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Evaluation of a mindfulness–based group intervention for individuals experiencing chronic pain

Caroline Wyatt, Amy Ashton, Joanne Regan

Health Psychology Update 2013 DOI: 10.53841/bpshpu.2013.22.2.3 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 13
Population Service-users attending a mindfulness-based pain management group in a hospital outpatient setting
Interventions Mindfulness practice Mindfulness-based pain management group
Topics Meditation
Key findings Participants reported several benefits from practicing mindfulness, particularly an increased sense of control over long-term pain, along with greater acceptance and awareness of pain, easier pacing, and a less negative mental attitude. The authors conclude that the suitability of outpatient hospital settings for such groups must be considered and potential alternatives investigated.

Abstract

Research has increasingly investigated the use of mindfulness practice by individuals living with chronic pain conditions. The current study aimed to explore the practical implications of introducing mindfulness in a hospital setting, and to understand the experience and perceived consequences of brief mindfulness training. Attendees on a mindfulness–based pain management group were invited to take part in two facilitated focus groups. A total of 13 service-users participated and transcripts were analysed using thematic analysis. In addition, an evaluation questionnaire was completed by 34 attendees and analysed thematically. Using the combined data, seven key themes were identified. Three themes related to the practicalities of learning mindfulness:setting(the advantages and drawbacks of being based within an outpatient department);group format(the benefits of learning mindfulness with others); and ‘selling’ the concept(the way in which the group was introduced to participants upon referral). Four themes pertained to the role of mindfulness in the perception and management of pain:acceptance and awareness(developing a conscious recognition and understanding of pain and reactions to pain);pacing(recognising more easily when over activity was detrimental);mental attitude(feeling less negatively towards their pain); andperception of control(participants’ sense that they could use mindfulness as a tool to manage their pain). It was concluded that participants identified several benefits from practicing mindfulness, particularly in their perceived level of control of long–term pain symptoms. However, consideration must be paid to the suitability of outpatient hospital settings for such groups, and potential alternatives investigated.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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