Mindful creativity matters: trajectories of reported functioning after severe traumatic brain injury as a function of mindful creativity in patients' relatives: a multilevel analysis.
The objective of the present investigation was to examine the association of mindful creativity with the trajectory of recovery (emotional, interpersonal, cognitive, and total functioning) of patients with severe TBI.



This was drawn from a subsample of an adult prospective cohort study on severe TBI in Switzerland; patients and their relatives were assessed at 3, 6, and 12 months (patients N = 176, relatives N = 176). Predictor measures were assessed using Mindful Creativity Scale-short form and time (trajectory of functioning of the patient over time). Outcome measures were assessed using Patient Competency Rating Scale for Neuro-rehabilitation (PCRS-NR; measuring emotional, interpersonal, cognitive, and total functioning post-injury). All measures were assessed at each time point. Mixed linear models were run separately for ages >50 and ≤50 (i.e., bimodal distribution).



Patients' mindful creativity showed no significant association with patients' functioning across time in any of the models. In all age groups, interpersonal functioning decreased across time (slope>50= -4.66, p = .037; slope≤50= -7.19, p = .007). Interestingly, in age group ≤50, interpersonal functioning increased when looking at relative mindful creativity by time (slope = 1.69, p = .005). Additionally, relatives mindful creativity was significantly associated with patients' functioning in age group ≤50: (a) patients' total functioning (slope = 0.18, p = .03) and (b) cognitive functioning (slope = 0.72, p = .020).



Relatives' mindful creativity was significantly associated with patients' functioning after severe TBI. Implications for treatment and future research are discussed.
Department of Psychology, Harvard University, 33 Kirland street, Cambridge, MA, 02138, USA. haller@fas.harvard.edu.|Division of Public Psychiatry, Massachusetts Mental Health Center, 75 Fenwood Road, Boston, MA, 02115, USA. haller@fas.harvard.edu.
Chiara S
CS
Haller
Department of Psychology, Harvard University, 33 Kirland street, Cambridge, MA, 02138, USA.
Colin M
CM
Bosma
Harvard Medical School, Boston, MA, 02115, USA.|Clinical Research Center and Department of Neurology, Boston Children's Hospital, 21 Autumn St, Boston, MA, 02115, USA.
Kush
K
Kapur
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Massachusetts General Hospital, Harvard Medical School, Cambridge, MA, USA.
Ross
R
Zafonte
Department of Psychology, Harvard University, 33 Kirland street, Cambridge, MA, 02138, USA.
Ellen J
EJ
Langer
D000328:Adult; D000368:Aged; D000070642:Brain Injuries, Traumatic / Q000523:psychology* / Q000534:rehabilitation; D003405:Creativity; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D064866:Mindfulness; D055361:Multilevel Analysis; D011446:Prospective Studies; D011788:Quality of Life; D020127:Recovery of Function; D013557:Switzerland
Association with the relative; Creativity; Functioning of the patient; Mindfulness; Severe traumatic brain injury
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