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The clinical use of mindfulness meditation for the self-regulation of chronic pain

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Abstract

Ninety chronic pain patients were trained in mindfulness meditation in a 10-week Stress Reduction and Relaxation Program. Statistically significant reductions were observed in measures of present-moment pain, negative body image, inhibition of activity by pain, symptoms, mood disturbance, and psychological symptomatology, including anxiety and depression. Pain-related drug utilization decreased and activity levels and feelings of self-esteem increased. Improvement appeared to be independent of gender, source of referral, and type of pain. A comparison group of pain patients did not show significant improvement on these measures after traditional treatment protocols. At follow-up, the improvements observed during the meditation training were maintained up to 15 months post-meditation training for all measures except present-moment pain. The majority of subjects reported continued high compliance with the meditation practice as part of their daily lives. The relationship of mindfulness meditation to other psychological methods for chronic pain control is discussed.

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References

  • Ahles, T. A., Blanchard, E. B., and Levinthal, H. (1983). Cognitive control of pain: Attention to the sensory aspects of the cold pressor stimulus.Cognit. Ther. Res. 7: 159–178.

    Google Scholar 

  • Armitage, P. (1971).Statistical Methods in Medical Research, Wiley, New York, 138.

    Google Scholar 

  • Benson, H. (1975).The Relaxation Response, Morrow, New York.

    Google Scholar 

  • Brown, D. P., and Engler, J. (1980). A Rorschach study of the stages of mindfulness meditation.J. Transper. Psychol. 12: 143–192.

    Google Scholar 

  • Burns, D. M. (1973).Buddhist Meditation and Depth Psychology, Wheel, Kandy, Sri Lanka.

    Google Scholar 

  • Burns, D., and Ohayv, R. J. (1980). Psychological changes in meditating Western monks in Thailand.J. Transper. Psychol. 12: 11–24.

    Google Scholar 

  • Butler, K. (1983). Events are the teacher.Co-Evol. Q. Winter: 112–123.

    Google Scholar 

  • Cassel, E. J. (1982). The nature of suffering and the goals of medicine.N. Engl. J. Med. 306: 639–645.

    Google Scholar 

  • Davidson, J. M. (1976). The physiology of meditation and mystical states of consciousness.Perspect. Biol. Med. 345–379.

  • Deatherage, G. (1975). The clinical use of mindfulness meditation techniques in short-term psychotherapy.J. Transfer. Psychol. 2: 133–144.

    Google Scholar 

  • Deikman, A. J. (1982).The Observing Self, Beacon, Boston.

    Google Scholar 

  • Derogatis, L. R. (1977).SCL-90-R Manual I Johns Hopkins University School of Medicine, Baltimore, Md.

    Google Scholar 

  • Derogatis, L. R., Rickels, K., and Rock, A. F. (1976). The SCL-90 and the MMPI: A step in the validation of a new self-report scale.Br. J. Psychiat. 128: 280–289.

    Google Scholar 

  • Haskell, D., Pugatch, D., and McNair, D. M. (1969). Time-limited psychotherapy for whom?Arch. Gen. Psychiat. 21: 546–552.

    Google Scholar 

  • Holroyd, K. A., and Andrasik, F. (1980). Self-control of tension headache. In McGuigan, F. J., Sime, W. E., and Wallace, J. M. (eds.),Stress and Tension Control, Plenum, New York.

    Google Scholar 

  • Ingelfinger, J. A., Mosteller, F., Thibodeau, L. A., and Ware, J. H. (1983).Biostatistics in Clinical Medicine, Macmillan, New York, p. 170.

    Google Scholar 

  • Jung, C. G. (ed.) (1969). Forward to Introduction to Zen Buddhism. InPsychology and Religion, Princeton University Press, Princeton, N.J., p. 554.

    Google Scholar 

  • Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results.Gen. Hosp. Psychiat. 4: 33–42.

    Google Scholar 

  • Kabat-Zinn, J. (1983). The Body Problem Assessment Scale. In Melzack, R. (ed.),Pain Measurement and Assessment. Raven, New York, pp. 227–231.

    Google Scholar 

  • Kabat-Zinn, J., and Burney, R. (1981). The clinical use of awareness meditation in the self-regulation of chronic pain.Pain (Suppl.) 1: S273.

    Google Scholar 

  • Kabat-Zinn, J., Lipworth, L., Sellers, W., Brew, M., and Burney, R. (1984). Reproducibility and four year follow-up of a training program in mindfulness meditation for the self-regulation of chronic pain.Pain (Suppl.) 2: S303.

    Google Scholar 

  • Krishnamurti, J. (1979).The Wholeness of Life, Harper and Row, New York.

    Google Scholar 

  • Kutz, I., Borysenko, J. Z., and Benson, H. (1985a). Meditation and psychotherapy: A rationale for the integration of dynamic psychotherapy, the relaxation response, and mindfulness meditation.Am. J. Psychiat. 142: 1–8.

    Google Scholar 

  • Kutz, I., Leserman, J., Morrisson, C. H., Borysenko, J. Z., Dorrington, C., and Benson, H. (1985b). Meditation as an adjunct to psychotherapy: An outcome study (submitted for publication).

