Medically Unexplained Symptoms and Attachment Theory: The BodyMind Approach®

Payne, Helen; Brooks, Susan D.M.

doi:10.3389/fpsyg.2019.01818

Cited by 11 publications

(14 citation statements)

References 67 publications

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“…Future research may also attempt to answer questions present in the DMT literature (Koch et al, 2019): what do DMT and mindfulness-based interventions have in common? Additional mindfulness principles that have been incorporated in DMT through the practice of authentic movement, such as the concept of bodymindfulness (Payne and Brooks, 2019) or "bodyfulness" (Caldwell, 2014), can be further considered in future research studies.…”

Section: Discussionmentioning

confidence: 99%

The Development of Mindful-Based Dance Movement Therapy Intervention for Chronic Pain: A Pilot Study With Chronic Headache Patients

2021

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Chronic pain is of significant global concern. There is growing evidence that body–mind therapies and psychological approaches can contribute toward changing chronic pain perceptions. This is the first model described in the literature that combines a mindfulness-based approach with dance movement therapy and explores the potential psychological and pain-related changes for this client population. In this paper, the results from the pilot study are presented involving patients with chronic headache recruited in an outpatient rehabilitation setting.Methods: In this pilot study, 29 patients (n = 29) with chronic headache were randomized to either the Mindful-Based Dance Movement Therapy (MBDMT) group or the waiting list control group (treatment as usual, TAU). The MBDMT group was offered 10 sessions in a clinical outpatient rehabilitation setting for 5 weeks. Data were collected pre- and post-intervention and 16 weeks after the intervention was finished. The Hospital Anxiety and Depression Scale (HADS), Patient Health Questionnaire−9 (PHQ-9), Five Facet Mindfulness Questionnaire (FFMQ), and Numeric Rating Scale (NRS) were used as outcome measures.Results: The working model of MBDMT identifies nine therapeutic mechanisms (safe therapeutic environment, mindfulness skills, body awareness, relaxation/releasing, distancing and staying with discomfort, meaning making, self-regulation, acceptance and integration, creative process). Per-protocol analysis reveals statistically significant reduction of pain intensity and depression scores in favor of the MBDMT group, and these improvements were maintained in the follow-up assessment.Conclusions: The results suggest that MBDMT is a feasible and promising therapy approach for chronic pain patients. The pilot study offered sufficient information and preliminary results in the desirable direction to enable the researchers to move to a randomized controlled trial (RCT) stage in order to establish the efficacy of the intervention.Clinical Trial Registration: The study was registered in the www.researchregistry.com, registry (5483).

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Section: Discussionmentioning

confidence: 99%

The Development of Mindful-Based Dance Movement Therapy Intervention for Chronic Pain: A Pilot Study With Chronic Headache Patients

2021

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“…In TBMA groups, “safety” is fundamental, and the program is designed with that in mind ( Payne and Brooks, 2019 ) because insecure attachment has been associated with MUS patients ( Adshead and Guthrie, 2015 ). A positive perception of the group can indicate that members view the group as trustworthy and safe to explore and practice new skills ( Kivlighan and Tarrant, 2001 ).…”

Section: Discussionmentioning

confidence: 99%

“…The BodyMind Approach ® was first researched in 2004 ( Payne, 2009a , b ; Payne and Stott, 2010 ) which showed promising outcomes. Further research with larger numbers demonstrated that TBMA increased wellbeing and activity levels, and decreased depression, symptom distress, and anxiety ( Payne and Brooks, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

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A Qualitative Study of the Views of Patients With Medically Unexplained Symptoms on The BodyMind Approach®: Employing Embodied Methods and Arts Practices for Self-Management

Payne

Brooks

2020

Front. Psychol.

