Research Reports - Mindful creativity matters: trajectories of reported functioning after severe traumatic brain injury as a function of mindful creativity in patients' relatives

Qual Life Res. 2017 Apr;26(4):893-902. doi: 10.1007/s11136-016-1416-1. Epub 2016
Sep 23.

Haller CS(1,)(2), Bosma CM(3), Kapur K(4,)(5), Zafonte R(6), Langer EJ(3).

Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital,
Massachusetts General Hospital, Harvard Medical School, Cambridge, MA, USA.

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. 

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