Journal of Psychosomatic Research
Volume 68, Issue 1 , Pages 29-36 , January 2010

Mindfulness-based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice

  • Steven Rosenzweig

      Affiliations

    • Office of Educational Affairs, Drexel University College of Medicine, Philadelphia, PA, USA
    • ,
  • Jeffrey M. Greeson

      Affiliations

    • Duke Integrative Medicine, Duke University Medical Center, Durham, NC, USA
    • Corresponding Author InformationCorresponding author. Duke Integrative Medicine, Duke University Medical Center, DUMC Box 102904, Durham, NC 27710, USA. Tel.: +1 919 660 6773; fax: +1 919 684 6445.
    • ,
  • Diane K. Reibel

      Affiliations

    • Jefferson-Myrna Brind Center of Integrative Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA
    • ,
  • Joshua S. Green

      Affiliations

    • Department of Psychiatry and Human Behavior, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, PA, USA
    • ,
  • Samar A. Jasser

      Affiliations

    • Department of Psychiatry and PENN Behavioral Health, University of Pennsylvania, Philadelphia, PA, USA
    • ,
  • Denise Beasley

      Affiliations

    • Jefferson-Myrna Brind Center of Integrative Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA

Received 1 December 2007 ,Revised 15 January 2009 ,Accepted 20 March 2009.

