Evaluation of a Modified Mindfulness-Based Stress Reduction Intervention for Adults with Cerebral Palsy and Anxiety and/or Emotion Regulation Difficulties-A Randomised Control Trial.
Hayley Smithers-Sheedy, Emma Waight, Katherine L Swinburn, Fiona Given, Kate Hooke, Annabel Webb, Sarah Mcintyre, Georgina Henry, Ingrid Honan
Journal of Clinical Medicine December 19, 2023 DOI: 10.3390/jcm13010001 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 31 |
| Population | Adults with cerebral palsy with elevated anxiety and/or emotion regulation difficulties and no/mild intellectual impairment |
| Intervention | Mindfulness-Based Stress Reduction |
| Duration | 9-week intervention, 8-week follow-up |
| Topics | Anxiety Meditation |
| Keywords | Cerebral palsy Emotion regulation Mindfulness-based stress reduction |
| Citations | 4 |
| Key findings | The modified telehealth MBSR program did not significantly improve mindfulness compared to a wait-list control but did improve depression, stress, and emotion regulation within the intervention group. |
Abstract
Mindfulness-Based Stress Reduction (MBSR) has not yet been evaluated for people with cerebral palsy (CP). The aims of this randomised control trial were to investigate whether a modified telehealth MBSR program could improve mindfulness and reduce depression, anxiety, and emotion regulation difficulties among adults with CP with elevated anxiety and/or emotional regulation difficulties.
Participants: (n = 31) with elevated anxiety and/or emotion regulation difficulties and no/mild intellectual impairment were randomised to a modified telehealth MBSR program (90 min weekly, 9 weeks) group or a wait-list group. Measurements were collected prior to (T1), after (T2), and 8 weeks post-intervention (T3). The primary outcome was the mean between-group difference in the change in Cognitive and Affective Mindfulness Scale-R (CAMS-R) scores in T1-T2. The secondary outcomes included mean within-group differences over time for the CAMS-R total scores, Depression Anxiety and Stress Scale-21 subscales, and Difficulties in Emotion Regulation Scale (DERS) total t-score. We found no statistically significant between-group difference in mean change in mindfulness scores for T1-T2 (primary outcome). Secondary
Outcomes: The MBSR intervention group had improved CAMS-R scores with respect to T1-T2 and T1-T3; improved mean scores for Depression and Stress subscales for T1-T2; and improved DERS t-scores for T1-T2 and T1-T3. In conclusion, this study found no significant between-group difference for the primary outcome of mindfulness. The MBSR program was successfully modified for adults with CP and was effective in improving depression, stress, and emotion regulation. ACTRN12621000960853.