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Mental Health After SCI

Mindfulness

Author Year
Country
Research Design
PEDro Score
Total Sample Size
Methods Outcome
Hearn and Finlay (2018)
United Kingdom
RCT
PEDro=7
NInitial=67 NFinal=43
Population: Mean age=44.4±10.4 yr;
Gender: males=31, females=36; Time
since injury (yr): 1-2=11, 2-4=18, 4-
8=19, 8-12=6, 12-15=7, 15+=6; Level of
injury: C=25, T=37, L=5; Severity of
injury: AIS A=9, B=17, C=19, D=22.
Intervention: Participants were
randomized to either an 8-wk online
mindfulness intervention or an 8-wk
internet delivered psychoeducation.
Outcome Measures: Depression
symptom severity and anxiety (hospital
anxiety and depression scale (HADS)),
quality of life (QoL)(world health
organization quality of life (WHOQOLBREF) ,
pain perception (numeric rating
scale), pain catastrophizing scale (PCS)
and mindfulness (five facet mindfulness
questionnaire (FFMQ).
1. Significant differences postintervention between groups for
mindfulness facets of acting with
awareness, describing and nonreactivity to inner experience
(p<0.05) as well as total FFMQ score
(p<0.05).
2. No significant differences between
groups for any QoL, pain intensity
and mindfulness facets of observing
and non-judging post-intervention
(p>0.05).
3. Significant between group difference
in severity of depression and pain
catastrophizing at 3-mo follow-up
(p<0.050).

Discussion

Hearn and Finlay (2018) evaluated the effectiveness of an 8-week online mindfulness program compared to pain psychoeducation among persons with SCI. Participants in the treatment group found significant reduction in symptoms of depression, anxiety, pain unpleasantness, and catastrophizing compared to the psychoeducation group at post treatment and 3-month followup.

Conclusion

There is level 1b evidence that online mindfulness programs can help reduce symptoms of depression post SCI (Hearn & Finlay 2018).

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