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Mind-body practices, interoception and pain: a scoping review of behavioral and neural correlates.

Stephanie Voss, Daniel A Boachie, Norberto Nieves, Neha P Gothe

Annals of medicine 2023 DOI: 10.1080/07853890.2023.2275661 (opens in new tab)

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AI-extracted from the abstract
Characteristics Scoping review Peer reviewed
Topics Meditation
Keywords Yoga Chronic pain Interoception Mind-body practices
Key findings The authors argue that interoceptive techniques, particularly attending to and accepting bodily sensations, appear to be key therapeutic mechanisms by which mind-body practices such as yoga reduce chronic pain. They note that only three studies directly linked yoga, interoception, and pain, and recommend that future yoga-based interventions measure interoceptive outcomes and integrate interoceptive strategies.

Abstract

Chronic pain is a significant source of suffering in the United States, and many individuals increasingly turn towards yoga for pain relief. However, little is known regarding how yoga improves pain. Herein we seek to examine the scope of the literature linking mind-body practices, pain and interoception; an emerging mechanism by which yoga may improve chronic pain. This scoping review followed the five-stage methodological framework proposed by Arksey and O'Malley to examine behavioral and neural correlates of interoception in mind-body practices and pain. A broad search of the Pubmed, CINAHL, SportDiscus, Scopus, PsychInfo, and SocIndex databases was conducted, utilizing three clusters of search terms: (1) interoceptive terms, (2) mind-body terms, and (3) pain terms. A combined total of 690 articles were screened, and 24 findings included for analysis. Sixteen studies examined interoceptive outcomes in response to mind-body practices for chronic pain, and 8 studies examined interoceptive outcomes in response to evoked-pain tasks in experienced mind-body practitioners. Only three studies linked yoga, interoception and pain. This review relied on the broader mind-body literature to inform our analyses as the literature examining yoga, pain and interoception remains limited. Interoceptive techniques including attending to and acceptance of bodily sensations, appear to be key therapeutic mechanisms in mind-body practices for chronic pain. Future yoga-based interventions would benefit examining interoceptive outcomes and integrating interoceptive strategies to facilitate the pain-modulating benefits of yoga.

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