

DSM

Statistical manual of mental disorders

PTSD

Post-traumatic stress disorder

PEBITA

Patient-relevant endpoints after brain injury from traumatic accidents

Notes

Acknowledgments

Many thanks to the PEBITA team for their passion and support (www.pebita.ch). Profound thanks to all the participants.

Compliance with ethical standard

Conflict of interest

All authors declare that they have no conflict of interest.

Human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee of the respective cantons.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Chiara S. Haller
    • 1
    • 2
    Email author
  • Colin M. Bosma
    • 1
  • Kush Kapur
    • 3
    • 4
  • Ross Zafonte
    • 5
  • Ellen J. Langer
    • 1
  1. 1.Department of PsychologyHarvard UniversityCambridgeUSA
  2. 2.Division of Public PsychiatryMassachusetts Mental Health CenterBostonUSA
  3. 3.Harvard Medical SchoolBostonUSA
  4. 4.Clinical Research Center and Department of NeurologyBoston Children’s HospitalBostonUSA
  5. 5.Department of Physical Medicine and RehabilitationSpaulding Rehabilitation Hospital, Massachusetts General Hospital, Harvard Medical SchoolCambridgeUSA

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