Abstract
Mindfulness-based cognitive therapy (MBCT) is an innovative treatment approach that has been successfully adapted and applied to chronic pain conditions. Theoretically, MBCT represents a streamlined protocol designed to integrate key cognitive therapy principles with mindfulness meditation. Hence, the mechanisms of MBCT are theorized to be both a reduction in maladaptive cognitions associated with pain, such as pain catastrophizing, and a concurrent improvement in responses to pain and stress via the cultivation of mindfulness and acceptance of pain. Research on MBCT for pain is still in its infancy, but the preliminary findings are exceptionally promising and evidence suggests this approach is feasible and potentially efficacious. In order to improve our capacity to treat persistent painful conditions, it is essential that we have a variety of evidence-based interventions available, and MBCT represents an exciting additional treatment option for people with persistent pain. A key future research agenda is a need to focus on the development of patient-treatment matching algorithms such that we can successfully match individuals to those available evidence-based treatments that are most likely to be of benefit. In a time when public healthcare resources are scarce, it is paramount that we streamline and optimize our treatments in order to show the true public health value of psychological interventions for pain.
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References
IASP Task Force on Taxonomy. Classification of Chronic Pain, Second Edition. Merskey, H., Bogduk, N., editors. Seattle, Washington: IASP Press; 1994.
IASP Subcommittee on Taxonomy, Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Pain. 1986;3:S1–226.
Johannes CB, Le TK, Zhou X, Johnston JA, Dworkin RH. The prevalence of chronic pain in United States adults: results of an internet-based survey. J Pain. 2010;11(11):1230–9.
Gaskin DJ, Richard P. The economic costs of pain in the United States. J Pain. 2012;13(8):715–24.
Schwartz BS, Stewart WF, Simon D, Lipton RB. Epidemiology of tension-type headache. JAMA. 1998;279(5):381–3.
Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150(699):971–9.
Melzack R, Wall PD. The challenge of pain. New York: Basic Books; 1982.
Melzack R. Pain and the neuromatrix in the brain. J Dent Educ. 2001;65:1378–82.
Melzack R. Evolution of the neuromatrix theory of pain. The Prithvi Raj Lecture: presented at the third World Congress of World Institute of Pain, Barcelona 2004. Pain Pract. 2005;5:85–94.
Apkarian AV, Baliki MN, Geha PY. Towards a theory of chronic pain. Prog Neurobiol. 2009;87(2):81–97.
Apkarian AV, Hashmi JA, Baliki MN. Pain and the brain: specificity and plasticity of the brain in clinical chronic pain. Pain. 2011;152(3 Suppl):S49–64.
Jensen MP. A Neuropsychological model of pain: research and clinical implications. J Pain. 2010;11:2–12.
Williams AC, Eccleston C, Morley S. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev. 2012;11, CD007407.
Segal Z, Williams JM, Teasdale J. Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press; 2002.
Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression. New York: Guilford; 2013.
Turk DC, Meichenbaum D, Genest M. Pain and behavioral medicine: a cognitive-behavioral perspective. New York: Guilford Press; 1983. p. 452. xii.
Penzien DB. Stress management for migraine: recent research and commentary. Headache. 2009;49(9):1395–8.
Kabat-Zinn J. Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacourt; 1990.
Fjorback LO, Arendt M, Ornbol E, Fink P, Walach H. Mindfulness-based stress reduction and mindfulness-based cognitive therapy: a systematic review of randomized controlled trials. Acta Psychiatr Scand. 2011;124(2):102–19.
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.
Thorn BE. Cognitive therapy for chronic pain: a step-by-step guide. New York: Guilford Press; 2004.
Safran JD, Segal ZV. Interpersonal process in cognitive therapy. New York: Basic Books; 1990.
Day MA, Thorn BE, Ward LC, Rubin N, Hickman SD, Scogin F, et al. Mindfulness-based cognitive therapy for the treatment of headache pain: a pilot study. Clin J Pain. 2014;22(2):278–85.
Day MA, Jensen MP, Ehde DM, Thorn BE. Towards a theoretical model for mindfulness-based pain management. J Pain. 2014;15(7):691–703.
Cathcart S, Galatis N, Immink M, Proeve M, Petkov J. Brief mindfulness-based therapy for chronic tension-type headache: a randomized controlled pilot study. Behav Cogn Psychother. 2014;42:1–15.
