Randomized Controlled Trial of Brief Mindfulness Training and Hypnotic Suggestion for Acute Pain Relief in the Hospital Setting

Garland, Eric L.; Baker, Anne K.; Larsen, Paula; Riquino, Michael R.; Priddy, Sarah E.; Thomas, Elizabeth; Hanley, Adam W.; Galbraith, Patricia; Wanner, Nathan; Nakamura, Yoshio

doi:10.1007/s11606-017-4116-9

Cited by 85 publications

(80 citation statements)

References 33 publications

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“…As already discussed above, meditation showed stronger impacts on subjective ratings of pain than either distraction or relaxation only (Zeidan et al, 2010a). Similarly, Garland et al () investigated the use of a brief mindfulness intervention in more long‐term management of pain. They demonstrated that a single‐session, mind–body mindfulness exercise fostered clinically significant improvements in pain and related outcomes.…”

Section: Physical Health Indicators and Health Behavior Modificationmentioning

confidence: 83%

Mindful moments: A review of brief, low‐intensity mindfulness meditation and induced mindful states

Heppner

Shirk

2018

Social & Personality Psych

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Popular and empirical interest in mindfulness meditation has increased rapidly over the last decades. In particular, mindfulness meditation has been utilized as the basis of numerous treatments for physical and mental health issues, and many of these meditation‐based treatments have demonstrated empirical evidence of their efficacy. However, less empirical attention has been devoted to how mindfulness meditation impacts non‐clinical populations. One growing area of research that tackles this question is research on mindfulness induction tasks—brief, low‐intensity, meditation activities that people can do in their controlled scientific laboratories or in their daily lives. In this article, we review this small but burgeoning literature, focusing on the benefits of brief mindfulness induction tasks for cognition, emotional, social, and health outcomes. In addition, we describe substantive challenges and future directions for this area of research and discuss how this research may inform the mindfulness literature more broadly.

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Section: Physical Health Indicators and Health Behavior Modificationmentioning

confidence: 83%

Mindful moments: A review of brief, low‐intensity mindfulness meditation and induced mindful states

Heppner

Shirk

2018

Social & Personality Psych

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“…With more than two-thirds of the studies having reasonable sample sizes (i.e., > 50) and all but one study (Brunyé et al 2013) being an RCT, the combined results can be interpreted as being fairly robust. Despite this, evidence must be interpreted cautiously as all but three studies (Garland et al 2017;Perkins-Porras et al 2018;Westenberg et al 2018) were largely conducted within a laboratory. Part of the rationale for this review was to assess the impact on health-related outcomes due to the large growth in the use of brief MBIs that have been promoted as positively impacting health in everyday life.…”

Section: Discussionmentioning

confidence: 99%

“…Lastly, six studies examined populations with physical illness or pain. One study found improvements on a selectivity task within a traumatic brain injury population (McHugh and Wood 2013), another found lowered blood pressure with hypertensive African-American males with chronic kidney disease (Park et al 2014), another found improved body satisfaction compared with healthy controls with participants with eating disorders (Marek et al 2013), and finally, three studies found patients with pain (i.e., one chronic, one acute, and one in-patient unmanaged) had reduced pain-related distress, pain interference (Ussher et al 2012), and intensity (Garland et al 2017;Westenberg et al 2018).…”

Section: Positive Findingsmentioning

confidence: 99%

“…Similarly, Bpain^studies brought attention to another research issue. To examine MBI impact on pain, only one study (Ussher et al 2012) recruited a chronic pain population and only two studies recruited patients in a hospital setting with pain (Garland et al 2017;Westenberg et al 2018). As all three of these studies involving real pain patients had positive results, more research recruiting a more relevant population may be beneficial considering the current demand for non-pharmaceutical treatments that are nonburdensome.…”

Section: Other Outcomesmentioning

confidence: 99%

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Effects of Brief Mindfulness-Based Interventions on Health-Related Outcomes: a Systematic Review

