Mindful creativity matters: trajectories of reported functioning after severe traumatic brain injury as a function of mindful creativity in patients’ relatives: a multilevel analysis
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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.
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).
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).
Relatives’ mindful creativity was significantly associated with patients’ functioning after severe TBI. Implications for treatment and future research are discussed.
KeywordsMindfulness Creativity Severe traumatic brain injury Functioning of the patient Association with the relative
Traumatic brain injury
Anterior cingulate cortex
Posterior parietal cortex
Abbreviated Injury Scale of the head region
Mindful Creativity Scale—short version
Langer Mindfulness Scale
Patient Competency Rating Scale for Neuro-rehabilitation
Akaike information criterion
Statistical manual of mental disorders
Post-traumatic stress disorder
Patient-relevant endpoints after brain injury from traumatic accidents
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 was obtained from all individual participants included in the study.
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