Comparison of the effects of transcranial direct current stimulation and mindfulness-based stress reduction on mental fatigue, quality of life and aggression in mild traumatic brain injury patients: a randomized clinical trial

Abstract Background The rate of traumatic brain injuries (TBIs) due to the accidents is high around the world. Patients with mild TBIs may suffer from some psychological disorders, including aggression, and mental fatigue, and thus their quality of life decreased. Among different treatments for TBI,...

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Main Authors: Sheida Shirvani, Mohammadreza Davoudi, Masoud Shirvani, Peiman Koleini, Safora Hojat Panah, Fatemeh Shoshtari, Abdollah Omidi
Format: Article
Language:English
Published: BMC 2021-06-01
Series:Annals of General Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12991-021-00355-1
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spelling doaj-be98281e6a0549329c85b1c70f3239a02021-06-20T11:19:28ZengBMCAnnals of General Psychiatry1744-859X2021-06-0120111110.1186/s12991-021-00355-1Comparison of the effects of transcranial direct current stimulation and mindfulness-based stress reduction on mental fatigue, quality of life and aggression in mild traumatic brain injury patients: a randomized clinical trialSheida Shirvani0Mohammadreza Davoudi1Masoud Shirvani2Peiman Koleini3Safora Hojat Panah4Fatemeh Shoshtari5Abdollah Omidi6Department of Clinical Psychology, School of Medicine, Kashan University of Medical SciencesDepartment of Clinical Psychology, Faculty of Behavioral Science, University of Social Welfare and Rehabilitation SciencesDepartment of Neurosurgery, Milad HospitalDepartment of Dental Surgery, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad UniversityDepartment of Clinical Psychology, University of Najaf AbadDepartment of Clinical Psychology, University of Najaf AbadDepartment of Clinical Psychology, School of Medicine, Kashan University of Medical SciencesAbstract Background The rate of traumatic brain injuries (TBIs) due to the accidents is high around the world. Patients with mild TBIs may suffer from some psychological disorders, including aggression, and mental fatigue, and thus their quality of life decreased. Among different treatments for TBI, two treatments, namely transcranial direct current stimulation (tDCS), and mindfulness-based stress reduction (MBSR) have shown to be effective. Therefore, this study aimed to compare the effects of these two treatments on mental fatigue, aggression and quality of life in mTBI patients. Materials and methods This randomized controlled trial study was conducted on 48 TBI patients referred to emergency and neurosurgery departments of Shahid Beheshti Hospital, Kashan, Iran. They were selected using the convenience sampling method. Data were collected using the mental fatigue scale, the World Health Organization Quality of Life-BREF (short version), and the Buss–Perry Aggression Questionnaires. Then, the data were analyzed using a Mixed Repeated Measures ANOVAs, and the Levene and Kolmogorov–Smirnov tests by SPSS-23 software. Results The mean age of patients in the three groups of MBSR, tDCS and control were 69.38 + 6.11 (25% male), 25.40 + 12.11 (25% male) and 69.37 + 0.2 (18.8% male), respectively. There was no significant difference between the three groups in terms of mental fatigue, quality of life and aggression (P < 0.05). In addition, the results showed that there was a significant difference between the main effect of time and the interaction between time and group (P < 0.001). Conclusions Both MBSR and tDCS methods are effective in reducing the mental fatigue and aggression and increasing quality of life of mTBI patients; MBSR treatment, as indicated in the present study, can be more effective than tDCS in patients with mTBI. Trial registration : Thailand Registry of Clinical Trials, TCTR20180827003 Registered on August 24, 2018.https://doi.org/10.1186/s12991-021-00355-1Traumatic brain injuriesMindfulness-based stress reductionTranscranial direct current stimulation
collection DOAJ
language English
format Article
sources DOAJ
author Sheida Shirvani
Mohammadreza Davoudi
Masoud Shirvani
Peiman Koleini
Safora Hojat Panah
Fatemeh Shoshtari
Abdollah Omidi
spellingShingle Sheida Shirvani
