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Research Findings Using Mindfulness-Based Interventions for Chronic Pain

Tracy L. Skaer

Pain Studies and Treatment 2015 DOI: 10.4236/pst.2015.34005 (opens in new tab)

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Characteristics Review Peer reviewed
Population People with chronic pain conditions, including fibromyalgia, chronic low back pain, rheumatoid arthritis, and chronic musculoskeletal pain
Intervention Mindfulness-based interventions
Topics Meditation
Citations 5
Key findings The authors conclude that evidence on mindfulness-based interventions for chronic pain is mixed: only a few controlled trials showed significant effects on pain intensity, quality of life, and physical and psychological functioning, and data are insufficient to confirm their full impact in conditions such as fibromyalgia, chronic low back pain, rheumatoid arthritis, and chronic musculoskeletal pain. They call for higher-quality research, including studies combining MBIs with CBT.

Abstract

Chronic pain is a complex condition that is very detrimental to physical and psychological wellbeing. It carries a significant level of disability and economic burden. Pain patients frequently experience comorbid mental illness (e.g. depression, anxiety, PTSD, insomnia) and often require psychotherapeutic interventions in addition to medication management. Mindfulness-based interventions (MBIs) have emerged as a means to treat several chronic conditions (e.g. chronic pain, depression, anxiety, substance abuse, stress, insomnia). The objective of this review is to evaluate the current research on the use of MBIs in chronic pain managment. Although there are several controlled trials on the use of MBIs in chronic pain management, only a few studies were found that demonstrated significant effects on pain intensity, quality of life, as well as physical and psychological functioning. Therefore, the current evidence is mixed and there are insufficient data to definitively confirm the full impact of the use of MBIs in chronic pain conditions such as fibromyalgia, chronic low back pain, rheumatoid arthritis, and chronic musculoskeletal pain. The lack of compelling evidence at this time signals a demand for higher quality investigations in this area. Research examining MBIs and concomitant CBT may be of great value in order to synergize and strengthen patient outcomes.

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