Mindfulness-based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice

Rosenzweig, Steven A; Greeson, Jeffrey M.; Reibel, Diane K.; Green, Joshua S.; Jasser, Samar A.; Beasley, Denise

doi:10.1016/j.jpsychores.2009.03.010

Cited by 413 publications

(317 citation statements)

References 40 publications

Supporting

Mentioning

275

Contrasting

Unclassified

Order By: Relevance

“…Mindfulness-based therapies, such as mindfulness-based stress reduction 37 , mindfulness-based cognitive therapy 67 , and Acceptance and Commitment Therapy 31 may be especially potent strategies. Indeed, these treatments have been shown to improve pain outcomes such as pain intensity, functional limitations, and psychological distress 57,65 , and they have also been found to reduce ruminative thinking associated with depression, cancer, and school-related stress 14,34,44 . Unfortunately, although mindfulness-related treatment effects have been demonstrated in women 8,38,63,68 , only a few studies have examined their effectiveness in Black individuals and none were focused on pain 16,66,82 .…”

Section: Discussionmentioning

confidence: 99%

Pain-Related Rumination, But Not Magnification or Helplessness, Mediates Race and Sex Differences in Experimental Pain

Meints

Stout

Abplanalp

et al. 2017

The Journal of Pain

View full text Add to dashboard Cite

Compared to White individuals and men, Black individuals and women demonstrate a lower tolerance for experimental pain stimuli. Previous studies suggest that pain catastrophizing is important in this context, but little is known about which components of catastrophizing contribute to these race and sex differences. The purpose of the current study was to examine the individual components of catastrophizing (rumination, magnification, and helplessness) as candidate mediators of race and sex differences in experimental pain tolerance. Healthy undergraduates (N=172, 74% female, 43.2% Black) participated in a cold pressor task and completed a situation-specific version of the Pain Catastrophizing Scale. Black and female participants demonstrated a lower pain tolerance than White (p<0.01; d=0.70) and male (p<0.01; d=0.55) participants, respectively. Multiple mediation analyses indicated that these race and sex differences were mediated by the rumination component of catastrophizing Perspective: This study suggests that differences in pain-related rumination, but not magnification or helplessness, are important contributors to race and sex differences in the pain experience. Interventions that target this maladaptive cognitive style may help reduce disparities in pain.

show abstract

Section: Discussionmentioning

confidence: 99%

Pain-Related Rumination, But Not Magnification or Helplessness, Mediates Race and Sex Differences in Experimental Pain

Meints

Stout

Abplanalp

et al. 2017

The Journal of Pain

View full text Add to dashboard Cite

show abstract

“…Along with this has emerged a body of empirical literature supporting the efficacy of MBIs in addressing a range of problems. For example, MBIs may be helpful for some forms of chronic pain (Kabat-Zinn 1982;Morone et al 2008;Rosenzweig et al 2010), anxiety disorders (Kim et al 2009;Lee et al 2007;Miller et al 1995;Ossman et al 2006;Piet et al 2010), depression (Kuyken et al 2008;Ma and Teasdale 2004;Teasdale et al 2000), irritable bowel syndrome (Gaylord et al 2011;Kearney et al 2011;Zernicke et al 2012), fibromyalgia (Grossman et al 2007;Kaplan et al 1993), binge eating (Kristeller and Hallett 1999;Safer et al 2010), psychosis (Ashcroft et al 2011;Bach and Hayes 2002;Chadwick et al 2009) and substance abuse (Witkiewitz and Bowen 2010;Witkiewitz et al 2005). MBIs are promising because they may be effective in populations unresponsive to other treatments, such as individuals with chronic depression (Kenny and Williams 2007).…”

Section: Mindfulness For Health/mental Health Problemsmentioning

confidence: 99%

Of the Soul and Suffering: Mindfulness-Based Interventions and Bereavement

et al. 2013

View full text Add to dashboard Cite

“…The few MBSR studies that have included older adults are limited to older individuals with lower chronic back pain. 15 MBSR interventions have been most commonly implemented in specific clinical populations, such as cancer patients, 16 individuals with chronic pain, 17 transplant patients, 18 or individuals with rheumatoid arthritis; 19 however, these studies did not evaluate the impact of the age of the participants, or biological markers that may predict healthier aging. In addition, most of these studies were also conducted outside of the patient's home.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Mindfulness-Based Intervention Program to Decrease Blood Pressure in Low-Income African-American Older Adults

et al. 2012

View full text Add to dashboard Cite

Hypertension affects a large proportion of urban African-American older adults. While there have been great strides in drug development, many older adults do not have access to such medicines or do not take them. Mindfulness-based stress reduction (MBSR) has been shown to decrease blood pressure in some populations. This has not been tested in low-income, urban African-American older adults. Therefore, the primary purpose of this pilot study was to test the feasibility and acceptability of a mindfulness-based program for low income, minority older adults provided in residence. The secondary purpose was to learn if the mindfulness-based program produced differences in blood pressure between the intervention and control groups. Participants were at least 62 years old and residents of a low-income senior residence. All participants were African-American, and one was male. Twenty participants were randomized to the mindfulness-based intervention or a social support control group of the same duration and dose. Blood pressure was measured with the Omron automatic blood pressure machine at baseline and at the end of the 8-week intervention. A multivariate regression analysis was performed on the difference in scores between baseline and post-intervention blood pressure measurements, controlling for age, education, smoking status, and anti-hypertensive medication use. Effect sizes were calculated to quantify the magnitude of the relationship between participation in the mindfulness-based intervention and the outcome variable, blood pressure. Attendance remained 980% in all 8 weeks of both the intervention and the control groups. The average systolic blood pressure decreased for both groups post-intervention. Individuals in the intervention group exhibited a 21.92-mmHg lower systolic blood pressure compared to the social support control group post-intervention and this value was statistically significant (p=0.020). The average diastolic blood pressure decreased in the intervention group postintervention, but increased in the social support group. Individuals in the intervention group exhibited a 16.70-mmHg lower diastolic blood pressure compared to the social support group post-intervention, and this value was statistically significant (p=0.003). Older adults are at a time in life when a reflective, stationary intervention, delivered in residence, could be an appealing mechanism to improve blood pressure. Given our preliminary results, larger trials in this hypertensive study population are warranted.

show abstract

Mindfulness-based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice

Cited by 413 publications

References 40 publications

Pain-Related Rumination, But Not Magnification or Helplessness, Mediates Race and Sex Differences in Experimental Pain

Pain-Related Rumination, But Not Magnification or Helplessness, Mediates Race and Sex Differences in Experimental Pain

Of the Soul and Suffering: Mindfulness-Based Interventions and Bereavement

Evaluation of a Mindfulness-Based Intervention Program to Decrease Blood Pressure in Low-Income African-American Older Adults

Contact Info

Product

Resources

About