Pain
Conditions
Keywords
Meditation, Mindfulness, Attention, Chronic Pain, Depression, Anxiety, Stress, Acceptance, Pain intensity, Pain disability
Brief summary
The main purpose of this study is to determine the degree to which Mindfulness-Based Stress Reduction, a group-based psychological therapy that includes mindfulness meditation exercises, reduces depression, anxiety, stress, pain intensity, and interference of pain with daily life among adult chronic pain patients. The second purpose is to examine the role of attention in improving psychological and physical health for chronic pain patients.
Interventions
BEHAVIORALMindfulness-Based Stress Reduction
An 8-week structured group program that was developed to improve psychological and physical symptoms associated with pain. It incorporates a variety of mindfulness meditation exercises including mindful yoga, sitting meditation, and body scan to facilitate attention, acceptance, and awareness of one's experiences.
Sponsors
Mount Sinai Hospital, Canada
Wasser Pain Management Centre
Rasch Foundation
York University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Adult chronic pain patients who are proficient in English * Capable of interacting with others in a group setting * Capable of working with a computer
Exclusion criteria
* Alcohol or drug abuse (past history is acceptable as long as their situation has been stable for at least 3 months) * Psychiatric psychosis (patients who have a past history of schizophrenia are eligible as long as they are currently stable) * Current major depressive disorder * Current severe social phobia * At immediate risk for suicide * Cerebral lesions or tumors (unless medically and cognitively stable) * Neurological disease * Medically unstable * Cognitively unstable * Previously participated in a mindfulness meditation program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain disability and Attention | Baseline, immediately following treatment, and at 3 months follow up | Change in pain disability assessed by the Pain Disability Index (PDI). Change in attention assessed by an adapted version of the Change Blindness Task |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety | Baseline, immediately following treatment, and at 3 months follow up | Change in anxiety assessed by the Depression, Anxiety, and Stress Scale 21 (DASS-21) |
| Stress | Baseline, immediately following treatment, and at 3 months follow up | Change in stress assessed by the Depression, Anxiety, and Stress Scale 21 (DASS-21) |
| Depression | Baseline, immediately following treatment, and at 3 months follow up | Change in depression assessed by the Depression, Anxiety, and Stress Scale 21 (DASS-21) |
| Acceptance | Baseline, immediately following treatment, and at 3 months follow up | Change in acceptance assessed by the Chronic Pain Acceptance Questionnaire (CPAQ) |
| Pain Intensity | Baseline, immediately following treatment, and at 3 months follow up | Change in pain intensity assessed by the Short-form McGill Pain Questionnaire (SF-MPQ-2). |
| Mindfulness | Baseline, immediately following treatment, and at 3 months follow up | Change in mindfulness assessed by the Five Facet Mindfulness Questionnaire (FFMQ) and Mindful Attention Awareness Scale (MAAS) |
Countries
Canada
Outcome results
None listed