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Single-Session Group Breathwork Intervention for Chronic Pain: A Proof-of-Concept Study of Guided Respiration Mindfulness Therapy.

Steven D. Pratscher, Lloyd Lalande, Allison Davis, Adam W. Hanley

Journal of Integrative and Complementary Medicine May 1, 2026 DOI: 10.1177/27683605251406218 (opens in new tab) via PubMed

Summary

AI-generated from the abstract

A single session of Guided Respiration Mindfulness Therapy (GRMT), an integrative breathwork intervention involving one hour of conscious connected breathing with somatically focused mindfulness and relaxation, was highly acceptable and satisfying to adults with chronic pain. Among 11 enrolled participants, 10 completed the session; all recommended the intervention to others. Large, clinically meaningful improvements in pain intensity and pain interference occurred from baseline to 2-week and 6-week follow-ups, with mean differences of -2.9 and -3.5 respectively. The findings demonstrate proof of concept and warrant further research.

Study at a glance

Characteristics Proof-of-concept study Peer reviewed
Sample size 11
Population Adults with chronic pain without prior breathwork experience
Intervention Guided Respiration Mindfulness Therapy (GRMT)
Duration Single 1-hour session; follow-ups at 2 weeks and 6 weeks
Topics Breathwork Meditation
Keywords Breathing Chronic pain Intervention development
Key finding A single group session of GRMT was highly acceptable, satisfying, and associated with large, clinically meaningful improvements in pain intensity and pain interference at 2- and 6-week follow-ups.

Abstract

Chronic pain is a major public health problem. Due to the persistent, costly, and complex nature of chronic pain, there is a need for new safe and effective treatments. Integrative breathwork interventions, or therapeutic styles of conscious breathing, have promise as novel treatments for chronic pain. The primary objective of this proof-of-concept study was to examine the feasibility, acceptability, and clinical significance of an integrative breathwork intervention for adults with chronic pain. Participants with chronic pain and without prior breathwork experience were eligible for this study. Participants completed online surveys at baseline, 2-week, and 6-week follow-ups as well as a brief survey immediately before and after the single group breathwork session. Guided Respiration Mindfulness Therapy (GRMT) was the integrative breathwork intervention that involved 1 hour of conscious connected breathing while engaging in somatically focused mindfulness and relaxation. A total of 11 participants were enrolled into this study, and 10 completed the breathwork session. The intervention was rated as highly acceptable (M = 9.3, standard deviation [SD] = 1.9) and satisfying (M = 9.7, SD = 0.5). All participants recommended the intervention to someone else suffering from chronic pain. There were large, clinically meaningful improvements in pain intensity and pain interference from baseline to the 2-week (mean difference [MD] = -2.9) and 6-week (MD = -3.5) follow-ups. A single group session of GRMT was shown to be highly acceptable, satisfying, and potentially helpful to individuals with chronic pain. The findings demonstrated proof of concept, with most participants reporting a clinically meaningful improvement in pain outcomes through the follow-ups. Additional research on integrative breathwork interventions for chronic pain is warranted.

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