Relaxation and Mindfulness in Pain: A Review

Dunford, Emma; Thompson, Miles

doi:10.1177/204946371000400105

Cited by 30 publications

(19 citation statements)

References 38 publications

(48 reference statements)

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“…71 However, a lack of longitudinal studies and small uncontrolled samples prohibit confirmation of their efficacy. 72 The social impact of CLBP was a main theme. Described as a moral endeavour, 73 a task for participants was to manage social judgement as perceptions of not being believed led to an undermining of selfworth, shame, felt stigma and caricatured efforts to achieve legitimacy.…”

Section: Discussionmentioning

confidence: 99%

Living with chronic low back pain: a metasynthesis of qualitative research

2013

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OBJECTIVES The purpose of this qualitative metasynthesis is to articulate the knowledge gained from a review of qualitative studies of patients' experiences of chronic low back pain. METHODS Meta-ethnographic methodology guided the review of 33 articles representing 28 studies published in English in peer-reviewed journals between 2000 and 2012. A systematic comparison of the main themes from each study was conducted and 'synthesised' to create superordinate themes. RESULTS Three overarching interrelated themes were identified: the impact of chronic low back pain on self; relationships with significant others that incorporated two streams - health professionals and the organisation of care and relationships with family and friends; coping with chronic low back pain. Coping strategies were predominantly physical therapies, medication and avoidance behaviours with very few successful strategies reported. Professional and family support, self-efficacy, motivation, work conditions and exercise opportunities influenced pain experiences. Review authors' recommendations included psychological therapies, education, the facilitation of self-management strategies and support groups. DISCUSSION The review substantiates chronic low back pain as complex, dynamic and multidimensional, underpinned by experiences of persistent distressing pain, loss, and lowered self-worth, stigma, depression, premature aging, fear of the future. Future research should address the paucity of longitudinal studies, loss and issues of ethnicity, gender, ageing.

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Section: Discussionmentioning

confidence: 99%

Living with chronic low back pain: a metasynthesis of qualitative research

2013

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“…However, cultivating mindfulness promotes integration that can inform the conceptual self and help to preserve well-being 47. Evidence from a variety of literatures support the value of mindfulness in the management of physical symptoms such as pain61 and in the promotion of both physical62 and mental health 32…”

Section: Implications For Agingmentioning

confidence: 99%

The embodied and relational nature of the mind: implications for clinical interventions in aging individuals and populations

Rejeski

Gauvin²

2013

CIA

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Considerable research over the past decade has garnered support for the notion that the mind is both embodied and relational. Jointly, these terms imply that the brain, physical attributes of the self, and features of our interpersonal relationships and of the environments in which we live jointly regulate energy and information flow; they codetermine how we think, feel, and behave both individually and collectively. In addition to direct experience, evidence supports the view that stimuli embedded within past memories trigger multimodal simulations throughout the body and brain to literally recreate lived experience. In this paper, we review empirical support for the concept of an embodied and relational mind and then reflect on the implications of this perspective for clinical interventions in aging individuals and populations. Data suggest that environmental influences literally “get under the skin” with aging; that musculoskeletal and visceral sensations become more prominent in activities of the mind due to aging biological systems and chronic disease. We argue that conceiving the mind as embodied and relational will grow scientific inquiry in aging, transform how we think about the self-system and well-being, and lead us to rethink health promotion interventions aimed at aging individuals and populations.

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“…When a patient experiences anxiety after a traumatic event or before an operation or invasive procedure, it is common practice for nurses to instruct the patient to take deep breaths. The scientific theory behind this is that the heart rate of an individual suffering from psychological distress accelerates, and their breathing becomes shallow and irregular, resulting in a decrease in oxygenated blood; low oxygenated blood in turn contributes to lethargy and psychological distress (Dunford & Thompson, 2010;Kwekkeboom & Gretarsdottir, 2006;Lemone & Burke, 2004). Slow, deep breathing can increase the oxygen level in circulating blood and decrease anxiety.…”

Section: Sample and Settingmentioning

confidence: 97%