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Effects of Mindfulness-Based Cognitive Therapy for Chronic Pain: A Multicenter Study

E. M. Pardos-Gascón, Lucas Narambuena, César Leal-Costa, A. J. Ramos-Morcillo, M. Ruzafa-Martínez, C. J. Van-Der Hofstadt Román

International Journal of Environmental Research and Public Health June 29, 2021 DOI: 10.3390/ijerph18136951 (opens in new tab) via Semantic Scholar

Summary

AI-generated from the abstract

Chronic pain affects 15% of the Spanish population. A quasi-experimental study with 57 patients at three hospitals in Alicante evaluated mindfulness-based cognitive therapy (MBCT) for chronic pain. Self-reported measures assessed pain intensity, anxiety-depression, health status, sleep interference, self-efficacy, acceptance, and mindfulness. Significant improvements with medium effect sizes were found for present pain intensity, mental quality of life, depression, and self-efficacy (total score, symptom management, pain control). Large effect sizes were observed for sleep disturbances and sleep quantity. MBCT reduces many symptoms in chronic pain patients, though long-term maintenance requires further study.

Study at a glance

Characteristics Quasi-experimental pre-post repeated measures Peer reviewed
Sample size 57
Population Patients with chronic pain from three hospitals in Alicante, Spain
Intervention Mindfulness-based cognitive therapy
Keywords Medicine Psychology
Key finding MBCT produced significant improvements with medium to large effect sizes in pain intensity, depression, mental quality of life, self-efficacy, and sleep disturbances in chronic pain patients.

Abstract

The prevalence of chronic pain in Spain is 15%. The objective of this study was to evaluate the efficacy of mindfulness-based cognitive therapy on patients with chronic pain. A quasi-experimental design of repeated measures pre- and post-test (N = 57) was carried out at three hospitals from the province of Alicante. Self-reported assessment measurements of pain intensity, anxiety-depression symptoms, perception of health status, interference of pain on sleep, self-efficacy in pain, acceptance, and mindfulness attitude were included. The T-test indicates significant differences in intensity of present pain, mental quality of life, and depression (medium effect sizes), as well as in self-efficacy: total score, symptom management and pain control (medium effect sizes), sleep disturbances and quantity of sleep (large effect sizes). MBCT is effective in reducing many symptoms in patients with chronic pain, although its maintenance needs to be further investigated.

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