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The arts provide openings for symbolic expression by engaging the sensory experience in the body they become a source of insight through embodied cognition and emotion, enabling meaning-making, and acting as a catalyst for change. This synthesis of sensation and enactive, embodied expression through movement and the arts is capitalized on in The BodyMind Approach® (TBMA). It is integral to this biopsychosocial, innovative, unique intervention for people suffering medically unexplained symptoms (MUS) applied in primary healthcare. The relevance of embodiment and arts practices in TBMA are discussed in relation to the views of participants in the pursuit of self-management. If widely employed TBMA could have an enormous impact, reach, and significance for patients and global health services. This original pre-clinical trial of qualitative research reports on the perceptions of participant patients with generic MUS, a world-wide issue usually treated by either psychological therapy or physiotherapy. TBMA is not a therapy but a health education program founded upon the concept of an integration of psychological elements with physiological, bodily, and sensory experiences. Thematic analysis of qualitative data sets from open-ended questions in semi-structured interviews and a written questionnaire post intervention is presented. Five aspects which appear to be key to learning self-management were derived from analyzing the data: (1) body with mind connections; (2) importance of facilitation; (3) potential benefits; (4) preparedness for change; (5) self-acceptance/compassion. This article advances the discourse on the nature of self-management for MUS through changing the mind-set and the relationship participants have with their bodily symptom/s through employing embodied methods and arts practices, challenging current, and solely verbal, psychological conceptual frameworks. Rigor lies in the method of data analysis using cross verification of credibility between reported findings and scrutiny by stakeholders. We conclude that facilitated TBMA groups employing embodied methods and arts practices can act as a method for developing the self-management of MUS and improving wellbeing.

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“…This model which will be the basis of all future interactions with others and formation of his or her attachment type, and has a particular role in processing emotional situations and acquiring emotional responses. [ 9 10 ] In other words, the process of normal emotional processing in the face of stressful situations requires the search for safe sources as real or internalized patterns of attachment. [ 11 ] Various studies have not only demonstrated the existence of a difficult transition period such as high levels of emotional abuse and neglect[ 12 ] in patients with somatic symptoms but also identified the presence of insecure attachment in these patients as a general symptom.…”

Section: Introductionmentioning

confidence: 99%

Modeling the relationship between attachment styles and somatic symptoms with the mediating role of emotional processing

Falahatdoost

Dolatshahi

Pourshahbaz

et al. 2020

J Edu Health Promot

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INTRODUCTION: In spite of our general knowledge about psychological roots and defects of developmental processes in the formation of somatic symptoms, the effect of the interaction of developmental components with cognitive-emotional variables is unclear. Previous researches suggest that individuals with insecure attachment may have a higher risk to experience of somatic symptoms. The main aim of this study is “Modeling the Relationship between Attachment Styles and Somatic Symptoms with the Mediating Role of Emotional Processing.” MATERIALS AND METHODS: This study was a descriptive-correlational study. Two hundred and twenty individuals aged 18–59 years living in Tehran were selected by available sampling from the general population. Collins and Reed's Adult Attachment Scale, Baker's Emotional Processing Scale, and Patient Health Questionnaire were used to collecting data. Data analysis was performed by Pearson correlation and independent t -test. The conceptual model presented in this study was tested with a path analysis approach. RESULTS: Given the Chi-squared size (χ 2 = 1.214; P > 0.05), it can be said that the proposed conceptual model fits well with the observed model. Besides, checking the other absolute and relative indices also shows a very good fit of the model. CONCLUSION: Our results showed that when the reciprocal effects of attachment styles were controlled, secure attachment could be considered as a protective factor against deficits in emotional processing and somatization of negative emotions. On the other hand, we found that when the dominant attachment style in individuals was anxiety based, it could be possible that they experience deficiency in the processing of emotion and more severe somatic symptoms.

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Medically Unexplained Symptoms and Attachment Theory: The BodyMind Approach®

Cited by 11 publications

References 67 publications

The Development of Mindful-Based Dance Movement Therapy Intervention for Chronic Pain: A Pilot Study With Chronic Headache Patients

The Development of Mindful-Based Dance Movement Therapy Intervention for Chronic Pain: A Pilot Study With Chronic Headache Patients

A Qualitative Study of the Views of Patients With Medically Unexplained Symptoms on The BodyMind Approach®: Employing Embodied Methods and Arts Practices for Self-Management

Modeling the relationship between attachment styles and somatic symptoms with the mediating role of emotional processing

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