et al. 2019

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Objectives Traditional mindfulness-based interventions (MBIs) have been applied successfully across many populations. The time commitment for these programs is often a barrier, and while brief MBIs have become popular, the impact of these on healthrelated outcomes is unclear as they have not yet been reviewed. Methods A search of databases, including Medline, Embase, and PsycINFO, was conducted with qualitative and case studies being excluded. Findings were summarized using a narrative approach for all studies that met the inclusion criteria. Results With one exception, all 85 studies that were included were randomized controlled trials and were relatively robust methodologically. Seventy-nine reported significant positive effects on at least one health-related outcome and over a quarter targeted a clinical population. The majority of studies focused on psychological outcomes, such as anxiety and depression, as well as emotion regulation, stress, and cognitive outcomes. Conclusions Despite heterogeneity of outcomes across studies, there is evidence that brief MBIs can impact numerous healthrelated outcomes, after only one session and with interventions as brief as 5 min. These interventions have the potential to be the initial steps leading to sustainable and positive health outcomes. Keywords Mindfulness. Brief interventions. Systematic review. Health outcomes Mindfulness can be defined as an approach to experiencing everyday life by turning attention and awareness to the present moment without judgment (Kabat-Zinn 2006). Despite its Buddhist origins, mindfulness is now often a secular practice and is easily accessible to many, whether practiced in an individual's home or by attending a class (Hyland 2016). Mindfulness encompasses the key therapeutic concepts of acceptance, compassion, and detachment (Bogosian et al. 2016; Desrosiers et al. 2013; Pinto-Gouveia et al. 2014). As a therapy, the practice of mindfulness is predominately based on a chronic illness program that was originally Bformalized^as mindfulnessbased stress reduction (MBSR), a treatment for illness-related stress. More recently, the more cognitive treatment of mindfulness-based cognitive therapy (MBCT) has emerged (Teasdale et al. 2000), principally as a treatment for depression. Over the years, mindfulness-based therapies (most commonly MBSR and MBCT) have been applied successfully to a range of clinical populations (Gotink et al. 2015) including patients recovering from cancer, patients with low back pain, and patients with general anxiety disorders (Cherkin et al. 2016; Evans 2016; Johns et al. 2015). This research has cumulated into a solid foundation of evidence supporting the use of mindfulness for clinical health conditions, as well as for the management of non-clinical conditions such as everyday stress and mood disturbances (

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“…First, the two treatments are used to address similar conditions (e.g., pain, stress, anxiety, and depression) (Goldin, 2012; Goldin & Gross, 2010; Holroyd, 2003; Jensen & Patterson, 2006; Lifshitz & Raz; 2012; Lynn, Barnes, Deming, & Accardi, 2010). Second, although to our knowledge there have not yet been any head-to-head comparisons in efficacy between treatments based on these approaches in the same sample, the beneficial effects of the two approaches appear to be similar (Garland et al, 2017; Tan et al, 2007). Third, mindfulness-based interventions and hypnosis are often lumped together as “relaxation techniques.” It is possible that treatments which use mindfulness or hypnotic techniques operate via the same (or closely related) mechanisms, such as via their effects on perceived relaxation (Lynn, Malaktaris, Maxwell, Mellinger, & van der Kloet, 2012; Semmens-Wheeler, & Dienes, 2012; Vickers, Zollman, & Payne, 2001).…”

mentioning

confidence: 92%

The Association Between Mindfulness and Hypnotizability: Clinical and Theoretical Implications

Grover

Jensen

Patterson

et al. 2018

American Journal of Clinical Hypnosis

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Mindfulness-based interventions and hypnosis are efficacious treatments for addressing a large number of psychological and physical conditions, including chronic pain. However, there continues to be debate surrounding the relative uniqueness of the theorized mechanisms of these treatments – reflected by measures of mindfulness facets and hypnotizability – with some concern that there may be so much overlap as to make the mechanism constructs (and therefore the respective interventions) redundant. Given these considerations, the primary aim of the current study was to examine the degree of unique versus shared variance between two common measures of mindfulness facets and hypnotizability: the Five Facet Mindfulness Questionnaire (FFMQ) and the Stanford Hypnotic Clinical Scale (SHCS). A cross-sectional survey was conducted with a sample of N=154 Veterans with heterogeneous chronic pain conditions. Bivariate Pearson correlations were used to examine the associations between the target scales. Results showed that the correlations between the FFMQ scales and SHCS total score were uniformly weak, although significant negative correlations were found between mindfulness facets of observe and non-react with hypnotizability (ps < .05). Thus, not only are the mindfulness and hypnotizability constructs unique, but when significantly associated, hypnotic suggestibility corresponds with a tendency to be less mindful. These findings have important implications for future research aimed towards matching patients to the treatment most likely to be of benefit, and suggest that matching patients on the basis of these theoretically derived “unique” moderators may hold potential.

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Randomized Controlled Trial of Brief Mindfulness Training and Hypnotic Suggestion for Acute Pain Relief in the Hospital Setting

Abstract: Trial Registry: ClinicalTrials.gov ; registration ID number: NCT02590029 URL: https://clinicaltrials.gov/ct2/show/NCT02590029.

Cited by 85 publications

References 33 publications

Mindful moments: A review of brief, low‐intensity mindfulness meditation and induced mindful states

Mindful moments: A review of brief, low‐intensity mindfulness meditation and induced mindful states

Effects of Brief Mindfulness-Based Interventions on Health-Related Outcomes: a Systematic Review

The Association Between Mindfulness and Hypnotizability: Clinical and Theoretical Implications

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