References 

  1. National Center for Health Statistics. Health, United States, 2006 With Chartbook on Trends in the Health of Americans. Hyattsville, MD: 68–71.
  2. Chronic pain in America: roadblocks to relief, a study conducted by Roper Starch worldwide for American Academy of Pain Medicine, American Pain Society and Janssen Pharmaceutica, 1999.
  3. Ashburn MA, Staats PS. Management of chronic pain. Lancet. 1999;353:1865–1869
  4. Keefe FJ, Rumble ME, Scipio CD, Giordano LA, Perri LM. Psychological aspects of persistent pain: current state of the science. J Pain. 2004;5:195–211
  5. National Center for Complementary and Alternative Medicine (NCCAM), National Institutes of Health, U.S. Department of Health and Human Services. Mind-body medicine: an overview. NCCAM publication number D239, Updated May 2007.
  6. Integration of behavioral and relaxation approaches into the treatment of chronic pain and insomnia. NIH Technology Assessment Panel on Integration of Behavioral and Relaxation Approaches into the Treatment of Chronic Pain and Insomnia. JAMA. 1996;276:313–318
  7. Wolsko PM, Eisenberg DM, Davis RB, Phillips RS. Use of mind-body medical therapies. J Gen Intern Med. 2004;19:43–50
  8. Astin JA. Mind-body therapies for the management of pain. Clin J Pain. 2004;20:27–32
  9. Teixeira ME. Meditation as an intervention for chronic pain: an integrative review. Holist Nurs Pract. 2008;22:225–234
  10. Baer RA. Mindfulness training as a clinical intervention: a conceptual and empirical review. Clin Psychol Sci Pract. 2003;10:125–143
  11. Grossman P, Niemann L, Schmidt S, Walach H. Mindfulness-based stress reduction and health benefits: a meta-analysis. J Psychosom Res. 2004;57:35–43
  12. Kabat-Zinn J. Mindfulness-based interventions in context: past, present and future. Clin Psychol Sci Pract. 2003;10:144–156
  13. Kabat-Zinn J. Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York (NY): Dell Publishing; 1990;
  14. Greeson JM. Mindfulness research update: 2008. Compl Health Prac Rev. 2009;14:10–18
  15. Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. Gen Hosp Psychiatry. 1982;4:33–47
  16. Kabat-Zinn J, Lipworth L, Burney R. The clinical use of mindfulness meditation for the self-regulation of chronic pain. J Behav Med. 1985;8:163–190
  17. Kabat-Zinn J, Lipworth L, Burney R, Sellers W. Four year follow-up of a meditation-based program for the self-regulation of chronic pain: treatment outcomes and compliance. Clin J Pain. 1986;2:159–173
  18. Randolph PD, Caldera YM, Tacone AM, Greak BL. The long-term combined effects of medical treatment and a mindfulness-based behavioral program for the multidisciplinary management of chronic pain in West Texas. Pain Digest. 1999;9:103–112
  19. Kaplan RH, Goldenberg DL, Galvin-Nadeau M. The impact of a meditation-based stress reduction program on fibromyalgia. Gen Hosp Psychiatry. 1993;15:284–289
  20. Sephton SE, Salmon P, Weissbecker I, Ulmer C, Floyd A, Hoover K, et al. Mindfulness meditation alleviates depressive symptoms in women with fibromyalgia: results of a randomized clinical trial. Arthritis Rheum. 2007;57:77–85
  21. Weissbecker I, Salmon P, Studts JL, Floyd AR, Dedert EA, Sephton SE. Mindfulness-based stress reduction and sense of coherence among women with fibromyalgia. J Clin Psychol Med Sett. 2002;9:297–307
  22. Grossman P, Tiefenthaler-Gilmer U, Raysz A, Kesper U. Mindfulness training as an intervention for fibromyalgia: evidence of postintervention and 3-year follow-up benefits in well-being. Psychother Psychosom. 2007;76:226–233
  23. Pradhan EK, Baumgarten M, Langenberg P, Handwerger B, Gilpin AK, Magyari T, et al. Effect of mindfulness-based stress reduction in rheumatoid arthritis patients. Arthritis Rheum. 2007;57:1134–1142
  24. Plews-Ogan M, Owens JE, Goodman M, Wolfe P, Schorling J. A pilot study evaluating mindfulness-based stress reduction and massage for the management of chronic pain. J Gen Intern Med. 2005;20:1136–1138
  25. Morone NE, Greco CM, Weiner DK. Mindfulness meditation for the treatment of chronic low back pain in older adults: a randomized controlled pilot study. Pain. 2008;134:310–319
  26. Kabat-Zinn J, Santorelli S. Mindfulness-based stress reduction professional training resource manual. Worcester (Mass): Center for Mindfulness in Medicine, Health Care and Society; 1999;
  27. Ware JE, Kosinsky M, Gandek B. SF-36 Health Survey: manual and interpretation guide. Boston (Mass): The Health Institute, New England Medical Center; 1993;
  28. Ware JE, Kosinsky M, Keller SK. SF-36 Physical and mental health summary scales: a user's manual. Boston (Mass): Health Assessment Lab, New England Medical Center; 1994;
  29. Derogatis LR. SCL-90-R administration, scoring, and procedures manual. 3rd ed.. Minneapolis (Minn): National Computer Systems, Inc.; 1994;
  30. Derogatis LR. The SCL-90 and the MMPI: a step in the validation of a new self-report scale. Br J Psychiatry. 1976;128:280–289
  31. Middel B, van Sonderen E. Statistical significant change versus relevant or important change in (quasi) experimental design: some conceptual and methodological problems in estimating magnitude of intervention-related change in health services research. Int J Integr Care. 2002;2:e15
  32. Kabat-Zinn J, Chapman-Waldrop A. Compliance with an outpatient stress reduction program: rates and predictors of program completion. J Behav Med. 1988;11:333–352
  33. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed.. Hillsdale (NJ): Lawrence Erlbaum Associates, Inc; 1988;
  34. Astin JA, Shapiro SL, Eisenberg DM, Forys KL. Mind-body medicine: state of the science, implications for practice. J Am Board Fam Pract. 2003;16:131–147
  35. Nash-Mc Feron DE. Mindfulness in the treatment of chronic headache pain. Dissertation Abstracts International 2006;67(5-B).
  36. Zautra AJ, Davis MC, Reich JW, Nicassario P, Tennen H, Finan P, et al. Comparison of cognitive behavioral and mindfulness meditation interventions on adaptation to rheumatoid arthritis for patients with and without history of recurrent depression. J Consult Clin Psychol. 2008;76:408–421
  37. Nyklícek I, Kuijpers KF. Effects of mindfulness-based stress reduction intervention on psychological well-being and quality of life: is increased mindfulness indeed the mechanism?. Ann Behav Med. 2008;35:331–340
  38. Carmody J, Baer RA. Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. J Behav Med. 2008;31:23–33
  39. Cahn BR, Polich J. Meditation states and traits: EEG, ERP, and neuroimaging studies. Psychol Bull. 2006;132:180–211
  40. Lutz A, Slagter HA, Dunne JD, Davidson RJ. Attention regulation and monitoring in meditation. Trends Cogn Sci. 2008;12:163–169
  41. Kingston J, Chadwick P, Meron D, Skinner TC. A pilot randomized control trial investigating the effect of mindfulness practice on pain tolerance, psychological well-being, and physiological activity. J Psychosom Res. 2007;62:297–300
  42. Karp JF, Shega JW, Morone NE, Weiner DK. Advances in understanding the mechanisms and management of persistent pain in older adults. Br J Anaesth. 2008;101:111–120
  43. Creswell JD, Way BM, Eisenberger NI, Lieberman MD. Neural correlates of dispositional mindfulness during affect labeling. Psychosom Med. 2007;69:560–565
  44. Brown KW, Ryan RM, Creswell JD. Mindfulness: theoretical foundations and evidence for its salutary effects. Psychol Inquiry. 2007;18:211–237
  45. Ditto B, Eclache M, Goldman N. Short-term autonomic and cardiovascular effects of mindfulness body scan meditation. Ann Behav Med. 2006;32:227–234
  46. Garland E, Gaylord S, Park J. The role of mindfulness in positive reappraisal. Explore (NY). 2009;5:37–44
  47. Linehan MM. Skills training manual for treating borderline personality disorder. New York (NY): Guilford Press; 1993;
  48. Melzack R. The McGill Pain Questionnaire: from description to measurement. Anesthesiology. 2005;103:199–202

PII: S0022-3999(09)00094-4

doi: 10.1016/j.jpsychores.2009.03.010

Journal of Psychosomatic Research
Volume 68, Issue 1 , Pages 29-36 , January 2010

Article Tools