Abstract
Mindfulness-based stress reduction (MBSR) has benefits for those with chronic pain. MBSR typically entails an intensive 8-week intervention. The effects of very brief mindfulness interventions are unknown. Among those with chronic pain, the immediate effects of a 10 min mindfulness-based body scan were compared with a control intervention. Fifty-five adult outpatients were randomly assigned to either: (1) mindfulness-based body scan (n = 27) or (2) a reading about natural history (control group, n = 28), provided via a 10 min audio-recording. Interventions were delivered twice across 24 h; once in the clinic and once in participants’ ‘normal’ environment. Immediately before and after listening to the recording, participants rated pain severity, pain related distress, perceived ability for daily activities, perceived likelihood of pain interfering with social relations, and mindfulness. In the clinic, there was a significant reduction in ratings for pain related distress and for pain interfering with social relations for the body scan group compared with the control group (p = 0.005; p = 0.036, respectively). In the normal environment none of the ratings were significantly different between the groups. These data suggest that, in a clinic setting, a brief body scan has immediate benefits for those experiencing chronic pain. These benefits need to be confirmed in the field.
This is a preview of subscription content, access via your institution.
References
Bishop, S., Lau, M., Shapiro, S., Carlson, L., Anderson, N., Carmody, J., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. doi:10.1093/clipsy.bph077
Bodenheimer, T. (1999). Disease management-promises and pitfalls. The New England Journal of Medicine, 15, 1202–1205. doi:10.1056/NEJM199904153401511
Boersma, K., Linton, S., Overmeer, T., Jansson, M., Vlaeyen, J., & de Jong, J. (2004). Lowering fear-avoidance and enhancing function through exposure in vivo: A multiple baseline study across six patients with back pain. Pain, 108, 8–16. doi:10.1016/j.pain.2003.03.001
Breivik, H., Collett, B., Ventafridda, V., Cohen, R., & Gallacher, D. (2006). Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. European Journal of Pain, 10, 287–333. doi:10.1016/j.ejpain.2005.06.009
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848. doi:10.1037/0022-3514.84.4.822
Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008). The assessment of present-moment awareness and acceptance: The philadelphia mindfulness scale. Assessment, 15, 204–223. doi:10.1177/1073191107311467
Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31, 23–33. doi:10.1007/s10865-007-9130-7
Carmody, J., & Baer, R. A. (2009). How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. Journal of Clinical Psychology, 65, 627–638. doi:10.1002/jclp.20555
Cleeland, C. S. (1991). Research in cancer pain: What we know and what we need to know. Cancer, 67, 823–827. doi:10.1002/1097-0142(19910201
Cleeland, C. S., & Ryan, K. M. (1994). Pain assessment: Global use of the brief pain inventory. Annals of the Academy of Medicine, Singapore, 23, 129–138.
Cornally, N., & McCarthy, G. (2011). Help-seeking behaviour for the treatment of chronic pain. British Journal of Community Nursing, 16, 90–98.
Cropley, M., Ussher, M., & Charitou, E. (2007). Acute effects of a guided relaxation routine (body scan) on tobacco withdrawal symptoms and cravings in abstinent smokers. Addiction, 102, 989–993. doi:10.1111/j.1360-0443.2007.01832.x
de Jong, J. R., Vangronsveld, K., Peters, M. L., Goossens, M. E., Onghena, P., Bulté, I., et al. (2008). Reduction of pain-related fear and disability in post-traumatic neck pain: A replicated single-case experimental study of exposure in vivo. The Journal of Pain, 9, 1123–1134. doi:10.1016/j.jpain.2008.06.015
Fresco, D. M., Moore, M. T., van Dulmen, M. H., Segal, Z. V., Ma, S. H., Teasdale, J. D., et al. (2007). Initial psychometric properties of the experiences questionnaire: Validation of a self-report measure of decentering. Behavior Therapy, 38, 234–246. doi:10.1016/j.beth.2006.08.003
Gormsen, L., Rosenberg, R., Bach, F. W., & Jensen, T. S. (2010). Depression, anxiety, health-related quality of life and pain in patients with chronic fibromyalgia and neuropathic pain. European Journal of Pain, 14, 127.e1–127.e8. doi:10.1016/j.ejpain.2009.03.010
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits. A meta-analysis. Journal of Psychosomatic Research, 57, 35–43. doi:10.1016/S0022-3999(03)00573-7
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35, 639–665. doi:10.1016/S0005-7894(04)80013-3
Institute of Medicine; Committee on Advancing Pain Research, Care, and Education. Committee on Advancing Pain Research, Care, and Education. (2011). Relieving pain in America: a blueprint for transforming prevention, care, education, and research. Washington: The National Academies Press. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK91497/pdf/TOC.pdf
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell Publishing.
Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., et al. (2006). The Toronto mindfulness scale: Development and validation. Journal of Clinical Psychology, 62, 1445–1467. doi:10.1002/jclp.20326
McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004). Acceptance of chronic pain: component analysis and a revised assessment method. Pain, 107, 159–166. doi:10.1016/j.pain.2003.10.012
Morone, N. E., Greco, C. M., & Weiner, D. K. (2008). Mindfulness meditation for the treatment of chronic low back pain in older adults: A randomized controlled pilot study. Pain, 2008(134), 310–319. doi:10.1016/j.pain.2007.04.038
Shapiro, S., & Schwartz, G. (1999). Intentional systemic mindfulness: An integrative model for self-regulation and health. Advances in Mind-Body Medicine, 15, 128–134. doi:10.1054/ambm.1999.0118
Ussher, M., Cropley, M., Playle, S., Mohidin, R., & West, R. (2009). Effect of isometric exercise and body scanning on cigarette cravings and withdrawal symptoms. Addiction, 104, 1251–1257. doi:10.1111/j.1360-0443.2009.02605.x
Von Korff, M., Glasgow, R. E., & Sharpe, M. (2002). Organising care for chronic illness. BMJ, 325, 92–94. doi:10.1136/bmj.325.7355.92
Vowles, K. E., McCracken, L. M., McLeod, C., & Eccleston, C. (2008). The chronic pain acceptance questionnaire: Confirmatory factor analysis and identification of patient subgroups. Pain, 140, 284–291. doi:10.1016/j.pain.2008.08.012
Wilkinson, M. J., & Barczak, P. (1988). Psychiatric screening in general practice: comparison of the general health questionnaire and the hospital anxiety depression scale. Journal of the Royal College of General Practitioners, 38, 311–313. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1711493/pdf/jroyalcgprac00019-0020.pdf
Zeidan, F., Gordon, N. S., Merchant, J., & Goolkasian, P. (2010). The effects of brief mindfulness meditation training on experimentally induced pain. Journal of Pain, 11, 199–209. doi:10.1016/j.jpain.2009.07.015
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361–370. doi:10.1111/j.1600-0447.1983.tb09716.x
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ussher, M., Spatz, A., Copland, C. et al. Immediate effects of a brief mindfulness-based body scan on patients with chronic pain. J Behav Med 37, 127–134 (2014). https://doi.org/10.1007/s10865-012-9466-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10865-012-9466-5
Keywords
- Chronic pain
- Mindfulness
- Body scan
- Intervention
- Distress