Loving-kindness meditation and the broaden-and-build theory of positive emotions among veterans with posttraumatic stress disorder.

Abstract:

BACKGROUND:Loving-kindness meditation (LKM) is a practice intended to enhance feelings of kindness and compassion for self and others. OBJECTIVES:To assess whether participation in a 12-week course of LKM for veterans with posttraumatic stress disorder (PTSD) is associated with improved positive emotions, decentering, and personal resources. RESEARCH DESIGN:In an open-pilot trial, veterans were assessed at baseline, after the course, and 3 months later. Effect sizes were calculated from baseline to each follow-up point for each construct of interest. Measures were chosen as an initial investigation of the broaden-and-build theory of positive emotions. SUBJECTS:A total of 42 veterans with active PTSD (40% female) participated. MEASURES:Emotions, decentering, psychological wellbeing including autonomy, environmental mastery, personal growth, positive relations, purpose in life, self-acceptance, and sense of social support were measured at each time point. RESULTS:Significant increases in unactivated pleasant (d=0.73), but not activated pleasant, emotions were found over time. Activated and unactivated unpleasant emotions decreased over time (d=-0.69 and -0.53, respectively). There were also increases in environmental mastery (d=0.61), personal growth (d=0.54), purpose in life (d=0.71), self-acceptance (d=0.68), and decentering (d=0.96) at 3-month follow-up. CONCLUSIONS:Overall, positive emotions increased, and enhancement of personal resources occurred over time. Further investigation of LKM for PTSD is warranted.

journal_name

Med Care

journal_title

Medical care

authors

Kearney DJ,McManus C,Malte CA,Martinez ME,Felleman B,Simpson TL

doi

10.1097/MLR.0000000000000221

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

S32-8

issue

12 Suppl 5

eissn

0025-7079

issn

1537-1948

pii

00005650-201412001-00009

journal_volume

52

pub_type

杂志文章
  • Alcoholism treatment and potential health care cost saving.

    abstract::In 1979, MEDICAL CARE published a supplement that summarized and evaluated existing research on changes in health care patterns associated with mental health, alcoholism, and drug abuse treatment. This paper, limited to alcoholism treatment, reviews research that has been completed since the 1979 supplement. Considera...

    journal_title:Medical care

    pub_type: 杂志文章,评审

    doi:10.1097/00005650-198701000-00007

    authors: Holder HD

    更新日期:1987-01-01 00:00:00

  • Beyond the uninsured: problems in access to care.

    abstract::This paper investigates the difficulties that people encounter in their attempt to obtain needed health services, other than their third-party coverage or lack of it. These problems can be temporal, geographic, attitudinal, or financial (even with insurance). A state-wide sample survey conducted in 1989 revealed that ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199405000-00001

    authors: Bashshur RL,Homan RK,Smith DG

    更新日期:1994-05-01 00:00:00

  • Long-term impact of Medicare managed care on patients treated for coronary artery disease.

    abstract:BACKGROUND:Planned health insurance reform promises and has started to cut reimbursement to Medicare managed care (MMC) plans. If such plans provide better care, adjusting for possible better health of their enrollees, then such reimbursement changes may have unforeseen quality consequences. OBJECTIVES:To examine whet...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3182294a20

    authors: Huesch MD

    更新日期:2012-01-01 00:00:00

  • Factors associated with the time nurses spend at the bedsides of seriously ill patients with poor prognoses.

    abstract:BACKGROUND:Little is known about the time health professionals spend with inpatients that are close to the end of life. SUBJECTS AND METHODS:We asked day-shift nurses to use a standardized log sheet to record how much time they spent in various categories of activity for 146 seriously ill medical inpatients with poor ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.MLR.0000053226.38288.18

    authors: Sulmasy DP,Sood JR

    更新日期:2003-04-01 00:00:00

  • Posttraumatic concerns: a patient-centered approach to outcome assessment after traumatic physical injury.

    abstract:BACKGROUND:Approximately 2.5 million Americans are admitted to the hospital after traumatic physical injury each year. Few investigations have elicited patients' perspectives regarding posttraumatic outcomes. OBJECTIVE:To identify and categorize physically injured trauma survivors' posttraumatic concerns. RESEARCH DE...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200104000-00004

    authors: Zatzick DF,Kang SM,Hinton WL,Kelly RH,Hilty DM,Franz CE,Le L,Kravitz RL

    更新日期:2001-04-01 00:00:00

  • Availability of Outpatient Telemental Health Services in the United States at the Outset of the COVID-19 Pandemic.

