scholarly journals Feasibility and Acceptability of an Abbreviated, Four-Week Mindfulness Program for Chronic Pain Management

Pain Medicine ◽  
2020 ◽  
Vol 21 (11) ◽  
pp. 2799-2810 ◽  
Author(s):  
Carrie E Brintz ◽  
Isabel Roth ◽  
Keturah Faurot ◽  
Sanjana Rao ◽  
Susan A Gaylord
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Stress Reduction ◽  
Physical Functioning ◽  
Well Being ◽  
Post Treatment ◽  
Mindfulness Practice ◽  
Dispositional Mindfulness ◽  
Patient Reported ◽  
Mindfulness Based Stress Reduction

Abstract Objective The Mindfulness-Based Stress Reduction program is effective at improving chronic pain outcomes, but the time demand hinders participation. This preliminary study evaluated the feasibility, acceptability, and potential effects of providing an abbreviated mindfulness program for patients with chronic pain. Design A single-arm, mixed-methods, pre–post intervention study. Setting An outpatient rehabilitation clinic at an academic medical center. Subjects Participants were N = 23 adults with chronic pain who were new to mindfulness practice. Methods Mindfulness-based Stress Reduction was adapted to shorten the program to four weekly 90-minute sessions and to focus content on pain management. Three cohorts of six to nine participants completed baseline and post-treatment measures of 1) patient-reported outcomes, including pain intensity, pain interference, physical functioning, depressive/anxiety symptoms, positive affect and well-being, and sleep disturbance; 2) pain medication dosages; 3) psychosocial variables including pain acceptance, pain catastrophizing, and perceived stress; 4) dispositional mindfulness, as well as postintervention structured interviews about their experiences. Results Acceptable rates of retention and attendance and high ratings of satisfaction indicated that the intervention was feasible and acceptable. In interviews, participants found the program acceptable and beneficial and provided suggestions to improve it. From pre- to post-treatment, significant improvements were reported in all measures except physical functioning and anxiety. Conclusions In adults with chronic pain, a four-week mindfulness program is feasible and acceptable, addresses the barrier of a lengthy program, and may improve quality of life and psychological functioning. An appropriately powered randomized controlled trial with a comparison group is needed to assess the intervention’s effectiveness.

scholarly journals Comparative evaluation of group-based mindfulness-based stress reduction and cognitive behavioural therapy for the treatment and management of chronic pain: A systematic review and network meta-analysis

2019 ◽  
Vol 22 (1) ◽  
pp. 26-35 ◽  
Author(s):  
Eve-Ling Khoo ◽  
Rebecca Small ◽  
Wei Cheng ◽  
Taylor Hatchard ◽  
Brittany Glynn ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Intensity ◽  
Cognitive Behavioural Therapy ◽  
Stress Reduction ◽  
Physical Functioning ◽  
Behavioural Therapy ◽  
Cochrane Library ◽  
Depression Symptoms ◽  
Cognitive Behavioural ◽  
Mindfulness Based Stress Reduction

QuestionThis review compares mindfulness-based stress reduction (MBSR) to cognitive-behavioural therapy (CBT) in its ability to improve physical functioning and reduce pain intensity and distress in patients with chronic pain (CP), when evaluated against control conditions.Study selection and analysisOvid MEDLINE, EmbaseClassic+Embase, PsycINFO and the Cochrane Library were searched to identify randomised controlled trials. The primary outcome measure was physical functioning. Secondary outcomes were pain intensity and depression symptoms. We used random and fixed effects (RE and FE) network meta-analyses (NMA) to compare MBSR, CBT and control interventions on the standardised mean difference scale.FindingsTwenty-one studies were included: 13 CBT vs control (n=1095), 7 MBSR vs control (n=545) and 1 MBSR vs CBT vs control (n=341). Of the 21 articles, 12 were determined to be of fair or good quality. Findings from RE NMA for change in physical functioning, pain intensity and depression revealed clinically important advantages relative to control for MBSR and CBT, but no evidence of an important difference between MBSR and CBT was found.ConclusionsThis review suggests that MBSR offers another potentially helpful intervention for CP management. Additional research using consistent measures is required to guide decisions about providing CBT or MBSR.

Rolling out a mindfulness-based stress reduction intervention for parents of children with ADHD: a feasibility study

2020 ◽  
pp. 1-8
Author(s):  
R. Rice ◽  
A. Ni Bhearra ◽  
K. Kilbride ◽  
C. Lynch ◽  
F. McNicholas
Keyword(s):  
Stress Reduction ◽  
Parental Stress ◽  
Well Being ◽  
Children With Adhd ◽  
Hyperactivity Disorder ◽  
The Social ◽  
Strengths And Difficulties ◽  
Mindfulness Based Stress Reduction ◽  
Frequent Reason

Background: Attention-deficit/Hyperactivity Disorder (ADHD) is the single most frequent reason for attendance at Child and Adolescent Mental Health Services (CAMHS) in Ireland. Research has suggested that parents of children with ADHD experience more parenting stress than parents of non-clinical controls, yet routine treatment for ADHD rarely addresses parental well-being. Mindfulness-based interventions (MBIs) have been found to result in a reduction in parental stress. Method: An adapted Mindfulness-Based Stress Reduction (MBSR) intervention was delivered to parents (n = 23) of children with ADHD recruited from CAMHS and ADHD Ireland. Results: Following the intervention a significant improvement was documented within the social relationships domain of quality of life (WHOQOL-BREF) and a significant reduction on the child hyperactivity scale of the Strengths and Difficulties (SDQ) questionnaire. Conclusion: This pilot study suggests that an MBSR intervention is both feasible and effective for parents whose children have ADHD. Larger scale studies need to be conducted before inclusion in routine CAMHS.

