Saudi Cultural Missions Theses & Dissertations

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    The Effectiveness of Mindfulness-Based Stress Reduction (MBSR) On the Quality of Life and Occupational Performance in Adults with Neurological Disorders: A Scoping Review
    (University of Brighton, 2024-09-05) Alsubaie, Ali; Liddell, Jamie
    Neurological disorders affect over 3 billion people globally. They incorporate disorders in the brain, spinal cord, and peripheral nervous systems. They are complicated and can impact patients' mobility, sensory functions, cognitive abilities, and behaviors. This consequently affects patients' Daily performance and quality of life, requiring advanced treatment and intervention. One of the promising interventions is mindfulness-based stress reduction (MBSR). This scoping review aimed to examine the efficacy of the MBSR approach in improving the quality of life and occupational performance of persons diagnosed with neurological disorders. This study is conducted to partially fulfilment the master's degree requirement it follows the framework suggested by Arksey and O'Malley. The research question was identified flowing PIO strategy, and the keywords searched followed the Boolean technique conducted by electronic databases through PubMed, Cochrane Library, ScienceDirect, Dimensions, and CINAHL. The inclusion criteria quantitative and qualitative studies with adult subjects aged 18 years and older diagnosed with one neurological disorder who are involved in formal MBSR, including shorter workshops, self-guided practices, or online modules. Published in English between 2013 and 2023. The Author screened 3531 potential articles, and 15 studies met the eligibility criteria. The reviewed 15 studies generally suggested that MBSR had positive effects on the symptoms, QoL, and performance compared with baseline and other interventions/control conditions, including attention, problem-solving, fatigue levels and psychological function/effect. Additionally, the result highlights the gap in the literature, such as less focus on the MBSR as a therapeutic intervention for neurological disorders patients, lack of randomized control trial (RCT) and comparison, small sample size, and imbalance in gender distribution. The review provided future suggestions including more diversity, age range samples, and the need to appreciate how personality and additional factors may influence receptivity to MBSR and long-term mindful practice, as well as considering additional factors unique to the population with neurological conditions.
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    INTERVENTIONS BOOSTING OPTIMAL MENTAL HEALTH AMONG ADULTS
    (Saint Louis University, 2023) Hawsawi, Samah; Schneider, Joanne Kraenzle
    Optimal mental health is defined as a state where an individual feels good, functions well, copes with stressors, and contributes to the world. It is significant to individuals because it determines how individuals face adversity and make informed decisions. It also allows individuals to lead fulfilling and meaningful lives. Yet, it is estimated that only 20% of adults have optimal mental health and 1 in 5 adults experience mental health conditions. These data indicate the significance of using interventions to boost optimal mental health among adults. Evidence has indicated that identifying interventions that promote mental health and prevent mental health conditions might be significant in boosting mental health. The literature reveals that flourishing is a promoter of good mental health because it cultivates positive characteristics that decrease the risk for mental conditions; and compassion fatigue is a challenging factor to mental health because it impairs individuals’ ability to deal with stressors. Therefore, the focus of this dissertation was to identify interventions that alleviate compassion fatigue symptoms and improve flourishing among adults. We conducted two meta-analyses to identify interventions that promote flourishing among adults. We coded data from prior studies including source, method, intervention, and participant characteristics. We analyzed data using the random-effects model and used Hedge’s g to estimate effect size. We examined publication bias and heterogeneity. We conducted a moderator analysis to examine the effects of moderator variables. In addition, to explore interventions that alleviate compassion fatigue, we conducted an integrative review using Whittemore and Knafl method and analyzed data using thematic analysis. Our results from three manuscripts revealed that physical activity and mindfulness interventions are two distinct approaches that offer pathways to flourishing and can alleviate compassion fatigue among adults, but they operate through distinct mechanisms and approaches. Through the moderator analysis, we identified some moderator variables that influenced the effect sizes including, the type of intervention and a priori power calculations. Overall, physical activity and mindfulness practices, while different, can complement each other in a holistic approach to enhancing overall mental health, which can be explored through future research.
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