Does mindfulness improve outcomes in patients with chronic pain? Systematic review and meta-analysis
Fathima L. Marikar Bawa,Stewart W Mercer,Rachel J Atherton,Fiona Clague,Andrew Keen,Neil W. Scott,Christine Bond +6 more
TLDR
There is limited evidence for effectiveness of mindfulness-based interventions for patients with chronic pain, and better-quality studies are required.Abstract:
Background Chronic pain and its associated distress and disability are common reasons for seeking medical help. Patients with chronic pain use primary healthcare services five times more than the rest of the population. Mindfulness has become an increasingly popular self-management technique. Aim To assess the effectiveness of mindfulness-based interventions for patients with chronic pain. Design and setting Systematic review and meta-analysis including randomised controlled trials of mindfulness-based interventions for chronic pain. There was no restriction to study site or setting. Method The databases MEDLINE®, Embase, AMED, CINAHL, PsycINFO, and Index to Theses were searched. Titles, abstracts, and full texts were screened iteratively against inclusion criteria of: randomised controlled trials of mindfulness-based intervention; patients with non-malignant chronic pain; and economic, clinical, or humanistic outcome reported. Included studies were assessed with the Yates Quality Rating Scale. Meta-analysis was conducted. Results Eleven studies were included. Chronic pain conditions included: fibromyalgia, rheumatoid arthritis, chronic musculoskeletal pain, failed back surgery syndrome, and mixed aetiology. Papers were of mixed methodological quality. Main outcomes reported were pain intensity, depression, physical functioning, quality of life, pain acceptance, and mindfulness. Economic outcomes were rarely reported. Meta-analysis effect sizes for clinical outcomes ranged from 0.12 (95% confidence interval [CI] = −0.05 to 0.30) (depression) to 1.32 (95% CI = −1.19 to 3.82) (sleep quality), and for humanistic outcomes 0.03 (95% CI = −0.66 to 0.72) (mindfulness) to 1.58 (95% CI = −0.57 to 3.74) (pain acceptance). Studies with active, compared with inactive, control groups showed smaller effects. Conclusion There is limited evidence for effectiveness of mindfulness-based interventions for patients with chronic pain. Better-quality studies are required.read more
Citations
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Journal ArticleDOI
Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis
Lara Hilton,Susanne Hempel,Brett Ewing,Eric Apaydin,Lea Xenakis,Sydne J Newberry,Benjamin Colaiaco,Alicia Ruelaz Maher,Roberta M. Shanman,Melony E. Sorbero,Margaret Maglione +10 more
TL;DR: Low-quality evidence is found that mindfulness meditation is associated with a small decrease in pain compared with all types of controls in 30 RCTs, suggesting additional well-designed, rigorous, and large-scale RCTS are needed to decisively provide estimates of the efficacy of mindfulness meditation for chronic pain.
Journal ArticleDOI
Chronic Pain and Mental Health Disorders: Shared Neural Mechanisms, Epidemiology, and Treatment
TL;DR: The fear-avoidance model explains how behavioral factors affect the temporal course of chronic pain and provides the framework for an array of efficacious behavioral interventions including cognitive-behavioral therapy, acceptance-based therapies, and multidisciplinary pain rehabilitation.
Journal ArticleDOI
Happiness and Health.
TL;DR: Interventions have yet to demonstrate substantial, sustained improvements in subjective well-being or direct impact on physical health outcomes, but this field shows great potential, with the promise of establishing a favorable effect on population health.
Journal ArticleDOI
American Society of Hematology 2020 guidelines for sickle cell disease: Management of acute and chronic pain
Amanda M. Brandow,C. Patrick Carroll,Susan E Creary,Ronisha Edwards-Elliott,Jeffrey Glassberg,Robert W. Hurley,Abdullah Kutlar,Mohamed O. Seisa,Jennifer Stinson,John J. Strouse,Fouza Yusuf,William T. Zempsky,Eddy Lang +12 more
TL;DR: These evidence-based guidelines developed by the American Society of Hematology are intended to support patients, clinicians, and other health care professionals in pain management decisions for children and adults with SCD.
Journal ArticleDOI
Mindfulness‐based stress reduction (MBSR) for improving health, quality of life and social functioning in adults: a systematic review and meta‐analysis
Michael de Vibe,Arild Bjørndal,Sabina Fattah,Gunvor Marie Dyrdal,Even Halland,Emily E. Tanner-Smith +5 more
TL;DR: It is reasonable to consider MBSR a moderately well-documented method for helping adults improve their health and cope better with the challenges and stress that life brings.
References
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