Mindfulness Practice and Stress Following Mindfulness-Based Stress Reduction: Examining Within-Person and Between-Person Associations with Latent Curve Modeling

Mindfulness ◽  
2019 ◽  
Vol 10 (9) ◽  
pp. 1905-1914 ◽  
Author(s):  
Andrew S. McClintock ◽  
Roger Brown ◽  
Christopher L. Coe ◽  
Aleksandra Zgierska ◽  
Bruce Barrett
Keyword(s):  
Stress Reduction ◽  
Mindfulness Practice ◽  
Latent Curve ◽  
Curve Modeling ◽  
Mindfulness Based Stress Reduction

Mindfulness-based stress reduction for people with chronic diseases

2010 ◽  
Vol 16 (3) ◽  
pp. 200 ◽  
Author(s):  
Monika Merkes
Keyword(s):  
Quality Of Life ◽  
Chronic Diseases ◽  
Stress Reduction ◽  
Well Being ◽  
Multiple Chemical Sensitivity ◽  
Self Report ◽  
Original Research ◽  
Mindfulness Based Stress Reduction ◽  
The Impact

Mindfulness-based stress reduction (MBSR) is a structured group program that uses mindfulness meditation to improve well-being and alleviate suffering. This article reviews the impact of MBSR for people with chronic diseases. The review includes original research that was published in English and peer-reviewed and reported outcomes for adults with chronic diseases who had participated in an MBSR program. Fifteen studies were identified. Outcomes related to mental and physical health, well-being, and quality of life. The studies included different research designs, and used self-report and physiological outcome measures. Participants’ clinical diagnoses included fibromyalgia, chronic pain, rheumatoid arthritis, type 2 diabetes, chronic fatigue syndrome, multiple chemical sensitivity, and cardiovascular diagnoses. All 15 studies found that participation in an MBSR program resulted in improvements. No negative change was reported between baseline and follow up. Outcomes in regard to specific variables were difficult to compare and equivocal. Overall, positive change predominated. Chronic diseases are associated with a range of unwelcome psychological and physical consequences. Participation in an MBSR program is likely to result in coping better with symptoms, improved overall well-being and quality of life, and enhanced health outcomes. As an adjunct to standard care, MBSR has potential for much wider application in Australian primary care settings.

scholarly journals No Sustained Attention Differences in a Longitudinal Randomized Trial Comparing Mindfulness Based Stress Reduction versus Active Control

2019 ◽  
Author(s):  
Donal G. MacCoon ◽  
Katherine A. MacLean ◽  
Richard J Davidson ◽  
Clifford Saron ◽  
Antoine Lutz
Keyword(s):  
Active Control ◽  
Sustained Attention ◽  
Stress Reduction ◽  
Visual Discrimination ◽  
Longitudinal Design ◽  
Mindfulness Practice ◽  
Clinical Population ◽  
Future Research ◽  
Mindfulness Based Stress Reduction ◽  
Over Time

Background: Mindfulness Based Stress Reduction (MBSR) is a secular form of meditation training. The vast majority of the extant literature investigating the health effects of mindfulness interventions relies on wait-list control comparisons. Previous studies have found that meditation training over several months is associated with improvements in cognitive control and attention.Methodology/Principal Findings: We used a visual continuous performance task (CPT) to test the effects of eight weeks of mindfulness training on sustained attention by comparing MBSR to the Health Enhancement Program (HEP), a structurally equivalent, active control condition in a randomized, longitudinal design (ClinicalTrials.gov, NCT01301105) focusing on a non-clinical population typical of MBSR participants. Researchers were blind to group assignment. 63 community participants were randomized to either MBSR (n = 31) or HEP (n = 32). CPT analyses were conducted on 29 MBSR participants and 25 HEP participants. We predicted that MBSR would improve visual discrimination ability and sustained attention over time on the CPT compared to HEP, with more home practice associated with greater improvements. Our hypotheses were not confirmed but we did find some evidence for improved visual discrimination similar to effects in partial replication of other research. Our study had sufficient power to demonstrate that intervention groups do not differ in their improvement over time in sustained attention performance. One of our primary predictions concerning the effects of intervention on attentional fatigue was significant but not interpretable.Conclusions: Attentional sensitivity is not affected by mindfulness practice as taught in MBSR, but it is unclear whether mindfulness might positively affect another aspect of attention, vigilance. These results also highlight the relevant procedural modifications required by future research to correctly investigate the role of sustained attention in similar samples.

The Demise of Interdisciplinary Chronic Pain Management and Its Relationship to the Scourge of Prescription Opioid Diversion and Abuse

2018 ◽  
Author(s):  
Michael E. Schatman
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Healthcare Providers ◽  
Well Being ◽  
Insurance Companies ◽  
Prescription Opioid ◽  
Pain Medicine ◽  
Opioid Crisis ◽  
Opioid Medications ◽  
Opioid Diversion

Even though the efficacy of interdisciplinary pain management programs is supported, their numbers have decreased and the vast majority of Americans with chronic pain do not have access to them. Insurance companies do not want to pay for these services, hospitals believe they are financial losers, and the opioid crisis has placed a pall over the practice of pain medicine. The demise of these programs has left pain medicine in a fragmented state. Few healthcare providers who treat chronic pain patients have the time to coordinate care by multiple professionals The opioid crisis seen in certain areas, such as Appalachia, may be related to the lack of these interdisciplinary programs. There should be concerted efforts to increase access to and funding of these programs. Although they are not a panacea for all types of chronic pain, they can improve patients’ well-being and function and reduce their need for opioid medications.

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