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Does mindfulness meditation improve chronic pain? A systematic review

Elizabeth F. Ball, Emira Nur Shafina Muhammad Sharizan, Genny Franklin, Ewelina Rogozińska

Current Opinion in Obstetrics & Gynecology December 1, 2017 DOI: 10.1097/gco.0000000000000417 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Systematic review Randomized Peer reviewed
Population People with chronic pain
Intervention Mindfulness meditation
Topics Meditation
Key findings Mindfulness meditation significantly reduced depression and improved quality of life in people with chronic pain.

Abstract

Purpose of review Psychological factors are associated with chronic pain. Mindfulness meditation may ameliorate symptoms. The objective was to evaluate the effects of mindfulness meditation in chronic pain. Recent findings A systematic search of four databases identified 534 citations; 13 Randomised controlled trials satisfied the inclusion criteria. Mindfulness meditation significantly reduced depression [Standardised mean difference (SMD) −0.28; 95% confidence interval (CI) −0.53, −0.03; P = 0.03; I 2 = 0%]. For affective pain (SMD −0.13; 95% CI −0.42, 0.16; I 2 = 0%), sensory pain (SMD −0.02; 95% CI −0.31, 0.27; I 2 = 0%) and anxiety (SMD −0.16; 95% CI −0.47, 0.15; I 2 = 0%) there was a trend towards benefit with intervention. Quality of life items on mental health (SMD 0.65; 95% CI −0.27, 1.58; I 2 = 69%), physical health (SMD 0.08; 95% CI −0.40, 0.56; I 2 = 32%) and overall score (SMD 0.86, 95% CI −0.06, 1.78; I 2 = 88%) improved with mindfulness meditation. Summary Mindfulness meditation has most prominent effect on psychological aspects on living with chronic pain, improving associated depression and quality of life.

Comparable studies

Other systematic reviews and meta-analyses on meditation, most cited first.

Study Year Design Participants
Meditation Programs for Psychological Stress and Well-being Diverse adult clinical populations 2014 Meta-analysis n = 3,515
Mindfulness-Based Stress Reduction for Stress Management in Healthy People: A Review and Meta-Analysis Healthy subjects 2009 Systematic review and meta-analysis
The psychological effects of meditation: A meta-analysis. Nonclinical groups of adult meditators 2012 Meta-analysis n = 163
Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse Adults with recurrent depression in full or partial remission 2016 Meta-analysis of individual patient data from randomized controlled trials n = 1,258
Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials 2011 Systematic review

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