    abstract:BACKGROUND:Since COVID-19 has caused dramatic changes in everyday life, a major concern is whether patients have adequate access to mental health care despite shelter-in-place ordinances, school closures, and social distancing practices. OBJECTIVES:The aim was to examine the availability of telehealth services at outp...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001512

    authors: Cantor JH,McBain RK,Kofner A,Stein BD,Yu H

    更新日期:2021-01-21 00:00:00

  • Evaluating long-term care demonstrations in real time with study design and plan performance interactions.

    abstract::The evaluation of long-term care demonstrations has to deal with complex organizational entities, with large, heterogeneous client populations that, during the course of study, may have to change features of their organization or operation. The implications of such "real-time" changes are discussed for analyses of the...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199512000-00004

    authors: Manton KG,Newcomer R,Lowrimore GR,Vertrees JC,Harrington C

    更新日期:1995-12-01 00:00:00

  • Evaluation of index and profile measures of health status in a randomized controlled trial. Comparison of the Medical Outcomes Study 36-Item Short Form Health Survey, EuroQol, and disease specific measures.

    abstract:OBJECTIVES:The authors compare two generic measures of health status with disease-specific measures in a randomized controlled trial of transurethral resection of the prostate with laser vaporization prostatectomy for benign prostatic hypertrophy. METHODS:Patients entered into the trial completed the following questio...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005650-199711000-00003

    authors: Jenkinson C,Gray A,Doll H,Lawrence K,Keoghane S,Layte R

    更新日期:1997-11-01 00:00:00

  • Medicare part D data: major changes on the horizon.

    abstract:BACKGROUND:The 3 primary administrative data sets developed by the Centers for Medicare and Medicaid services (CMS) to support the Medicare Part D program implementation represent a valuable source of data for health services researchers. This paper describes the structure of the Medicare Part D program and the related...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318041385f

    authors: Greenwald LM

    更新日期:2007-10-01 00:00:00

  • The application of official policy. Prophylaxis recommendations for patients with mitral valve prolapse.

    abstract::In 1977, the American Heart Association recommended that patients with mitral valve prolapse (MVP) and mitral insufficiency receive antibiotic prophylaxis prior to procedures that place them at risk for bacterial endocarditis. To study how clinicians conformed to this recommendation, the authors selected 126 patients ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:

    authors: Retchin SM,Fletcher RH,Buescher PC,Waugh RA,Battaglini SW

    更新日期:1985-10-01 00:00:00

  • A New Data Resource to Examine Meals on Wheels Clients' Health Care Utilization and Costs.

    abstract:BACKGROUND:Access to social services (eg, nutrition) can impact older adults' health care utilization and health outcomes. However, data documenting the relationship between receiving services and objective measures of health care utilization remain limited. OBJECTIVES:To link Meals on Wheels (MOW) program data to Med...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000951

    authors: Shan M,Gutman R,Dosa D,Gozalo PL,Ogarek JA,Kler S,Thomas KS

    更新日期:2019-03-01 00:00:00

  • Continuity of care, medication adherence, and health care outcomes among patients with newly diagnosed type 2 diabetes: a longitudinal analysis.

    abstract:BACKGROUND:The effects of continuity of care (COC) on health care outcomes are well established. However, the mechanism of this association is not fully understood. OBJECTIVE:The objective of this study was to examine the relationship between COC and medication adherence, as well as to investigate the mediating effect...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31827da5b9

    authors: Chen CC,Tseng CH,Cheng SH

    更新日期:2013-03-01 00:00:00

  • Propensity score matching to measure the effect of survey mode on reports of racial and ethnic discrimination in health care.

    abstract:OBJECTIVE:To examine the effect of survey mode (mail vs. telephone) on the likelihood of reporting health care-related discrimination based on race, ethnicity, or nationality. METHODS:We use data from a mixed-mode, mail and telephone survey of public health care program enrollees (N=2807), including Somali, Hmong, Afr...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000351

    authors: Kemmick Pintor JB,McAlpine D,Beebe TJ,Johnson PJ

    更新日期:2015-05-01 00:00:00

  • Validity of the AHRQ patient safety indicator for postoperative physiologic and metabolic derangement based on a national sample of medical records.

