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Mindfulness-Based Stress Reduction: pilot study of a treatment group for patients with chronic pain in a primary care setting

Julie Beaulac, Matthew Bailly

Primary Health Care Research & Development July 1, 2015 DOI: 10.1017/s1463423614000346 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Pilot pre-post study Pilot study Peer reviewed
Sample size 17
Population Adult patients with chronic pain recruited from 20 collaborative care clinics
Intervention Mindfulness-Based Stress Reduction (MBSR)
Duration Eight-week program
Topics Meditation
Key points In a pre-post evaluation of 17 chronic pain patients, an eight-week MBSR program was associated with significant or clinically relevant improvements in pain disability, psychological distress, engagement in life activities, willingness to experience pain, and subjective current pain ratings, despite modest attendance and short program length.

Abstract

Aim: The study objective was to evaluate an eight-week Mindfulness-Based Stress Reduction (MBSR) treatment group for chronic pain in terms of effects on pain disability, subjective ratings of pain and psychological distress related to pain, and activity level and willingness to experience pain. This pilot study evaluated the impact of two eight-week MBSR treatment groups that were delivered in a clinic in Winnipeg, Manitoba.

Background: Chronic pain is one of the most common presenting problems in primary care settings.

Methods: Adult patients with chronic pain were recruited from 20 clinics that are part of a collaborative care programme and outcome measures were administered at baseline and programme completion.

Findings: Despite a modest attendance rate and the short length of programme, a pre–post evaluation involving 17 patients revealed significant and/or clinically relevant improvements in level of pain disability, psychological distress, engagement in life activities, willingness to experience pain, and subjective rating of current pain.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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