Mind-Body Rehabilitative Program for Veterans With mTBI (Mild Traumatic Brain Injury)
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Insomnia Sleep Studies, Hospital, Neurology |
| Therapuetic Areas: | Neurology, Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | 18 - 65 |
| Updated: | 5/9/2018 |
| Start Date: | October 2013 |
| End Date: | June 2019 |
Evaluating a Novel Sleep-focused Mind-body Rehabilitative Program for Veterans With mTBI and Other "Polytrauma" Symptoms: An Randomized Controlled Trial (RCT) Study
The broad aim of the proposed study is to evaluate the comprehensive benefit of a novel
mind-body therapeutic intervention, Mind-Body Bridging (MBB), in Veterans who suffer from
mTBI and sleep disturbance co-morbid with PTSD and/or pain at the VA Salt Lake City Health
Care System (VASLCHCS). Evidence for comprehensive benefit includes, but is not limited to,
the average difference in outcomes between MBB and an active control, sleep education (SED),
both integrated with the usual care for mTBI Veterans. The long-term goal of the proposed
project is to introduce, implement and establish mind-body intervention programs as a
behavioral health intervention modality that would serve as a generally sustainable health
care intervention program before, during, and after deployment for military personnel.
mind-body therapeutic intervention, Mind-Body Bridging (MBB), in Veterans who suffer from
mTBI and sleep disturbance co-morbid with PTSD and/or pain at the VA Salt Lake City Health
Care System (VASLCHCS). Evidence for comprehensive benefit includes, but is not limited to,
the average difference in outcomes between MBB and an active control, sleep education (SED),
both integrated with the usual care for mTBI Veterans. The long-term goal of the proposed
project is to introduce, implement and establish mind-body intervention programs as a
behavioral health intervention modality that would serve as a generally sustainable health
care intervention program before, during, and after deployment for military personnel.
Traumatic brain injury represents a dynamic spectrum of physiologic and cognitive dysfunction
that exerts effects at multiple levels of human health. Mild traumatic brain injury (mTBI) is
a multi-factorial illness that is an increasingly serious public health issue for military
and civilian personnel. The assessment of neurocognitive deficits in mTBI has been suggested
to be less conclusive, presumably because of the predominating influence of PTSD and other
co-morbid factors. Recent research suggests that psychological factors play a substantial
role in TBI-related impairments in self-reported health and cognition function. Furthermore,
research has shown that TBI is rarely an isolated finding in military combat settings and
that persistent post-concussive symptoms are commonly associated with post-traumatic stress
disorder and chronic pain, a constellation of findings that has been termed the "polytrauma
clinical triad". Indeed, significant numbers of returning Veterans of Operation Enduring
Freedom/Operation Iraqi Freedom (OEF/OIF) display the polytrauma clinical triad (PCT) of
pain, posttraumatic stress disorder (PTSD), and traumatic brain injury. The proposed project
will: 1) elucidate best practices for treating mTBI with co-occurring symptoms (pain, sleep
disturbance, PTSD) encompassing cognitive, emotional, and psychological functioning; and 2)
address psychosocial aspects of managing pain and co-morbidities associated with mTBI through
integrative and complementary and alternative approaches.
that exerts effects at multiple levels of human health. Mild traumatic brain injury (mTBI) is
a multi-factorial illness that is an increasingly serious public health issue for military
and civilian personnel. The assessment of neurocognitive deficits in mTBI has been suggested
to be less conclusive, presumably because of the predominating influence of PTSD and other
co-morbid factors. Recent research suggests that psychological factors play a substantial
role in TBI-related impairments in self-reported health and cognition function. Furthermore,
research has shown that TBI is rarely an isolated finding in military combat settings and
that persistent post-concussive symptoms are commonly associated with post-traumatic stress
disorder and chronic pain, a constellation of findings that has been termed the "polytrauma
clinical triad". Indeed, significant numbers of returning Veterans of Operation Enduring
Freedom/Operation Iraqi Freedom (OEF/OIF) display the polytrauma clinical triad (PCT) of
pain, posttraumatic stress disorder (PTSD), and traumatic brain injury. The proposed project
will: 1) elucidate best practices for treating mTBI with co-occurring symptoms (pain, sleep
disturbance, PTSD) encompassing cognitive, emotional, and psychological functioning; and 2)
address psychosocial aspects of managing pain and co-morbidities associated with mTBI through
integrative and complementary and alternative approaches.
Inclusion Criteria:
- Veteran from OEF/OIF
- has been diagnosed with mTBI
- has current sleep disturbance as indicated by a score of 35 or greater on the
MOS-Sleep Scale (MOS-SS)
Exclusion Criteria:
- serious psychiatric comorbidity
- active intense suicidal intent
- inpatient admission to psychiatric ward in the last 3 month
- the presence of co-occurring progressive/advanced neurodegenerative disease
- terminally ill
- unstable chronic medical conditions
- untreated sleep apnea
- presence of substance dependence disorder
- narcolepsy
- frequent nocturia
- delayed sleep phase syndrome
- advanced sleep phase syndrome
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