Mohammadreza Davoudi
Masoud Shirvani
Peiman Koleini
Safora Hojat Panah
Fatemeh Shoshtari
Abdollah Omidi
Comparison of the effects of transcranial direct current stimulation and mindfulness-based stress reduction on mental fatigue, quality of life and aggression in mild traumatic brain injury patients: a randomized clinical trial
Annals of General Psychiatry
Traumatic brain injuries
Mindfulness-based stress reduction
Transcranial direct current stimulation
author_facet Sheida Shirvani
Mohammadreza Davoudi
Masoud Shirvani
Peiman Koleini
Safora Hojat Panah
Fatemeh Shoshtari
Abdollah Omidi
author_sort Sheida Shirvani
title Comparison of the effects of transcranial direct current stimulation and mindfulness-based stress reduction on mental fatigue, quality of life and aggression in mild traumatic brain injury patients: a randomized clinical trial
title_short Comparison of the effects of transcranial direct current stimulation and mindfulness-based stress reduction on mental fatigue, quality of life and aggression in mild traumatic brain injury patients: a randomized clinical trial
title_full Comparison of the effects of transcranial direct current stimulation and mindfulness-based stress reduction on mental fatigue, quality of life and aggression in mild traumatic brain injury patients: a randomized clinical trial
title_fullStr Comparison of the effects of transcranial direct current stimulation and mindfulness-based stress reduction on mental fatigue, quality of life and aggression in mild traumatic brain injury patients: a randomized clinical trial
title_full_unstemmed Comparison of the effects of transcranial direct current stimulation and mindfulness-based stress reduction on mental fatigue, quality of life and aggression in mild traumatic brain injury patients: a randomized clinical trial
title_sort comparison of the effects of transcranial direct current stimulation and mindfulness-based stress reduction on mental fatigue, quality of life and aggression in mild traumatic brain injury patients: a randomized clinical trial
publisher BMC
series Annals of General Psychiatry
issn 1744-859X
publishDate 2021-06-01
description Abstract Background The rate of traumatic brain injuries (TBIs) due to the accidents is high around the world. Patients with mild TBIs may suffer from some psychological disorders, including aggression, and mental fatigue, and thus their quality of life decreased. Among different treatments for TBI, two treatments, namely transcranial direct current stimulation (tDCS), and mindfulness-based stress reduction (MBSR) have shown to be effective. Therefore, this study aimed to compare the effects of these two treatments on mental fatigue, aggression and quality of life in mTBI patients. Materials and methods This randomized controlled trial study was conducted on 48 TBI patients referred to emergency and neurosurgery departments of Shahid Beheshti Hospital, Kashan, Iran. They were selected using the convenience sampling method. Data were collected using the mental fatigue scale, the World Health Organization Quality of Life-BREF (short version), and the Buss–Perry Aggression Questionnaires. Then, the data were analyzed using a Mixed Repeated Measures ANOVAs, and the Levene and Kolmogorov–Smirnov tests by SPSS-23 software. Results The mean age of patients in the three groups of MBSR, tDCS and control were 69.38 + 6.11 (25% male), 25.40 + 12.11 (25% male) and 69.37 + 0.2 (18.8% male), respectively. There was no significant difference between the three groups in terms of mental fatigue, quality of life and aggression (P < 0.05). In addition, the results showed that there was a significant difference between the main effect of time and the interaction between time and group (P < 0.001). Conclusions Both MBSR and tDCS methods are effective in reducing the mental fatigue and aggression and increasing quality of life of mTBI patients; MBSR treatment, as indicated in the present study, can be more effective than tDCS in patients with mTBI. Trial registration : Thailand Registry of Clinical Trials, TCTR20180827003 Registered on August 24, 2018.
topic Traumatic brain injuries
Mindfulness-based stress reduction
Transcranial direct current stimulation
url https://doi.org/10.1186/s12991-021-00355-1
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