  • Leventhal, H., Brown, D., Shachman, S., and Engquist, G. (1979). Effects of preparatory information about sensations, threat of pain, and attention on cold pressor distress.J. Personal. Soc. Psychol. 37: 688–714.

    Google Scholar 

  • Maliszewski, M., Twemlow, S. W., Brown, D. P., and Engler, J. (1981). A phenomenological typology of intensive meditation.Revision 4: 3–27.

    Google Scholar 

  • McCaul, K. D., and Haugtvedt, C. (1982). Attention, distraction and cold-pressor pain.J. Personal. Soc. Psychol. 43: 154–162.

    Google Scholar 

  • McCue, J. D. (1982). The effects of stress on physicians and their medical practice.New Engl. J. Med. 306: 458–463.

    Google Scholar 

  • McNair, D. M., Lorr, M., and Droppleman, L. F. (1971).Profile of Mood States (POMS), Educational and Industrial Testing Service, San Diego, Calif.

    Google Scholar 

  • Melzack, R. (1975). The McGill Pain Questionnaire: Major properties and scoring methods.Pain 1: 277–299.

    Google Scholar 

  • Melzack, R., and Perry, C. (1975). Self-regulation of pain: The use of alpha feedback and hypnotic training for the control of chronic pain.Exp. Neurol. 46: 452–469.

    Google Scholar 

  • Melzack, R., and Wall, P. D. (1970). Psychophvsiology of pain.Int. Anesthesiol. Clin. 8: 3–34.

    Google Scholar 

  • Melzack, R. and Wall, F. D. (1983).The Challenge of Pain, Basic, New York.

    Google Scholar 

  • Naranjo, C., and Ornstein, R. E. (1971).On the Psychology of Meditation, Penguin, New York, p. 9.

    Google Scholar 

  • Nisargadatta Maharaj (1973).I Am That, Vols. I and II, Chetana, Bombay.

    Google Scholar 

  • Nyanaponika, T. (1962).The Heart of Buddhist Meditation, Samuel Weiser, New York, pp. 30–45.

    Google Scholar 

  • Shapiro, D. H. (1980).Meditation: Self-Regulation Strategy and Altered State of Consciousness, Aldine, New York.

    Google Scholar 

  • Shapiro, D. H., and Giber, D. (1978). Meditation and psychotherapeutic effects.Arch. Gen. Psychiat. 35: 294–302.

    Google Scholar 

  • Sternback, R. A. (ed.) (1978).The Psychology of Pain, Raven, New York.

    Google Scholar 

  • Suzuki, S. (1970).Zen Mind, Beginner's Mind, Weatherall, New York.

    Google Scholar 

  • Thakar, V. (1977).Life as Yoga, Motilal Banarsidass, Delhi.

    Google Scholar 

  • Turk, D. C., Meichenbaum, D. H., and Berman, W. H. (1979). Application of biofeedback for the regulation of pain: A critical review.Psychol. Bull. 86: 1322–1338.

    Google Scholar 

  • Turk, D. C., Meichenbaum, D., and Genest, M. (1983).Pain and Behavioral Medicine, Guilford, New York.

    Google Scholar 

  • Turner, J. A., and Chapman, C. R. (1982a). Psychological interventions for chronic pain: A critical review. I. Relaxation training and biofeedback.Pain 12: 1–21.

    Google Scholar 

  • Turner, J. A., and Chapman, C. R. (1982b). Psychological interventions of chronic pain: A critical review. II. Operant conditioning, hypnosis, and cognitive therapy.Pain 12: 22–46.

    Google Scholar 

  • Walsh, R. N. (1977). Initial meditative experiences I.J. Transper. Psychol. 9: 151–192.

    Google Scholar 

  • Walsh, R. N. (1978). Initial meditative experiences II.J. Transper. Psychol. 10: 1–28.

    Google Scholar 

  • Walsh, R. N. (1980). The consciousness disciplines and the behavioral sciences: Questions of comparison and assessment.Am. J. Psychiat. 137: 663–673.

    Google Scholar 

  • Walsh, R. N. (1983). Meditation practice and research.J. Hum. Psychol. 23: 18–50.

    Google Scholar 

  • Walsh, R. N., and Vaughan, F. (1980). (eds.),Beyond Ego: Transpersonal Dimensions in Psychology, J. P. Tarcher, Los Angeles.

    Google Scholar 

  • Wilber, K. (1979).No Boundary, Shambhala, Boulder, Colo.

    Google Scholar 

  • Wilber, K. (1980). A developmental model of consciousness. In Walsh, R. N., and Vaughan, F. (eds.),Beyond Ego: Transpersonal Dimensions in Psychology, J. P. Tarcher, Los Angeles, pp. 99–114.

    Google Scholar 

  • Woolfolk, R. L. (1975). Psychophysiological correlates of meditation.Arch. Gen. Psychiat. 32: 1326–1333.

    Google Scholar 

  • Zitman, F. G. (1983). Biofeedback and chronic pain. In Bonica, J. J.,et al. (eds.),Advances in Pain Research and Therapy, Vol. 5, Raven, New York, pp. 795–808.

    Google Scholar 

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Kabat-Zinn, J., Lipworth, L. & Burney, R. The clinical use of mindfulness meditation for the self-regulation of chronic pain. J Behav Med 8, 163–190 (1985). https://doi.org/10.1007/BF00845519

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