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Are mindfulness skills associated with reducing kinesiophobia, pain severity, pain catastrophizing and physical disability? Results of Iranian patients with chronic musculoskeletal pain

Sajjad Rezaei, Sedigheh Hassanzadeh

Health Psychology Report April 29, 2019 DOI: 10.5114/hpr.2019.84747 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional study Peer reviewed
Sample size 200
Population Patients with chronic musculoskeletal pain from northern Iran
Topics Meditation
Key findings Mindfulness facets differentially predict pain-related outcomes; for example, Observing predicts lower pain intensity, while Describing predicts higher pain, catastrophizing, and kinesiophobia.

Abstract

BackgroundAlthough the results obtained for mindfulness-based treatments are promising, there is limited information concerning the role of different dimensions of mindfulness in the undesirable outcomes related to chronic pain such as physical pain and catastrophizing, pain severity, kinesiophobia and disability. Therefore, the objective of this present research was to examine the relationship between facets of mindfulness and the mentioned outcomes in individuals with musculoskeletal pain (MSP), including an extensive population of patients.Participants and procedureIn a cross-sectional research, 200 patients with chronic MSP were selected from northern Iran by the consecu-tive sampling method and were assessed through the Five Facet Mindfulness Questionnaire (FFMQ), Visual Analogue Scale (VAS), 24-item Roland Morris Disability Questionnaire (RMDQ-24), 17-item Tampa Scale of Kinesiophobia (TSK-17), and the Coping Strategies Questionnaire – Catastrophizing subscale (CSQ-CAT).ResultsResults were obtained via multivariate hierarchical regression analyses after adjusting for the effects of demo-graphic variables, revealing that higher scores in the Observing subscale can predict lower scores in the VAS. Moreover, higher scores in the Describing subscale predict higher scores in VAS, CSQ-CAT and TSK-17; higher scores in Acting with Awareness predict lower scores in VAS and CSQ-CAT; higher scores in Non-judging pre-dict lower scores in VAS, RMDQ-24 and TSK-17; finally, higher scores in Non-reactivity predict higher scores in RMDQ-24 and TSK-17.ConclusionsAll factors existing in mindfulness are associated to MSP after controlling for certain undesirable outcomes. It seems that mindfulness interventions can potentially result in clinical improvement of patients suffering from chronic musculoskeletal pain.

Comparable studies

Other cross-sectional and survey studies on meditation, most cited first.

Study Year Design Participants
Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups 2008 Cross-sectional study
Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants 2007 Observational cross-sectional n = 27
Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents 2011 Cross-sectional validation study n = 1,413
Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators 2012 Cross-sectional study n = 152
Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates 2008 Cross-sectional, correlational

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