Mindfulness, functioning and catastrophizing after multidisciplinary pain management for chronic low back pain

We examined mindfulness in people with chronic low back pain who were attending a multidisciplinary pain management programme. Participants completed questionnaires at baseline (n = 116) and after a 3-month cognitive-behaviourally informed multidisciplinary intervention (n = 87). Self-reported mindfulness was measured before and after the intervention, and relationships were explored between mindfulness, disability, affect and pain catastrophizing. Mindfulness increased following participation in the intervention, and greater mindfulness was predictive of lower levels of disability, anxiety, depression and catastrophizing, even when pain severity was controlled. Mediator analyses suggested that the relationship between mindfulness and disability was mediated by catastrophizing. It is possible that cognitive-behavioural interventions and processes can affect both catastrophizing and mindfulness. (C) 2011 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.