명상도서관
Mindfulness-based Stress Reduction in Addition to Usual Care Is Associated with Improvements in Pain, Fatigue, and Cognitive Failures Among Veterans with Gulf War Illness
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- 자료유형학술지논문
- 저자명Kearney, D. J.,Simpson, T. L.,Malte, C. A.,Felleman, B.,Martinez, M. E.,Hunt, S. C.
- 학회/출판사/기관명Elsevier Science B.V., Amsterdam.
- 출판년도2016
- 언어영어
- 학술지명/학위논문주기The American journal of medicine
- 발행사항Vol.129No.2[2016]_x000D_
- ISBN/ISSN0002-9343
- 소개/요약Background: Many Gulf War I veterans report ongoing negative health consequences. The constellation of pain, fatigue and concentration/memory disturbances is referred to as Gulf War Illness. Prior research suggests that Mindfulness-Based Stress Reduction (MBSR) may be beneficial for these symptoms, but MBSR has not been studied for veterans with Gulf War Illness. The objective of this trial was to conduct a pilot study of MBSR for veterans with Gulf War Illness. Methods: Veterans (N=55) with Gulf War Illness were randomly assigned to treatment as usual plus MBSR or treatment as usual only. MBSR was delivered in 8 weekly 2.5 hour sessions plus a single 7-hour weekend session. Pain, fatigue, and cognitive failures were the primary outcomes, assessed at baseline, post-MBSR and at 6-months follow-up. Secondary outcomes included symptoms of posttraumatic stress disorder and depression. Results: In intention-to-treat analyses, at 6-month follow-up, veterans randomized to MBSR plus treatment as usual reported greater reductions in pain (f = 0.33; P = 0.049), fatigue (f = 0.32; P = 0.027) and cognitive failures (f = 0.40; P < 0.001). Depressive symptoms showed a greater decline post-MBSR (f = 0.22; P = 0.050) and at 6-months (f = 0.27; P = 0.031) relative to treatment as usual only. Veterans with posttraumatic stress disorder at baseline randomized to MBSR plus treatment as usual experienced significantly greater reductions in symptoms of posttraumatic stress disorder post-MBSR (f = 0.44; P = 0.005) but not at 6-months follow-up (f = 0.31; P = 0.082). Conclusions: MBSR in addition to treatment as usual is associated with significant improvements in self-reported symptoms of Gulf War Illness, including pain, fatigue, cognitive failures, and depression.
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