Feasibility and Acceptability of an Abbreviated, Four-Week Mindfulness Program for Chronic Pain Management

被引:19
作者
Brintz, Carrie E. [1 ]
Roth, Isabel [2 ]
Faurot, Keturah [2 ]
Rao, Sanjana [2 ]
Gaylord, Susan A. [2 ]
机构
[1] Vanderbilt Univ, Med Ctr, Dept Anesthesiol, Div Pain Med, Nashville, TN USA
[2] Univ N Carolina, Dept Phys Med & Rehabil, Program Integrat Med, Sch Med, Chapel Hill, NC 27515 USA
基金
美国国家卫生研究院;
关键词
Chronic Pain; Mindfulness; Mindfulness-Based Stress Reduction; Abbreviated; LOW-BACK-PAIN; COGNITIVE-BEHAVIORAL THERAPY; MIND-BODY PROGRAM; STRESS REDUCTION; CATASTROPHIZING SCALE; SELF-EFFICACY; OLDER-ADULTS; MEDITATION; PREVALENCE; ACCEPTANCE;
D O I
10.1093/pm/pnaa208
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Objective. The Mindfulness-Based Stress Reduction program is effective at improving chronic pain outcomes, but the time demand hinders participation. This preliminary study evaluated the feasibility, acceptability, and potential effects of providing an abbreviated mindfulness program for patients with chronic pain. Design. A single-arm, mixed-methods, pre-post intervention study. Setting. An outpatient rehabilitation clinic at an academic medical center. Subjects. Participants were N = 23 adults with chronic pain who were new to mindfulness practice. Methods. Mindfulness-based Stress Reduction was adapted to shorten the program to four weekly 90-minute sessions and to focus content on pain management. Three cohorts of six to nine participants completed baseline and post-treatment measures of 1) patient-reported outcomes, including pain intensity, pain interference, physical functioning, depressive/anxiety symptoms, positive affect and well-being, and sleep disturbance; 2) pain medication dosages; 3) psychosocial variables including pain acceptance, pain catastrophizing, and perceived stress; 4) dispositional mindfulness, as well as postintervention structured interviews about their experiences. Results. Acceptable rates of retention and attendance and high ratings of satisfaction indicated that the intervention was feasible and acceptable. In interviews, participants found the program acceptable and beneficial and provided suggestions to improve it. From pre- to post-treatment, significant improvements were reported in all measures except physical functioning and anxiety. Conclusions. In adults with chronic pain, a four-week mindfulness program is feasible and acceptable, addresses the barrier of a lengthy program, and may improve quality of life and psychological functioning. An appropriately powered randomized controlled trial with a comparison group is needed to assess the intervention's effectiveness.
引用
收藏
页码:2799 / 2810
页数:12
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