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The use of mindfulness-based interventions in stroke rehabilitation: A scoping review.

Toby C T Mak, Thomson W L Wong, Shamay S M Ng

Rehabilitation psychology August 2023 DOI: 10.1037/rep0000505 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Scoping review Peer reviewed
Population Individuals poststroke
Interventions Mindfulness-based interventions mindfulness-based cognitive therapy (MBCT)
Topics Meditation
Key findings The review indicates mixed results on the benefits of mindfulness-based interventions after stroke: most included studies showed significant improvements in mental fatigue, cognition, and quality of life, while outcomes for mood and physical functioning were inconsistent. The authors conclude that the evidence lends qualified support to mindfulness as a potentially beneficial therapeutic intervention, but highlight gaps such as limited evidence for mindfulness-based cognitive therapy, inadequate evaluation of physical outcomes, and a lack of methodologically robust trials.

Abstract

There is emerging evidence for the use of mindfulness-based interventions (MBIs) to improve health outcomes in the context of stroke rehabilitation. This scoping review identified recently available evidence and possible research gaps regarding how MBIs affect psychological and physical rehabilitation outcomes in individuals poststroke. Electronic searches were performed using the four major databases, CINAHL, MEDLINE, PsycINFO, and Web of Science. Sixteen studies out of a total of 404 relevant studies met the selection criteria for inclusion in this review. Our findings indicate diverse results on the benefits of MBIs in individuals poststroke across a range of rehabilitative outcomes. For instance, significant improvements in mental fatigue, cognition, and quality of life were observed for most of the studies while the outcomes for mood and physical functioning were mixed. The available evidence lends qualified support to the view that mindfulness has the potential to be a therapeutic intervention that offers health benefits to individuals poststroke. Yet, the diversity of results highlights the need for a more rigorous examination in further research. We also identified several knowledge gaps in mindfulness research in the stroke population, such as the limited amount of evidence for mindfulness-based cognitive therapy (MBCT), inadequate evaluations of physical outcomes, and the lack of methodologically robust trials. Further investigations are warranted to strengthen the evidence for the feasibility and effectiveness of MBIs. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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