Mindfulness intervention effect on endometriosis-related pain dimensions and its mediator role on stress and vitality: a path analysis approach.
Marcelo de França Moreira, Olga Lucia Gamboa, Marco Aurelio Pinho Oliveira
Archives of women's mental health February 2024 DOI: 10.1007/s00737-023-01381-6 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Secondary analysis of a pilot randomized controlled trial Peer reviewed |
|---|---|
| Population | Women with endometriosis |
| Intervention | Brief mindfulness-based intervention (bMBI) |
| Topics | Meditation |
| Keywords | Endometriosis Pain Psychological stress Quality of life Vitality Well-being |
| Key findings | A brief mindfulness-based intervention reduced sensory (B = -6.09) and affective (B = -3.40) pain. These pain reductions mediated the intervention's effect on psychological stress, and a serial pathway through sensory pain and stress mediated improvement in quality-of-life vitality. The authors argue that the sensory pain dimension must improve together with psychological stress for vitality gains, and that adding meditation training to standard care may be needed for some women. |
Abstract
Endometriosis-related pain is supposedly mainly responsible for generating psychological stress and deteriorating the quality of life. However, the interaction between these factors has not been investigated, considering its multidimensional nature and through the path of effects of psychosocial approaches. The present study aims to investigate the effect of a brief mindfulness-based intervention (bMBI) on pain dimensions and its mediator role on psychological stress and QoL-Vitality improvement. A secondary analysis of a pilot randomized controlled trial using a series of parallel and serial mediators was carried out. The results showed that bMBI improves the sensory (B = -6.09 [-9.81, -2.52], β = -0.42) and affective (B = -3.40 [-5.02, -1.80], β = -0.47) pain. The bMBI effect on psychological stress reduction was mediated by these changes in sensory (B = -2.81 [-6.06, -0.41], β = -0.21) and affective (B = -1.97 [-5.07, -0.17], β = -0.15) pain. Serial sensory pain and psychological stress reduction (B = 2.27 [0.11, 5.81], β = -0.09) mediated the bMBI effect on quality of life vitality. Meditation training promotes additional improvement in affective and sensory pain characteristics through which psychological stress is reduced. The sensory pain dimension must be positively impacted in combination with psychological stress for the bMBI improves women's vitality. Adding a psychosocial intervention like meditation training to the standard treatment plan may be required for some women to achieve the needed changes to restore well-being.
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |
Citations in the library
Cites 11
- Mindfulness starts with the body: somatosensory attention and top-down modulation of cortical alpha rhythms in mindfulness meditation Frontiers in Human Neuroscience 2013
- Mindfulness meditation is related to sensory‐affective uncoupling of pain in trained novice and expert practitioners European Journal of Pain April 20, 2020
- Cognitive Defusion Is a Core Cognitive Mechanism for the Sensory-Affective Uncoupling of Pain During Mindfulness Meditation Psychosomatic Medicine March 31, 2021
- The Two Arrows of Pain: Mechanisms of Pain Related to Meditation and Mental States of Aversion and Identification Mindfulness January 28, 2022
- Pain regulation during mindfulness meditation: Phenomenological fingerprints in novices and experts practitioners European Journal of Pain April 2, 2021
and 6 more in the library