    abstract:OBJECTIVE:The Agency for Healthcare Research and Quality Patient Safety Indicator (PSI) 10, "Postoperative Physiologic and Metabolic Derangement" (PPMD), uses administrative data to detect postoperative acute kidney injury (AKI) requiring dialysis and diabetes-related complications. We sought to evaluate the indicator'...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31829c8b91

    authors: Zrelak PA,Romano PS,Tancredi DJ,Geppert JJ,Utter GH

    更新日期:2013-09-01 00:00:00

  • Five-step methodology for evaluation and adaptation of print patient health information to meet the < 5th grade readability criterion.

    abstract:BACKGROUND:In the setting of declining U.S. literacy, new policies include use of clear communication and low-literacy accessibility practices with all patients. Reliable methods for adapting health information to meet such criteria remain a pressing need. OBJECTIVES:To report method validation (study 1) and method re...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318249d6c8

    authors: Hill-Briggs F,Schumann KP,Dike O

    更新日期:2012-04-01 00:00:00

  • Organizational Influences on Time Pressure Stressors and Potential Patient Consequences in Primary Care.

    abstract:BACKGROUND:Primary care teams face daily time pressures both during patient encounters and outside of appointments. OBJECTIVES:We theorize 2 types of time pressure, and test hypotheses about organizational determinants and patient consequences of time pressure. RESEARCH DESIGN:Cross-sectional, observational analysis ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000974

    authors: McDonald KM,Rodriguez HP,Shortell SM

    更新日期:2018-10-01 00:00:00

  • Health Care Experiences of Latino Children in Emerging and Traditional Destinations.

    abstract:BACKGROUND:Latino populations have disproportionately moved to areas in the Southeast and Midwest (emerging destinations), outside traditional Latino enclaves, in recent years. OBJECTIVE:To examine whether health care experiences differ between traditional and emerging destinations for Latino children. RESEARCH DESIG...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000504

    authors: Saloner B,Gresenz CR

    更新日期:2016-05-01 00:00:00

  • Out-of-pocket health spending between low-and higher-income populations: who is at risk of having high expenses and high burdens?

    abstract:OBJECTIVE:We studied the effects of health insurance, health care needs, and demographic and area characteristics on out-of-pocket health care spending for low and higher income insured populations. MATERIALS AND METHODS:We used the 2002 National Survey of America's Families to analyze out-of-pocket health spending. P...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000199692.78295.7c

    authors: Shen YC,McFeeters J

    更新日期:2006-03-01 00:00:00

  • Intensive Outpatient Program Effects on High-need Patients' Access, Continuity, Coordination, and Engagement.

    abstract:OBJECTIVE:The intensive and varied services required by high-need patients have inspired a number of new care delivery models; however, evidence of their effectiveness is mixed. This study evaluated whether augmenting a patient-centered medical home (PCMH) with intensive outpatient management enhances high-need patient...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000833

    authors: Wu FM,Slightam CA,Wong AC,Asch SM,Zulman DM

    更新日期:2018-01-01 00:00:00

  • Application of functional independence measure-function related groups and resource utilization groups-version III systems across post acute settings.

    abstract:OBJECTIVES:The present study evaluated alternative patient classification systems for skilled nursing facility and rehabilitation facility patients. METHODS:Medicare patients were selected from a random sample of 27 rehabilitation facilities and 65 skilled nursing facilities participating in a national longitudinal st...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199805000-00009

    authors: Eilertsen TB,Kramer AM,Schlenker RE,Hrincevich CA

    更新日期:1998-05-01 00:00:00

  • Patients Negatively Impacted by Discontinuity of Nursing Care During Acute Hospitalization.

    abstract:BACKGROUND:Continuity of nursing care in hospitals remains poor and not prioritized, and we do not know whether discontinuous nursing care is negatively impacting patient outcomes. OBJECTIVES:This study aims to examine nursing care discontinuity and its effect on patient clinical condition over the course of acute hos...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000670

    authors: Yakusheva O,Costa DK,Weiss M

    更新日期:2017-04-01 00:00:00

  • The urban health care clinic and its substance abuse population.