Garland EL, Thomas E, Howard MO. Mindfulness-oriented recovery enhancement ameliorates the impact of pain on self-reported psychological and physical function among opioid using chronic pain patients. J Pain Symptom Manag. 2014;48(6):1091–9.
Parra-Delgado PM, Latorre-Postigo JM. Effectiveness of mindfulness-based cognitive therapy in the treatment of fibromyalgia: a randomised trial. Cogn Ther Res. 2013;37:1015–26.
Veehof MM, Oskam MJ, Schreurs KM, Bohlmeijer ET. Acceptance-based interventions for the treatment of chronic pain: a systematic review and meta-analysis. Pain. 2011;152(3):533–42.
Day MA, Thorn BE. The relationship of demographic and psychosocial variables to pain-related outcomes in a rural chronic pain population. Pain. 2010;151(2):467–74.
Tait RC, Chibnall JT. Racial and ethnic disparities in the evaluation and treatment of pain: psychological perspectives. Prof Psychol Res Pract. 2005;36(6):595–601.
Dowd H, Hogan MJ, McGuire BE, Davis MC, Sarma KM, Fish RA, et al. Comparison of an online mindfulness-based cognitive therapy intervention with online pain management psychoeducation: a randomized controlled study. Clin J Pain. 2015;31(6):517–27.
Griffiths F, Lindenmeyer A, Powell J, et al. Why are health care interventions delivered over the internet? A systematic review of the published literature. J Med Internet Res. 2006;8.
Jensen MP. Psychosocial approaches to pain management: an organizational framework. Pain. 2011;152(4):717–25.
Thorn BE, Burns JW. Common and specific treatment mechanisms in psychosocial pain interventions: the need for a new research agenda. Pain. 2011;152(4):705–6.
Day MA, Thorn BE. The mediating role of pain acceptance during mindfulness-based cognitive therapy for headache. Under Review.
Day MA, Thorn BE, Rubin N. Mindfulness-based cognitive therapy for the treatment of headache pain: a mixed-methods analysis comparing treatment responders and treatment non-responders. Complement Ther Med. 2014;15(3):278–85.
Day MA, Halpin J, Thorn BE. An empirical examination of the role of common factors of therapy during a mindfulness-based cognitive therapy intervention for headache pain. Clin J Pain. In Press.
Carmody J, Baer RA. How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. J Clin Psychol. 2009;65(6):627–38.
Day MA, Eyer J, Thorn BE. Therapeutic relaxation. In: Hofmann SG, editor. The Wiley handbook of cognitive behavioral therapy: a complete reference guide volume 1: CBT General Strategies. 1: Wiley-Blackwell; 2013. p. 157–80.
Day MA, Ehde DM, Jensen MP. Psychosocial pain management moderation: the limit, activate and enhance model. J Pain. New York 2015;16(10):947–60.
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(1):23–33.
MacKenzie KR. The alliance in time limited group psychotherapy. In: Safran JD, Muran JC, editors. The therapeutic alliance in brief psychotherapy. Washington, D.C.: American Psychological Association; 1998. p. 193–215.
Yalom ID, Leszcz M. The theory and practice of group psychotherapy. 5th ed. New York: Basic Books; 2005.
Naylor MR, Keefe FJ, Brigidi B, Naud S, Helzer JE. Therapeutic interactive voice response for chronic pain reduction and relapse prevention. Pain. 2008;134(3):335–45.
Association AP. Ethical principles of psychologists and code of conduct: 2010 amendments 2010. Accessed 29 May 2015. From: http://www.apa.org/ethics/code/.
Mindfulness TUCf. Mindfulness-Based Professional Training Institute. Accessed 29 May 2015. From: http://mbpti.org/.
Dance KA, Neufeld RW. Aptitude-treatment interaction research in clinical settings: a review of attempts to dispel the "patient uniformity" myth. Psychol Bull. 1988;104:192–213.
Acknowledgments
I would like to acknowledge and express my sincere appreciation for Professor Beverly Thorn, for her valued collaborations and insightful contributions in working with me to develop a line of research examining MBCT for pain.
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Day, M.A. (2016). The Application of Mindfulness-Based Cognitive Therapy for Chronic Pain. In: Eisendrath, S. (eds) Mindfulness-Based Cognitive Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-29866-5_6
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