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Evaluating a Novel Sleep-Focused Mind-Body Rehabilitative Program for Veterans with mTBI and Other Polytrauma Symptoms: An RCT Study


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This prospective randomized-controlled trial evaluated the efficacy of sleep-focused Mind-Body Bridging (MBB) compared with sleep education control (SED) for improving sleep in Veterans with a history of mild traumatic brain injury (mTBI) suffering from disturbed sleep. MBB (n=34) and SED (n=34) each comprised three weekly sessions. The primary outcome, Medical Outcomes Study-Sleep Scale was completed at baseline, weekly during treatment, post-intervention and 3- and 6-month follow-up. Additional mTBI-related measures included neurobehavioral symptom inventory (NSI) and quality of life (SF-36V). TBI-related co-morbid measures included PTSD and pain. Secondary (exploratory) outcome measures for depression, resilience, perceived stress, mindfulness, and other psychosocial variables were completed at baseline, post-intervention and 3- and 6-month follow-up. Both MBB and SED groups improved sleep significantly from baseline to post-intervention and there was a significant non-zero linear trend in both groups. More importantly, the rate of change (i.e., improvement) in the MBB group was significantly greater than that in the SED group. Additionally, at 3-month follow-up, those in the MBB reduced PTSD symptoms and perceived stress, while increasing mindfulness, relative to those in the SED. Sleep-focused MBB can improve sleep and possibly also other co-occurring psychological symptoms in mTBI Veterans suffering from disturbed sleep.



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