    abstract::The effect of large numbers of patients with a history of substance abuse upon a health care system is rarely considered, nor is the health care system's response to such a clientele ever assessed. In this preliminary study, the collective effect of large numbers of substance abuse patients upon a clinic serving the u...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199110000-00006

    authors: Cahill DF,Hodgkins BJ

    更新日期:1991-10-01 00:00:00

  • Effects of Cardiovascular Health Shocks on Spouses' Work and Earnings: A National Study.

    abstract:BACKGROUND:Acute health shocks can reduce the ability to work and earn among working-age survivors. The full economic impact includes labor market effects on spouses/partners, but there is a knowledge gap in this area. OBJECTIVES:The objective of this study was to assess how 3 common health shocks, acute myocardial in...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001249

    authors: Jeon SH,Stepner M,Rotermann M,Fransoo R,Sanmartin C,Scales DC,Wunsch H,Iwashyna TJ,Garland A

    更新日期:2020-02-01 00:00:00

  • Measuring complications of cancer treatment using the SEER-Medicare data.

    abstract:BACKGROUND:The linkage of SEER registry data with Medicare claims allows the longitudinal tracking of health care and outcomes for patients after a cancer diagnosis. One category of outcomes amenable to research using Medicare claims is complications of cancer treatments: the unintentional, adverse side effects or sequ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200208001-00009

    authors: Potosky AL,Warren JL,Riedel ER,Klabunde CN,Earle CC,Begg CB

    更新日期:2002-08-01 00:00:00

  • The feasibility of an outcome approach to quality assurance--a report from one HMO.

    abstract::Recent federal legislation has contained the stipulation that participating health maintenance organizations (HMOs) include a quality assurance program which stresses health outcomes. This provision was ostensibly directed at correcting alleged abuses in HMOs serving the urban poor. One version of the outcome method w...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197601000-00005

    authors: Schroeder SA,Donaldson MS

    更新日期:1976-01-01 00:00:00

  • Measuring the job satisfaction of physicians in organized settings.

    abstract::The accurate measurement of physician job satisfaction in organized practice settings is important for both policy and administrative purposes. Previous efforts to measure physician job satisfaction have been unsatisfactory because of either conceptual or methodologic weaknesses. New measures of physician job satisfac...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198401000-00005

    authors: Lichtenstein R

    更新日期:1984-01-01 00:00:00

  • Expected source of payment and use of hospital services for coronary atherosclerosis.

    abstract::To study associations between payer and provision of services for patients hospitalized for coronary atherosclerosis, the authors analyzed abstracts of 24,424 discharges from California acute care hospitals during 1989. Services examined included receipt of coronary artery bypass surgery, percutaneous transluminal cor...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199507000-00007

    authors: Kuykendall DH,Johnson ML,Geraci JM

    更新日期:1995-07-01 00:00:00

  • Office visit copayments: patient knowledge, response, and communication with providers.

    abstract:BACKGROUND:There is limited information on patients' knowledge about their cost-sharing requirements and how that influenced their care-seeking behavior. OBJECTIVE:To examine patients' knowledge of their office visit copayments, their self-reported responses to perceived and actual copayments, and discussions with phy...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31815c3192

    authors: Benedetti NJ,Fung V,Reed M,Price M,Brand R,Newhouse JP,Hsu J

    更新日期:2008-04-01 00:00:00

  • Improving the precision of primary care physician self-report of antidepressant prescribing.

    abstract:BACKGROUND:Methods to select physicians most likely to benefit from educational interventions to improve the outcome of depression have not been adequately developed. OBJECTIVE:The purpose of this study was to identify a combination of primary care provider (PCP) self-report questions to improve the precision of PCP e...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200007000-00009

    authors: Oxman TE,Korsen N,Hartley D,Sengupta A,Bartels S,Forester B

    更新日期:2000-07-01 00:00:00

  • Children's health care and the changing role of women.

    abstract::The pivotal role of women as wife, mother or adult daughter in performing health-related activities for family members has received little attention from health researchers or policymakers. Yet the majority of health problems do not reach the medical care system, but are dealt with informally or through other social s...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198012000-00006

    authors: Carpenter ES

    更新日期:1980-12-01 00:00:00